LCSW Mock II Flashcards by Alexis Clark

The role of the id, according to ego psychology theory, is to:

A. Respond directly and immediately to instincts and impulses

B. Regulate a person’s sense of right and wrong.

C. Act according to the reality principle.

D. Suppress all unacceptable urges.

A. Respond directly and immediately to instincts and impulses

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A client is going through a divorce and tells the social worker that she is stressed out with having to take care of her kids, go to work, and deal with her ex-husband. The social worker responds by saying, “It sounds like you’re really overwhelmed with so many responsibilities and having to manage your own feelings during this difficult time.” The social worker is using which of the following techniques?

A. Confrontation

B. Clarification

C. Negative feedback

D. Reflection

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According to Piaget, one of the most important accomplishments of the Sensorimotor stage is the development of:

A. Conservation.

B. Imaginary play.

C. Object permanence.

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A program evaluator is assessing a teenage parenting program that provides individual and group services to teenage parents. The program evaluator would like to assess the effectiveness of the parenting program in how well it addresses problems, retains clients, and achieves the goal of keeping teenage parents in school. Which of the following is the MOST important information to obtain regarding the teenage parenting program?

A. Whether staff members are being properly trained to work with this population

B. Whether the program is finding sufficient funders

C. Whether the teenage parent population is being effectively reached in the community

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A social worker at a community mental health center is conducting an intake assessment with a 15-year-old girl who was referred due to depression. During the initial session, it is important for the social worker to:

A. Demonstrate a sense of understanding of depression.

B. Provide psychoeducation on the effects of depression.

C. Facilitate a brief warm-up period in order to develop good rapport with the client.

D. Discuss the social worker’s professional credentials.

C. Facilitate a brief warm-up period in order to develop good rapport with the client.

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A social worker is meeting with a mother and her 15-year-old son who was recently caught using marijuana at school. During the intake assessment, the mother and son begin to argue about what answers are being given to the social worker. The mother states that she doesn’t believe he is telling the whole story. The social worker should:

A. Assess the boy for drug and alcohol abuse.

B. Encourage the boy to meet with the social worker for individual counseling.

C. Guide the mother and son through a conflict resolution process.

D. Refer the boy to drug treatment center.

C. Guide the mother and son through a conflict resolution process.

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A social worker has been meeting with a 9-year-old child who was severely neglected by her parents. The child is in foster care and has been seeing the social worker for six months with good results. The social worker discovers that the child’s parents want to get her back but refuse to follow the treatment plan mandated by the judge. They report that they know what they did was wrong but state that since they are her parents, they deserve to have her back. The social worker should focus on:

A. A plan for reunification.

B. Developing a permanency plan for the child.

C. The parents’ mental health treatment.

D. Helping the parents change their behavior.

B. Developing a permanency plan for the child.

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During supervision, a social worker reports that a colleague at the agency has continually asked her out for coffee despite multiple refusals. She reports that his persistence is starting to make her uncomfortable. The supervisor should:

A. State that since the colleague’s behaviors are not threatening, no actions can be taken.

B. Follow agency protocol concerning sexual harassment after the complaint has been documented.

C. Schedule a meeting with the other colleague and state that the inappropriate behaviors need to stop.

B. Follow agency protocol concerning sexual harassment after the complaint has been documented.

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A nonprofit social service agency has a board of directors meeting once a month. When planning the agenda for the upcoming meeting, what is the MOST appropriate topic for the board to discuss?

A. Hiring a new person for a clinical director position

B. The latest workforce performance assessment

C. Recent negative feedback provided by a concerned citizen towards the agency

D. The endorsement of financial matters

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A graphical representation that shows all of the systems at play in an individual’s life can best be described as:

A. An ecomap

B. A genogram

C. A case diagram

D. A family systems map

A. An ecomap

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During an intake assessment with a social worker, a client states that he is angry with his ex-girlfriend who, as he recently found out, cheated on him while they were still together. Upon further exploration, the client reports that he has had serious thoughts about harming her so that she “can’t ever hurt me again.” The social worker should FIRST:

A. Share the client’s declaration with colleagues and ask them for their opinions on what to do.

B. Identify legal obligations regarding this issue.

C. Determine whether the client is intending to stay in treatment.

D. Provide a referral to an anger management group.

B. Identify legal obligations regarding this issue.

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During a formal evaluation, a social worker and her supervisor discuss difficulties that the social worker has been experiencing, as well as future work expectations. The nature of this process is BEST described as:

