MSW COMP EXAM UKY WITH COMPLETE
SOLUTIONS
/Inform the client about the limits of confidentiality. - Answer-A social worker is meeting
with her client for a first therapy session. What is the first ethical responsibility she is
obligated to meet in this session?
/.Conflict of interest. - Answer-A social worker employed by a community-based
organization finds her professional decision-making to be influenced by elements other
than concern about the client. What ethical issue is this social worker facing?
/.Dignity and worth of a person. - Answer-What core value of the social work profession
is violated when a client is coerced into consenting to treatment?
/.Duty to warn per the Tarasoff decision and confidentiality. - Answer-During a
counseling session at a mental health center, a social worker is told by their client that
the client intends to shoot a specific relative after leaving the session. What professional
duties are in conflict in this situation?
/.Talk to the client about whether they want any information disclosed and the possible
implications of disclosure. - Answer-A 16 year old has become a client of an outpatient
clinical social worker after surviving a sexual assault by the sibling of a classmate at her
school. The client's parents have signed a release of information allowing the social
worker to communicate directly with school staff. The social worker is contacted by one
of the teachers who is concerned that the client's school work has declined drastically.
The teacher wants to know if something has happened to the client. What should the
social worker do in this situation?
/.Assess the situation for risk of potential harm or exploitation of the client. - Answer-
Adele, a social worker employed by a program serving at-risk youth at a local YMCA in
an urban community, lives in an apartment complex within walking distance of her work.
An avid reader, she frequently visits the local library and has joined a monthly reading
group. At her most recent visit, the group welcomed a new member who happens to be
the mother of one of the youths in her program. To determine how to respond to this
situation, what should Adele do first?
/.Report the situation to your supervisor. - Answer-During a counseling session, a client
with a history of relationship problems shares a text she received from one of your co-
workers inviting her to a social event as their date. Your co-worker is part of the
treatment team that regularly reviews client cases (including your client) and evaluates
their progress. The client is seeking your advice about whether to accept the date and
attend the event. What should you do?
,/.The participant must be compensated either financially or by directly benefiting from
the study.
There is generally no guarantee that subjects will directly benefit from participation in
research. In order to provide informed consent, before they agree to participate potential
subjects should be informed of the potential risks and benefits and whether or not they
will receive some compensation for their participation in a study. - Answer-According to
the Nuremberg Code, which provides the basis for Institutional Review Boards'
requirements for human subjects research, voluntary consent to participate in research
activities is an imperative. Which of the following statements does not meet the criteria
defining voluntary informed consent?
/.Avoid generalizations.
To provide culturally responsive evaluation and treatment planning, counselors and
programs must understand and incorporate relevant cultural factors into the process
while avoiding a stereotypical or "one-size-fits-all" approach to treatment. - Answer-In
working with clients from a racial or ethnic group different from their own, what are
social workers advised to do?
/."What is your sexual orientation?"
Asked in a non-judgmental manner, this clearly asks for specific information without
being as open-ended as "tell me about your sexuality" or as limiting and discriminatory
as the other responses. - Answer-A social worker is conducting an initial assessment
with a client. What is the best way for the social worker to inquire about the client's
sexual orientation?
/.Intersectionality.
Intersectionality is a framework for conceptualizing a person, group of people, or social
problem as affected by a number of discriminations and disadvantages. It takes into
account people's overlapping identities and experiences in order to understand the
complexity of prejudices they face. - Answer-Eduardo is a 60 year old Latino man who
identifies as gay and is disabled due to a work-related accident. These aspects of his
identity illustrate which of the following terms?
/.Prejudice.
Prejudice is based on feeling, but in this scenario it is not followed by action. - Answer-
Jason is an African American man who has just recently gained employment with an
advertising company. One of Jason's coworkers is resentful of Jason because he thinks
Jason was hired because of Affirmative Action and not because he is qualified for the
position. This same coworker also assumes that Jason is not as smart as their
colleagues because of his minority status. What term best describes the attitude of the
coworker?
