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A social worker in private temporarily moving to another city. Following
consideration of the risks and benefits that may be experienced by each client, the
social worker offers to continue the therapeutic relationship with several clients
through e-mail. This suggestion is MOST appropriate to clients who:
A. Have completed their treatment
B. would be harmed by early termination
C. are able to cope with day-to-day issues
D. are dealing with ongoing crises - Answer✅✅Rationale: The less immediate
contact associated with email is more appropriate for higher functioning clients--in
this item, those who are able to cope with "day-to-day" (key C). Crisis clients (D)
require more direct contact, and clients who would be harmed by early termination
are not necessarily the MOST appropriate group for this approach. There would be
no reason to offer a therapeutic email relationship with clients who have completed
treatment (A).
A social worker sees a new client referred because of heavy alcohol use. During the
initial assessment, the client questions the social worker's credentials and
competence. What should the social worker do NEXT?
A. Confront the client about evasive responses
B. Discuss the physical consequences of alcohol abuse
C. Ask how the client feels about seeking help
,D. Obtain more detailed information by indirect questions - Answer✅✅Rationale:
During the initial assessment it is too soon to confront (A) the client. The social
worker is avoiding the question (B) and (D) by addressing another issue. By asking a
direct question about the client's feelings, the social worker refocuses the discussion
and redirect the client back to why help is being sought (key C).
A 19-year old is brought to a family service agency by the parents, who report a
history of school truancy, deliberate destruction of their property, lying, and stealing
since age 14. According the the DSM-5, which of the following diagnoses BEST
describes the client?
A. Antisocial personality disorder
B. Oppositional defiant disorder
C. Conduct disorder
D. Intermittent explosive disorder - Answer✅✅Rational: According to the DSM,
deliberate destruction of another's property, lying, stealing, and symptoms of
conduct disorder before the age of 16 years meet the criteria for conduct disorder,
adolescent onset type, as an adult (key C). The irresponsibility and aggressiveness
toward others necessary for diagnosis of oppositional defiant disorder (B)-normally a
childhood diagnosis-are not mentioned in the stem, nor are the impulsive aggressive
behaviors necessary for a diagnosis of intermittent explosive disorder (D).
A married mother of two children is referred to a social worker by her employer for
depression and inability to maintain expected standards at work. The initial
assessment reveals that the client has recently experienced the sudden death of her
younger sister who was a single mother of two young children. The children are now
in the client's care. The client's mother and one brother are in prison. The client's
husband is employed, but they need her paycheck to make ends meet. The social
worker's MOST appropriate practice approach is.
A. Solution-focused
B. ego psychology
C. problem-solving
D. behavioral therapy - Answer✅✅The social worker must address the issues being
presented, which demand resolution within a fairly limited time span. A problem-
solving practice approach would be the most appropriate one given these factors
(key C). Solution-focused (A) examines how progress is made and would not provide
assistance with immediate problems. Both ego psychology (B) and behavioral
therapy (D) are therapeutic approaches that do not match client's problems and
needs.
During an initial interview a social worker asks a question. The client blushes and
becomes silent. What should the social worker do NEXT?
A. Ask the question again in a slightly different form
B. Remain silent for a few seconds
C. Delay discussion of the topic at hand
D. Identify the emotions the client may be experiencing - Answer✅✅Rationale.
Silence allows clients to formulate their thoughts and deal with emotions (key B).
, A social worker sees a 75-year old man whose wife died six months ago. In the
intake interview, the client reports that he has lost weight, has very little energy, and
has difficulty getting himself to do things. What should the social worker do FIRST?
A. Complete a suicide risk assessment of the client
B. Explore available family and community resources
C. Suggest the client schedule an appointment with his
doctor
D. Refer the client to a local bereavement group - Answer✅✅Rationale: After six
months the client should be further along in grief process, and his reports describe
depression and risk that warrant a risk assessment (Key A). Options (B), (C), and (D)
are all plausible but not the FIRST action the social worker should take.
In the evaluation process for a client's sexual dysfunction, the FIRST consideration is
to:
A. gain an understanding of the client's past sexual
functioning
B. rule out any medical basis for the dysfunction
C. meet conjointly with the sexual partner to evaluate
sexual communication
D. evaluate the client's history for sexual trauma - Answer✅✅Rationale. All of these
options should be done at some point during the evaluation process; however,
anytime there is a physical symptom, a medical cause must be ruled out first. (b)
The term "tardive dyskinesia" refers to:
A. truant behavior
B. impaired memory
C. a speech disorder
D. a movement disorder - Answer✅✅This is a basic recall item that requires
knowledge of tardive dykskinesia.
A social worker sends a client to a colleague for a second opinion. The client has
been in treatment for past three months and has a diagnosis of major depressive
disorder, recurrent episode. The client believes the therapy is not working because
of continuing episodes of depression. The client says that the treating social worker
has suggested psychotropic medication. The client refuses to consider the
medication. The colleague should NEXT.