A. Steady and reliable

B. Regulated and dependable

C. Pertaining to goals and growth

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A social worker is meeting with a 33-year-old client for a second session. The client recently moved from another state where he was receiving treatment at a local mental health center. The client signed a release of information for the social worker to receive the client’s psychological reports from his previous treatment center. The social worker received the reports and noticed that references are made to other treatment centers which the client also previously attended. It is within the principles of confidentiality for the social worker to:

A. Ask the staff at the previously attended mental health center to send the reports over.

B. Let the client know that other treatment centers have been contacted and reports have been requested.

C. Call the other treatment facilities and request treatment reports.

D. Talk to the client and obtain a written release for each treatment center previously attended.

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A hospital social worker is meeting with a 32-year-old client who was recently hospitalized following a suicide attempt. The client is to be discharged the following day. However, when the social worker attempts to assess the client’s emotional state, the client refuses to answer any questions. The client reports that he does not need to be in the hospital anymore and wants to go home immediately. The social worker should NEXT:

A. Make sure the client understands that hospital staff take suicide attempts seriously.

B. Document the discussion had with the client prior to signing off on the discharge plan.

C. Give the client a list of resources that contains a number for suicide hotline and mental health clinics.

D. Consult staff regarding involuntary hospitalization.

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A social worker meets with a 35-year-old woman who is a lesbian and in the process of adopting a baby with her partner. At the end of the session, the social worker realizes she is having difficulties conveying empathy to the client due a values conflict. What action should the social worker take FIRST in regard to this situation?

A. Openly talk about the conflict with the client.

B. Make an effort to contain personal values and carry on working with this client.

C. Talk about the conflict with the supervisor.

D. Transfer the case to another social worker.

C. Talk about the conflict with the supervisor.

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A community mental health agency primarily serves clients who are of Asian descent. A social work supervisor at the agency has received multiple complaints from clients who say a social worker at the agency is very insensitive and rude towards them. The social work supervisor should FIRST:

A. Give the social worker alternate duties.

B. Suggest that the social worker take cultural competency training.

C. Help the social worker provide better services to the families.

D. Evaluate the level of cultural competency the social worker exhibits.

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A hospital social worker learns before meeting with an 82-year-old patient and her family that the patient only has a few months left to live. The patient is unaware of her diagnosis or prognosis. While meeting with the patient and her family to develop a discharge plan, the patient reports that she has questions about the surgery. The social worker should:

A. Ask to talk to family members separately from the patient and discuss discharge plans.

B. Offer to invite a minister into the session to give the family a chance to process spiritual issues.

C. Disclose both the diagnosis and the prognosis to the patient.

D. Help the patient formulate questions for the physician.

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A hospital social worker meets with an 85-year-old man who was brought in by his neighbor due to concerns for possible abuse or neglect. The neighbor reports that the client has no immediate family in the area and is usually assisted by a caregiver from a home health care agency. The social worker’s suspicions of abuse would be heightened if the patient:

A. Has injuries and is not able to explain how he got them.

B. Refuses to leave the hospital.

C. Declines to answer questions.

D. States that he does not like the home health care worker.

A. Has injuries and is not able to explain how he got them.

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After conducting a needs assessment of a local community, a social worker identifies multiple community needs, including services for children, the elderly, and single parents. In order to help prioritize the needs of the community, what should the social worker do FIRST?

A. Identify local agencies serving those populations

B. Hold a community meeting to share results

C. Determine which group has the most resources

D. Conduct a survey for community members to identify service needs

A. Identify local agencies serving those populations

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A school social worker meets with a 16-year-old boy who recently immigrated with his family from southeast Asia. The student was referred by his teacher who reported that the boy was failing his public speaking class because he was having difficulty debating issues in class. The social worker in this case should FIRST:

A. Advocate for the teen to challenge his instructor about the expectations placed onto him.

B. Talk to the student about the discrepancy he is experiencing between the expectations he has at home versus the expectations at the school.

C. Evaluate whether any racial or cultural discrimination is taking place.

D. Identify whether there is a need to provide the student with a referral for a tutoring center.

B. Talk to the student about the discrepancy he is experiencing between the expectations he has at home versus the expectations at the school.

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A community mental health center’s policy is to offer in-home assessments as deemed necessary by the worker. A social worker supervisor at the agency becomes aware that the workers have not been providing this service in cases where it would be appropriate. The supervisor should FIRST:

A. Find out what the social workers at the agency think about the policy.

B. Change the policy so it reflects the services provided.

C. Work on strengthening the administrative influence so the agency staff is less self-directed.

D. Make the administration aware of such practices.

A. Find out what the social workers at the agency think about the policy.

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A social worker has been using a problem-solving approach with clients at a community mental health center. What should the social worker do to use this approach effectively?

