A woman who was referred to a community mental health agency by the local hospital is tested twice
for AIDS. Though test results are negative, she requests another test. The social worker should assess -
Answers the reasons for her concern
DSM 5 describes a group of symptom patterns limited to a specific ethic or national group as - Answers
culture bound syndrome
After an incident in which a neighbors dog attacked and bit her, a child refuses to be near dogs, has
frequent nightmares and seems to "replay" the event. The likely diagnosis is - Answers PTSD
A social worker at a suicide hotline recieves a call at 2 am from someone who says he is depressed and
contemplating suicide. The social worker should - Answers send a crisis worker immediately or convince
him to go to the ER
Carly has made a good adjustment to being home ever since her recent discharge from a psychiatric
hospital with a diagnosis of Schizoaffective Disorder. In her first outpatient interview with Susan, a
clinical social worker, Carly explains the auditory hallucinations and paranoid delusions with which she
suffered prior to hospitalizations. Midway through this explanation, Carly tells the worker that she is
feeling very upset by remembering these details. Susan suggests that they change topics for now and
that Carly should talk about her return home and how she is managing day to day. Why should Susan
make its intervention? - Answers Clinical social workers avoid overcoming repre Hu ssion in fragile
clients
In assessing a personality disorder, the worker should not include - Answers the presence of
hallucinations
Morgot is a client with Histrionic Personality Disorder. After meeting weekly with her social worker,
Brian, for six months, Margot is describing her recent work evaluation in which her manager said that
Margot is not a team player and that shr asks for more supervision and feedback than should be
necessary. Margot is hurt and angry, and asks Brian for sympathetic agreement that her manager is
being unfair. Instead Brian asks Margot to think about how her job performance might have contributed
to the managers assessment. What rationale is not applicable to explain Brians intervention? - Answers
Workers should remain neutral about clients behavior choices
The most important consideration when choosing a goal with a client is - Answers what the client wants
A clients capacity to enter a social work relationship cannot usually be determined by - Answers age
A criterion that is not a measure of a clients motivation is - Answers Ego strength
A "professional relationship" between the social worker and the client would not include - Answers an
arena for a transference relationship in which the worker encourages the client to explore early libidinal
fears with the aim of reenacting them in the worker client relationship
, In the initial phase of treatment, the primary task of a social worker is to - Answers Understand why the
client is seeking help
To diminish a clients resistance the worker would - Answers acknowledge the clients ambivalence about
accepting help
The most appropriate technique to use with a new client who is decompensating is - Answers ego
support
Assertive casework is a technique in which - Answers within a very short time limit, the caseworker asks
probing questions and provides direct interventions
A key element of Sigmund Freud's work that is the basis of social casework is the idea of - Answers
transference
Using the technique of "modifying the environment" helps to diminish - Answers Objective anxiety
In the social work relationship, the social worker should be careful not to act on - Answers a
countertransference reaction
A client wishes to pay for clinical social work services with her managed care health insurance. According
to ethical standards of informed consent, the social worker - Answers may share confidential
information with the managed care company with the clients written authorization
A hospital case manager is responsible for discharge planning for an 83 year old man after surgery to
repair a hernia. The man is a widower and lives alone. His son is visiting from out of state and because
he will provide the first two weeks of at-home care, no professional homecare services are put in place.
There are system wide fiscal pressures on case managers and health care providers to minimize patients
length of stay and the use of home care services. At his surgical follow up, the elderly man is found to
have an infection that requires reopening his surgical wound. In retrospect, the case manager regrets
that she did not confront the pressure to minimize service costs by referring the patient to Visiting Nurse
Services. Had she confronted the systemic problem, it would have illustrated the case management role
of - Answers advocacy
On an unconscious level, according to ego psychology, a client seeks help for motives that differ from
those on the conscious level. These unconscious motives include - Answers reassuring unconscious
concerne
Supportive therapy would not be used if the client is - Answers diagnosed as schizophrenic
In working with a client who has paranoid ideation, the social worker would not use - Answers
confrontation
In rational behavior therapy, the difference between the "normal" adolescent and the adolescent who
acts out is that the latter - Answers needs more structure and resolves conflict with activity as opposed
to thinking