Theories
The model of practice that focuses only on the environment as it currently affects the client is:
A. Systems
B. Psychosocial
C. Client-centered
D. Cognitive behavioral
A. Systems
A hospital social worker meets with an 85-year-old man who was brought in by his neighbor due to concerns for possible abuse or neglect. The neighbor reports that the client has no immediate family in the area and is usually assisted by a caregiver from a home health care agency. The social worker’s suspicions of abuse would be heightened if the patient:
A. Has injuries and is not able to explain how he got them.
B. Refuses to leave the hospital.
C. Declines to answer questions.
D. States that he does not like the home health care worker.
A. Has injuries and is not able to explain how he got them.
A school shooting occurred recently at a local middle school. A social worker at the local mental health clinic was part of the initial crisis response team and was later contacted by school officials and parents to assess a child. The child was reported to have been acting out in the classroom, not following the rules, and frequently caught getting in fights with other kids. His parents report that his behaviors have become unmanageable at home. What should the social worker do FIRST?
A. Engage the child in crisis intervention.
B. Provide a referral for an assessment of the child for Oppositional Defiant Disorder.
C. Urge both the mother and the father to engage in daily activities with the child.
D. Meet with the child one-on-one and complete an assessment.
D. Meet with the child one-on-one and complete an assessment.
What is the most effective treatment for Seasonal Affective Disorder?
A. Anti-depressant medication
B. Light therapy
C. Cognitive therapy
D. Solution-focused therapy
B. Light therapy
When working with a traditional Native American/First Nation client, which of the following means of communication is MOST often misinterpreted by a non-Native/First Nation social worker?
A. Tone of voice
B. Body language
C. Eye contact
D. Gesticulations
C. Eye contact
A social worker has been using a problem-solving approach with clients at a community mental health center. What should the social worker do to use this approach effectively?
A. Gather a thorough history detailing emotional struggles.
B. Find out the degree to which the client is responsible for the issues at hand.
C. Discuss the clients' childhood histories.
D. Prioritize presenting problems and concentrate on one at a time.
D. Prioritize presenting problems and concentrate on one at a time.
During an intake assessment with a social worker, a client states that he is angry with his ex-girlfriend who, as he recently found out, cheated on him while they were still together. Upon further exploration, the client reports that he has had serious thoughts about harming her so that she “can’t ever hurt me again.” The social worker should FIRST:
A. Share the client’s declaration with colleagues and ask them for their opinions on what to do.
B. Identify legal obligations regarding this issue.
C. Determine whether the client is intending to stay in treatment.
D. Provide a referral to an anger management group.
B. Identify legal obligations regarding this issue.
When conducting an intake interview with an individual who has a cognitive disability, the social worker should do which of the following to be MOST effective?
A. Make every effort to finish the intake in a single session.
B. Ask the client to bring a friend or a family member along.
C. Conduct the intake in a quiet environment with the least amount of interruptions possible.
D. Make sure the client completes an MMPI prior to starting the intake.
C. Conduct the intake in a quiet environment with the least amount of interruptions possible.
A client is going through a divorce and tells the social worker that she is stressed out with having to take care of her kids, go to work, and deal with her ex-husband. The social worker responds by saying, “It sounds like you’re really overwhelmed with so many responsibilities and having to manage your own feelings during this difficult time.” The social worker is using which of the following techniques?
A. Confrontation
B. Clarification
C. Negative feedback
D. Reflection
D. Reflection
When completing a program evaluation for a community mental health center, what is the MOST practical research design to use?
A. Randomized Controlled Trial
B. Systematic Review
C. Observational Study
D. Quasi-Experimental Study
D. Quasi-Experimental Study
According to Piaget, one of the most important accomplishments of the Sensorimotor stage is the development of:
A. Conservation.
B. Imaginary play.
C. Object permanence.
D. Inductive reasoning.
C. Object permanence.
A social worker is meeting with a 33-year-old client for a second session. The client recently moved from another state where he was receiving treatment at a local mental health center. The client signed a release of information for the social worker to receive the client’s psychological reports from his previous treatment center. The social worker received the reports and noticed that references are made to other treatment centers which the client also previously attended. It is within the principles of confidentiality for the social worker to:
A. Ask the staff at the previously attended mental health center to send the reports over.
B. Let the client know that other treatment centers have been contacted and reports have been requested.
C. Call the other treatment facilities and request treatment reports.
D. Talk to the client and obtain a written release for each treatment center previously attended.
D. Talk to the client and obtain a written release for each treatment center previously attended.
A hospital social worker is assessing an 82-year-old Hispanic client. When completing the mental status exam on the client, which area is MOST likely to prompt assessment bias on the part of the social worker?