A. Gather a thorough history detailing emotional struggles.

B. Find out the degree to which the client is responsible for the issues at hand.

C. Discuss the clients’ childhood histories.

D. Prioritize presenting problems and concentrate on one at a time.

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A social worker has been providing therapy for an 85-year-old client who is terminally ill. During the most recent session, the client reports that he doesn’t see a point in “prolonging the inevitable” and that he has plans on committing suicide in the near future. A safety contract is created with the client; however, the social worker still feels uncertain as to how to proceed with the case. What is the BEST course of action for the social worker to take?

A. Seek out supervision to discuss the need for ensuring the client’s safety and recognize the importance of the client’s right to make his own decisions.

B. Identify the social worker’s own convictions regarding the interplay between the quality of life and one’s right to die.

C. Discuss legal ramifications of the matter.

A. Seek out supervision to discuss the need for ensuring the client’s safety and recognize the importance of the client’s right to make his own decisions.

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When completing a program evaluation for a community mental health center, what is the MOST practical research design to use?

A. Randomized Controlled Trial

B. Systematic Review

C. Observational Study

D. Quasi-Experimental Study

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A hospital has observed a higher than average readmission rate for elderly clients who were discharged after being treated for heart conditions. What is the BEST strategy for the social worker to decrease the rate of readmission? A. Form a task group B. Develop an after-care program to address client needs C. Refer clients for community mental health supports D. Connect clients to referrals for nutrition and exercise support

B. Develop an after-care program to address client needs

A social worker at a family agency meets with a family that has been having conflict due to the mother’s alcohol use. Despite this, during each session, the family focuses on one child who has ongoing behavioral problems and frequently acts out at home. The child is MOST likely occupying the role of: A. Identified patient B. Scapegoat C. Lost child

B. Scapegoat

A young child was brought in for an assessment at a mental health clinic after having witnessed a drive-by shooting outside of her home in which the victim was killed. Since then, the girl has been exhibiting behavioral problems at home and school and has been having difficulty sleeping. What should the social worker do FIRST? A. Find a way to aid the child in articulating her understanding of what happened. B. Give the family several referrals for the groups that utilize sand tray and play therapies. C. Help the family set up a behavioral plan with the use of a token economy. D. Send the child to a psychiatrist for medication evaluation.

A. Find a way to aid the child in articulating her understanding of what happened.

A social worker meets with a new client at the university’s health center. The client shares with the social worker, ‘No matter how hard I try, I just can’t focus when I am in my core classes. I keep zoning out and daydreaming and I miss important content.” Which of the following is the BEST example of reflective listening by the social worker? A. “It sounds like you’re more interested in the content of your elective classes than your core classes.” B. “It seems like you really want to pay attention, but you haven’t figured out a strategy to effectively do so yet and it’s keeping you from learning what you need to in those classes.” C. “It seems like your busy schedule is keeping you from being able to stay engaged in all of your classes.” D. “Have you tried taking notes on the key points your instructors make throughout lectures?”

B. “It seems like you really want to pay attention, but you haven’t figured out a strategy to effectively do so yet and it’s keeping you from learning what you need to in those classes.”

In macro-social work, exploring the history of issues that led to the creation of particular legislation is the FIRST step for which of the following activities? A. Program Evaluation B. Program Development C. Community Organization D. Policy Analysis

D. Policy Analysis

A school shooting occurred recently at a local middle school. A social worker at the local mental health clinic was part of the initial crisis response team and was later contacted by school officials and parents to assess a child. The child was reported to have been acting out in the classroom, not following the rules, and frequently caught getting in fights with other kids. His parents report that his behaviors have become unmanageable at home. What should the social worker do FIRST? A. Engage the child in crisis intervention. B. Provide a referral for an assessment of the child for Oppositional Defiant Disorder. C. Urge both the mother and the father to engage in daily activities with the child. D. Meet with the child one-on-one and complete an assessment.

D. Meet with the child one-on-one and complete an assessment.

A hospital social worker is assessing an 82-year-old Hispanic client. When completing the mental status exam on the client, which area is MOST likely to prompt assessment bias on the part of the social worker? A. Insight B. Cognitions C. Affect D. Memory

C. Affect

A local church has members who have expressed a need for more mental health services within the community. A social worker who attends this church is aware of other mental health professionals who are also members. The social worker would like to explore the possibility of creating a church-sponsored service that would meet the needs of individuals with mental illnesses. In order to do this, the social worker should FIRST: A. Get in touch with church members who suffer from mental illness and enlist their help. B. Clearly identify available monetary resources available for such project. C. Assemble a team of various professionals that are interested in participating. D. Submit a proposal to a local government agency detailing the need for such services.

