Question 1
P comes to a social worker shortly after losing her best friend to cancer. According to P's
self-report, since her friend's death she has been "down". She thought she should seek
therapy to help her cope with how she feels. In diagnosing P, the social worker wants to
differentiate between major depression and bereavement. Which of the following would
indicate that P may have major depression rather than bereavement:
a. social withdrawal
b. suicidal ideation
c. P thinks about her friend all of the time
d. the friend died 10 months ago
CORRECT ANSWER
b. suicidal ideation
Question 2
You have been seeing a 36-year-old male client in therapy for several months. The client
has been diagnosed with schizophrenia and, for some time, has been taking
phenothiazines that were prescribed when he was in an in-patient psychiatric facility. He
has been in and out of such facilities since the age of 27. He now lives in a halfway house
and you are helping him readjust to life in the community. The client has been progressing
well and is becoming less and less anxious about coping outside the hospital, but one day
you notice that he is experiencing involuntary rhythmic facial tics and movements in his
legs. You should:
a. refer him to his psychiatrist since you suspect he has stopped taking his medications
b. refer him to his psychiatrist since this may be a side effect of his medication
c. understand that this is a side effect of the phenothiazines and therefore reassure the
client
1
,d. for now attribute the
CORRECT ANSWER
b. refer him to his psychiatrist since this may be a side effect of his medication
Question 3
A social worker sees a 20-year-old woman at counseling center. The woman has a history
of body image concerns, periods of depressed mood and engages in regimented exercise
on a daily basis. She complains of low energy and asks for medication to increase her
tolerance to exercise. The social worker suspects:
a. substance abuse
b. a mood disorder
c. an eating disorder
d. histrionic personality disorder
CORRECT ANSWER
c. an eating disorder
Question 4
A young man seeks the service of a social worker. He has just found out that he is HIV
positive. He does not yet have physical symptoms, but describes himself as depressed and
alone. What is the most likely diagnosis for this client:
a. posttraumatic stress disorder
b. generalized anxiety disorder
c. organize mental disorders
d. adjustment disorder
CORRECT ANSWER
d. adjustment disorder
2
, Question 5
A 25-year-old man is referred for therapy by his attorney. He tells the social worker that he
has been feeling depressed and unable to work since a car accident. He does not appear to
be interested in therapy, but continues to tell the social worker that he is not doing well,
although he remains vague. What is the likely diagnosis in this case:
a. malingering
b. factitious disorder
c. major depression
d. histrionic personality disorder
CORRECT ANSWER
a. malingering
Question 6
A young mother brings her 4-year-old son to a social worker because she is having trouble
controlling his behavior and his preschool teacher has also complained about the child's
behavior. Upon evaluation, the social worker becomes aware that the child does not speak
properly and has a tendency to speak very loudly. Given these symptoms, the social
worker believes that:
a. the child may be mentally retarded
b. attention deficit hyperactive disorder is likely to be the cause
c. the child may have a hearing impairment
d. elective mutism is a possible diagnosis
CORRECT ANSWER
c. the child may have a hearing impairment
Question 7
3
P comes to a social worker shortly after losing her best friend to cancer. According to P's
self-report, since her friend's death she has been "down". She thought she should seek
therapy to help her cope with how she feels. In diagnosing P, the social worker wants to
differentiate between major depression and bereavement. Which of the following would
indicate that P may have major depression rather than bereavement:
a. social withdrawal
b. suicidal ideation
c. P thinks about her friend all of the time
d. the friend died 10 months ago
CORRECT ANSWER
b. suicidal ideation
Question 2
You have been seeing a 36-year-old male client in therapy for several months. The client
has been diagnosed with schizophrenia and, for some time, has been taking
phenothiazines that were prescribed when he was in an in-patient psychiatric facility. He
has been in and out of such facilities since the age of 27. He now lives in a halfway house
and you are helping him readjust to life in the community. The client has been progressing
well and is becoming less and less anxious about coping outside the hospital, but one day
you notice that he is experiencing involuntary rhythmic facial tics and movements in his
legs. You should:
a. refer him to his psychiatrist since you suspect he has stopped taking his medications
b. refer him to his psychiatrist since this may be a side effect of his medication
c. understand that this is a side effect of the phenothiazines and therefore reassure the
client
1
,d. for now attribute the
CORRECT ANSWER
b. refer him to his psychiatrist since this may be a side effect of his medication
Question 3
A social worker sees a 20-year-old woman at counseling center. The woman has a history
of body image concerns, periods of depressed mood and engages in regimented exercise
on a daily basis. She complains of low energy and asks for medication to increase her
tolerance to exercise. The social worker suspects:
a. substance abuse
b. a mood disorder
c. an eating disorder
d. histrionic personality disorder
CORRECT ANSWER
c. an eating disorder
Question 4
A young man seeks the service of a social worker. He has just found out that he is HIV
positive. He does not yet have physical symptoms, but describes himself as depressed and
alone. What is the most likely diagnosis for this client:
a. posttraumatic stress disorder
b. generalized anxiety disorder
c. organize mental disorders
d. adjustment disorder
CORRECT ANSWER
d. adjustment disorder
2
, Question 5
A 25-year-old man is referred for therapy by his attorney. He tells the social worker that he
has been feeling depressed and unable to work since a car accident. He does not appear to
be interested in therapy, but continues to tell the social worker that he is not doing well,
although he remains vague. What is the likely diagnosis in this case:
a. malingering
b. factitious disorder
c. major depression
d. histrionic personality disorder
CORRECT ANSWER
a. malingering
Question 6
A young mother brings her 4-year-old son to a social worker because she is having trouble
controlling his behavior and his preschool teacher has also complained about the child's
behavior. Upon evaluation, the social worker becomes aware that the child does not speak
properly and has a tendency to speak very loudly. Given these symptoms, the social
worker believes that:
a. the child may be mentally retarded
b. attention deficit hyperactive disorder is likely to be the cause
c. the child may have a hearing impairment
d. elective mutism is a possible diagnosis
CORRECT ANSWER
c. the child may have a hearing impairment
Question 7
3
