LSW Prep
A therapist is working with a client and becomes more and more frustrated with the client’s resistance in the session. The therapist stops the session and states that they should pick up next week as the time being used is not effective? This is an example of?
Transference, Reframing, Resistance, Countertransference
A: Countertransference
Countertransference can be defined as the therapist’s emotional reaction to the client. The therapist is having a strong reaction and is being affected by the client
Social workers must work with clients to obtain this type of consent for providing services. The client should be able to understand risks and benefits when consenting to treatment.
What is informed consent?
A client with a history of drug abuse was referred to a social worker by a concerned relative. During the intake the client is resistant and states he does not want to be in therapy as he no longer uses substances. The social worker should FIRST:
Acknowledge that the client does not have to consent to treatment.
Rationale: The client has the right to decide whether or not he would like to participate in treatment. We have to respect the right to self-determination.
Most Depression Medications are classified as either these 2 types.
What are SSRIs (Selective Reuptake Inhibitors) or MAOIs (Monoamine Oxidase Inhibitors)?
You must have had at least one manic episode to be diagnosed with this disorder. To be considered mania, the elevated, expansive, or irritable mood must last for at least one week and be present most of the day, nearly every day.
Bipolar 1 Disorder
What is the best way to ensure family members understand and respect other family member’s points of view in family therapy sessions?
Ask members to repeat back and summarize what they hear the other family members stating.
Rationale: Asking family members to repeat back and summarize what the other family members are saying deepens active listening and understanding
If a therapist finds their client belonging to the same church group as them is called this.
What is a conflict of interest?
Explanation: Social workers should act in the best interest of the client. Dual relationships should be avoided. A dual relationship is when a therapist has a second, significantly different relationship with the client in addition to the client- therapist professional relationship.
Which of the following is not a classic indicator that a child is showing signs of Autism Spectrum Disorder?
Difficulty toilet training
Rationale: Difficulty toilet training is not a classic sign of Autism Spectrum Disorder. Lack of eye contact, delayed speech or communication and sensitivity to sensory stimuli are all indicators of ASD.
This is used to treat symptoms that include mania and depression.
What are mood stabilizers?
These medications are used for symptoms that include delusions, hallucinations, disorganized thoughts and psychosis.
Antipsychotics.
Rationale:
Antipsychotics are often used for the following disorders:
-Psychosis, including substance abuse induced -Schizophrenia
- Mania (only)
- Depression with psychotic features
You begin working with a court mandated client who is referred to you after getting in several violent physical altercations. You have been seeing the client for 3 weeks and he is guarded, defensive and is resistant to discuss the root of his anger. What would be the best therapy model to use with the client?
Motivational Interviewing
Rationale: Motivational Interviewing is good for clients who are resistant or defensive. It is client centered and focuses on eliciting change in behavior by meeting the client where they are at.
Social workers should not display identifying information about clients in an area that is accessed by others. Therefore, social workers must protect a client's right to ______ and ______.
Privacy & confidentiality
Addt'l Info:
Social workers need to inform clients about the limitations of confidentiality including court mandates, duty to warn and danger to self or others
A patient who identifies as gay is admitted into the ER. His partner is listed as his emergency contact person. The social worker learns that the hospital staff contacted his mother and father instead of the partner. The social worker should NEXT:
Tell the patient that his parents were notified.
Rationale: It is important to notify the client of the error that was made FIRST. The client has the right to be informed. Next steps cannot be taken until the patient is notified.
Most generic depression medication end in these two.
What is -ine or -pram?
Example of depression meds: Fluoxetine, Duloxetine, Escitalopram, Paroxetine, etc
Used to treat anxiety, panic attacks, mild agitation, alcohol withdrawal, insomnia and specific phobias.
Benzodiazepines/Anti-Anxiety Meds
Rationale: Most of these generic drug names end in -pam or -lam.
Parents have just found that their son has been diagnosed with Autism Spectrum Disorder. In your session with the parents they state that they have read all the available literature and met with the top experts on the disorder. What defense mechanism is the family utilizing?
Intellectualization.
Rationale:
Intellectualization is a defense mechanism where reasoning is used to block confrontation with an unconscious conflict. It involves removing one's self, emotionally, from a stressful event. The parents are focusing on reading information and literature and have taken the emotion out of their repsonse to their child’s diagnosis
A social worker who cannot serve, treat a particular client, or if the client cannot afford services, the social worker should work to do submit this to another qualified provider.
What is a referral for services?
Which of the following is a true assumption about client’s receiving services during a crisis?
Clients in crisis have been pushed to a breaking point where their functioning is compromised.
Rationale:Crisis is when a client experiences a disruption in normal functioning due to a traumatic or distressing event. Each client handles and responds to crisis differently. Crisis intervention is generally short term in nature and focused on returning the client to stability.
A client states that they are taking the medication Fluoxetine . What is the MOST likely diagnosis for this client?
Depression, Anxiety, Borderline Personality Disorder, Specific phobia
Depression
Fluoxetine is an SSRI medication. Medications that end in “ine” are most commonly used to treat depression
The effect of these medications is to increase the capacity to attend, decrease impulsiveness, and reduce activity.
What are psychostimulants & ADHD Medications?
Rationale: Most of these generic drug names have PHE in the name.
You are working with a 33 year old female in a clinical setting. The client is working on setting boundaries in relationships in her life. This client relies heavily on others and is having trouble “finding her way.” She says that it is easier to agree with others rather than be rejected for her own opinions. She states she has low self esteem and wants to work on standing up for herself. What is the most likely Personality Disorder diagnosis for this client?
Dependent Personality Disorder
Rationale:People with Dependent Personality Disorder become emotionally overdependent on other people and spend great effort trying to please others. They have a hard time taking criticism and have low self esteem.
This occurs when a client decides they want to stop treatment with you since they are not court mandated.
What is termination of services?
Explanation:
Clients should be notified with advance notice of termination. A client should not be abruptly terminated as this may pose a risk to the client. If a client has met all treatment goals, termination can be discussed and the therapist can gradually decrease the frequency of sessions. A client has the right to terminate services at any time unless they are court mandated.
You are working in a community based setting. You find another social worker’s case notes lying on the printer where other people can see patient information. What would be the BEST course of action?
Deliver the documents directly to the colleague and let them know that they contain revealing information.
Rationale:If we have an issue with a colleague we should go directly to them. We want to assume best intent from the colleague so we should deliver the documents. We want to ensure the documents do not get in the hands of the wrong person. We need to let the client know why we are hand delivering them (to protect confidentiality). Reporting the social worker to the supervisor is not needed and telling them to be more careful may be received as condescending
Nausea, vomiting, agitation, anxiety, change in mood/behavior, weight gain, headache, fatigue, and drowsiness are some side effects of these types of medications.
What is depression medication?
This type of medication helps stabilize and provide a more constant mood and helps people function better in their personal and work life.
What is a mood stabilizer?