C. Assemble a team of various professionals that are interested in participating.

A social worker has been meeting with a client who has been dealing with depression for the past year. During the most recent session, the client reports that, despite having obtained all A’s in her classes this semester, she is a “failure at life” and “can’t do anything right.” The social worker responds by saying, “You say that you are a failure at life, but you have also mentioned that you have done exceptionally well in school this past year.” The social worker is demonstrating the technique of: A. Confronting B. Paradoxical directive C. Reframing

C. Reframing

New legislation was created that affects clients in a local community mental health center. A client asks a social worker to explain the legislation to him because he does not understand. When explaining the legislation to the client, the social worker should: A. Briefly summarize the legislation and refer the client for a consultation with a lawyer in order to limit liability. B. Carefully go over the written edition of the legislation one line at a time. C. Recapitulate the legislation and concentrate on how it impacts the client. D. Discuss the history of what led to the implementation of such legislation.

C. Recapitulate the legislation and concentrate on how it impacts the client.

A social worker has been meeting with a client for individual therapy for the past four years. The client has reached all her treatment goals and it has been determined that it would be appropriate for the client to terminate. The client informs the social worker during one of the last sessions that she has a monetary gift she would like to give the social worker. The social worker should FIRST: A. Graciously take the gift and contribute the money to a local charity organization. B. Recommend that the client think of other ways to use the money. C. Find out the emotional significance of the gift. D. Make it clear to the client that cash cannot be accepted.

C. Find out the emotional significance of the gift.

There has been an increase in youth violence and drug-related deaths over the past year in a community where a social worker is employed. The chief of police and mayor have asked the social worker to reduce these problems by developing a plan that involves the community. What should the social worker do FIRST? A. Organize a series of trainings for the community. B. Establish a team of impacted individuals that would tackle the issue. C. Set up an opportunity for gang members to talk to one another. D. Employ the leaders of the community to be in charge of the project.

B. Establish a team of impacted individuals that would tackle the issue.

A social worker is leading a therapy group and has noticed that a working process and a consensus regarding goals are beginning to emerge. Group members are also beginning to display trust towards one another. What stage of group development is this group MOST likely experiencing? A. Power and control B. Preaffiliation C. Intimacy D. Differentiation

C. Intimacy

A social worker was recently promoted to a supervisory position in a community mental health center. One of the social worker’s supervisees has been with the agency for 15 years, appears to be very committed to the agency, and exhibits a large display of knowledge when it comes to client issues. However, while reviewing the supervisee’s case records, the social worker notes that there are some discrepancies in the service that is provided to certain clients. Which approach would BEST allow the supervisor to determine what is occurring? A. Invite the supervisee to discuss whether any difficulties occur in working with particular groups of clients. B. Inquire amongst other agency workers if they have observed favoritism displayed by the supervisee towards some clients. C. Work out a schedule of observing the supervisee’s work and client contact. D. Mail an evaluation survey to a randomly selected pool of the supervisee’s clients.

A. Invite the supervisee to discuss whether any difficulties occur in working with particular groups of clients.

When working with a traditional Native American/First Nation client, which of the following means of communication is MOST often misinterpreted by a non-Native/First Nation social worker? A. Tone of voice B. Body language C. Eye contact

C. Eye contact

A single mother recently lost her job and is in need of housing and employment assistance. The client meets with a social worker at a community-based mental health clinic. Some of the client’s needs cannot be addressed by the clinic. What should the social worker do FIRST? A. Have the client sign a written consent so the social worker can contact other organizations on client’s behalf. B. Ask for a case manager to be assigned to the case in order to make sure that all of the client’s needs are met. C. Set up a meeting between the client and all of the service providers. D. Let the client know that other organizations need to be contacted in order for necessary services to be provided.

D. Let the client know that other organizations need to be contacted in order for necessary services to be provided.

A social worker at a crisis center has been meeting with a client who was recently sexually assaulted. After four sessions, the client discloses that she was sexually abused by her father as a child. What is the MOST appropriate action for the social worker to take? A. Provide a referral for an incest survivor group. B. Change the direction of treatment and concentrate on early childhood trauma. C. Suspend the discussion about the incest until after the client has resolved the recent sexual attack. D. Continue talking about the recent sexual attack and speak to the issue of incest as it relates to the attack.

