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Section I: Human Development, Diversity, and Behavior in the Environment (Approx. 28%)
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1. A 16-year-
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old client reports feeling isolated from peers and states, "No one understands me." Accordi
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ng to Erikson's stages of psychosocial development, this client is most likely struggling wit
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h which developmental crisis?
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• A) Trust vs. Mistrust
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• B) Industry vs. Inferiority
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• C) Identity vs. Role Confusion
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• D) Intimacy vs. Isolation
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Correct Answer: C jh jh
Rationale: Erikson's fifth stage (Adolescence, 12–
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18 years) is Identity vs. Role Confusion, where teens explore independence and a sense of self.
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2. A social worker is assessing a family where the parents are recently divorced. The 10-
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year-old child is exhibiting regressive behaviors such as bedwetting and thumb-
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sucking. From a systems perspective, this behavior is BEST understood as:
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• A) A sign of severe developmental delay.
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• B) A symptom of the family system's disequilibrium.
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• C) A conscious attempt to manipulate the parents.
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• D) A result of genetic predisposition.
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Correct Answer: B jh jh
Rationale: Systems theory views the child's behavior as a response to the stress and change within th
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e family system (homeostasis disruption).
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,3. A social worker is working with a client who immigrated to the U.S. two years ago. The cl
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ient reports feeling anxious, depressed, and confused about their identity. They express dif
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ficulty reconciling their culture of origin with American culture. This phenomenon is BEST
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described as: jh
• A) Acculturationjh
• B) Cultural assimilation
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• C) Culture shockjh jh
• D) Cultural humilityjh jh
Correct Answer: A (Specifically, this describes the stress of acculturation, often referred to
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as acculturative stress).
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Rationale: Acculturation refers to the process of adapting to a new culture, which can cause psycholo
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gical distress when there is conflict between the old and new cultural identities.
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4. A client reports using alcohol daily to cope with the recent death of their spouse. The soc
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ial worker notes the client’s grief is prolonged and complicated. According to the DSM-5-
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TR, the social worker must rule out which of the following before diagnosing the client wit
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h a Substance Use Disorder?
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• A) Bipolar Disorder
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• B) Major Depressive Disorder
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• C) Grief (Bereavement)
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• D) Generalized Anxiety Disorder
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Correct Answer: C jh jh
Rationale: The DSM-5- jh jh
TR has a specific specifier for "Bereavement" and requires clinicians to differentiate between normal
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grief and a clinical disorder like Major Depressive Disorder, though it removed the "Bereavement Excl
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usion" for MDD. However, in the context of this question, ruling out normal grief reactions is the prim
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ary step. jh
5. According to Piaget's theory, a 7-year-
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old child who understands that pouring water from a short, wide glass into a tall, thin glass
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does not change the amount of water has acquired the concept of:
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• A) Object permanence
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• B) Conservation jh
, • C) Assimilation
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• D) Egocentrism
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Correct Answer: B jh jh
Rationale: Conservation is the understanding that quantity remains the same despite changes in sha
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pe or appearance, which develops during the Concrete Operational Stage (7–11 years).
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6. A social worker is advocating for a policy that addresses the high rate of infant mortality
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in a low-
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income community. Which ethical principle is the social worker primarily upholding?
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• A) Confidentiality
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• B) Self-determination
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• C) Dignity and Worth of the Person
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• D) Social Justice
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Correct Answer: D jh jh
Rationale: Social Justice is the principle that social workers should pursue social change, particularly
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with and on behalf of vulnerable and oppressed individuals/groups.
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7. A client tells a social worker, "I am a failure. I can't do anything right." The social worker
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responds, "You feel like you've failed at everything, even though your records show you su
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ccessfully managed your business for ten years." This is an example of:
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• A) Reframing
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• B) Confrontation
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• C) Cognitive restructuring
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• D) Reflection of content/meaning
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Correct Answer: D jh jh
Rationale: Reflecting meaning/content involves identifying the client's underlying feelings and pairin
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g them with the facts of the situation to provide a new perspective.
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8. A social worker is conducting an initial assessment. The client is a 14-year-
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old girl who is accompanied by her mother. The mother answers most of the questions for t
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he child. The social worker should FIRST:
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, • A) Ask the mother to leave the room to speak to the child alone.
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• B) Validate the mother's concerns but gently redirect questions to the adolescent.
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• C) Document the mother's controlling behavior as a family dynamic issue.
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• D) Schedule a separate appointment with the adolescent without the mother.
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Correct Answer: B jh jh
Rationale: The social worker should validate the mother's role while preserving the adolescent's right
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to self-
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determination and voice. Gently redirecting is the least intrusive and most respectful initial step.
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9. Which of the following is considered a microaggression?
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• A) A client telling their social worker they don't like the color of their shirt.
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• B) A social worker assuming a client is poor because of their ethnicity.
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• C) A supervisor giving constructive feedback to a supervisee.
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• D) A client asking for a referral to a specialist.
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Correct Answer: B jh jh
Rationale: A microaggression is a subtle, often unintentional, expression of prejudice or discriminatio
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n based on a person's marginalized identity.
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10. A social worker is preparing a discharge plan for a client with schizophrenia. The client
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has poor insight into their illness. To ensure the client's safety post-
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discharge, the social worker should FIRST: jh jh jh jh jh
• A) Arrange for involuntary hospitalization.
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• B) Consult with the treatment team and involve the client in identifying a trusted support p
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erson to monitor medication. jh jh jh
• C) Contact Adult Protective Services to place the client in a group home.
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• D) Schedule daily phone calls to remind the client to take their medication.
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Correct Answer: B jh jh
Rationale: While maintaining self- jh jh jh
determination, the social worker must balance safety. Involving the client in decisions (collaborative
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approach) and consulting the team is the most appropriate first step to create a safety net.
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