, /.Promote universal values.
Promoting universal values is a valid goal in some situations, but does not promote
cultural competence. - Answer-Most group leaders/group therapists will have group
members from diverse cultural backgrounds. What is not a good way for group leaders
to become culturally competent?
/.Explore the mourning rituals of the client's family.
The social worker needs to understand the client's reaction from a cultural perspective.
It is often more difficult to "start where the client is" with a client of another culture,
because of lack of comprehension. With this client, discussing mourning rituals is a first
step in gaining understanding, especially if the social worker doesn't really know if the
client's reactions are unusual for a person of the Latino culture. The other options might
be logical in terms of some cultures, but not others. Exploring the cultural context of the
client's reaction is the first order of business. - Answer-A social worker conducts a home
visit to a 45 year old Latino client whose young son was killed in a recent automobile
accident. The social worker observes that a large altar has been made. It contains many
candles and pictures of the boy and other deceased relatives. The client sobs
throughout the interview and tells the social worker that the boy has been
communicating to the client each evening through angels. In order to most effectively
work with the client, what should the social worker do FIRST?
/.Discrimination.
Discrimination involves acting on prejudice, which the hiring official has done in this
case. He is discriminating against Mia H. on the basis of prejudice regarding her
gender/discriminating based on his sexism. - Answer-Mia H. and Johnny B. interviewed
for the same job. Mia has more education and experience than Johnny, and is the better
qualified candidate for the position. However, the hiring official did not offer the job to
Mia because he believes women are inferior to men and do not belong in the work
force. Based on this information, Mia experienced which of the following?
/.Focus on immigrants and minorities.
Unlike cultural competence, which focuses on diversity and difference, cultural humility
takes a broader view that includes different and unique combinations of ethnicity, race,
age, income, sexual orientation, class, abilities, faith, and more. - Answer-Cultural
humility includes all but which of the following ?
/.Privilege. - Answer-What term best describes unearned advantages that accrue to
members of certain social groups because of membership in those groups, and at the
cost of corresponding marginalized groups?
/.Individual.
SOLUTIONS
/Inform the client about the limits of confidentiality. - Answer-A social worker is meeting
with her client for a first therapy session. What is the first ethical responsibility she is
obligated to meet in this session?
/.Conflict of interest. - Answer-A social worker employed by a community-based
organization finds her professional decision-making to be influenced by elements other
than concern about the client. What ethical issue is this social worker facing?
/.Dignity and worth of a person. - Answer-What core value of the social work profession
is violated when a client is coerced into consenting to treatment?
/.Duty to warn per the Tarasoff decision and confidentiality. - Answer-During a
counseling session at a mental health center, a social worker is told by their client that
the client intends to shoot a specific relative after leaving the session. What professional
duties are in conflict in this situation?
/.Talk to the client about whether they want any information disclosed and the possible
implications of disclosure. - Answer-A 16 year old has become a client of an outpatient
clinical social worker after surviving a sexual assault by the sibling of a classmate at her
school. The client's parents have signed a release of information allowing the social
worker to communicate directly with school staff. The social worker is contacted by one
of the teachers who is concerned that the client's school work has declined drastically.
The teacher wants to know if something has happened to the client. What should the
social worker do in this situation?
/.Assess the situation for risk of potential harm or exploitation of the client. - Answer-
Adele, a social worker employed by a program serving at-risk youth at a local YMCA in
an urban community, lives in an apartment complex within walking distance of her work.
An avid reader, she frequently visits the local library and has joined a monthly reading
group. At her most recent visit, the group welcomed a new member who happens to be
the mother of one of the youths in her program. To determine how to respond to this
situation, what should Adele do first?
/.Report the situation to your supervisor. - Answer-During a counseling session, a client
with a history of relationship problems shares a text she received from one of your co-
workers inviting her to a social event as their date. Your co-worker is part of the
treatment team that regularly reviews client cases (including your client) and evaluates
their progress. The client is seeking your advice about whether to accept the date and
attend the event. What should you do?