A. conduct a literature search on the value of
psychotherpay for depression.
B. discuss information given by the client with the treating
social worker
C. suggest the client see a psychiatrist for a medication
evaluation
D. explore with the client her resistance to taking
medication. - Answer✅✅Rational: After three months in treatment without
improvement, refusal by the client to consider medication represents resistance (key
D). This issue needs to be explored with the client before any other options are
considered.
, In an initial interview, a five year-old girl is anxious and emotionally constricted. In
order to lower anxiety and begin a working relationship, what should the social
worker do FIRST?
A Assure the child she is safe and can express feelings
B. Involve the parents in the treatment
C. Ask the child gently what is bothering her
D. Relate to the child through the use of play materials - Answer✅✅Rationale: This
is an unscored question. Young children do not often express their feelings verbally
but rather act them out through play.
A social worker sees a university student who reports compulsive exercise, and
bingeing and purging several times per week. This has been going on for four months
and, in addition, the client reports having nightmares and continually feeling "
on edge.," The client has missed classes because she loses track of time and is
sometimes afraid to walk across campus. The client says she broke up with her
boyfriend over a month ago after a violent fight during which he he tried to kill her.
The MOST likely comorbid diagnoses are bulimia nervosa and :
A. dissociative amnesia
B. nightmare disorder
C. adjustment disorder
D. postraumatic stress disorder - Answer✅✅The seriousness of the precipitation
event (boyfriend tried to "kill her") In addition to the nightmares, avoidance of
classes and fear, all meet the criteria for the diagnosis of posttraumatic stress
disorder (key D). In order for adjustment disorder (C) to be correct, the stressors
would be less severe and within the range of common experiences. There is not
enough information to meet the criteria for nightmare disorder (B), and no
indication of amnesia (A).
A social worker sees a client who was referred after a conviction of embezzlement.
The client has an extensive history of gambling but denies that it is a problem for him
or his family, what type of therapy would be MOST effective in treating his client's
gambling addiction?
A. Individual
B. Family
C. Group
D. Couples - Answer✅✅Rationale: This is an unscored question. Group therapy is
the preferred method of treatment for all addictive behaviors, since the group
process breaks down the individual client's denial and rationalizations.
A client scores high on the Beck Depression Inventory. After the Social worker has
reviewed the results, the social worker should NEXT.
A. Discuss the results with the client at the next session
B. validate the results by having the client take another
instrument measuring depression
C. share the results with the client after progress has
occured
Exam Questions with 100% Correct
Clear Answers| All Graded
A+|100% Guaranteed
Success|Latest Premium Update.
A social worker in private temporarily moving to another city. Following
consideration of the risks and benefits that may be experienced by each client, the
social worker offers to continue the therapeutic relationship with several clients
through e-mail. This suggestion is MOST appropriate to clients who:
A. Have completed their treatment
B. would be harmed by early termination
C. are able to cope with day-to-day issues
D. are dealing with ongoing crises - Answer✅✅Rationale: The less immediate
contact associated with email is more appropriate for higher functioning clients--in
this item, those who are able to cope with "day-to-day" (key C). Crisis clients (D)
require more direct contact, and clients who would be harmed by early termination
are not necessarily the MOST appropriate group for this approach. There would be
no reason to offer a therapeutic email relationship with clients who have completed
treatment (A).
A social worker sees a new client referred because of heavy alcohol use. During the
initial assessment, the client questions the social worker's credentials and
competence. What should the social worker do NEXT?
A. Confront the client about evasive responses
B. Discuss the physical consequences of alcohol abuse
C. Ask how the client feels about seeking help
,D. Obtain more detailed information by indirect questions - Answer✅✅Rationale:
During the initial assessment it is too soon to confront (A) the client. The social
worker is avoiding the question (B) and (D) by addressing another issue. By asking a
direct question about the client's feelings, the social worker refocuses the discussion
and redirect the client back to why help is being sought (key C).
A 19-year old is brought to a family service agency by the parents, who report a
history of school truancy, deliberate destruction of their property, lying, and stealing
since age 14. According the the DSM-5, which of the following diagnoses BEST
describes the client?
A. Antisocial personality disorder
B. Oppositional defiant disorder
C. Conduct disorder
D. Intermittent explosive disorder - Answer✅✅Rational: According to the DSM,
deliberate destruction of another's property, lying, stealing, and symptoms of
conduct disorder before the age of 16 years meet the criteria for conduct disorder,
adolescent onset type, as an adult (key C). The irresponsibility and aggressiveness
toward others necessary for diagnosis of oppositional defiant disorder (B)-normally a
childhood diagnosis-are not mentioned in the stem, nor are the impulsive aggressive
behaviors necessary for a diagnosis of intermittent explosive disorder (D).
A married mother of two children is referred to a social worker by her employer for
depression and inability to maintain expected standards at work. The initial
assessment reveals that the client has recently experienced the sudden death of her
younger sister who was a single mother of two young children. The children are now
in the client's care. The client's mother and one brother are in prison. The client's
husband is employed, but they need her paycheck to make ends meet. The social
worker's MOST appropriate practice approach is.
