Human Development, Diversity, and Behavior in the Environment
A social worker at a health clinic receives a referral for a family with an infant who has been diagnosed with nonorganic failure to thrive. When assessing the family, what should the social worker consider FIRST?
A. Quality of prenatal services received
B. Family history of the condition
C. Substance use by the parents
D. Possibility of child neglect
Possibility of child neglect
A young boy is stopped by a police officer and claims that he is a member of the armed forces, though it is obvious that he is not. This assertion by the boy is MOST likely a:
Comorbid thought
Dissociation
Folie a deux
Delusion
D) Delusion
What is the PRIMARY purpose of contracting between a social worker and a client?
A. To ensure that the client will follow the social worker’s plan
B. To define who will be responsible for which assigned task
C. To meet the requirement of agency policies for documentation
To define who will be responsible for which assigned task
What group is privileged communication designed to protect?
A. Clients
B. The public
C. Agencies
D. Administrators
Clients
Process by which we avoid being punished for undesirable thoughts or activities
Undoing
During an initial session with a social worker, an adult who was sexually abused as a child is fearful and hesitant to respond to a request for specific information about the abuse. What should the social worker do FIRST?
A. Change the subject to one more comfortable for the client
B. Confront the client about these fears
C. Acknowledge the client’s reluctance to discuss these experiences
D. Ask whether the client would prefer to end the session
Acknowledge the client’s reluctance to discuss these experiences
A previously motivated client seems ambivalent during recent meetings with the social worker. The social worker attempts to discuss the ambivalence, but the client responds with anger and denial. After exploring the client’s emotions, what should the social worker do NEXT?
A. Refer the client to an anger management group
B. Refer the client to a different social worker
C. Review the client’s goals to determine any needed changes
D. Recommend termination to the client
Review the client’s goals to determine any needed changes
A social worker facilitates a treatment group for clients with dual diagnoses of major depressive disorder and substance use disorder. The social worker wants to use role play to help clients recognize triggers for depressive symptoms. What action by the social worker is MOST likely to engage participants in role play?
A. Meet with significant others to obtain informed consent before using role play
B. Ask reluctant group members to not attend group when role play is used
C. Plan extra time in the schedule to explain role play to group members
D. Determine each member’s capacity to participate in role play
Determine each member’s capacity to participate in role play
A former client emails a social worker to invite the social worker on a date at a restaurant three months after treatment has been terminated. What is the social worker’s BEST response?
A. Explain ethical boundaries to the client
B. Avoid responding to the client
C. Obtain consultation from a supervisor
Explain ethical boundaries to the client
Conscious or unconscious avoidance behavior used by the client to protect oneself from the influence of the social worker
Resistance
Which of the following is NOT one of six levels of cognition?
Synthesis
Knowledge
Affective
Evaluation
Affective
Which of the following is the MOST important benefit of community participation in social work practice?
It puts the decision-making power partly or wholly with community members
It shows the media that individuals want to get involved when there is a good cause
It informs community members about the work that needs to be done to make change
It divides the workload so that it can be distributed across a larger group
It puts the decision-making power partly or wholly with community members
A client barges into a social worker's office yelling in a loud and hostile manner. The MOST effective method for the social worker to address the situation is to:
Tell the client that it is not possible to speak now, but his or her concerns can be discussed during a scheduled appointment
Listen to the client's concerns and provide other methods to reach the social worker in the future if problems arise
Contact agency security immediately to remove the client in order not to reinforce the behavior
Instruct the client on appropriate tone and voice volume when interacting with others
Listen to the client's concerns and provide other methods to reach the social worker in the future if problems arise
A social worker meets with an adolescent who is in an emergency department for a dog bite. During the mental status exam, the adolescent discloses abusing the dog and reports hearing internal commands to hurt a teacher. What should the social worker do FIRST?
