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Clinical Level Final Mock Exam I
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You got 119 of 170 possible points.
Your score: 70%
Quiz Time: 3 hours 39 minut...
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Home > Printer-friendly > Clinical Level Final Mock Exam I
Clinical Level Final Mock Exam I
Printer Friendly Version
You got 119 of 170 possible points.
Your score: 70%
Quiz Time: 3 hours 39 minutes 8 seconds
Question 1
A 10-year-old boy is placed with a foster family that has different religious beliefs than the child. The foster parents
want the foster child to follow their religious practices. What is the social worker’s BEST course of action in this
situation?
Score: 1 of 1
A. Tell the family to follow the child’s religion.
B. Instruct the child to follow the family’s religion.
C. Tell the child not to practice any religion to avoid conflict.
D. Identify alternate placement for the child.
Rationale: The best option here is D. All the other options go against honoring the diversity of the people. Some
people may not pick this because they think that another option would not be available, but if it is an option on
the exam then it is available.
Question 2
A family comes in with high expectations of their 10-year-old child. The child excels in school and the teacher states
that he has never had an infraction although he appears to be unhappy and has a hard time socially. The parents
are likely using what kind of parenting style?
Score: 1 of 1
A. Authoritarian
Rationale: The clues in the stem are that the child excels, hasn’t had an infraction but seem unhappy and has a
hard time socially. This is the description of a child raised in an Authoritarian home. Children raised Authoritative
parenting styles are the best adjusted. Both Permissive and Univolved children display behavioral problems and
generally have lower school performance.
B. Authoritative
C. Permissive
D. Uninvolved
Question 3
A woman has been going to therapy for the past two months. Whenever the therapist brings up emotional material
the woman dismisses it and says she isn't interested in talking about those subjects. She talks a lot about her day to
day life and says she thinks she is ready to terminate. What should the therapist do next:
Score: 1 of 1
A. The client seems like she is doing fine and feels she is ready to terminate so the therapist should start the
termination process.
B. The therapist should address the client's resistance in discussing the emotional material.
Rationale: A client expressing disinterest in discussing emotional material is likely a sign of resistance.
,C. The therapist should give the client two more sessions to see if she still feels ready for termination.
D. The therapist should inform the client that she needs to talk about this material or else the therapy sessions will
be over.
Question 4
An unlicensed social worker is meeting with an older woman for their first therapy session. The older woman
reminds the social worker a lot of her mother who she does not have a good relationship with. The social worker
finds herself becoming easily frustrated with the older woman and is having a hard time remaining calm. What
should the social worker do first:
Score: 1 of 1
A. She should bring up the situation with the client and explain why she is becoming agitated.
B. Since it is only the first session, she should transfer her to another therapist.
C. She should talk to a supervisor about her countertransference issues.
Rationale: The experience the social worker is having is a countertransference reaction. When you put the
answers in order, the first thing to do would be to talk to a supervisor this could lead to her doing D or B. Answer
A would not be appropriate in the initial phase of treatment as it makes the social workers issues the focus.
D. She should journal about her feelings after the sessions.
Question 5
A clinical social worker is evaluating a friendly, 5-year-old child who has difficulty making friends in school. He is
very verbal, but has a hard time answering questions about his feelings. He is eager to talk about all the different
types of reptiles and knows all about them. What should be the social worker’s next step:
Score: 0 of 1
A. Diagnose him with Autism Spectrum Disorder.
B. Use play therapy to try to connect with him on different topics.
C. Refer him to a social skills group.
Rationale: The best option is C. While there are signs of Austism Spectrum Disorder, there is not enough to
make a formal diagnosis. Answer B suggests the social worker direct the play which you wouldn’t do in the initial
phase of treatment. The main issue is his inability to make friends and talk about his feelings so a social skills
group is clearly indicated. There is no reason to have him transfer to another school.
D. Suggest that he is transferred to a different school.
Question 6
A social worker is conducting a study on the effectiveness of group therapy in decreasing depression in teenagers
recently diagnosed with diabetes. Which of the follow refers to the extent to which the results of a study can be
generalized to other situations and people?
Score: 1 of 1
A. External Validity
Rationale: This is a factual recall question; B, C, and D would all be described differently.
