LCSW Questions & Answers. 100% Accurate, rated A+, Questions Bank.

LCSW Questions & Answers. 100% Accurate, rated A+, Questions Bank. When addressing termination of the client in a planned short-term treatment context, it should FIRST be discussed with the client: A) In the beginning of treatment B) In the middle of treatment C) At the end of treatment D) Generally, not discussed until termination - -A) In the beginning of treatment Key words: addressing termination, planned short-term treatment, first discussed In planned short-term, time limits and planned termination are essential to the practice structure. # of treatment sessions usually established in the first session. The termination process is most commonly associated with: A) Evaluating goals and accomplishments B) Implementing a plan of action C) Setting limits D) Developing a contract - -A) Evaluating goals and accomplishments Key Words: termination process, commonly associated A family with a teenage girl brings their daughter in for counseling due to suspected substance abuse. The daughter is defiant and says it is her parents who need help and she refuses any intervention. What should the social worker due first? A) Refer the daughter for substance abuse counseling B) Explain to the parents that her attitude is typical for her age C) Assist the daughter to express her anger with her parents D) Explore and clarify what the problem is that will need to be addressed - -D) Explore and clarify what the problem is that will need to be addressed Key Words: Suspected substance abuse. Option A - referral is for counseling, not drug testing. A social worker is working with a client that is female and a single-parent mother with three small children. When referring this client in the community for service, the most important information for the social worker to discuss with the client is: A) The agency's reputation in the human service community B) Appropriateness of the agency service to meet the client's needs C) Fees the agency will charge the client for services D) Ease with which the client can reach the agency from home or work - -B) Appropriateness of the agency service to meet the client's needs While all choices may be relevant at some point, appropriateness of the agency to address the problem is essential. Other factors are secondary distracters. Which of the following tasks most appropriately describes the activities of a social worker in the role of community organizer? A) Determining the redistribution of scarce resources within a community B) Enacting legislation that strengthens the funding of a community program C) Collecting data on social welfare programs and suggesting strategies for improvement D) Developing and working with groups from a community to improve relationships among the residents - -D) Developing and working with groups from a community to improve relationships among the residents The basics of social work & community organization in the practice community require the social worker to be active working with residents of the community. Other distracters are roles that a social worker might assume, but are NOT typical of the traditional role. A 15-year-old male teenager is angry with his father. He cannot tell his father how he feels. He plays football and during practice he deliberately tackles a member of the other team, fiercely knocking the other player to the ground. While charging the other player, he is thinking about his father and the anger he has for him. This is an example of: A) Sublimation B) Displacement C) Reaction Formation D) Projection - -A) Sublimation The individual deals with emotional conflict or internal or external stressors by channeling potentially maladaptive feelings or impulses into socially acceptable behavior. (e.g. contact sports to channel angry impulses) A client discusses with the social worker a fight she had with her husband. The client explains how angry she was with her husband, but the husband abruptly left the house and ended the fight. The client reported she was still furious with him. Since she had to hurry and get her daughter ready for school, she wildly brushed the child's hair until the child complained it hurts. The mother is expressing her anger with the father while combing the child's hair roughly. This is an example of: A) Sublimation B) Displacement C) Reaction Formation D) Projection - -B) Displacement The mother is putting her anger into a safer substitute object, which, in this case, is the child's hair. A couple with two children is recently divorced. The mother is given custody of the children and the father does not visit or pay child support. When the mother tries to discipline the child, he constantly complains that his father was a better parent and would always know how to help him when needed. He complains that the mother can never understand what he is experiencing and wishes his father was still there. This is an example of: A) Rationalization B) Denial C) Idealization D) Intellectualization - -C) Idealization In this situation, it appears the child is dealing with his loss by attributing exaggerated positive qualities to his father. L has a child who was recently diagnosed with a terminal illness. L. tells the social worker that her child is not ill and will not be returning to the clinic for follow-up. Which of the following defense mechanisms is BEST represented by L's response? A) Rationalization B) Denial C) Intellectualization D) Projective Identification - -B) Denial This is an example of denial where the mother refuses to acknowledge the situation. A social worker is seeing an adolescent referred by his parents who are concerned about his angry outbursts related to an intense hatred for homosexuals. After several sessions with the social worker, the adolescent acknowledges having homosexual fantasies, but continues to articulate his hatred for gays. Which defense mechanism is most likely being displayed? A) Reaction Formation B) Denial C) Sublimation D) Displacement - -A) Reaction Formation In this case, angry outbursts are being used to avoid/cover fantasy behavior and are still attached to the strong hatred. This is most likely repression that has now developed into a reaction formation. A woman does not like her neighbor (referred to as M) and is constantly yelling, arguing, fighting, and finding fault with M. She believes that all of the other neighbors living near here feel the same way about M. She tells M that the other neighbors do not like her as well. When discussing her intense feelings for M, the other neighbors are strangely silent and do not voice the same concerns. What is this client most likely experiencing? A) Projection B) Projective Identification C) Displacement D) Reaction Formation - -A) Projection The client is dealing with her own feelings of anger toward M, and assumes everyone familiar with M feels the same way. A client is diagnosed with the eating disorder anorexia nervosa. To completely assess the client for comorbidity, the social worker should also assess for the presence of: A) Bulimia Nervosa B) Attention Deficit Hyperactivity Disorder C) Bipolar I Disorder D) Body Dysmorphic Disorder - -D) Body Dysmorphic Disorder Often times, body dysmorphic disorder is present with anorexia nervosa, as the individual is often extremely thin, but view themselves with a perceived body flaw such as being grossly overweight. S, a 30-year-old divorced male tells his social worker that he is going to commit suicide and clearly outlines a concrete plan to complete this. What should the social worker do first? A) Complete a no-harm/no-risk agreement B) Seek hospitalization C) Complete an assessment D) Maintain confidentiality - -B) Seek hospitalization If ideation and intent can be clearly assessed, seek admission. To diagnose intellectual disability, which one of the following is required: A) Deficits in adaptive and intellectual functioning B) An IQ score of more than 70 C) Occurs at any time during the lifespan D) Less than two standard deviations below the mean - -A) Deficits in adaptive and intellectual functioning A child has a severe learning disability and is unable to speak. The child is being placed in a foster home. He was living with his parents, who have now been placed in jail pending criminal charges. In order to facilitate temporary placement for this client, the best course of action for the social worker is: A) Determine what tasks the client was able to complete in his previous home environment B) Determine what tasks he is able to perform for himself currently in the foster home C) Assess the current situation by examining how the child responds to verbal and non-verbal cues D) Place the child with a neighbor familiar with his condition - -C) Assess the current situation by examining how the child responds to verbal and non-verbal cues When a client is suspected to have Tourette's disorder, the social worker's FIRST referral should be to: A) A Psychotherapist B) A Neurologist C) A Pathologist D) A long-term treatment program - -B) A Neurologist What type of drug has not been shown to have withdrawal syndrome? - -Hallucinogen A social worker in private practice has a first session with a teenager who was referred for recent poor school performance. He is withdrawing from friends and family, and has been found hiding under his bed. The parents have found marijuana in his room. He told the social worker in the first session that he has been hearing voices. What should the social worker do first? A) Recommend substance abuse treatment B) Refer the teenager for a substance evaluation C) Refer the teenager to a psychiatrist for a mental health assessment D) Assess the teenager for depression - -B) Refer the teenager for a substance evaluation. J, a 40-year-old male, reports feeling depressed. Which is least likely to be a behavioral manifestation associated with his depression? A) Decreased productivity and fatigue at work B) Fear or belief in having a serious illness C) Difficulty falling or staying asleep D) Appetite changes resulting in weight loss - -B) Fear or belief in having a serious illness (B) is not a BEHAVIORAL manifestation; fear or belief is cognitive P, an 18-year-old female generally of normal weight reports that she has recently lost 12 pounds. Family members report that on occasion, she eats large quantities of food and abruptly disappears after mealtime is complete. As of late, this behavior has become more common and is concerning to family and friends. The most likely diagnosis is: A) Atypical Eating Disorder B) Uncontrolled Dieting C) Anorexia Nervosa D) Bulimia - -D) Bulimia Client is of normal weight, eating large quantities of food...not common in anorexia nervosa. The social worker suspects that a client on her unit who is HIV positive. It is against agency policy to disclose information to clients on the unit about other clients on the unit. What should the social worker do? A) Tell the client that the individual he is having sexual intercourse with is HIV positive B) Be sure the client is aware of HIV and the risk of having relations with someone who is HIV+ C) Tell the agency administrator about the situation D) Violate agency policy to protect your client - -B) Be sure the client is aware of HIV and the risk of having relations with someone who is HIV+ Most important way to help the client is to make sure the client knows what HIV is and what high risk behaviors can contribute to development. Always empower a client and encourage self-determination prior to direct intervention. Also, when reportable, infectious diseases are often reported to the infectious disease office, usually located in the health department. In the beginning of treatment for divorce adjustment, which of the following worker statements would be LEAST effective in regard to initial problem assessment and identification? A) "Why have you come in to see me?" B) "Tell me how you responded when you decided to divorce." C) "After she told you, what did you do?" D) "How many times have you been divorced?" - -D) "How many times have you been divorced?" Least effective because it deals with client history, not assessment. When seeing a client in therapy, from a biopsychosocial perspective, a worker would probably: A) Focus on the individual client and what is reported B) Not take a history at all C) Focus only on the presenting problem D) Take a complete history, including information about health concerns, family, employer, etc. - -D) Take a complete history, including information about health concerns, family, employer, etc. A social worker has been seeing an Asian American family for supportive group work. The social worker recommends that the 15-year-old son participate in group therapy as part of the agency intervention effort. The client's family is opposed to it, and refuses. What should the social worker do? A) Encourage the family to explore the factors that support their decision. B) Assess whether the family can continue to receive services. C) Discontinue services for non-compliance. D) refer the son to individual therapy instead of group. - -A) Encourage the family to explore the factors that support their decision. A social worker is co-leading a group for individuals that are substance addicted and prior to the start of the group, she is approached by one of the members. A male participating in the group, who is gay, complains openly that no one else in the group is gay, and he is upset about this as he feels he cannot relate. What should the social worker do? A) Tell him to keep his sexual preferences private B) Assess his anger related to the subject matter outside of the group setting C) Encourage him to voice his concerns to the group D) Tell him that the purpose of the group is treatment and he will have to adjust - -C) Encourage him to voice his concerns to the group Generally, all the power from a group comes within the group setting and through shared information among the members. A client is being seen in individual therapy, and he reports that he wants to be more social and have more opportunity to relate to others in a similar situtation. The social worker refers him to a support group, but the client is hesitant to go. What should the social worker do to facilitate the referral? A) Explore with the client why he does not want to attend the group B) Call the group leader so that the group leader can look out for him C) Have the client call the group leader and tell the leader his concerns D) Explain to the client the purpose of the referral to the group - -A) Explore with the client why he does not want to attend the group. It's not uncommon for a client who is having trouble socializing to be resistant to going to the group. Could work with client to build his or her own confidence. According to the theory of ego psychology, projective identification describes the process of: A) Unconsciously attributing and perceiving the behavior of another as a reflection of the self B) Linking characteristics of people in your past with people in your present C) Building Ego identity in an individual D) Utilizing learning theory to address learned behaviors - -A) Unconsciously attributing and perceiving the behavior of another as a reflection of the self From a family therapy perspective in assessing family problems, the therapist would be *least* likely to: A) Refer to the DSM B) Complete