A. Insight
B. Cognitions
C. Affect
D. Memory
C. Affect
Between sessions, a client calls his social worker saying, “I can’t do this anymore. I really want to kill myself.” The social worker’s FIRST response to this information is to:
A. Find out whether the client is alone.
B. Ask if the client has a plan.
C. Encourage the client to dial 911.
D. Advise the client to go to the nearest emergency room.
B. Ask if the client has a plan.
A hospital has observed a higher than average readmission rate for elderly clients who were discharged after being treated for heart conditions. What is the BEST strategy for the social worker to decrease the rate of readmission?
A. Form a task group
B. Develop an after-care program to address client needs
C. Refer clients for community mental health supports
D. Connect clients to referrals for nutrition and exercise support
B. Develop an after-care program to address client needs
Which of the following is the normal life crisis that adults must resolve between the ages of 18-40?
A. Initiative versus guilt
B. Trust versus mistrust
C. Industry versus inferiority
D. Intimacy versus isolation
D. Intimacy versus isolation
A social worker meets with a 35-year-old woman who is a lesbian and in the process of adopting a baby with her partner. At the end of the session, the social worker realizes she is having difficulties conveying empathy to the client due a values conflict. What action should the social worker take FIRST in regard to this situation?
A. Openly talk about the conflict with the client.
B. Make an effort to contain personal values and carry on working with this client.
C. Talk about the conflict with the supervisor.
D. Transfer the case to another social worker.
C. Talk about the conflict with the supervisor
A social worker is conducting an intake interview with a 22-year-old college student who was sexually assaulted at a party a few months ago. The client reports that, since the the assault, she has been having difficulty sleeping due to nightmares, she is isolating herself from friends, and she can’t focus during class. She tearfully states that she doesn’t know what to do and feels helpless. The MOST likely diagnosis for this client is:
A. Acute Stress Disorder
B. Major Depressive Disorder
C. Persistent Depressive Disorder
D. Posttraumatic Stress Disorder
D. Posttraumatic Stress Disorder
A social worker at a crisis center has been meeting with a client who was recently sexually assaulted. After four sessions, the client discloses that she was sexually abused by her father as a child. What is the MOST appropriate action for the social worker to take?
A. Provide a referral for an incest survivor group.
B. Change the direction of treatment and concentrate on early childhood trauma.
C. Suspend the discussion about the incest until after the client has resolved the recent sexual attack.
D. Continue talking about the recent sexual attack and speak to the issue of incest as it relates to the attack.
D. Continue talking about the recent sexual attack and speak to the issue of incest as it relates to the attack.
After conducting a needs assessment of a local community, a social worker identifies multiple community needs, including services for children, the elderly, and single parents. In order to help prioritize the needs of the community, what should the social worker do FIRST?
A. Identify local agencies serving those populations
B. Hold a community meeting to share results
C. Determine which group has the most resources
D. Conduct a survey for community members to identify service needs
A. Identify local agencies serving those populations
A social worker is leading a therapy group and has noticed that a working process and a consensus regarding goals are beginning to emerge. Group members are also beginning to display trust towards one another. What stage of group development is this group MOST likely experiencing?
A. Power and control
B. Preaffiliation
C. Intimacy
D. Differentiation
C. Intimacy
A social worker meets with a 23-year-old woman who recently found out she is pregnant. The client reports that she is considering having an abortion but wants to weigh her options. The social worker is against abortion. The social worker’s BEST course of action is to:
A. Use the countertransference to inform the therapy.
B. Disclose the conflict of interest and let the client decide if she wishes to continue therapy.
C. Refer the client to a therapist whose values are more in line with the client’s.
D. Help the client without bias.
D. Help the client without bias.
A 45-year-old man meets with a social worker for an intake assessment and reports that he thinks he is depressed. During the interview, the client also reports difficulties sleeping, neckaches, backaches, headaches, and vomiting. The FIRST action the social worker should take in this situation is:
A. Refer the client to an MD.
B. Gather an in-depth social history from the client.
C. Assess for a substance abuse issue.
D. Collaborate with the client on creating reachable objectives.
A. Refer the client to an MD.
A single mother recently lost her job and needs housing and employment assistance. The client meets with a social worker at a community-based mental health clinic. Some of the client’s needs cannot be addressed by the clinic. What should the social worker do FIRST?
A. Have the client sign a written consent so the social worker can contact other organizations on client’s behalf.
B. Ask for a case manager to be assigned to the case in order to make sure that all of the client’s needs are met.
C. Set up a meeting between the client and all of the service providers.
D. Let the client know that other organizations need to be contacted in order for necessary services to be provided.
D. Let the client know that other organizations need to be contacted in order for necessary services to be provided.
A hospital social worker is part of a multidisciplinary team that is developing a discharge plan for a client. The social worker does not agree with the other team members regarding certain aspects of the client’s discharge plan. What should the social worker do?
A. Discuss the concerns he has and then go along with what the majority decides.
B. Give team members an appropriate explanation before leaving the team.
C. Talk over the team’s decision with the patient’s family.
D. Attempt to reach resolution by concentrating on common values and skills.
D. Attempt to reach resolution by concentrating on common values and skills.