D. Continue talking about the recent sexual attack and speak to the issue of incest as it relates to the attack.

Between sessions, a client calls his social worker saying, “I can’t do this anymore. I really want to kill myself.” The social worker’s FIRST response to this information is to: A. Find out whether the client is alone. B. Ask if the client has a plan. C. Encourage the client to dial 911. D. Advise the client to go to the nearest emergency room.

B. Ask if the client has a plan.

Each of the following are COMMON side effects of SSRI antidepressants EXCEPT: A. Dry mouth B. Nausea, diarrhea, or constipation C. Nervousness, agitation or restlessness D. Weight loss

D. Weight loss

A couple presents for therapy with a social worker at a community mental health clinic. During the initial interview, the husband reports that he is frustrated that his wife does not want to have sex since they were married a year ago. The wife tearfully reports that she will engage in sex when she feels pressured by him but dissociates during intercourse. She says that she can’t sleep anymore because she is having recurrent nightmares and thoughts of suicide. The BEST course of action for the social worker is to: A. Find out whether the wife had been sexually abused as a child. B. Recommend that the wife checks into an inpatient psychiatric unit. C. Introduce various interventions that address sexual dysfunction. D. Refer the wife to a neurologist for an evaluation.

A. Find out whether the wife had been sexually abused as a child.

When conducting an intake interview with an individual who has a cognitive disability, the social worker should do which of the following to be MOST effective? A. Make every effort to finish the intake in a single session. B. Ask the client to bring a friend or a family member along. C. Conduct the intake in a quiet environment with the least amount of interruptions possible.

C. Conduct the intake in a quiet environment with the least amount of interruptions possible.

Which of the following is the normal life crisis that adults must resolve between the ages of 18-40? A. Initiative versus guilt B. Trust versus mistrust C. Industry versus inferiority D. Intimacy versus isolation

D. Intimacy versus isolation

The model of practice that focuses only on the environment as it currently affects the client is: A. Systems B. Psychosocial C. Client-centered D. Cognitive behavioral

A. Systems

New social welfare policies were recently enacted in a community where a social worker is employed. The social worker is analyzing the policies to understand how they will affect the community. The FIRST step in completing the policy analysis is to: A. Find out whether there are any legal practices that could invalidate the new policies. B. Try to understand the ways the community could be affected by the policies. C. Examine the issues that led to the implementation of such policies. D. Create a community member alliance that would examine community response to these policies.

C. Examine the issues that led to the implementation of such policies.

A 30-year-old single mother recently had her children removed from her home following reports of abuse and neglect. A social worker has been working with this involuntary client to help her regain custody of her children. To increase the likelihood of the children’s return to the home, the social worker should FIRST focus on: A. Stressing the importance of coordination. B. Finding ways to get the children to behave. C. Identifying and meeting the mother’s needs. D. Challenging the mother.

C. Identifying and meeting the mother’s needs.

As part of an intake interview at a community mental health clinic, a client completes a computer assessment before being interviewed by the social worker. The computer assessment indicates that the client has high levels of depression. However, the social worker determined during the interview that the client has mild anxiety problems. What should the social worker do? A. Take into consideration both the computer evaluation and the interview when creating treatment goals. B. Rely on the computer assessment to create a treatment plan. C. Ask the client to take another computer assessment to make sure the results are reliable. D. Deem the in-person intake interview to be more dependable.

A. Take into consideration both the computer evaluation and the interview when creating treatment goals.

A social worker in a community mental health center has been asked to evaluate an eight-year-old girl who has been having behavioral issues at school. The client’s school reports that she has been talking with other students about explicit sexual activity and drawing pictures of incest. After ruling out direct sexual abuse to the child, the social worker should NEXT: A. Help the child distinguish between suitable and unsuitable peer conversation. B. Evaluate the child’s ability to control her impulses. C. Rule out Conduct Disorder. D. Find out what other ways in which the girl has been subjected to sexually explicit material.

D. Find out what other ways in which the girl has been subjected to sexually explicit material.

After leading group therapy for three months, a social worker notices that some of the group members have started to challenge the social worker’s role as leader. What should the social worker do? A. Re-establish the fact that the social worker is the expert in the room. B. Continue to lead the group in a consistent and reliable manner. C. Find a good moment to reveal information about herself in order to shift the power dynamic. D. Employ the assistance of other members of the group.