a structured family analysis C) Complete a developmental history on each member D) Have the family complete a family circle/genogram - -A) Refer to the DSM Individual therapy diagnostic tool, not used in family therapy A family is seen in treatment, consisting of a father (45yo, long-distance truck driver), mother (43yo, housewife), son (22yo, living at home & recovering from alcohol & drug problem), and a daughter (15yo, recently failing in school). The mother has made the appointment because the daughter is refusing to try to pass her subjects in school, and the usual methods of discipline and motivation are not working. From a family systems perspective, the son's drug and alcohol addiction problem is related to: A) The mother's over-concern for the children B) Is providing a crucial role model for the daughter C) Another way in which the family system maintains homeostasis D) Is the actual problem that needs to be addressed. - -C) Another way in which the family system maintains homeostasis "Balance" or homeostasis is essential to understanding family functioning. A family is seen in treatment, consisting of a father (45yo, long-distance truck driver), mother (43yo, housewife), son (22yo, living at home & recovering from alcohol & drug problem), and a daughter (15yo, recently failing in school). The mother has made the appointment because the daughter is refusing to try to pass her subjects in school, and the usual methods of discipline and motivation are not working. At the first session in family therapy, the worker asks the family to complete a family sculpting exercise. The primary reason for this is: A) Reduce isolation of the family members B) Help the father see he is absent in decision-making C) Break up poor relations between the mother and daughter D) Increase family awareness of communication styles and patterns - -D) Increase family awareness of communication styles and patterns A client is receiving treatment at an inpatient rehab facility for an alcohol problem, and is given the medication Antabuse (disulfiram). When the client takes his first drink, he reacts by vomiting and states that he will never drink again. In this example, the medication is a: A) Positive reinforcer B) Negative reinforcer C) Negative stimulus D) Positive development - -A) Positive reinforcer The reaction is the negative reinforcer, not the medication itself. A social worker instructs the parent to ignore the social implications of the child's behavior who has just wet his bed, and focus only on the physical consequences of the behavior (i.e. cleaning child up, etc.). The parent is told not to discuss the child's behavior, only deal with the consequence resulting in the probable extinction of this behavior. What form of therapy is this most representative of? A) Psychoanalysis B) Behavioral therapy C) Rational emotive therapy D) Task-centered therapy - -B) Behavioral therapy Therapist's instruction is clearly behavior modification. Case: 4yo male child presents for treatment with his mother (24) and father (30). Child is having temper outbursts and although previously potty-trained, is wetting himself during the day while he is playing with other children or watching television. When asked why he does not go to the bathroom, the child has no reply. The parents state that the child's behavior is causing them to argue over the proper way to handle the situation & several other relationship issues. SW suggests that couple uses a "time out" procedure in handling the temper outbursts. To complete this method, the worker would most likely suggest that: A) The parents agree not to argue in front of the child, regardless of how bad the tantrums B) Parents are to remove the child from what he is busy doing after each outburst, place him in a chair for no longer than 4 minutes, explaining concretely why he is being placed there. C) The parents punish the child immediately by scolding him and send him to his room D) Encourage the parents to tell the child they will isolate him from other children until he learns to change his behavior - -B) Parents are to remove the child from what he is busy doing after each outburst, place him in a chair for no longer than 4 minutes, explaining concretely why he is being placed there. Case: 4yo male child presents for treatment with his mother (24) and father (30). Child is having temper outbursts and although previously potty-trained, is wetting himself during the day while he is playing with other children or watching television. When asked why he does not go to the bathroom, the child has no reply. The parents state that the child's behavior is causing them to argue over the proper way to handle the situation & several other relationship issues. In the past, when the child has an accident, the parents have immediately spanked him. From a behavior perspective, this is an example of: A) Chaining response B) Negative reinforcement C) Unconditioned reinforcement D) Punishment - -D) Punishment Not because they have hit him, but because they wanted the behavior to decrease Case: 4yo male child presents for treatment with his mother (24) and father (30). Child is having temper outbursts and although previously potty-trained, is wetting himself during the day while he is playing with other children or watching television. When asked why he does not go to the bathroom, the child has no reply. The parents state that the child's behavior is causing them to argue over the proper way to handle the situation & several other relationship issues. The worker prepares the parents that as they implement the behavioral treatment plan outlines, the child may react differently just because he knows he is being watched. This is an example of: A) The "Rosenthal Effect" B) Experimenter expectancy C) Reactivity D) Stimulus generalization - -C) Reactivity Self-disclosure by the therapist is *best* defined in the therapeutic setting as: A) The worker shares personal information B) The client shares personal information C) The worker requests the client to share personal information D) The client requests worker validation - -A) The worker shares personal information The most significant development that is associated with children at age 2 is: A) Motor development B) Language development C) Stranger anxiety D) Abstract thought - -B) Language development The parents of a 4yo child are referred for social work intervention by a local physician. The parents cannot get the child to separate from them and attend nursery school. The parents complain that they cannot seem to get the child to willingly leave their presence without the child throwing a tantrum. The most important area for the social worker to address during the assessment phase is: A) The parents' use of rewards and punishments B) The parents' knowledge of the child's developmental processes C) Ways in which the child is disturbing the parents' relationship D) The parents' own experiences as children - -B) The parents' knowledge of the child's developmental processes First, determine what the parents believe to be normal responses for the age of the child. In human growth and development, psychosocial theory is similar to psychoanalytic theory. However, in psychosocial theory, the emphasis is placed on: A) Language development B) Social development C) Intellectual development D) Cognitive learning - -B) Social development psychosocial development as opposed to sexual development C states that she cannot stay in her current marriage of 15 years since her husband's abusive behaviors are escalating. She reports that since he has lost his job, he often takes things out on her. She states that she has a plan for leaving this abusive relationship