Therapist development center practice Exam 1 Questions with Correct Answers
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Child therapy
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A hospital emergency room social worker meets with a 45-year-old man who recently immigrated from Mexico and has been experiencing severe panic attacks and anxiety. When the social worker approaches him, he says that he does not need any mental health treatment and that she can leave. The MOST like...
therapist development center practice exam 1 quest
a hospital emergency room social worker meets with
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Therapist development center practice
Exam 1 Questions with Correct Answers
A hospital emergency room social worker meets with a 45-year-old man who recently
immigrated from Mexico and has been experiencing severe panic attacks and anxiety. When
the social worker approaches him, he says that he does not need any mental health treatment
and that she can leave. The MOST likely explanation for his behavior is:
A. His preference for seeking treatment from a curandero.
B. His denial that he has a mental health problem.
C. The negative cultural response associated with mental health treatment.
D. A miscommunication due to a language barrier. - Answer-C. The negative cultural response
associated with mental health treatment.
Rationale: C is the best answer because many cultures associate stigma with mental health
treatment. A is not the best answer because it makes an assumption that is not indicated by the
information in the stem. B may be true, but is not as likely as C. D is not the best answer since
the stem gives no indication that there is a language barrier between the client and social
worker.
A group of adolescents with behavioral problems has been court-ordered to attend a group
treatment with a social worker. One of the adolescents has taken over the group and tries to
intimidate the other members. He often talks about various crimes he has committed and says
that his older brother, who is in prison, would be proud. What should the social worker do?
A. Encourage group members to share their feelings about the member's comment
B. Confront the informal leader about his behavior and challenge him to find alternatives.
C. Allow the group to proceed without intervening.
D. Model an accepting stance to the group members. - Answer-A. Encourage group members to
share their feelings about the member's comments.
Rationale: A is the best answer because it utilizes an intervention that both empowers group
members to express their feelings and communicates the social worker's professional
leadership. B is not the best answer because it focuses on an individual and not group process.
,C is not the best answer because it avoids all intervention; D is not the best answer because it
allows the group member to continue in an inappropriate leadership role.
A social worker is assessing a 2-year-old foster child. The social worker notes that the child
cries when the caregiver leaves the room and upon the caregiver's return the child is unable to
be soothed. What theory is guiding the social worker's assessment?
Score: 1 of 1
A. Psychodynamic
B. Systems
C. Behavioral
D. Attachment - Answer-D. Attachment
Rationale: D is the best answer in this case because evaluating a child's response both when
the caregiver leaves and returns is drawn from attachment theory. A, B, and C would be
indicated by different evaluation techniques.
During a utilization review phone call, a social worker in private practice is informed that one of
her clients who has a diagnosis of PTSD is only authorized for two more sessions. The social
worker disagrees and asserts that the client needs 10 more sessions in order to be sufficiently
able to deal with the demands of everyday life. However, the utilization review agent maintains
that insurance will not pay for more than 2 sessions. The social worker knows that the client is
unemployed and will be unable to pay without insurance. The social worker should:
A. Refer the client to a community mental health agency that is understaffed.
B. Terminate the client after the two sessions are complete.
C. Continue to see the client and explore an alternative payment plan.
D. Continue to see the client free of charge. - Answer-Rationale: C is the best answer because it
avoids client abandonment, which would be unethical, while at the same time maintaining some
payment for the social worker. A and B both constitute client abandonment, which is unethical.
D sets up a situation in which the therapist may begin to resent the client for not paying, which
could undermine the therapeutic relationship.
A mother meets with a social worker due to concerns with her seven-year-old son. The mother
reports that her family recently survived an earthquake that destroyed their house and the
surrounding area. She is worried about her son because any time he hears a loud noise he
,starts to cry inconsolably and won't leave her side. In behavioral therapy, what is this an
example of?
A. Extinction
B. Negative reinforcement
C. Operant conditioning
D. Classical conditioning - Answer-D. Classical conditioning
Rationale: This is a recall question: the stem describes an example of classical conditioning in
which the client develops a conditioned response (crying and clinging to mom) when exposed to
stimuli (loud noises) that represent a previously experienced event (the earthquake). A, B, and
C would all be described differently.
A young adult client has been meeting with a social worker due to a diagnosis of major
depression. When discussing his childhood, the client reports that he was often bullied and
humiliated by peers at school. The client reports this with a flat affect and a sense of
detachment. The social worker should respond by:
A. Sharing a personal experience of being teased as a child.
B. Assist the client in developing awareness around his feeling related to being bullied.
C. Confront the client's denial.
D. Provide the client with psychoeducation on the relationship between bullying and depression.
- Answer-Rationale: B is the best answer because awareness is the first step in helping the
client integrate and process his feelings. A is inappropriate; C is inappropriate and may cause
the client harm. D is less therapeutic than B and may not be helpful for the client.
A client who is diagnosed with trichotillomania meets with a social worker after being referred by
her primary care physician. The client says she feels guilty and ashamed, but is having difficulty
stopping the behavior. She says that she doesn't even know why she started the behavior in the
first place. What should the social worker do FIRST?
A. Explore the feelings behind the behavior.
B. Have the client wear a wig until she can stop the behavior.
C. Reinforce that hair-pulling will likely lead to complete baldness.
D. Teach the client thought stopping strategies. - Answer-A. Explore the feelings behind the
behavior.
, Rationale: A is the best answer because understanding the psychological purpose of the
behavior will best help the client understand and change the behavior. B, C, and D might all be
part of the complete intervention strategy, but A is the best place to start in terms of addressing
the behavior.
A social worker meets with a 14-year-old client who is having trouble at school. The client and
social worker created a behavioral contract for him to complete his homework between
sessions. During the next two sessions, the social worker inquires about the client's homework
to which he responds, "I think I left it at home...I can't remember if I did it." The social worker
says, "Help me understand - did you leave it at home because you didn't finish it? Or did you
bring it with you, but it's just not done?" The social worker's statement is an example of the
technique of:
A. Reflection
B. Confrontation
C. Clarification
D. Partialization - Answer-C. Clarification
Rationale: This is an application question; C is the best answer because the stem describes an
example of clarification in which the social worker asks questions to help the client communicate
more directly. A, B, and D would all be described differently.
During a therapy session, a client states that he recently found out his partner is having an
extramarital affair. He says he is furious and so angry that he wants to do something to "get
back" at his partner. What should the social worker do FIRST?
A. Ask questions to clarify the client's statements.
B. Remind the client about the limits of confidentiality.
C. Notify the authorities and the partner according to Tarasoff law.
D. Assess the client for history of violent behavior. - Answer-A. Ask questions to clarify the
client's statements.
Rationale: A is the best answer because it helps the social worker assess potential risk. B might
be appropriate if the client's clarification indicated Tarasoff. C is not the best answer because
the client's statement does not reach the level of severity or specificity needed for Tarasoff. D
might be an appropriate intervention, but not until after the therapist has identified the level of
risk.
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