B. Continue to lead the group in a consistent and reliable manner.

A 33-year-old man meets with a social worker due to his unhappy marriage. He states that he wants to end his marriage, but his religion prohibits divorce. He says that his religion is important to him. He reports that he feels guilty about wanting to end his marriage and doesn’t know why he is so unhappy. He has spoken with his wife about his unhappiness. She does not want him to leave and she has the support of his family and their church. The social worker’s INITIAL action should be to: A. Identify friends or activities in the client’s life that offer him support. B. Ask the client to discuss the past history of the relationship. C. Invite the client’s wife to come in to the next session. D. Recommend that he meets with his pastor for counseling.

B. Ask the client to discuss the past history of the relationship.

A social worker who is working with a gay or lesbian adolescent should expect that the greatest need for treatment and the MOST stress this client will face is during which of the following stages? A. Sensing that he/she is unlike the majority B. Trying out the new identity C. Getting into the first same-sex relationship D. “Coming out” and recognizing gay feelings

D. “Coming out” and recognizing gay feelings

An 80-year-old woman has been receiving rehabilitative services from a nursing home and is ready to be discharged. The nursing home social worker has created a care plan with the client which includes arrangements for home health care services as well as an in-home meal supplier. Once the client has been discharged, what should the social worker do? A. Follow up with the family over the phone and ask how the plan is progressing. B. Place the woman’s file together with other closed files so the team does not make a mistake of treating it as an open case. C. Follow up with the woman in a week or two and inquire how things are going. D. Follow up with the home health care agency to find out how services are progressing.

C. Follow up with the woman in a week or two and inquire how things are going.

A hospital social worker meets with a 25-year-old client who was admitted after making a serious suicide attempt. The client is alert but has a flat affect and makes little eye contact. He states that he was trying to kill himself and is disappointed he didn’t succeed. What should the social worker do FIRST? A. Refer the client for individual therapy in order to help him develop adequate coping ability for his depressive moods. B. Provide a referral for a medical evaluation. C. Refer the patient for a psychiatric assessment. D. Refer the patient for psychological assessment.

C. Refer the patient for a psychiatric assessment.

At what age is a child in the phallic stage of development? A. 3-6 years B. 0-18 months C. 18 months-3 years

A. 3-6 years

A social worker meets with a mother who is seeking help for her 6-year-old child at a family clinic. While meeting with the social worker, the mother states that she doesn’t want her husband to be involved with her child’s treatment. The social worker should FIRST: A. Find out what the husband thinks about the possibility of treatment. B. Obey the client’s request. C. Inquire about the reason behind the request.

C. Inquire about the reason behind the request.

A young child sees his mother place a ball under a blanket. The child searches for the ball by picking up the blanket to reveal the ball. This behavior is BEST described as: A. Concrete operations B. Object permanence C. Conservation D. Precausal reasoning

B. Object permanence

A social worker at a community counseling center meets with a client who was recently transferred from another social worker in the agency. The client states that he switched social workers because he was unhappy with the previous one. After the fourth session, the social worker receives a voicemail from the client stating that he wants to discontinue treatment. What should the social worker do? A. Encourage the client to meet with the social worker at least once more in order to talk about the decision. B. Pass the case along to the clinical supervisor. C. Give the client space and wait until he comes back to the agency for services. D. Discuss potential referral opportunities with the client.

A. Encourage the client to meet with the social worker at least once more in order to talk about the decision.

Following a divorce, a court grants the father of a 10-year-old girl sole custody. A social worker is providing court-mandated services to the child and receives a notice from the child’s mother that she is demanding to see the child’s records. What should the social worker do in response to the request? A. Let the mother know that she should speak with the father. B. Allow the mother to have access to the records. C. Arrange a meeting for both parents to talk. D. Give the mother a written notice regarding the limitations of disclosure.

D. Give the mother a written notice regarding the limitations of disclosure.

A social worker at a family counseling center meets with the adoptive parents of a 12-year-old boy who has reportedly failed to bond with his parents despite consistent nurturance. During the evaluation, the social worker learns that the client was severely neglected by his biological parents during infancy and later lived with several foster families before being adopted at age 7. The mother tearfully notes that her son is very ambivalent towards her and others. These symptoms could indicate the presence of: A. Reactive Attachment Disorder B. Autism Spectrum Disorder C. Disinhibited Social Engagement Disorder D. Social Phobia

A. Reactive Attachment Disorder

Which of the following is the result of chronic alcohol abuse with symptoms that include memory loss, a change in personality, memory gaps, and difficulty learning new information? A. Korsakoff Syndrome B. Delirium Tremens C. Tardive Dyskinesia D. Akathisia

A. Korsakoff Syndrome

A social worker is meeting with a couple who has three children. The woman reports that they have been experiencing difficulties in their marriage after their last daughter left for college four months ago. Which of the following interventions BEST addresses the treatment of a family life cycle crisis? A. Addressing the current crisis at the same time as helping the family get ready for upcoming changes. B. Helping the couple rebuild appropriate family roles. C. Talking about the history of the issues brought by the family. D. Empowering members of the family to find solutions to current problems.