because although she has allowed this abuse in the past, she believes the potential that he will harm her or her children is too great. This is an example of: A) Assimilation B) Modification C) Accomodation D) Application - -C) Accommodation Needs to modify the relationship to protect her children. Piaget's cognitive development. Accommodation - modify current thought structure to deal with new features of an environment. In the counseling environment, which of the following is the MOST important? A) Cultural sameness of therapist and client B) Open discussion of differences between the client and therapist C) Cultural similarity between the therapist and the client D) Considering the cultural values and ethnicity of the client - -D) Considering the cultural values and ethnicity of the client When counseling an Asian family that is forced to seek treatment due to court mandate, the social worker should first consider: A) Possible resistance to treatment based on a strong cultural value to resolve problems within the family B) A lower incidence of mental health problems among Asian Americans C) The open nature of Asian family systems and relationships D) Preference of outside intervention to analyze family difficulties - -A) Possible resistance to treatment based on a strong cultural value to resolve problems within the family Key is to identify the factors related to cultural practice An immigrant from Cuba arrives in your office to see you. She is obviously distraught. She speaks very little English, and you, in turn, speak very little Spanish. The best way to know whether she understands what the social worker is saying is to: A) Have her summarize, in her own words, what has been said in the session B) Tell her to freely ask questions as she needs C) Summarize what is said in the session on behalf of the client D) Immediately give a referral to a bilingual therapist who can communicate more effectively with her - -A) Have her summarize, in her own words, what has been said in the session If she does it in her own words, she is more likely to understand and you can see how she interprets what is said. D - give immediate referral to bilingual therapist - is not a good answer because she is distraught. It is better to try to help her, and later refer. A social worker is working with a low-income family that has two young children. The children often miss school because of respiratory illness and other health-related problems. When asked about this, it appears that the mother and father also have had repeated health concerns. The family does not have health insurance but have been getting some services from a local health clinic. Upon investigation, it becomes evident that the family lives in an apartment complex where the previous tenant was accused of making methamphetamine in the kitchen. The social worker should first: A) Find out what other tenants think about the building B) Arrange for the entire family to have a medical check-up C) Encourage the family to relocate D) Contact the state health department to check the apartment - -D) Contact the state health department to check the apartment Once the health department determines if the apartment is suitable for residency, other areas can be explored. In evaluating the appropriateness of social work services from a non-minority social worker to a minority client, the social worker should consider all the following variables except: A) The client's level of comfort with the worker allowing client self-disclosure to occur B) The social worker's ability to show accurate empathy and genuine for the client's situation C) The client's access to his/her own helping networks D) That race or ethnicity may be a barrier to effective practice with the client - -C) The client's access to his/her own helping networks Best answer for "EXCEPT" based on choices provided. When a majority race therapist is assigned a minority race client, the therapist should acknowledge the possibility that: A) Cultural differences could exist B) A referral will be needed C) Intensive study of the minority culture is warranted D) An open discussion about differenced between client and therapist should be planned - -A) Cultural differences could exist A hospital social worker interviews a couple whose 5mo infant has recently been diagnosed with muscular dystrophy. In the interview, the parents appear reluctant to touch the child. Based on this observation, the social worker should: A) Provide the couple with written information on the disease B) Explore the parents' reactions and feelings in regard to the illness C) Refer the couple to a support group D) Consider temporary placement for the child - -B) Explore the parents' reactions and feelings in regard to the illness J., a 10yo child, has just been told that his grandmother has died. J. is most likely to believe that: A) His grandmother has just gone away and will be back shortly B) That a physician can still help his grandmother C) His grandmother can still come back some day D) Grandmother's death is irreversible and she cannot come back - -D) Grandmother's death is irreversible and she cannot come back A mother brings in her 3yo son for an evaluation because she is concerned he is stuttering. After completion of the assessment, the worker correctly tells the mother: A) This can be a normal problem that can occur at this age B) That her child has probably developed this in regards to increased emotional stress C) This condition is generally more common in girls than boys D) An immediate referral for a physical exam is required - -A) This can be a normal problem that can occur at this age Many young children stutter. It is not considered a potential concern until after the age of 5yo. While in therapy with a social worker, a client reveals that she is planning to physically harm another client. This other client is also being treated by the same social worker. What is the BEST ethical course of action for the social worker? A) First, the social worker should alert his/her supervisor B) The social worker can do nothing because s/he is bound by client confidentiality C) The social worker should first warn the other client D) The social worker should first tell the police of her client's intentions to harm another client - -C) The social worker should first warn the other client Duty to warn the other individual is first. J., a 28yo male client, discloses to his social worker in the second interview that he has had a sexual relationship with his previous social worker. He states that he is no longer in therapy with her, but that he still sees her on occasion in a nonprofessional sense. The current social worker's BEST ethical course of action is: A) Report the other social worker to the governing board of social workers B) Do nothing in terms of reporting it, and respect client confidentiality C) Explain the options available to your client if he chooses to report it D) Give the client the number of the licensing board and ask him to call - -C) Explain the options available to your client if he chooses to report it Explain options and let him decide what he wants to do A social worker that works primarily with the elderly refers a child to another social worker in her office. In exchange, the referring social worker is given a 10% finder's fee. This referral process is considered: A) Accepted ethical behavior B) Unacceptable ethical behavior C) Acceptable if limited to 10% of the fee D) Acceptable if agreeable by both social workers - -B) Unacceptable ethical behavior This is considered a Split-fee, which is not an acceptable practice procedure. While working with a 20yo client, you discover that her uncle sexually abused