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Published on Therapist Development Center (https://www.therapistdevelopmentcenter.com)Home > Printer-friendly > Clinical Level Final Mock Exam I
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 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. Uninvolve
d 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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