A. Assess the adolescent’s understanding of cause and effect
B. Assess whether the adolescent has a specific plan for harming the teacher
C. Determine whether the adolescent has told the teacher about these thoughts
D. Determine whether the parents are aware of the adolescent’s impulses
Assess whether the adolescent has a specific plan for harming the teacher
An orientation in social work and other professional practices that emphasizes the client's resources, capabilities, support systems, and motivations to meet challenges and overcome adversity; This emphasizes the client's assets
Strengths Perspective
During a session, a client is reporting on her daily activities during the last week. She looks down at the ground, not making eye contact. She also pauses repeatedly with periods of silence. The social worker should
Ask the client if there is something that is bothering her
Listen attentively to show acceptance of her feelings
Accept this behavior as part of her communication style
Document this behavior in the client's record
Ask the client if there is something that is bothering her
A social worker has been asked to evaluate client progress using a single-subject design. Which of the following designs has the fewest threats to internal validity?
AB
A
ABAB
BAB
ABAB
A teenager is having problems initiating conversation with peers. In order to BEST assist the teenager, the social worker should:
Ask the teenager to keep a journal documenting thoughts that can be used in later conversations with peers
B. Explore with the teenager the underlying reasons for his or her problems with peer relationships
Assess whether there are other social deficits that may result in appropriate diagnosis
Engage in a role play with the teenager so that they can practice needed communication skills
Engage in a role play with the teenager so that they can practice needed communication skills
A social worker who provides family therapy realizes that one of the children in a family receiving services reminds him of his own child who died. The social worker notices that he aligns with the child in the family sessions. What should the social worker do NEXT?
A. Attempt to dissociate the feelings during sessions
B. Refer the family to another social worker
C. Obtain supervision
Obtain supervision
The premise and understanding between therapist and client that the information revealed by the client will not be divulged to others without expressed permission; Courts often honor this unless there is a risk of public danger or threat to the public good
Privilege
Which of the following is TRUE about sexual development of individuals?
Children are not sexual before birth.
Humans are sexual beings throughout life.
Same-gender sexual behavior during childhood is directly related to sexual orientation later in life.
Adults lose their desire for sexual expression later in life.
Humans are sexual throughout the life course. Children are sexual even before birth, with males sometimes having erections in the uterus. Same-gender sexual behavior during childhood can occur as boys and girls tend to play with friends of the same gender. It is not related to sexual orientation or to whom individuals are attracted. It usually results out of exploration and access. Although there may be physiological changes that occur in older adults, they do not lose their desire to be sexual.
What are the stages of change in sequential order?
Precontemplation, preparation, contemplation, action, maintenance, and relapse
Preparation, action, precontemplation, contemplation, maintenance, and relapse
Preparation, precontemplation, contemplation, action, maintenance, and relapse
Precontemplation, contemplation, preparation, action, maintenance, and relapse
Precontemplation, contemplation, preparation, action, maintenance, and relapse
A family comes into treatment because of their young daughter's behavior. They report, upon intake, that she yells at her parents, doesn't listen, and complains about their behavior. There is little progress during the course of treatment and the girl reports that she has no intention of changing. After the sixth session, a social worker tells the girl that she cannot help with her behavior and she should continue to "do as she wishes." According to strategic family therapy, the social worker's directive is known as a:
Paradoxical intent
Pretend technique
Relabeling paradigm
Differentiation response
A paradoxical intent or directive prescribes the symptomatic behavior so the client realizes control over it and uses the strength of resistance to change.
A deceased client has:
All of the same rights to confidentiality as a living client, with the exception of billing records
Some of the same rights to confidentiality as a living client as decided by the executor of the estate
None of the same rights to confidentiality as a living client
All of the same rights to confidentiality as a living client
All of the same rights to confidentiality as a living client
The conceptual orientation and treatment application that builds on and modifies principles of behaviorism, taking into account some internal cognitive processes; emphasizes reciprocal relationships and the ability to learn new responses through observing and imitating others
Social Learning Theory