her for the last 5 years. She is concerned he will do it to her nephew as well. As a social worker, you are ethically bound to: A) Report the case of sexual abuse because it first occurred when she was a minor B) Report the case of sexual abuse because it is currently going on C) Do not report current case, only report this case if you feel a child is currently in danger D) Urge the client to confront the abuser so it won't happen to someone else - -C) Do not report current case, only report this case if you feel a child is currently in danger A female social worker has been treating a male client for several weeks when she realizes that she is attracted to her client. At times, she finds herself wondering what it would be like to be with him outside of the therapy session. She discusses this with her supervisor. Her supervisor's first course of action should be to: A) Find out if this has happened before B) Advise the social worker that this is unethical and must be stopped at once C) Explore the situation with the social worker D) Refer the client to a different therapist - -C) Explore the situation with the social worker Thinking is not unethical - acting on your thoughts is. A clinical social worker wants to hire a bookkeeper to file insurance reimbursement. One of the applicants turns out to be a former client. Since therapy was terminated over a year ago, the social worker decides to hire the client. The situation is: A) Ethical since termination of therapy was over a year ago B) Ethics is not an issue here; if the applicant is competent, she should be hired C) This could be unethical because hiring a former client would create the potential for a dual relationship D) Not to hire the applicant would be seen as discrimination - -C) This could be unethical because hiring a former client would create the potential for a dual relationship There is no time limit. Once a client, always a client. A young boy (14yo) states in session that he has witnessed a crime. He is frightened because some older boys beat up another boy after selling him drugs in his neighborhood. He feels that he should tell the police, but is afraid to do so. The social worker's best ethical course of action is to: A) Encourage the boy to contact the police B) Inform the boy that confidentiality must be broken and report it C) Contact the boy's parents and tell them what happened D) Explore the situation further, helping the boy to discuss available options - -D) Explore the situation further, helping the boy to discuss available options You are about to finish a session with a father and son. As you are preparing to close the session, you notice that the child has a cigarette burn on his arm. The first course of action for the social worker would be: A) Contact Child Protective Services about potential abuse B) Ask the father how the injury occurred C) Wait until the next session to explore the situation D) Ask the child in private how the burn occurred - -D) Ask the child in private how the burn occurred If confronted, the father may feel pressured to lie about the injury. The ideal situation is to ask the child alone. If that was not a choice, it would be better to either extend the session and discuss it or consider making it an agenda item at the next meeting, or to try to contact the child setting up a meeting with out the father. While in their second session, a woman who is having difficulty controlling her children asks the worker if s/he has any children. The BEST response is: A) "I am not allowed to discuss my personal life with you" B) "No, it is your children we are discussing" C) Avoid the question and redirect it back as "It sounds like your children are causing you concern" D) "Yes, I have children; tell me why you want to know" - -D) "Yes, I have children; tell me why you want to know" Answer the question, but always relate any further comment back to the client. Always remember self-disclosure is for the benefit of the client. If a social worker believes s/he cannot help a client, the BEST course of action is to: A) Disengage from the client B) Consult a colleague C) Obtain the education/skills needed to help the client D) Refer the client to another clinician who can provide the needed service - -D) Refer the client to another clinician who can provide the needed service Always practice in your scope of expertise and when unable to assist, always refer Which of the following is considered an unacceptable form of advertising? A) Personal information about the social worker B) Professional information about the social worker C) Classified advertisement D) Phone directory advertisement - -A) Personal information about the social worker If an attorney requests the record of a client and the social worker has received a verbal okay to release the record from the client, the social worker should: A) Release the record as requested B) Wait until the record is subpoenaed to court C) Get the client's consent in writing D) Assert professional privilege and refuse to release the record as you believe it might be harmful to your client's case - -C) Get the client's consent in writing If a woman admits during a counseling session that her husband is abusing her, the social worker is obligated to do the following: A) Report the incident to the proper authority with or without the client's permission B) Report the incident with client's permission only C) Assist the woman to become aware of services available to her in regards to the abuse D) Nothing is required of the social worker; it is up to the woman to ask - -C) Assist the woman to become aware of services available to her in regards to the abuse Reporting is not warranted. A 9yo boy tells the social worker during a session that a relative has sexually abused him. The boy immediately breaks into tears as he fears that the social worker will report it. The first response of the social worker should be to: A) Calm the child and ask for further clarification of the abusive situation B) Explain to the child that the social worker has no choice and it must be reported immediately C) Tell the child that it is for the best in the long run and he must trust the social worker D) Explain the legal requirements and what will probably happen to the child as a result of current abuse - -A) Calm the child and ask for further clarification of the abusive situation The case will have to be reported if abuse report is verified. A breach of ethical conduct may exist when a social worker: A) Uses a client's first name B) Exchanges information about local restaurants in the area C) Exchanges social work sessions for yard work to be completed by the client D) Discusses what happened at a local sporting event - -C) Exchanges social work sessions for yard work to be completed by the client Exchanging services is not considered an acceptable practice. In developing an advertisement for group therapy sessions, a social worker in private practice can include all of the following except: A) Recommendations from former clients B) Professional qualifications C) Academic degrees D) Policy on accepting 3rd party payments - -A) Recommendations from former clients Other options are acceptable. If a social service program is evaluated on achieving its objectives and whether outcomes are due to the programs' intervention, this is an example of: A) A formative evaluation B) A productivity evaluation C) An outcome evaluation D) MBO - Management by Objectives - -C) An outcome evaluation A social worker that primarily works in his own private practice has been appointed as a board member in a neighborhood community health center that provides counseling services. All of the following roles are