Clinical Practice
Terri showed up for his appointment very upset and anxious. She stated she is frightened because she has begun hearing the voices again. The voices that tell her she should kill herself. She has been hearing these voices for approximately 5 years and has two prior suicide attempts over this time. She states that the voices have become stronger over the past week. She says she had received a call from her mother that a friend from high school had completed a suicide attempt. Your FIRST intervention should be...
A) complete a depression screen
B) discuss the need for immediate inpatient hospitalization
C) Begin a complete suicide risk assessment
D) ask Terri about her current medication compliance
C) Begin a complete suicide risk assessment
You have been hired, by a private, non-profit agency, which works with the HIV/AIDS population. The primary function of your unit is to educate sexually active individuals about the disease and to help them understand the importance of testing, life-style changes and treatment if necessary. What is the BEST way to describe your agency’s type of prevention?
A) crisis intervention
B) tertiary prevention
C) secondary prevention
D) primary prevention
C) secondary prevention
Social workers pursue social change, particularly with and on behalf of vulnerable and oppressed individuals and groups of people. Social workers’ social change efforts are focused primarily on issues of poverty, unemployment, and discrimination.
You accept a referral from an agency on 65-year old male client. During the initial interview you learn he has been physically abusive to his wife of 40 years and he appears very depressed. He relates that two of his children will not talk to him and did not call him for his birthday this year. You quickly find you dislike this client intensely and have difficulty feeling any empathy for this client and his situation. That evening after the session you realize he reminds you of your spouse’s step-father who was abusive to your spouse during their childhood. You should…
A) Share your feelings with the client
B) Talk to your supervisor about your reactions toward this client
C) Accept your feelings as part of the therapeutic process when working with abusers
D) Continue your sessions with the client and ignore your feelings
B) Talk to your supervisor about your reactions toward this client
Ethical codes are based on the ethical principles of the profession. These codes outline the values of the profession. They also create a guide to steer the behaviors of the professional. Of the four overall ethical domains below, which does NOT apply to the social work profession?
A) The professional’s qualities and characteristics
B) Behaviors toward other professionals and colleagues
C) Behaviors of professionals in a range of situations
D) Behaviors of the client to the professional
D) Behaviors of the client to the professional
As a new clinical social worker, you find yourself being told by your supervisor that you need to be more confrontational. This seems at odds with the social work mission, until your supervisor explains the primary purpose of confrontation is to:
(A) Demonstrate accurate understanding
(B) Help your client change her view of a problem
(C) Make a client aware of inconsistencies
(D) Help the client identify alternatives to her present behavior
(C) Make a client aware of inconsistencies
You are school social worker called to a teacher’s room because they have a six-year-old child who has scrapes on his knees and shins. At the classroom the teacher states this is not the first time the child has come to school with scrapes on his legs. As a mandated reporter your next BEST step is to:
A) Make a report to child protective services
B) Contact the parents and request a meeting
C) Question the teacher about past incidents.
D) Ask the school to provide medical evaluation.
C) Question the teacher about past incidents.
You are evaluating an agency you intend to use as a referral agency . You are looking first and foremost at their use of evidenced-based practice models. This is MOST IMPORTANT because you need to…
A) determine whether the agency is spending quality time with its clients.
B) decide whether clients are being adequately served.
C) verify that clinical staff are conducting utilization reviews.
D) verify that services are provided in the most verifiable manner and with the best client outcomes.
D) verify that services are provided in the most verifiable manner and with the best client outcomes.
Value: Competence
You work for a local mental health agency and have been seeing a client for 11 sessions in individual therapy. At the beginning of you next session the client reveals they are sexually attracted to you and have been having sexual fantasies about you for several sessions. They tell you they cannot imagine not coming in to see you. You are caught completely offguard and do your best to try to process the information with the client. It becomes clear the client is fixated on the admission. Your BEST response is to...
A) terminate the session and tell the client you need to reschedule with another counselor
B) continue the session and ignore the revelation.
C) stop the session and bring your clinical supervisor into the room
D) accept the revelation and continue processing in therapy
C) stop the session and bring your clinical supervisor into the room
You have been hired as a social work case manager for an urban based agency. Your mission is to assess the needs of the client, the client's family, and to arrange for, coordinate, monitor, evaluate and advocate for a package of multiple services to meet the specific client’s complex needs. Social work case management is distinct from other forms of case management because it addresses all of the following EXCEPT:
A) the client's Biopsychosocial status and the state of the social system in which the client operates.
B) the need for the client to accept the services provided because they are identified as necessary by the social work case manager.
C) intervention occurs at both client (micro) and system (macro) levels.
D) the need for the social worker to develop and maintain a therapeutic relationship with the client.
B) the need for the client to accept the services provided because they are identified as necessary by the social work case manager.
Principle: Self Determination
You have been asked to work with a family with a known history of father-daughter incest. As you evaluate this family system, you should expect to see all of the following concerns in relationships EXCEPT...
