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LCSWテスト勉強 > TOP 5O TOPICS > Flashcards

TOP 5O TOPICS Flashcards

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1
Q

First thing to do in question about child physical abuse

A

Filing CPS report

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2
Q

What to look as signs of sexual abuse

A

Marked change in child’s behavior (e.g. bed wetting, sexualized behavior)

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3
Q

When an adult client shows dissociated state (zoning out), what does it indicate?

A

childhood sexual abuse

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4
Q

Choose “provide psychoeducation” answer when a child is showing ?

A

developmentally appropriate/matched behavior (e.g. 5 year old interested in masterbation)

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5
Q

5 types of elderly abuse

A
  1. Physical restraining/abuse
  2. Financial abuse
  3. Social isolation
  4. Neglect
  5. Abandonment
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6
Q

With a client who is in DV but is ambivalent about leaving the perpetrator, what do I do?

A

Help creating SAFETY PLAN

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7
Q

When do I take aggressive intervention (e.g.51/50) for client with suicidal comments?

A

When he/she has PLAN and MEANS

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8
Q

When a client makes VAGUE comments regarding dangers to others or self, what do I do?

A

Ask them to clarify what he/she meant

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9
Q

The goal of crisis intervention (brief intervention)

A

To restore client to previous functioning level

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10
Q

Autism Spectrum Disorder 2 distinctive characteristics

A
  1. Persistent deficit in social interaction

2. Stereotyped, repetitive behavior

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11
Q

When child is acting up at school and no diagnoses, ? is indicated to differentiate two DXs.

A

psychological testing

ADHD / Learning Disability

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12
Q

Separation Anxiety happens around separating from ?

A

primary caregivers

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13
Q

Adjustment Disorder is a shift in behavior due to a recent stressor. How long of period do you give the child to adjust before pathologizing it?

A

6 weeks

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14
Q

Persistent depressive disorder criteria duration

A

2 years for adults; 1 year for children

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15
Q

Schizophrenoform criteria duration

A

Over one month through 6 month

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16
Q

Brief Psychosis criteria duration

A

1 month or shorter

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17
Q

Schizophrenia criteria duration

A

Over 6 months

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18
Q

What is a typical side effect of long-term use of anit-psychotic meds?

A

Tardive Dyskinesia

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19
Q

What do I always need to rule out when dealing with mood disorders?

A

Suicidal ideation

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20
Q

Stages of Grief

A 
Denial
Anger
Bargaining
Depression
Acceptance
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21
Q

When dealing with grief, what intervention is important?

A

Referring to a grief group

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22
Q

Dx for when a psychological stressor converts to health/physical related problem.

A

Conversion Disorder

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23
Q

When dealing with Eating Disorder, we always must involve?

A

medical professionals

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24
Q

When dealing with sexual dysfunction, always rule out?

A

medical conditions

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25
What is "Sensate Focus" ?
To explore each other's body without sex to facilitate open communication
26
Best practice for Borderline PD
DBT - mindfulness
27
Acute Stress Disorder - DX duration
4 weeks or less from trauma
28
PTSD DX duration
After 4 weeks from trauma
29
PTSD symptoms
Startle response Disconnected / numbness Nightmares Guilt / shame
30
What mental health issues can Hypothyroidism look like
depression
31
What mental health issues can hyperthyroidism look like
anxiety, jittery
32
When a parent comes to counseling because she/he is upset with a normal teenage behavior, what do I do?
Provide psychosocial education
33
oppositional defiant disorder has problems with?
authority (teachers, coaches, etc)
34
Conduct Disorder violates?
laws, other people's rights
35
When treating couples, what type of intervention needs be provided?
To treat relationship, not an individual.
36
In questions regarding treating family, what could enmeshed relationship / rigid relationship suggest?
enmeshed - sexual abuse/incest | rigid - substance use
37
In treating family, what do I need to deal first, and then secondly?
1. risk factors (DV, abuse, substance use) | 2. family as a whole, not individual
38
In elderly related questions, what do I need to look out for in answers?
self-determination (except when client is deemed incompetent)
39
What intervention is a key interventions for elderly?
Life Review - emotional closure is important
40
What is the difference between Delirium and Dementia
Delirium has rapid onset, induced by medical condition/medications
41
What kind of exam do I use to track elderly's functioning level?
Mini mental exam
42
In questions asking which intervention to provide, what do I do first and then secondly?
1. eliminate what I know is wrong | 2. Put the rest in order and pick the first one to do
43
In initial phase interventions, where do I start first?
Start where client is (e.g. family wants daughter to break up with boyfriend, but daughter is ambivalent)
44
If client wants to achieve many goals, what do I do?
prioritize what they want
45
If client has a BIG goal, what do I do?
break down to steps
46
When client says "I'm sure you can help me" in the initial session, what do I do?
Find out client's expectations of treatment
47
In middle phase of interventions, if therapist notices there is a change in dynamics between client and therapist, what does she do?
Bring it up during (e.g. I notice you are not doing homework)
48
3 reasons for terminating treatment
1. client met goals 2. client is symptoms free 3. completed pre-determined number of sessions
49
If I noticed negative changes in client, but the question doesn't say if she/he stopped taking meds, what do I do first?
1. find out if he/she is compliant with medication | THEN, refer to psychiatrist
50
In structural family therapy, what do I look for?
hierarchy, family structure, family dynamics
51
What do I do in task centered therapy?
provide practical help; create task centered goals
52
Which therapy theory is defense mechanism based in?
psychodynamics therapy
53
Defense Mechanism - when you are angry with someone, you overcompensate and act very nice toward the person.
Reaction Formation
54
Defense Mechanism - channeling unacceptable feeling/wish to acceptable one (e.g. instead of punching someone, go to kickboxing class)
sublimation
55
Defense Mechanism - going back to a previous stage of development (e.g. bed wetting)
Regression
56
When I shouldn't release information of minor client to their parents?
When sharing information would put the client into danger or is detrimental to therapeutic relationship.
57
When established client became unable to pay fee, what do I do?
lower the fee temporarily to get through crisis
58
If I lower client's co-pay, whom do I need to inform?
Client's insurance company
59
When I find out an existing client and I have dual relationship, what do I do?
Discuss the impact and let client decide if she wants to continue with therapy.
60
When I have a problematic countertransference, what do I do?
Seek consultation
61
When client is paid by insurance, what do I need to tell as a part of confidentiality?
the limitations of confidentiality
62
When court orders records to be released, what do I do?
I must release. if it's detrimental to client, I have to advocate to limit the scope. Court still can say no.
63
When lawyer requests records to be released, what do I do?
Let client know and decide. | If a client is deceased/can't be located, assert privilege on behalf of the client.
64
Group treatment stages: In Forming stage, how members behave?
At best behavior
65
Group treatment stages: In Storming stage, what's happening in the group?
Conflicts arising among members
66
Group treatment stages: In Norming stage, what's happening in the group?
Members are accepting / tolerating others more.
67
If I think there is a social injustice happening in the agency where I work, what do I do?
Collect data to support my gut feeling
68
As an administrator, what do I do if staff have low morale?
Recognize and value staff
69
In case management roles, SW's job is all about?
coordinating services. don't jump into referring.
70
The first thing to do if I want to do research?
Obtain informed consent from subjects
71
If a client says she doesn't want to talk to you because you are white, what should you do?
Explore the reason why she doesn't want to talk to you as a white therapist.
72
As a supervisor, if your supervisee is experiencing burn out or vicarious trauma, what should you do?
provide psychoeducation

LCSWテスト勉強 (14 decks)

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