appropriate as a board member EXCEPT: A) Serving as chairperson of an assigned board committee B) Reviewing and helping to interpret data about agency utilization C) Helping to establish job descriptions for agency personnel D) Serving as a referral source for difficult clients within the agency - -D) Serving as a referral source for difficult clients within the agency Unethical Which of the following budgetary techniques is considered an alternative to cash accounting, in which each purchase (or other expense) is considered a debt, even though the actual monies have not been spent (i.e. a bill has not been received)? Similarly, payments owed are regarded as assets even when payment has not been received: A) Cost-sharing B) Joint budgeting C) Accrual accounting D) Sunk costs - -C) Accrual accounting Which of the following best explains the primary reason why the Hawthorne studies are considered important to understanding administrative and organizational theory and behavior? A) Showed that people are motivated by incentives B) They stressed the importance of individuals in organizations and how individual perceptions can affect organizational output C) Showed that controlled experiments are essential to outcome determination D) Looked at task completion times with incentives provided - -B) They stressed the importance of individuals in organizations and how individual perceptions can affect organizational output The choice highlighted the concept of reactivity A director of a social work agency might use the following problem-solving tasks to address changing agency policy, EXCEPT: A) Defining the problem B) Evaluating the probable impact of planned changes C) Receiving input from those familiar with the policy D) Implementation of the agency plan - -D) Implementation of the agency plan This isn't a problem-solving task Governmental medical coverage for individuals over age 64 is referred to as: A) Welfare benefits B) Supplemental Social Security C) Universal benefits D) Medicare - -D) Medicare When evaluating client satisfaction with a particular agency service, you are using what type of model or approach: A) Systems Evaluation Model B) Outcome Model C) Process Model D) Case Study Approach - -B) Outcome Model Outcome models look at patient-satisfaction, which is an end-result A social worker has recently accepted a position at a local agency. In reading the agency policy handbook, all the following information can be found, EXCEPT: A) The agency mission statement B) Agency policy and procedures C) Workload management issues D) Employee recruitment information - -D) Employee recruitment information The manual will have information related to policy and procedure; recruitment is not employment-related The social work supervisor, in reviewing a supervises recorded case file, makes this comment about the case recording method being used: "This type of case recording stresses the individual social worker's interpretation and tends to be very long and not uniformed in its presentation; that is probably why it is rarely used today." What recording method was used? A) Diagnostic summary recording B) Problem-oriented recording C) SOAP note D) Current process recording - -A) Diagnostic summary recording In a multi-disciplinary organization, the best way for a supervisor to obtain desired outcomes is to: A) Review salaries after establishing criteria for doing so B) Meet with individual employees to establish rapport C) Establish a motivational incentive system D) Clearly establish goals and organizational objectives - -B) Meet with individual employees to establish rapport Everyone is from a different discipline with a different perspective In a social service agency, the designing of training programs and the implementation of staff development rests with the: A) Support staff B) General administration C) Supervisor D) Company executive officer - -C) Supervisor If a supervisor believes a supervises case is being handled poorly, the supervisor should first: A) Discuss it immediately with the client B) Discuss it immediately with the supervisee C) Report it to the ethics committee D) Set up an appointment with the client involved - -B) Discuss it immediately with the supervisee A supervisor hears a supervisee telling a client in the lobby that they must arrive for appointments on time or they will no longer be treated. The supervisor should FIRST: A) Ignore it and allow the conversation to continue B) Immediately confront the supervisee and let them know that this is inappropriate C) Do nothing as this may be a legitimate interchange D) Later in the day, discuss your concerns with the supervisee - -D) Later in the day, discuss your concerns with the supervisee Clarify first, then address (if needed) Supervisors are generally required to provide a variety of services for those they supervise. Services included generally consist of all of the following, except: A) Education B) Assistance with reinterpretation C) Active problem-solving D) Parental guidance, when warranted - -D) Parental guidance, when warranted A social work supervisor who practices as a generalist is correctly described as: A) A social work expert in all areas of social work B) A practitioner who practices across specialization lines of the field of practice, population groups, and problems C) A practitioner who is considered interested in all forms of medical social work practice D) A practitioner who specializes in family therapy, but practices all types of social work practice - -B) A practitioner who practices across specialization lines of the field of practice, population groups, and problems Supervision has generally been related to social work practice primarily as a means of: A) In-service education B) Measuring worker effectiveness C) Ensuring the delivery of ethical, quality, effective, and efficient social work services D) Social control - -C) Ensuring the delivery of ethical, quality, effective, and efficient social work services When conducting supervision for social work licensure, the requirement for acceptable supervisory sessions should contain: A) Supervision sessions that are practice-oriented and well-documented are required B) Group supervision without practice application is acceptable C) Teaching without practice application is acceptable D) Direct case presentations only - -A) Supervision sessions that are practice-oriented and well-documented are required A 9yo boy exposes himself at school, and the other children begin to tease him about this behavior. The more the children tease him, the more he does the behavior. What is the best intervention for the social worker to conduct? A) Assess the boy for possible sexual abuse B) Ask the boy why he is exposing himself C) Tell the boy's parents about his behavior D) Ask the teacher if this is happening in the classroom as well - -A) Assess the boy for possible sexual abuse Children often do this in private but not in public at this age. Also, the behavior is being received negatively and the child is continuing to do it, and this may be related to the desire for increased attention. A teacher reports to the school social worker that she has a student in her class that is always hungry, looks disheveled, and often lays his head on the desk and sleeps through her class. What should the social worker do first? A) Discuss the situation with the student's parents B) Talk with the student C) Report to the department of public health D) Ask the teacher to talk with the student - -B) Talk with the student There is no sign of direct physical abuse, possibly neglect, but this is much harder to identify without concrete first-hand information. When abuse is suspected, whether it