Psychotherapy/Clinical Interventions
Which of the following is NOT a secondary prevention strategy?
A. Regular screenings of those with risk factors for an illness of disease
B. Regular exercise and good nutrition
C. Modification of work assignments for those who are injured
D. Taking low doses of aspirin for those with heart conditions
B. Regular exercise and good nutrition
All of the following may be viewed as indicators of resistance EXCEPT:
A. A client engaging in small talk about irrelevant topics during a session
B. A client who limits the amount of information communicated to a social worker during treatment
C. A client who is silent during appointments
D. A client who was originally referred by another person
D. A client who was originally referred by another person
A client abruptly stopped coming to sessions after 6 weeks. He calls the social worker and asks for a copy of his record about a month later. There is nothing in the record that is harmful to the client, but the social worker refuses to give it to him. In this situation, the social worker's actions are:
A. Ethical because he did not terminate with the social worker prior to not coming anymore
B. Ethical because the request must come in writing with the reason that a copy of the record is needed
C. Unethical because the social worker has a duty to give the client a copy of his record in this situation
D. Unethical because the social worker has a duty to give the client a copy of his or her record under all circumstances
C. Unethical because the social worker has a duty to give the client a copy of his record in this situation
5. A client is extremely upset because her 14yo son is not helping around the house, independently doing his homework, or arriving to school on time. The son states that his mother watches over him too closely and does not give him needed privacy. This problem is best understood as:
A. A communication problem
B. Role discomplementarity
C. Progressive discipline
D. Developmental processes
B. Role discomplementarity
12. Which of the following is NOT true about personality disorders?
A. They are characterized by distorted patterns of thinking.
B. They involve over - or - underregulated impulse control.
C. They cause interpersonal difficulties.
D. They are usually diagnosed in childhood.
D. They are usually diagnosed in childhood.
14. When making level of care determinations, which criterion is primarily used in behavioral health settings?
A. Capitation
B. Medical necessity
C. Managed risk
D. Diagnostic groupings
B. Medical necessity
7. A client has just been fired from his job and he is focusing solely on 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 a 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 resilience that can be used to deal with other life crises
B. Affect other areas of his life such as his physical and mental health
4. When a social worker has direct knowledge of a social work colleague's impairment that interferes with effective practice, the social worker should FIRST:
A. Design a short-term intervention to stabilize the situation
B. Notify the agency director so that employee assistance services can be accessed
C. Report the situation to the social work licensing board
D. Consult with that colleague when feasible and assist the colleague in taking remedial action
D. Consult with that colleague when feasible and assist the colleague in taking remedial action
A. Memory loss
B. Confusion
C. Vision and/or coordination problems
D. Diabetes
D. Diabetes
13. Which of the following is NOT one of the therapeutic advantages of injectable antipsychotic medications?
A. They reduce medication noncompliance because they are needed less frequently than oral medications. B. They are less likely to be used for suicide or result in overdose because the dosing is controlled.
C. They are associated with decreased hospitalizations due to fewer symptom relapses.
D. They are less expensive than oral medications.
D. They are less expensive than oral medications.
A. Helping them to develop coping skills to deal with similar crises in the future
B. Identifying the cause of the crisis in order to prevent it from reoccurring in the future
C. Assisting them to establish a sense of equilibrium and return to prior levels of functioning
D. Linking them with others who have experienced a similar crisis to build a network of support
C. Assisting them to establish a sense of equilibrium and return to prior levels of functioning
A. Adderall
B. Ritalin
C. Dexedrine
D. Tofranil
D. Tofranil
19. A social worker suspects that a child receiving services from her agency is being psychologically abused and neglected. She discusses the reasons for her belief and her serious concerns about the child's home environment with her social work supervisor. After a lengthy conversation, the social work supervisor does not agree with the social worker and tells the social worker to monitor the situation for a while before deciding whether to make a report to the child protection agency. The social worker should:
A. Make an anonymous report to the child protection agency
B. Contact the child protection agency immediately while informing the supervisor of the need to do so
C. Make another appointment to speak to the supervisor and try to collect additional information that supports the social worker's concerns
D. Continue to collect information and follow-up regular with the supervisor to seek direction
B. Contact the child protection agency immediately while informing the supervisor of the need to do so
9. A client has dilated pupils, appears jittery, and complains that "he just needs to get some sleep." The client is MOST likely using which of the following substances?