A) Daughter-Father communication will be distorted and symbolic
B) family structure is very strict, with highly moralistic expectations
C) reversal between mother-daughter roles and expectations
D) highly supportive and sharing Daughter-Mother relationship
D) highly supportive and sharing Daughter-Mother relationship
When faced by a hostile client in an agency setting, it is BEST for the social worker to:
(A) suggest that the client's attitude is making the situation worse
(B) accept the client's hostility and talk about nonthreatening topics
(C) set limits and structure on the interview session
(D) acknowledge the client's feelings and encourage discussion of them
(D) acknowledge the client's feelings and encourage discussion of them
Social workers understand that relationships between and among people are an important vehicle for change. Social workers engage people as partners in the helping process.
What is the Importance of Human Relationships?
You are finishing you work with a client. As you begin the process of termination, your PRIMARY goal is …
A) Have the client give you feedback on your performance.
B) Ask the client how they feel
C) Summarize the progress and goals you have achieved
D) Determine referral needs
C) Summarize the progress and goals you have achieved
A social worker is employed at a doctor's office. The program director, who is a doctor at the office, reports that the office will begin providing services via video conferencing to established clients who live in rural areas. The purpose is to increase access to services for clients who lack reliable transportation. What should the social worker do?
(A) Begin services with clients who have already begun receiving service via video conferencing with a doctor.
(B) Explain to the program manager that social workers cannot establish therapeutic relationships with clients when clients are not physically present.
(C) Inform the program manager that social workers are not allowed to provide telemedicine.
(D) Discuss with each client the potential risks, benefits, and consequences of receiving services via electronic media.
(D) Discuss with each client the potential risks, benefits, and consequences of receiving services via electronic media.
Principle: Informed Consent
Of the following drugs prescribed by a psychiatrist, which would be most likely prescribed for a diagnosis which included psychosis?
A) Wellbutrin (Bupropion)
B) Risperdol (Risperidone)
C) Prozac (Fluoxetine Hydrochloride)
D) Lithobid (Lithium Carbonate)
B) Risperdol (Risperidone)
A client who has received services for several years in a dialysis unit appears for a routine visit. The nurse notices a markedly changed affect and refers the client to the social worker. When seeing the social worker, the client seems detached, self-absorbed, and tearful. The social worker should FIRST assess the client's:
(A) life situation and recent changes
(B) compliance with medical care
(C) concerns about dying
(D) feelings about dialysis
(A) life situation and recent changes
Social workers behave in a trustworthy manner. Social workers are continually aware of the profession’s mission, values, ethical principles, and ethical standards and practice in a manner consistent with them. Social workers act honestly and responsibly and promote ethical practices on the part of the organizations with which they are affiliated.
What is Integrity?
ou are working for an agency that takes walking referrals. In the middle of your shift you have a walking referral, concerning a female who is a battered woman. She presents as scared and paranoid. Of the following actions, which intervention should you complete first ?
A) Immediately begin assessment to begin case planning
B) Assist the woman and identifying life patterns which should lead to abuse
C) Obtain referrals for immediate safety
D) Report the abuse to law-enforcement
C) Obtain referrals for immediate safety
This summarizes broad ethical principles that reflect the profession’s core values and establishes a set of specific ethical standards that should be used to guide social work practice. It is designed to help social workers identify relevant considerations when professional obligations conflict or ethical uncertainties arise.
What is the NASW Code of Ethics?
A family has adopted a seven-year-old boy who had previously experienced severe neglect. The adoptive parents are meeting with a social worker because they are frustrated that he continues to hoard food. They report that they often find food under his bed and he "steals" extra food to put in his backpack for school. What recommendations should the social worker make?
(A) The parents should ignore the behavior as it will likely go away on its own once the child realizes that the family has plenty of food.
(B) They should install locks on the cupboards and the refrigerator so they can better monitor his food intake.
(C) They can provide the child with a food basket where he can keep his healthy snacks and they can refill the basket when it is nearing empty.
(D) The parents should take away privileges each time they discover that he is hoarding food.
(C) They can provide the child with a food basket where he can keep his healthy snacks and they can refill the basket when it is nearing empty.
During Mrs. S's first appointment in a family agency, the social worker encourages her to express her feelings about the recent placement of her child in a residential facility for the developmentally disabled. Mrs. S talks at length instead about her physical health problems. The social worker should:
(A) use Mrs. S's remarks about her health to identify unresolved parenting issues
(B) refocus the interview on the child's behavior and the reason for the residential placement
(C) explore with Mrs. S how her health problems are related to the recent placement of her child
(D) listen to Mrs. S's description of her health as a beginning of a relationship and means of assessing her self-perception
(D) listen to Mrs. S's description of her health as a beginning of a relationship and means of assessing her self-perception
The mission of the social work profession is rooted in a set of core values. These core values, embraced by social workers throughout the profession's history, are the foundation of social work's unique purpose and perspective. What are the 6 values?
Service
Social justice
Dignity and worth of the person
Importance of human relationships
Integrity
Competence
You are a clinical social worker with an online presence on a social media platform. You receive a request to be connected to or befriended by a client. The issue which should bring the the GREATEST concern regarding whether or not to accept the invite or not is
(A) the concept of unintentional disclosure
(B) the concept of dual relationships
(C) the concept of enabling
(D) the possible confidentiality violation issues
(B) the concept of dual relationships
Social workers should make clear distinctions between statements made and actions engaged in as a private individual and as a representative of the social work profession, a professional social work organization, or the social workers’ employing agency.
What is Misrepresentation?