is physical or emotional, ALWAYS talk with the child first if that is an option. This allows the social worker to have FIRST-hand information in the reporting process. A social worker hears that a foster child has been placed in a home where the child is being sexually abused by an older foster child in the home. The social worker's best or first course of action is to: A) Remove the child B) Remove the offending child C) Visit the home for an assessment D) Call the parents of the child being abused to warn them - -C) Visit the home for an assessment If you are unsure, assess first. If sure, go with remove the offending child. Safety first, always. In this case, the question says HEARS a child is being abused...there is no clear assessment or information to support an immediate action. Once verified - act. This question doesn't say that an assessment has already been done. A child was sexually abused and the family lost their child and the state took custody. They have been in therapy and the court thinks it is safe for the child to be returned to the parents. The social worker is unhappy with this decision and does not believe it is in the best interest of the child. What should the social worker do? A) Insist that custody not be granted B) Let the child wait until he is 18 and then reunite with the parents C) Abide by the court's decision D) Request another judge - -C) Abide by the court's decision If the child is court-ordered back, the social worker must do as the court orders In the initial session with a social worker, parents of a 6yo boy describe their child's behavior. The parents state that the child startles easily, and he cries excessively when he has to leave them. This behavior intensifies when he has to leave them and go to school. He also spends a great deal of his playtime building and later destroying houses that he makes with wooden blocks. From the choices below, which provides the best preliminary assessment toward understanding the child's behavior? A) Separation anxiety B) Stranger anxiety C) Child abuse D) Anxiety disorder - -A) Separation anxiety An 8yo boy was sent to the school social worker because he soiled his pants again. This is an example of: A) Primary incontinence B) Enuresis C) Pica D) Encopresis - -D) Encopresis A Native American woman has decided that she wishes to give up her child for adoption. She feels that she can no longer handle the child and that she herself needs drug rehabilitation. She was a member of a Native American tribe, but is no longer living near her reservation, nor does she want contact with them or her family. The first action for the social worker to take in this case is: A) Help the woman find immediate placement for the child B) Present the case to the Native American tribal government for action C) Find a concerned family or friend to take the child D) Get the client into inpatient treatment for her substance problem and arrange temporary placement with the child with a local agency - -B) Present the case to the Native American tribal government for action Always go to the tribe. The law (Indian Child Welfare Act, 1978) is very clear on this. Tribe (any tribal government) or immediate Native American family members must be sought for placement and decision. This Act remains controversial, but it is designed to protect Native American heritage and may not always take the best interest of the child into account first. A lesbian asks a social worker for a referral to a sperm bank because she desires to have a child. What should the social worker do? A) Refer her to a sperm bank B) Ask her about her decision to become a parent C) Complete a full assessment D) Talk to her about parental responsibilities - -A) Refer her to a sperm bank A social worker on a home visit meets with N., a 75yo female. N. reports that she has no family or friends to assist in her care. She also reports that she feels helpless to defend herself and believes that neighborhood children are stealing her belongings from her yard. Her home is cluttered, but the woman seems capable of finding things and noting where they were left. She appears somewhat malnourished; although, she has food in the refrigerator. The neighbors have complained and have repeatedly called the police, reporting that the woman is terrorizing the neighborhood children by screaming at them from her yard. Based on the current information, what is the BEST plan for the social worker to address this situation? A) Arrange for home care B) Call Adult Protective Services C) Help the woman to develop a plan to live alone D) Do a complete assessment of the woman's competency to complete her own ADLs and live alone - -D) Do a complete assessment of the woman's competency to complete her own ADLs and live alone Since the woman does not appear to be a danger to self or others, it is not necessary to report to APS. Once assessment is done, B may be appropriate choice. A 10yo boy has been developing normally. His mother seeks services for him stating that he has recently developed insomnia and can no longer sleep through the night. Recent events include that his brother was sexually abused by an uncle, and is having difficulty adjusting. Now this son also reports that he has poor appetite. She says that he ran away and is very withdrawn, spending much time in his bedroom. The physician that had examined him reported there were no medical conditions causing these symptoms. The first consideration for the social worker is: A) Assess for the potential for sexual abuse B) Assess for drug abuse C) Get the child another physical D) Test for hearing impairment - -A) Assess for the potential for sexual abuse Child may be depressed, and since abuse had occurred with the 1 brother, it is central to see if it could have also occurred (or be occurring) with this child. A 25yo female is meeting with a social worker for the first time. Her primary concern is nightmares that result in sleeplessness and anxiety. Later in the interview, she reluctantly reports that she was mugged and raped several months ago. What issue should the social worker address first? A) Nightmares B) Assess for the potential of suicide C) Validate feelings related to the rape/mugging D) Get her to focus on her anxiety - -C) Validate feelings related to the rape/mugging Could be causing the nightmares and should be addressed first. B good choice, but depression not mentioned in question. A client is referred to a social worker by a physician to assist and elderly female client to get her medication. Upon arrival at the client's home, the social worker notices the client has lacerations and bruising. When the client was questioned as to how these injuries occurred, she became subdued and refuses to respond to any questions the social worker asks during the interview. What should the social worker do? A) Complete the referral application B) Remove the elderly lady from the home immediately C) Contact the referring physician D) Report to adult protective services - -D) Report to adult protective services Could involve mandated reporting with unexplained injuries. Mandated reporting takes preference over completing the application, especially if she is now non-responsive to further assessment. A 7yo child with scrapes on her knees reports to the social worker she fell on the way to school. Her teacher had stated briefly that there were other incidents where she has come to school with bruises. What should the social worker do first? A) Refer to school nurse for examination B) Clarify with the teacher past incidents C) Report to child protective services D) Contact the parents to inquire about scrapes - -B) Clarify with the teacher past incidents This