A. Addressing the current crisis at the same time as helping the family get ready for upcoming changes.

A social worker is working on a Native American reservation. Which of the following MUST the social worker follow: A. State laws B. Laws of the reservation C. The social worker’s personal ethics

B. Laws of the reservation

A social worker at a community mental health center has been treating a 16-year-old client for eight months. The client’s parents are involved but have only met the social worker a few times. The social worker has recently been appointed as board member of a local advocacy group and learns that the client’s father is also on the board. It would be most appropriate for the social worker to FIRST: A. Talk to the client about the development. B. Give notice to the board. C. Find a social worker that might be a good fit for the client and transfer services. D. Keep everything as it is and simply try to avoid the parent during the board meetings.

A. Talk to the client about the development.

A social work student at a community mental health center has been providing therapy for a client with depression. During the most recent session, the client reports that he wants to kill himself because he is too overwhelmed with his life right now. The student does not have any experience working with clients who are suicidal. What is the BEST action for the social work student to take? A. Ask the client whether he has access to medication. B. Leave the room, find a supervisor, and ask the supervisor to be part of the session. C. Try to understand why the client came up with the plan that he did. D. Have the client sign a no-harm contract.

B. Leave the room, find a supervisor, and ask the supervisor to be part of the session.

A hospital social worker is creating a therapy group in the adult inpatient psychiatric unit. Which of the following criteria will be MOST important when developing the group? A. Level of functioning B. Cognitive development C. Treatment plan

A. Level of functioning

During the beginning phase of treatment, which of the following activities is LEAST effective for a social worker to do when trying to engage a client? A. Discussing service options that exist for the client. B. Working on lessening the client’s anxiety by offering support. C. Talking over various problem solutions that might be available to the client. D. Trying to understand how the client sees the presenting problem.

C. Talking over various problem solutions that might be available to the client.

A client meets with a social worker for an intake assessment after losing his job four months ago and having to put his mother into a nursing home. The client states that he is irritable and worried and finds it difficult to concentrate on tasks. He says that he has also been having difficulty sleeping, is constantly nauseous, and feels like he is sweating excessively. The client is MOST likely experiencing which disorder? A. Somatic Symptom Disorder B. Insomnia Disorder C. Unspecified Depressive Disorder D. Unspecified Anxiety Disorder

D. Unspecified Anxiety Disorder

A social work supervisee approaches their supervisor to receive consultation in a specialty area in which the supervisor lacks knowledge and experience. What should the supervisor do? A. Inform the social worker they cannot provide consultation to them in this area B. Provide consultation based on expertise in other areas C. Refer supervisee to an appropriate source for consultation in the desired area D. Consult with a supervisor

C. Refer supervisee to an appropriate source for consultation in the desired area

While meeting with her supervisor, a social worker states that she often feels helpless after leaving sessions with a particular client. The social worker’s reaction describes: A. The social worker’s insufficient knowledge B. Reaction formation C. Countertransference

C. Countertransference

A 16-year-old boy meets with a social worker at a neighborhood youth center. The social worker determines that the client would have an increase in self-esteem if he was able to get a job to meet his personal needs without relying on his parents. What should the social worker do NEXT? A. Help the teen find a job. B. Talk to the boy’s parents. C. Run this thought by a supervisor. D. Speak about it with the client.

D. Speak about it with the client.

A social worker at a mental health center does an intake assessment with a 15-year-old girl whose parents are concerned about her after they recently walked in on her purposely throwing up in the bathroom. During the evaluation, the mother states that she has noticed a lot of food has gone missing. The girl tearfully admits that she has been binging and purging, exercises often, and is afraid of gaining weight. What initial diagnosis should the social worker consider? A. Anorexia Nervosa B. Other Specified Eating Disorder C. Somatic Symptom Disorder D. Bulimia Nervosa

D. Bulimia Nervosa

Selective serotonin reuptake inhibitors (SSRIs) are primarily used to treat what diagnoses: A. Psychotic Disorders B. Learning Disabilities C. Anxiety and Depression D. Attention-Deficit/Hyperactivity Disorder (ADHD) and Oppositional Defiant Disorder

C. Anxiety and Depression

A study was recently done at a local hospital on HIV positive gay men. The research findings from this study can be generalized to: A. The general public B. The population studied C. All HIV positive patients

B. The population studied

The concept of privileged communication can BEST be defined as: A. A client's legal right to not have the communication they had with a social worker be disclosed in court without the client's consent. B. The privileges automatically given to clients while receiving services from social workers. C. Living wills, powers of attorney, and other advanced directives that guard clients’ choices and desires. D. Values defined by the code of ethics that state that the social worker is to keep all information pertaining to clients confidential.

