Category 1
A client has just been fired from his job and he is focusing solely on the stress associated with the financial challenges that he is facing. Using a systems approach, the social worker can expect his unemployment to:
a.) Result in negative impact on his financial well-being
b.) Affect other areas of his life such as his physical and mental health
c.) Cause him to be worried about finding another job
d.) Build resiliency that can be used to deal with other life crises
b.) Affect other areas of his life such as his physical and mental health
Which of the following contains thoughts, feelings, desires, and memories of which a client has no awareness, even though they influence his/her/their daily life?
a.) Preconscious
b.) Conscious
c.) Superego
d.) Unconscious
d.) Unconscious
- The preconscious contains all the information outside of a client’s attention, but that is readily available, if needed.
- The conscious contains all the information that a client is paying attention to at any given time.
- The superego is the moral component of personality. It causes clients to feel guilty when they go against society’s rules.
- The unconscious contains thoughts, feelings, desires, and memories of which clients have no awareness, but that influence every aspect of their day-to-day lives.
A social worker employed in a hospital is using SOAP documentation format. Which of the following is NOT usually included in this record?
a.) A plan of care
b.) Insurance coverage limits
c.) Assessment of client’s current needs
d.) Subjective reports of client well-being
b.) Insurance coverage limits
- SOAP stands for Subjective, Objective, Assessment, and Plan. In the subjective and objective sections, a client’s subjective and objective well-being are reported by the social worker. In the assessment section, a social worker pulls together these subjective and objective findings and consolidates them into a short assessment. A plan is then made based upon the assessment. The SOAP format does not outline cost and/or payment for services or insurance coverage.
A client reports to a social worker that she was often criticized by her parents when she was in elementary school and middle school and now has poor self-esteem and doubts her abilities. According to Erikson’s stages of psychosocial development, the client experienced a crisis in which of the following stages?
a.) Identity versus role confusion
b.) Generativity versus stagnation
c.) Industry versus inferiority
d.) Integrity versus despair
c.) Industry versus inferiority
- From age 6 to puberty, children begin to develop a sense of pride in their accomplishments. If they are encouraged and reinforced for their initiative, they begin to feel industrious and feel confident in their ability to achieve goals. If this initiative is not encouraged, it produces feelings of inferiority.
Which of the following is NOT part of termination of social work practice?
a.) Identifying other issues that may need to be addressed in the future
b.) Reviewing accomplishments that occurred during treatment
c.) Anticipating how to address subsequent reoccurrences of the problem
d.) Recognizing loss on the part of the client and social worker
a.) Identifying other issues that may need to be addressed in the future
- Termination is focused on reviewing accomplishments, anticipating how to address the problem if it arises in the future, and recognition of the loss on the part of the client and social worker because the relationship is ending. Identifying new problems is NOT appropriate during termination.
Which of the following is NOT an indicator of ego strength?
a.) Taking responsibility for actions
b.) Dealing with mood changes
c.) Accepting limitations and being accountable
d.) Blaming others
d.) Blaming others
- Ego strength is the ability of the ego to effectively deal with the demands of the id, the superego, and reality. It is a basis for resilience and helps maintain emotional stability by coping with internal and external stress. Indicators of positive ego strength include clients:
-Not getting overwhelmed by their moods
-Using painful events to strengthen themselves
-Taking responsibility for actions
-Holding themselves accountable
-NOT blaming others
-Accepting themselves with their limitations
A client tells a social worker that he has been screamed at by his boss on a daily basis for the last month. He is very angry, but has not said anything for fear of being fired. He also reports that he is having problems with his wife and children because he has not been able to control his temper in the last few weeks at home. This client’s behavior is MOST likely represented by which of the following defense mechanisms?
a.) Displacement
b.) Incorporation
c.) Denial
d.) Compensation
a.) Displacement
A client reports that she is under the surveillance of the police and that they have been following her for days, as well as listening in on her phone conversations. There is no other evidence to support this belief. The client’s report is MOST likely resulting from a:
a.) Dissociation
b.) Delusion
c.) Hallucination
d.) Hypomanic Stat
b.) Delusion
- A delusion is a false or erroneous belief that usually involves a misinterpretation of perceptions or experiences. A delusion is a belief that is held despite evidence to the contrary. A hallucination involves the senses. An auditory hallucination – hearing something that is not said – is the most common type. In this vignette, the client had a false, fixed belief despite a lack of supporting evidence, but there was no indication that it resulted from actually seeing or hearing anything that would support those beliefs.
Which of the following is TRUE about the relationship between race and ethnicity?
a.) Individuals who are the same race are always part of the same ethnic group
b.) Individuals who are the same race may or may not be part of the same ethnic group
c.) Individuals who are the same race are never part of the same ethnic group
d.) Race and ethnicity are synonymous
b.) Individuals who are the same race may or may not be part of the same ethnic group
- Ethnicity refers to the idea that one is a member of a particular cultural group that may share some of the following elements: religion, language, customs, and/or beliefs. Two people can share the same race but have different ethnicities. Their customs and beliefs, as well as traditions, may be very different. However, individuals in a racial group may also be in the same cultural group.
A social worker needs to evaluate the behavior of a client who is living in a group home. The social worker asks two staff to each record the frequency of the behavior independently and to submit their tracking sheets to her without sharing them with one another. The social worker is using which of the following approaches to ensure reliability of the data collected?
a.) Alternate or parallel forms
b.) Test-retest
c.) Interrater
d.) Internal consistency
c.) Interrater
- There are four different ways to assess reliability or consistency. Interrater reliability uses different independent raters/observers to see if there are consistent estimates of the behavior. Alternative or parallel forms use two means of date collection constructed in the same way to see if they yield the same result. Test-retest reliability determines if assessments fluctuate from one time to another. Internal consistency looks at measurements within a test or assessment to see if they yield comparable results. Only interrater requires two or more independent staff to record the data.