,/.The participant must be compensated either financially or by directly benefiting from
the study.
There is generally no guarantee that subjects will directly benefit from participation in
research. In order to provide informed consent, before they agree to participate potential
subjects should be informed of the potential risks and benefits and whether or not they
will receive some compensation for their participation in a study. - Answer-According to
the Nuremberg Code, which provides the basis for Institutional Review Boards'
requirements for human subjects research, voluntary consent to participate in research
activities is an imperative. Which of the following statements does not meet the criteria
defining voluntary informed consent?
/.Avoid generalizations.
To provide culturally responsive evaluation and treatment planning, counselors and
programs must understand and incorporate relevant cultural factors into the process
while avoiding a stereotypical or "one-size-fits-all" approach to treatment. - Answer-In
working with clients from a racial or ethnic group different from their own, what are
social workers advised to do?
/."What is your sexual orientation?"
Asked in a non-judgmental manner, this clearly asks for specific information without
being as open-ended as "tell me about your sexuality" or as limiting and discriminatory
as the other responses. - Answer-A social worker is conducting an initial assessment
with a client. What is the best way for the social worker to inquire about the client's
sexual orientation?
/.Intersectionality.
Intersectionality is a framework for conceptualizing a person, group of people, or social
problem as affected by a number of discriminations and disadvantages. It takes into
account people's overlapping identities and experiences in order to understand the
complexity of prejudices they face. - Answer-Eduardo is a 60 year old Latino man who
identifies as gay and is disabled due to a work-related accident. These aspects of his
identity illustrate which of the following terms?
/.Prejudice.
Prejudice is based on feeling, but in this scenario it is not followed by action. - Answer-
Jason is an African American man who has just recently gained employment with an
advertising company. One of Jason's coworkers is resentful of Jason because he thinks
Jason was hired because of Affirmative Action and not because he is qualified for the
position. This same coworker also assumes that Jason is not as smart as their
colleagues because of his minority status. What term best describes the attitude of the
coworker?
, /.Promote universal values.
Promoting universal values is a valid goal in some situations, but does not promote
cultural competence. - Answer-Most group leaders/group therapists will have group
members from diverse cultural backgrounds. What is not a good way for group leaders
to become culturally competent?
/.Explore the mourning rituals of the client's family.
The social worker needs to understand the client's reaction from a cultural perspective.
It is often more difficult to "start where the client is" with a client of another culture,
because of lack of comprehension. With this client, discussing mourning rituals is a first
step in gaining understanding, especially if the social worker doesn't really know if the
client's reactions are unusual for a person of the Latino culture. The other options might
be logical in terms of some cultures, but not others. Exploring the cultural context of the
client's reaction is the first order of business. - Answer-A social worker conducts a home
visit to a 45 year old Latino client whose young son was killed in a recent automobile
accident. The social worker observes that a large altar has been made. It contains many
candles and pictures of the boy and other deceased relatives. The client sobs
throughout the interview and tells the social worker that the boy has been
communicating to the client each evening through angels. In order to most effectively
work with the client, what should the social worker do FIRST?
/.Discrimination.
Discrimination involves acting on prejudice, which the hiring official has done in this
case. He is discriminating against Mia H. on the basis of prejudice regarding her
gender/discriminating based on his sexism. - Answer-Mia H. and Johnny B. interviewed
for the same job. Mia has more education and experience than Johnny, and is the better
qualified candidate for the position. However, the hiring official did not offer the job to
Mia because he believes women are inferior to men and do not belong in the work
force. Based on this information, Mia experienced which of the following?
/.Focus on immigrants and minorities.
Unlike cultural competence, which focuses on diversity and difference, cultural humility
takes a broader view that includes different and unique combinations of ethnicity, race,
age, income, sexual orientation, class, abilities, faith, and more. - Answer-Cultural
humility includes all but which of the following ?
/.Privilege. - Answer-What term best describes unearned advantages that accrue to
members of certain social groups because of membership in those groups, and at the
cost of corresponding marginalized groups?
/.Individual.
