UKY Comp Exam Study Guide with
Accurate Solutions
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?
a. protect the client's best interests and wishes in goal setting
b. inform the client about the limits of confidentiality
c. determine the clients values so that these can be used to guide treatment
d. review the elements of privileged communication - ANS-b. inform the client about the
limits of confidentiality
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?
a. dual relationships
b. conflict of interest
c. incompetence
d. duty to warn - ANS-b. conflict of interest
What core value of the social work profession is violated when a client is coerced into
consenting to treatment?
a. service
b. commitment to clients
c. dignity and worth of a person
d. altruism - ANS-c. dignity and worth of a person
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?
a. duty to warn per the Tarasoff decision and confidentiality
b. privileged communication and informed consent
c. privileged communication and informed consent
d. confidentiality and dignity and worth of the person - ANS-a. duty to warn per the
Tarasoff decision and confidentiality
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
the 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?
a. contact a supervisor before disclosing any information
b. talk to the client about whether they want any information disclosed and the possible
implications of disclosure
c. tell the teacher that a traumatic event is affecting the student
d. contact the client's parents to determine what information they feel comfortable
sharing with the teacher - ANS-b. talk to the client about whether they want any
information disclosed and the possible implications of disclosure
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.
As 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?
a. assess the situation for risk of potential harm of exploitation of the client
b. quit the reading group even though she enjoys it
c. ask the youth's mother to find another reading group since Adele is a long time
member and has seniority in the group
d. ignore the situation/pretend that she does not recognize the youth's mother to protect
her client's confidentiality. - ANS-a. assess the situation for risk of potential harm of
exploitation of the client
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?
a. tell the client that you cannot discuss your co-workers and cannot give advice
b. advise the client to decline the initation
c. report the situation to your supervisor
d. ignore the question and change the subject as this is not the focus of your work
together - ANS-c. report the situation to your supervisor
According to the Nuremberg Code, which provides the basis for Institutional Review
Boards' (IRB) requirements for human subjects research, voluntary consent to
participate in research activities is imperative. Which of the following statements does
NOT meet the criteria defining voluntary informed consent?
,a. the consent needs to have been obtained without coercion
b. the participant must legally be allowed to provide consent
c. the participant must be compensated either financially or by directly benefiting from
the study
d. the participant must have the mental capacity to understand their consent - ANS-c.
the participant must be compensated either financially or by directly benefiting from the
study
A social worker experiences a language barrier with a client during the process of
obtaining informed consent. The social worker has a limited ability to speak the client's
language. To BEST ensure that the client understands the information the social worker
is providing, what should the social worker do?
a. ask the family member who has accompanied the client and speaks english to assist
with interpreting the information
b. review the information to the best of their ability in the client's native language and
encourage the client to ask questions as they work together
c. pause the consent process and arrange for a professional interpreter
d. inform the client that they aren't eligible for services if they cannot speak english -
ANS-c. pause the consent process and arrange for a professional interpreter
When a social worker has first-hand information of a colleague's impairment due to
substance abuse or mental health difficulties that may be interfering with the
effectiveness of their practice, what should they social worker do FIRST?
a. report the colleague to their supervisor
b. if feasible, discuss concerns with the colleague and assist them in getting help
c. file a complaint with the licensure board
d. complete a biopsychosocial assessment on the colleague - ANS-b. if feasible,
discuss concerns with the colleague and assist them in getting help
(if feasible, they should consult with the colleague and assist them in taking remedial
action. If the colleague does not take adequate steps to address the impairment, the
social worker should take further action to report the issue to the colleague's supervisor
or regulatory body)
In working with clients from a racial or ethnic group different from their own, what are
social workers advised to do?
a. promote diversity
b. explore oppression
c. avoid generalizations
d. clarify reactance - ANS-c. avoid generalizations
, Kinship bonds and corresponding extended family forms are cultural dimensions that
are important to consider in family practice with diverse families. Which of the following
aspects of practice may be most affected by how these dimensions are defined?
a. confidentiality
b. defining family boundaries
c. the family's social status
d. both a. and b. - ANS-d. both a. and b.
(confidentiality may be affected by the need for an interpreter; family systems and roles
of family members may differ according to social and cultural norms)
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?
a. "Do you consider yourself to be gay or straight?"
b. "Are you attracted to men or women?"
c. "Tell me about your sexuality."
d. "What is your sexual orientation?" - ANS-d. "What is your sexual orientation?"