info is needed to file a report and the teacher is also a mandatory reporter, so there may be a reason why she did not report. Scrapes and bruises on the knees are common in children, so some other type of verification will be needed to support taking a report. A teacher reports to the school social worker that she has a student in her class that is always hungry, looks disheveled, and often lays his head on the desk and sleeps through her class. What should the social worker do first? A) Discuss the situation with the student's parents B) Talk individually with the student C) Report to child protective services D) Ask the teacher to talk with the student - -B) Talk individually with the student No sign of direct physical abuse, possibly neglected, but this is much harder to identify without concrete firsthand information. When abuse is suspected, whether it is physical or emotional, ALWAYS talk with the child first if that is an option. This allows the social worker to have FIRST-hand information in the reporting process. Also, whenever possible, try to limit the number of different professionals that interview the child. Which of the following factors is not used in diagnosis, using the DSM? A) Physical disorders B) Psychosocial stressors C) Clinical syndromes D) Lowest level of functioning in the last year - -D) Lowest level of functioning in the last year It is highest level. Schizophrenia differs from dementia because: A) Schizophrenia is an affective disorder; dementia is a behavioral disorder B) The origin and cause of schizophrenia is unknown; the etiology of dementia is generally known or presumed C) Schizophrenia involves periods of short-term memory loss; dementia involves disorganization and a break with reality D) The onset of schizophrenia is early in life; dementia affects the elderly - -B) The origin and cause of schizophrenia is unknown; the etiology of dementia is generally known or presumed A clinical social worker asks a young child during an assessment interview, "If I asked your parents what they think of you, what would they say?" The social worker is assessing the child's: A) Dependence on the parents B) Reality testing C) Conscience D) Self-concept - -D) Self-concept According to the DSM criteria, which of the following symptoms is most prevalent in persons with major depressive episode? A) Inflated self-esteem B) Sleep disturbance C) Hallucinations D) Negative view of the future - -B) Sleep disturbance Which of the following drugs is a stimulant? A) Alcohol B) Barbiturates C) Heroin D) Caffeine - -D) Caffeine How does the psycho-social study differ from the diagnosis? A) Psychosocial study relies on the social worker's theoretical frame of reference; diagnosis is more objective B) Diagnosis is an objective classification of the client, while psychosocial study is based on the client's perception of the situation C) Psychosocial study involves the observation and classification of facts, while diagnosis is a professional opinion of the facts D) Psychosocial study is drawn primarily from the beginning phase of treatment, while diagnosis cannot generally be determined until the middle phase - -C) Psychosocial study involves the observation and classification of facts, while diagnosis is a professional opinion of the facts Gestalt therapy emphasizes what two main principles? A) Passivity and speculative questioning B) Positive and negative conditions C) Concepts and insights D) The here-and-now and awareness - -D) The here-and-now and awareness Which family therapy approach includes the techniques of active participation on the part of the therapist with the family, confrontation and making use of symptoms? A) Structural B) Paradoxical approach C) Strategic D) Communications - -C) Strategic A client, J., is absent from two consecutive group sessions without contacting the social worker. On J.'s return to the group at the next session, the social worker should: A) Terminate J from the group B) Encourage the group to address J's absences C) Welcome J back to the group D) Ignore J's absences and proceed with the group session - -B) Encourage the group to address J's absences The process of anticipatory socialization is BEST represented by: A) Expectant mothers attending infant care classes B) Day care for preschool children C) Job enrichment programs in industry D) Divorce mediation counseling - -A) Expectant mothers attending infant care classes According to psychoanalytic theory, incest offenders are found to have experienced: A) Overactive libido B) Sublimated aggression C) Early object loss D) Superego dominance - -A) Overactive libido The view that learning takes place through observation and that new responses are acquired through the process of imitating models is associated with: A) Cognitive behaviorism B) Operant conditioning C) Social learning D) Classical conditioning - -C) Social learning A firm, fixed idea that is not amenable to rational explanation and is held despite evidence to the contrary is BEST defined as: A) Delusion B) Illusion C) Hallucination D) Denial - -A) Delusion A clinical social worker used the techniques of thought stopping, assertiveness training, and modeling with N, a depressed client. The social worker introduced each of the treatment techniques in order over time with N. Which of the following designs should the social worker use in order to compare the effectiveness of each of the techniques in helping N reach the treatment goal? A) A-B design B) Multiple baseline across behaviors design C) A-B-A-B design D) With-in series design - -D) With-in series design When measuring client progress and using a rapid assessment instrument, random error is assessed by: A) Instrument reliability B) Instrument validity C) External validity D) Correlation - -A) Instrument reliability Reliability (to avoid random error) is the key word A client informs a social worker during the first interview that she engaged in sexual activity with her previous therapist, L. The sexual involvement began approximately a year after the client began treatment and ended when the client decided to terminate treatment against L's advice. Which of the following actions should the social worker take in this situation? A) Contact L, confronting him with the information provided by the client B) Encourage the client to file a complaint against L with the state licensing board C) File a complaint with the state licensing board based on the information provided by L D) Take no action since sexual involvement took place outside of the therapy sessions - -B) Encourage the client to file a complaint against L with the state licensing board Which of the following actions is considered a violation of ethical practice? A) Receiving a fee for the referral of a client to another practitioner B) Informing the client in advance of fees for service C) Engaging in private practice while maintaining agency employment D) Establishing rates for professional services commensurate with that of other professionals - -A) Receiving a fee for the referral of a client to another practitioner Which of the following factors contributes the least to the quality of client services provided by a social worker? A) Consultation B) Self-evaluation C) Continuing education D) Problem-oriented records - -D) Problem-oriented records Which of the following areas is guided LEAST by programmed decisions on the part of an agency administrator? A) Personnel hiring B) Billing clients for services C) Job performance expectations D) Preparing the agency budget - -B) Billing clients for services In providing feedback to the supervised, the supervisor should include all the following comments about performance EXCEPT: