Practice Test(Focus Areas)

Question 1

Ethics-Confidentiality-What is the ethical obligation social workers have to; clients, colleagues, and insurance Companies?

Answer 1

Clients- maintain unless a release is signed OR client reports self harm or harm to to others
Colleagues- Same as clients
Insurance- Only reveal what is listed in contract. Other information requires a release

Question 2

Ethics-Self-determination- What is the social workers ethical obligation when it comes to this?

Answer 2

Ethical obligation is to encourage and foster self-determination/starting where client is at.
However, if this clients decision have or would cause harm to self or other, then this can be stopped

Question 3

Ethics-Consultation- When to seek this?

Answer 3

Consultation is only to be sought if the social worker does not have training or possess knowledge in a certain area.
When seeking consultation, social worker should limit the amount of information disclosed.

Question 4

Ethics-Colleagues-What is the ethical obligation?

Answer 4

Confidentiality should be upheld for colleagues the same way as clients and only breached for the same reason as clients.
Disputes/unethical behavior should ALWAYS be discussed with colleague FIRST. If no change is made after talk, then escalate up to supervisor or appropriate person.

Question 5

Ethics-Fee’s- What is the ethical obligation?

Answer 5

The obligation is that the social worker will keep the client’s ability to pay in mind and a avoid taking a client if they know ahead of time the person cannot pay.
If the issue comes up later on the the therapeutic relationship, fee’s could be adjusted for the sake of client safety.
Social workers cannot receive fee’s from referrals.

Question 6

Ethics-Court/records/subpoenas- When to release information, advocate for partial, and exert privilege?

Answer 6

Court order- Information has to be released. Can advocate for partial release, but ultimately have to release the information.
Lawyer- if a lawyer requests information and the social worker deems the information to cause harm to the client, they can exert privilege on behalf of the client.

Question 7

Ethics- Third Party( Insurances)- What is the ethical obligation

Answer 7

Insurances are legally allowed to obtain an information that is specifically stated under their contract. The social worker needs to assess whether the information requested fits under that or not.
If not, then the social worker can fuses to release without consent.

Question 8

Ethics-Social media- What is the ethical obligation

Answer 8

Ethically the social worker must obtain informed consent before doing internet search on client.
Except if the search is for the purpose of protecting a client or others from imminent harm or potential harm.

Question 9

Ethics-Referrals-What is the ethical obligation regarding making referrals

Answer 9

Ethically speaking a social worker cannot accept money for any referrals made to another agency. Referrals should only be made in certain instances( knowledge related, dual relationships, etc).

Question 10

Next Topic

Answer 10

Coming up Crisis treatment and DSM diagnosis

Question 11

Crisis-Abuse/Neglect- Signs/Symptoms-Ethical Obligation

Answer 11

Physical- Multiple injuries, rope burns, bite marks, unexplained injuries
Behavioral/Emotional- Regressive behavior, frozen watchfulness, Ambivalent attachment
Neglect- Self-comfort,development delay,hoarding/stealing food,dirty/unwashed

Ethical Obligation-MUST REPORT TO APS OR CPS

Question 12

Crisis-Self-Harm/Suicide Signs and Ethical Obligation

Answer 12

Signs- Hopelessness, worthless, statements about wanting to harm self or “die”
Vague Statements= FOLLOW UP/CLARIFY
Ethical Obligation- is to protect client, ALWAYS asses safety.

Question 13

Crisis-Crisis Intervention Model-What is it/stages/ Ethical Obligation

Answer 13

Assess client
Build rapport
ID problem(crisis issue)
Reflect/acknowledge feelings
Evaluate/ teach coping skills
Form Action plan
Follow-up on plan

Ethical obligation is to follow up and protect client

Question 14

Crisis-Harm to others/Signs/Ethical Obligations

Answer 14

Statements about wanting to “get back at someone” and statements that suggest wanting to “killing someone”
Ask about whether there is a plan in place-if so report.

Ethical Obligation- Protect others from harm. Duty to warn person of intended harm

Question 15

New Topic

Answer 15

DMS-5

Question 16

DSM-5-Dissociative Amnesia/ Dissociative Fuge-Signs/symptoms, when to diagnose

Answer 16

Characterized by sudden forgetting of one’s personal information.

Question 17

DSM-5-ADHD-Signs/symptoms, when to diagnose

Answer 17

Dx-Before age 12
Characterized by having disruptions(not able to focus, sit still, constantly moving) in 2 areas.
School
Home

Question 18

DSM-5-Conduct Disorder-Signs/symptoms, when to diagnose

Answer 18

Dx- Symptoms present for 12 months and at least 1 symptom in the last 6 months.
Characterized by the violation of the rights of other.
Stealing
Fighting
Breaking rules
Lack remorse

Question 19

DSM-5-Schizofreniaform-Signs/symptoms, when to diagnose

Answer 19

Dx-Present for 1-6 months

Characterized by delusion and hallucinations, disorganized speech,disorganized behavior,negative symptoms.

Question 20

DSM-5-Schizoaffective-Signs/symptoms, when to diagnose

Answer 20

Characterized by psychotic features that are present ALL the time and mood changes come in and out

Question 21

DSM-5-Major depressive disorder-Signs/symptoms, when to diagnose

Answer 21

Dx-Symptoms present for at least 2 weeks

Characterized by the following; dark mood, lack of enjoyment,lack motivation

Question 22

DSM-5-Illness Anxiety-Signs/symptoms, when to diagnose

Answer 22

Characterized by a person who has a fear of getting a diagnosis, despite the doctor reassuring the client that they do not have one.
*Mild Somatic Symptoms

Question 23

DSM-5-Bullimia-Signs/symptoms, when to diagnose

Answer 23

Dx-Present for at least 1-6 months
Characterized by the following; 1. Binge eating more food than normal in one sitting 2. self-induced vomiting due to fear of gaining weight.

Question 24

DSM-5-OCD-Signs/symptoms, when to diagnose

Answer 24

Characterized by; 1. Obsessive thoughts 2. Obsessive behaviors. Both have to cause an impaired ability to function.

Question 25

DSM-5-Autism-Signs/symptoms, when to diagnose

Answer 25

Dx Any age, but typically diagnosed in the first 2 years of life. Characterized by; 1. Deficiency in communication 2. repetitive behavior.

Question 26

DSM-5-Disinhibited Social Engagement-Signs/symptoms, when to diagnose

Answer 26

Characterized by a child being overly attached and friendly to a stranger. Caused by abuse/neglect

Question 27

DSM-5-Hypersumnolance-Signs/symptoms, when to diagnose

Answer 27

Characterized by excessive sleepiness that exceed 7 hours up to 9 hours. Person feels sluggish, tired, and groggy

Question 28

DSM-5-Non-Rapid Eye Movement Disorder with Sleep Terror Subtype-Signs/symptoms, when to diagnose

Answer 28

Characterized by a person's inability to completely wake up from sleep. Terrors happen due to nightmares.

Question 29

DSM-5-Insomina-Signs/symptoms, when to diagnose

Answer 29

Dx- 3 nights per week for 3 months | Characterized by difficulty staying a sleep or waking up many times.

Question 30

DSM-5-Cyclothymic Disorder-Signs/symptoms, when to diagnose

Answer 30

Dx-Present for at least 2 years | Characterized by hypomanic state mixed with low level depression.

Question 31

DSM-5-Hoarding-Signs/symptoms, when to diagnose

Answer 31

Characterized by the persistent difficulty throwing things out or getting rid of items regardless of their importance.

Question 32

DSM-5-Disruptive Mood Dysregulation-Signs/symptoms, when to diagnose

Answer 32

Dx- children up to 18 yrs old | Characterized by persistent irritability and frequent episodes of extreme out of control behavior.

Question 33

DSM-5-Schizoid-Signs/symptoms, when to diagnose

Answer 33

``` * Lacks desire for relationships Characterized by wanting to be alone and not desiring relationships. Often withdrawn Prefer to be alone Odd/Eccentric behavior ```

Question 34

DSM-5-Schizoptypal-Signs/symptoms, when to diagnose

Answer 34

``` *Extreme social anxiety Precursor to Schizophrenia No psychotic episodes Characterized by odd behavior and thinking. Delusions and Hallucinations Magical thinking Bizarre behavior Odd and Eccentric Behavior ```

Question 35

DSM-5-Paranoid Personality-Signs/symptoms, when to diagnose

Answer 35

*Holds Grudges | Characterized by misread remarks, quick to anger, and unjustified doubts.