A. A client's legal right to not have the communication they had with a social worker be disclosed in court without the client's consent.

A social worker is conducting an intake assessment with a client who states that she would like to tell the social worker more information but is afraid that her family will find out what she said. In response, the social worker should: A. Make an effort to build rapport with the client in order to strengthen the client’s trust. B. Clarify ethical mandates of keeping all communications confidential. C. Talk about the client’s right to confidentiality and reasons for potential disclosure. D. Give the client a verbal permission to remain closed off until she is ready to open up.

C. Talk about the client’s right to confidentiality and reasons for potential disclosure.

An adoption social worker is working with two siblings who are currently in foster care and looking to be placed in a permanent home. The social worker would like the siblings to be placed together, but one of the siblings has severe behavioral problems that may make adoption difficult. This sibling has been receiving therapy; limited improvements have been made. In order to determine if the siblings can be placed together, what should the social worker do FIRST? A. Agree to place children separately to make adoption easier. B. Inquire about the children’s partialities and place them into a long-term care based on that. C. Speak to the child’s psychologist regarding placement risks and the psychologist’s recommendations. D. Decide that the siblings should stay in foster care until they can be placed in the same family.

C. Speak to the child’s psychologist regarding placement risks and the psychologist’s recommendations.

A hospital social worker speaks with a doctor who is concerned about a child who was diagnosed with diabetes last year. The doctor reports that the child must be continually evaluated by the hospital, but the mother has not brought her in for eight months. The doctor states that if this does not change, he will need to report the mother for medical neglect. The social worker speaks with the mother and learns that she lives over an hour from the hospital and does not have a car, which makes it difficult for her to get there. The mother asks if her daughter can be treated at a local hospital where she is able to use public transportation. What is the MOST appropriate action for the social worker to take? A. Validate the mother’s struggles with transportation. B. Require the mother to bring the child to at least 4 medical visits a year. C. Find out if it is feasible for the child to get her medical needs met at a local hospital. D. Attempt to change scheduled treatments to better accommodate the mother.

C. Find out if it is feasible for the child to get her medical needs met at a local hospital.

What is the MOST appropriate approach for maintaining client records at a large agency? A. Consult with clients prior to destroying their records. B. Keep the records in a safe and confidential location for seven year after discharge. C. Keep the records for as long as required by law.

C. Keep the records for as long as required by law.

A social worker is meeting with a 10-year-old boy who was recently placed in a foster home due to reports of severe physical abuse by his father. While reading the boy’s records, the social worker learns that the boy often punches and kicks other kids at school in order to solve conflicts. The social worker can BEST understand this behavior as: A. Oppositional Defiant Disorder B. Regression C. Identification with the abuser D. Poor impulse control

C. Identification with the abuser

A social worker is part of a multidisciplinary team at a community counseling center. During an intake session, a client asks to see the agency’s psychiatrist because he would like to go on sleep medication. The client reports that since his mother passed away 6 months ago, he has been struggling to fall asleep and has been using alcohol as a sedative. The client is also concerned about his finances as he is only employed part time. The social worker should FIRST: A. Provide a referral to public assistance. B. Ask the client about the frequency and the amount of alcohol use. C. Provide a referral to a psychiatrist for a sleep medication evaluation. D. Give the client information on existing grief groups.

B. Ask the client about the frequency and the amount of alcohol use.

After treating a client for six months, a social worker notices that she feels sexually attracted toward the client after each session. The social worker’s BEST response is to: A. Begin termination procedures with the client. B. Discuss the case with the supervisor. C. Openly talk about the feelings with the client. D. Hand over the case to another social worker in the agency.

B. Discuss the case with the supervisor.

A client reports that she recently went through a divorce, had a miscarriage, and has increased her alcohol use. Which of the following areas should be assessed FIRST by the social worker? A. Frequency and intensity of substance use B. Client’s readiness to receive treatment C. Potential for suicidal behavior

C. Potential for suicidal behavior