A. Cocaine
B. Heroin
C. Marijuana
D. Painkillers
A. Cocaine
15. A client has made substantial progress in treatment and has achieved all established goals. When the social worker speaks to the client about discharge, the client states that he does not want to stop seeing the social worker because he is worried about his future needs. As there are no additional treatment goals, the social worker agrees to see the client pro bono for the next 6 months or until the client feels comfortable. The social worker's actions are:
A. Ethical since there is no fee for the sessions
B. Not ethical since there are no new treatment goals
C. Ethical since the client does not feel ready to end treatment
D. Not ethical because termination decisions are the responsibility of the social worker
B. Not ethical since there are no new treatment goals
22. Which of the following contains thoughts, feelings, desires, and memories of which a client has no awareness, even though they influence his or her daily life?
A. Preconscious
B. Conscious
C. Superego
D. Unconscious
D. Unconscious
10. According to the Tarasoff decision, social workers must:
A. Notify both the authorities and intended victims of imminent danger
B. Seek inpatient hospitalization if dangerousness exists
C. Notify only the intended victims of imminent danger
D. Identify the risk factors that are linked to dangerousness to others
A. Notify both the authorities and intended victims of imminent danger
20. A social worker is seeing a family for therapy. During a session, the 17yo daughter states that her father molested her when she was 6yo. She says that it happened twice and has not occurred since that time. The father confirms the daughter's account and says that he is remorseful about his actions. He assures the social worker and his family that it will never happen again. In this situation, the social worker should:
A. Not contact the child protection agency given the length of time that has occurred since the incidents
B. Not contact the child protection agency because these were isolated incidents and the father realizes the inappropriateness of his actions
C. Contact the child protection agency after telling the family of the need to do so because the social worker is a mandated reporter
D. Contact the child protection agency, but do not tell the family in order to preserve the therapeutic relationship
C. Contact the child protection agency after telling the family of the need to do so because the social worker is a mandated reporter
21. Imaginary friends MOST often emerge in which stage of cognitive development?
A. Formal operations
B. Preoperational
C. Sensorimotor
D. Concrete operations
B. Preoperational
16. Which of the following is an objective outcome that might be associated with a foster care program?
A. Proportion of children served who are reunified with their biological families
B. Satisfaction of foster parents with the program
C. Perceived safety of children
D. Number of children served in the program
A. Proportion of children served who are reunified with their biological families
24. After an assessment is completed, what follows according to the problem-solving process?
A. Intervention
B. Evaluation
C. Planning
D. Engagement
C. Planning
11. Which of the following is NOT associated with low ego strength?
A. Viewing challenges as something to avoid
B. Feeling overwhelmed by reality
C. Finding new ways to deal with struggles
D. Using wishful thinking of fantasies
C. Finding new ways to deal with struggles
31. Which of the following is NOT a core value in the social work profession as stated in the preamble of the professional code of ethics?
A. Minimizing risk to self and others
B. Social justice
C. Importance of human relationships
D. Service
A. Minimizing risk to self and others
25. A client shows a social worker a large tattoo on his arm dedicated to his mother who recently died. He begins to cry and states that it always makes him very emotional when he sees it because it reminds him of her bravery in fighting her illness. The tatter is a form of:
A. Symbolization
B. Substitution
C. Sublimation
D. Splitting
A. Symbolization
17. All fo the following are associated with Borderline Personality Disorder EXCEPT:
A. Poor impulse control
B. Control of aggressive drives
C. Dichotomous thinking
D. Emotional dysregulation
B. Control of aggressive drives