Human Development and Behavior in Environment
Which of the following Erik Erikson's stages is characterized by the challenge of trust vs. mistrust?
A) Adolescence
B) Early Childhood
C) Infancy
D) Young Adulthood
Answer: C) Infancy
What is the primary purpose of a psychosocial assessment in social work?
A) To determine the client's eligibility for social services
B) To diagnose psychiatric disorders
C) To understand the client's social, emotional, and behavioral functioning
D) To provide a legal documentation
Answer: C) To understand the client's social, emotional, and behavioral functioning
What is a primary goal of solution-focused brief therapy (SFBT)?
A) To explore unconscious processes affecting present behavior
B) To change negative thought patterns to positive ones
C) To focus on solutions and encourage clients to use their strengths to achieve goals
D) To analyze past traumatic experiences and their impact on current functioning
Answer: C) To focus on solutions and encourage clients to use their strengths to achieve goals
Which of the following principles is NOT included in the NASW Code of Ethics?
A) Social justice
B) Integrity
C) Competence
D) Financial gain
Answer: D) Financial gain
A social worker at a high school notices that a student, Alex, seems isolated and has been absent frequently. Alex's grades have also dropped significantly this semester. What is the FIRST step the social worker should take?
A) Refer Alex to a mental health clinic without further assessment.
B) Meet with Alex to assess his situation and offer support.
C) Contact Alex's parents to inform them about the situation.
D) Advise Alex's teachers to reduce his workload immediately.
Answer: B) Meet with Alex to assess his situation and offer support.
Piaget's theory of cognitive development states that children in the preoperational stage:
A) Use abstract thinking.
B) Can perform operations logically.
C) Are egocentric in their thinking.
D) Understand the concept of conservation.
Answer: C) Are egocentric in their thinking.
Which of the following is NOT a part of the DSM-5's criteria for diagnosing Major Depressive Disorder?
A) At least a two-week period of a depressed mood
B) Presence of at least five depressive symptoms
C) Symptoms cause clinically significant distress in social, occupational, or other important areas of functioning
D) The individual must have a previous diagnosis of Dysthymia
Answer: D) The individual must have a previous diagnosis of Dysthymia
A social worker is using motivational interviewing with a client who is considering making a lifestyle change to improve their health. What is a key principle of motivational interviewing?
A) Direct confrontation of client's denial about their situation
B) Providing expert advice and guidance without seeking client input
C) Expressing empathy through reflective listening
D) Prioritizing the social worker's agenda over the client's
Answer: C) Expressing empathy through reflective listening
A social worker receives a subpoena demanding the release of a client's records. What should be the social worker's FIRST course of action?
A) Immediately release the records as requested by the subpoena.
B) Contact the client to inform them about the subpoena.
C) Consult with a legal advisor or supervisor to understand the obligations and rights.
D) Ignore the subpoena as client confidentiality is paramount.
Answer: C) Consult with a legal advisor or supervisor to understand the obligations and rights.
Maria, a social worker, is working with Lisa, a client who has decided to decline a recommended medical treatment due to her religious beliefs. Maria believes the treatment is in Lisa's best interest. What should Maria do?
A) Respect Lisa's decision and support her in exploring alternative solutions.
B) Contact Lisa's family to convince her to accept the treatment.
C) Override Lisa's decision by speaking directly to the medical team.
D) Report Lisa's refusal to the authorities as a self-harming behavior.
Answer: A) Respect Lisa's decision and support her in exploring alternative solutions.
A social worker is applying Bronfenbrenner's ecological systems theory to understand a client's behavior. Which of the following is NOT a system identified by Bronfenbrenner?
A) Mesosystem
B) Exosystem
C) Chronosystem
D) Biosystem
Answer: D) Biosystem
A treatment plan should be:
A) Static and unchangeable once it is set
B) Focused solely on the therapist's observations and assessments
C) Developed in collaboration with the client and reviewed regularly
D) Based exclusively on the diagnosis
Answer: C) Developed in collaboration with the client and reviewed regularly
What is the PRIMARY goal of coordinating services in social work case management?
A) To ensure that the client receives the maximum amount of financial assistance
B) To monitor the client's compliance with treatment recommendations
C) To facilitate a holistic approach to meeting the client's needs through collaboration across service providers
D) To reduce the workload on the social worker by delegating tasks to other professionals
Answer: C) To facilitate a holistic approach to meeting the client's needs through collaboration across service providers
Which of the following scenarios BEST illustrates an unethical dual relationship?
A) A social worker attending the same yoga class as a client, with minimal interaction.
B) A social worker providing therapy to a neighbor.
C) A social worker accepting a friend request on social media from a former client they haven't seen in years.
D) A social worker and a client both participate in a public fundraiser for a local charity.
Answer: B) A social worker providing therapy to a neighbor.
John, a social worker, learns that his client, Emma, is using illegal drugs while caring for her two young children. Emma has not been accused of neglect, but John is concerned for the children's safety. According to the NASW Code of Ethics, what is the BEST course of action for John?
A) Immediately report Emma to child protective services.
B) Discuss his concerns with Emma, focusing on the children's safety and wellbeing.
C) Ignore the drug use as long as there's no evidence of neglect or abuse.
D) Inform Emma's relatives about her drug use and its potential impact on the children.
Answer: B) Discuss his concerns with Emma, focusing on the children's safety and wellbeing.
According to Bowlby's attachment theory, a child with an avoidant attachment style is likely to display which of the following behaviors?
A) Shows distress when caregiver leaves but is easily comforted upon return.
B) Exhibits anger or indifference toward the caregiver upon return.
C) Seeks closeness to the caregiver and is resistant to explore.
D) Prefers to explore new environments independently without checking in with the caregiver.
Answer: B) Exhibits anger or indifference toward the caregiver upon return.
When utilizing cognitive-behavioral therapy (CBT) for a client with anxiety, what is an essential component to include in the treatment plan?
A) Encouragement to avoid anxiety-provoking situations
B) Identification and challenging of irrational beliefs
C) Exclusive focus on past traumatic events
D) Use of medication in place of talk therapy
Answer: B) Identification and challenging of irrational beliefs
A client with severe depression and suicidal ideation is resistant to both medication and hospitalization. What should be the social worker's INITIAL step in managing this situation, considering the client's autonomy and safety?
A) Immediately call emergency services to hospitalize the client against their will
B) Use a harm reduction approach to explore the client's reasons for resistance and negotiate safety planning
C) Inform the client's family members and ask them to intervene
D) Discharge the client due to non-compliance with recommended treatment
Answer: B) Use a harm reduction approach to explore the client's reasons for resistance and negotiate safety planning
A social worker is working with a client who expresses a desire to harm themselves. The client has a history of making similar statements without acting on them. The client has not provided any specific plan or means. What is the MOST ethically appropriate action for the social worker to take?
A) Break confidentiality and contact the client's family to inform them of the risk.
B) Assess the immediacy and seriousness of the threat, including asking about plans and means.
C) Immediately hospitalize the client based on their historical statements.
D) Advise the client to engage in more social activities to distract from these thoughts.
Answer: B) Assess the immediacy and seriousness of the threat, including asking about plans and means.
A client, Derek, who is dealing with severe depression, discloses to his social worker that he has had thoughts of suicide, but insists he has no plan to act on these thoughts. He pleads with the social worker not to tell anyone, fearing it would lead to his hospitalization. What is the MOST appropriate action for the social worker to take?
A) Respect Derek's wishes and keep the information confidential.
B) Hospitalize Derek immediately based on his suicidal ideation.
C) Assess Derek's risk of suicide more thoroughly, including any plans, means, and supports.
D) Inform Derek's emergency contact about his suicidal thoughts.
Answer: C) Assess Derek's risk of suicide more thoroughly, including any plans, means, and supports.
A social worker is assessing a family through the lens of systems theory. The family consists of two parents, a teenage daughter, and a younger son. The daughter has recently been diagnosed with a chronic illness, which has caused shifts in family roles and dynamics. According to systems theory, how might this situation impact the family system?
A) The illness may be viewed as an isolated issue that only affects the daughter.
B) Changes within one part of the system (the daughter's illness) will likely ripple through and affect the whole system in various ways.
C) The family will remain static in their roles and dynamics despite the daughter's illness.
D) The son will automatically take on the role of caretaker to maintain balance within the family system.
Answer: B) Changes within one part of the system (the daughter's illness) will likely ripple through and affect the whole system in various ways.
A client with a dual diagnosis of substance use disorder and bipolar disorder is resistant to medication management for the bipolar disorder due to past experiences with side effects. What is the MOST appropriate action for a social worker to take in developing a treatment plan?
A) Insist on medication compliance as it is the standard of care
B) Work collaboratively with the client and a psychiatrist to explore medication options, considering the client's concerns and experiences
C) Focus treatment solely on substance use until the client agrees to medication for bipolar disorder
D) Refer the client to another provider, as this situation is too complex to manage
Answer: B) Work collaboratively with the client and a psychiatrist to explore medication options, considering the client's concerns and experiences
A client with a history of trauma is experiencing intense flashbacks and dissociation. The social worker decides to integrate Eye Movement Desensitization and Reprocessing (EMDR) as part of the treatment plan. What ethical consideration must the social worker prioritize before proceeding with EMDR?
A) Ensuring the client has given informed consent specifically for EMDR, understanding its purpose, process, and potential risks
B) Making sure that EMDR is used as the sole treatment modality for trauma to ensure its effectiveness
C) Waiting for a significant period to see if traditional psychotherapy methods work before trying EMDR
D) Obtaining permission from a family member or caregiver to use EMDR with the client
Answer: A) Ensuring the client has given informed consent specifically for EMDR, understanding its purpose, process, and potential risks
A social worker discovers that a colleague has been discussing clients' cases with non-staff members in a public setting, potentially violating confidentiality. What is the FIRST step the social worker should take according to the NASW Code of Ethics?
A) Report the colleague to the state licensing board.
B) Confront the colleague directly and discuss the potential breach of ethics.
C) Inform their supervisor or another appropriate authority within the organization.
D) Ignore the situation unless a client raises a complaint.
Answer: B) Confront the colleague directly and discuss the potential breach of ethics.
You are working with a family where the parents are going through a contentious divorce. The children are showing signs of stress and emotional distress. Both parents are using the sessions to argue their points for custody, rather than focusing on the children's wellbeing. What is the FIRST step you should take to address this situation effectively?
A) Choose a side to support in the custody battle based on the children's best interest.
B) Refuse to continue sessions until the parents agree to behave civilly.
C) Redirect the focus of the sessions to the children's needs and establish ground rules for participation.
D) Report the situation to the court, recommending a guardian ad litem for the children.
Answer: C) Redirect the focus of the sessions to the children's needs and establish ground rules for participation.