B. Internal Validity
C. Reliability
D. Statistical Significance
Question 7
,A social worker in a community clinic meets with a 8-year-old. He is argumentative, quick to anger and shows signs
of being vindictive. What would be the best approach to take in trying to gain his trust:
Score: 1 of 1
A. Give him warnings and follow through with consequences.
B. Diagnose him with Oppositional Defiant Disorder.
C. Refer him for medication evaluation.
D. Use active listening to understand his situation.
Rationale: The best answer is D. Giving him warnings is not going to build his trust. Neither B nor C build trust.
Question 8
A social worker is part of an evaluation team assessing the effectiveness of a neighborhood outreach program
targeting families with children ages 0-5. The social worker is in charge of collecting qualitative data. Which of the
following is the BEST example of a qualitative measure?
Score: 1 of 1
A. Looking at the way variables such as age and income level impact the utilization of client services.
B. Tracking the number of clients served in a year through a specific program
C. Comparing the number of clients using a new service compared to an old service
D. Interviewing clients about their level of satisfaction with the changes in program delivery
Rationale: D is the best answer because it involves gathering information directly from program participants. A,
B, and C are all examples of quantitative data.
Question 9
A social worker in a community agency receives a referral for her friend’s preschool-age son. The social worker
should:
Score: 1 of 1
A. Involve the friend in a comprehensive assessment and treatment plan
B. Conduct an initial assessment and make treatment recommendations
C. Refer the son to a different therapist
Rationale: Social workers should avoid dual relationships with clients. In this case, the son would be at risk of
not receiving the best treatment, as the social worker may have preconceived notions about the son or may treat
him differently due to the social worker’s relationship with the mother. Avoiding dual relationships ensures the
client’s safety and ability to receive appropriate treatment.
D. Treat the son after getting consultation regarding confidentiality and boundaries
Question 10
A 55 year-old Native American woman seeks treatment following the death of her son. When working with Native
American clients, in order to be culturally sensitive and develop a good therapeutic relationship it is important to
observe all of the following in order to be culturally sensitive and develop a good therapeutic relationship, EXCEPT:
Score: 1 of 1
A. Be directive
Rationale: Answers B, C, and D are all advised approaches with Native Americans. This leaves answer A as the
only one that should be avoided.
B. Use active listening and reflective responses.
, C. Avoid interrupting
D. Allow for periods of silence
Question 11
A client with a history of severe depression reports hypersomnolence and decreased appetite. The client reports
having discontinued his prescribed medication because he didn’t think he needed it anymore. The social worker
should FIRST:
Score: 0 of 1
A. Question the client as to the other reasons for discontinuing the medication
B. Instruct the client to resume the medication
C. Encourage to the client to speak to his psychiatrist
Rationale: Because the increase in symptoms is likely to be directly related to the discontinuation of medication,
the client should be encouraged to go back to his psychiatrist. It would be outside of the social worker’s scope of
practice to instruct the client to resume medication. While questioning the client about the reasons for
discontinuing medication and discussing alternative treatment options may be appropriate interventions at some
point, the social worker should FIRST encourage the client to speak to his doctor regarding his increase in
neurovegetative symptoms.
D. Discuss alternative treatment options
Question 12
A gay couple who say they are both in long-term recovery for cocaine addictions request couples’ therapy. The
couple reports frequent arguments and an increased sense of distance in their relationship. The social worker
should FIRST:
Score: 0 of 1
A. Teach the couple communication skills.
B. Assess for a drug relapse in either partner.
Rationale: B is the best answer because a decrease in intimacy and an increase in arguments may be signs that
one partner has relapsed, putting stress on the relationship. This needs to be assessed first. A, C, and D can be
done later.
C. Assign the couple intimacy exercises as homework.
D. Teach the couple anger management skills.
Question 13
A married couple meet with a social worker in private practice for an initial session. Afterwards, the wife calls the
social worker and states, “I have something I want to talk to you about, but my husband can’t find out.” The social
worker’s MOST appropriate response would be to:
Score: 0 of 1
A. Reassure the wife that what she says will be kept confidential.
B. Recommend that both husband and wife meet individually before the next couple’s session.
C. Advise the wife of the therapist’s “no secrets” policy and suggest disclosure at a future couple’s session.
Rationale: Redirecting the wife to reserve the disclosure for the marital session is the best answer because it will
preserve the therapist’s ability to treat the couple effectively. A would potentially jeopardize the couple’s
treatment by creating a situation in which the social worker and wife are keeping secrets from the husband. B
does not make sense since couple’s treatment has already been initiated. Recommending that the couple see
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