A. Solution-focused
B. ego psychology
C. problem-solving
D. behavioral therapy - Answer✅✅The social worker must address the issues being
presented, which demand resolution within a fairly limited time span. A problem-
solving practice approach would be the most appropriate one given these factors
(key C). Solution-focused (A) examines how progress is made and would not provide
assistance with immediate problems. Both ego psychology (B) and behavioral
therapy (D) are therapeutic approaches that do not match client's problems and
needs.
During an initial interview a social worker asks a question. The client blushes and
becomes silent. What should the social worker do NEXT?
A. Ask the question again in a slightly different form
B. Remain silent for a few seconds
C. Delay discussion of the topic at hand
D. Identify the emotions the client may be experiencing - Answer✅✅Rationale.
Silence allows clients to formulate their thoughts and deal with emotions (key B).
, A social worker sees a 75-year old man whose wife died six months ago. In the
intake interview, the client reports that he has lost weight, has very little energy, and
has difficulty getting himself to do things. What should the social worker do FIRST?
A. Complete a suicide risk assessment of the client
B. Explore available family and community resources
C. Suggest the client schedule an appointment with his
doctor
D. Refer the client to a local bereavement group - Answer✅✅Rationale: After six
months the client should be further along in grief process, and his reports describe
depression and risk that warrant a risk assessment (Key A). Options (B), (C), and (D)
are all plausible but not the FIRST action the social worker should take.
In the evaluation process for a client's sexual dysfunction, the FIRST consideration is
to:
A. gain an understanding of the client's past sexual
functioning
B. rule out any medical basis for the dysfunction
C. meet conjointly with the sexual partner to evaluate
sexual communication
D. evaluate the client's history for sexual trauma - Answer✅✅Rationale. All of these
options should be done at some point during the evaluation process; however,
anytime there is a physical symptom, a medical cause must be ruled out first. (b)
The term "tardive dyskinesia" refers to:
A. truant behavior
B. impaired memory
C. a speech disorder
D. a movement disorder - Answer✅✅This is a basic recall item that requires
knowledge of tardive dykskinesia.
A social worker sends a client to a colleague for a second opinion. The client has
been in treatment for past three months and has a diagnosis of major depressive
disorder, recurrent episode. The client believes the therapy is not working because
of continuing episodes of depression. The client says that the treating social worker
has suggested psychotropic medication. The client refuses to consider the
medication. The colleague should NEXT.
A. conduct a literature search on the value of
psychotherpay for depression.
B. discuss information given by the client with the treating
social worker
C. suggest the client see a psychiatrist for a medication
evaluation
D. explore with the client her resistance to taking
medication. - Answer✅✅Rational: After three months in treatment without
improvement, refusal by the client to consider medication represents resistance (key
D). This issue needs to be explored with the client before any other options are
considered.
, In an initial interview, a five year-old girl is anxious and emotionally constricted. In
order to lower anxiety and begin a working relationship, what should the social
worker do FIRST?
A Assure the child she is safe and can express feelings
B. Involve the parents in the treatment
C. Ask the child gently what is bothering her
D. Relate to the child through the use of play materials - Answer✅✅Rationale: This
is an unscored question. Young children do not often express their feelings verbally
but rather act them out through play.
A social worker sees a university student who reports compulsive exercise, and
bingeing and purging several times per week. This has been going on for four months
and, in addition, the client reports having nightmares and continually feeling "
on edge.," The client has missed classes because she loses track of time and is
sometimes afraid to walk across campus. The client says she broke up with her
boyfriend over a month ago after a violent fight during which he he tried to kill her.
The MOST likely comorbid diagnoses are bulimia nervosa and :
A. dissociative amnesia
B. nightmare disorder
C. adjustment disorder
D. postraumatic stress disorder - Answer✅✅The seriousness of the precipitation
event (boyfriend tried to "kill her") In addition to the nightmares, avoidance of
classes and fear, all meet the criteria for the diagnosis of posttraumatic stress
disorder (key D). In order for adjustment disorder (C) to be correct, the stressors
would be less severe and within the range of common experiences. There is not
enough information to meet the criteria for nightmare disorder (B), and no
indication of amnesia (A).
A social worker sees a client who was referred after a conviction of embezzlement.
The client has an extensive history of gambling but denies that it is a problem for him
or his family, what type of therapy would be MOST effective in treating his client's
gambling addiction?
A. Individual
B. Family
C. Group
D. Couples - Answer✅✅Rationale: This is an unscored question. Group therapy is
the preferred method of treatment for all addictive behaviors, since the group
process breaks down the individual client's denial and rationalizations.
A client scores high on the Beck Depression Inventory. After the Social worker has
reviewed the results, the social worker should NEXT.
A. Discuss the results with the client at the next session
B. validate the results by having the client take another
instrument measuring depression
C. share the results with the client after progress has
occured