Eduardo is a 60-year-old Latino man who identifies as gay and is disabled due to a
work-related accident. These aspect of his identity illustrate with of the following terms?
a. privilege
b. intersectionality
c. an invertedly advantaged population
d. a protected population - ANS-b. intersectionality
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?
a. xenophobia
b. ethnography
c. prejudice
d. discrimination - ANS-c. prejudice
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?
a. gain knowledge and skills for cross-cultural encounters
b. recognize the commonalities and differences of humans from different backgrounds
Accurate Solutions
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?
a. protect the client's best interests and wishes in goal setting
b. inform the client about the limits of confidentiality
c. determine the clients values so that these can be used to guide treatment
d. review the elements of privileged communication - ANS-b. inform the client about the
limits of confidentiality
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?
a. dual relationships
b. conflict of interest
c. incompetence
d. duty to warn - ANS-b. conflict of interest
What core value of the social work profession is violated when a client is coerced into
consenting to treatment?
a. service
b. commitment to clients
c. dignity and worth of a person
d. altruism - ANS-c. dignity and worth of a person
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?
a. duty to warn per the Tarasoff decision and confidentiality
b. privileged communication and informed consent
c. privileged communication and informed consent
d. confidentiality and dignity and worth of the person - ANS-a. duty to warn per the
Tarasoff decision and confidentiality
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
the 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?
a. contact a supervisor before disclosing any information
b. talk to the client about whether they want any information disclosed and the possible
implications of disclosure
c. tell the teacher that a traumatic event is affecting the student
d. contact the client's parents to determine what information they feel comfortable
sharing with the teacher - ANS-b. talk to the client about whether they want any
information disclosed and the possible implications of disclosure
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.
As 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?
a. assess the situation for risk of potential harm of exploitation of the client
b. quit the reading group even though she enjoys it
c. ask the youth's mother to find another reading group since Adele is a long time
member and has seniority in the group
d. ignore the situation/pretend that she does not recognize the youth's mother to protect
her client's confidentiality. - ANS-a. assess the situation for risk of potential harm of
exploitation of the client
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?
a. tell the client that you cannot discuss your co-workers and cannot give advice
b. advise the client to decline the initation
c. report the situation to your supervisor
d. ignore the question and change the subject as this is not the focus of your work
together - ANS-c. report the situation to your supervisor
According to the Nuremberg Code, which provides the basis for Institutional Review
Boards' (IRB) requirements for human subjects research, voluntary consent to
participate in research activities is imperative. Which of the following statements does
NOT meet the criteria defining voluntary informed consent?
,a. the consent needs to have been obtained without coercion
b. the participant must legally be allowed to provide consent
c. the participant must be compensated either financially or by directly benefiting from
the study
d. the participant must have the mental capacity to understand their consent - ANS-c.
the participant must be compensated either financially or by directly benefiting from the
study
A social worker experiences a language barrier with a client during the process of
obtaining informed consent. The social worker has a limited ability to speak the client's
language. To BEST ensure that the client understands the information the social worker
is providing, what should the social worker do?
a. ask the family member who has accompanied the client and speaks english to assist
with interpreting the information
b. review the information to the best of their ability in the client's native language and
encourage the client to ask questions as they work together
c. pause the consent process and arrange for a professional interpreter
d. inform the client that they aren't eligible for services if they cannot speak english -
ANS-c. pause the consent process and arrange for a professional interpreter
When a social worker has first-hand information of a colleague's impairment due to
substance abuse or mental health difficulties that may be interfering with the
effectiveness of their practice, what should they social worker do FIRST?
a. report the colleague to their supervisor
b. if feasible, discuss concerns with the colleague and assist them in getting help
c. file a complaint with the licensure board
d. complete a biopsychosocial assessment on the colleague - ANS-b. if feasible,
discuss concerns with the colleague and assist them in getting help
(if feasible, they should consult with the colleague and assist them in taking remedial
action. If the colleague does not take adequate steps to address the impairment, the
social worker should take further action to report the issue to the colleague's supervisor
or regulatory body)
In working with clients from a racial or ethnic group different from their own, what are
social workers advised to do?
a. promote diversity
b. explore oppression
c. avoid generalizations
d. clarify reactance - ANS-c. avoid generalizations
, Kinship bonds and corresponding extended family forms are cultural dimensions that
are important to consider in family practice with diverse families. Which of the following
aspects of practice may be most affected by how these dimensions are defined?
a. confidentiality
b. defining family boundaries
c. the family's social status
d. both a. and b. - ANS-d. both a. and b.
(confidentiality may be affected by the need for an interpreter; family systems and roles
of family members may differ according to social and cultural norms)
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?
a. "Do you consider yourself to be gay or straight?"
b. "Are you attracted to men or women?"
c. "Tell me about your sexuality."
d. "What is your sexual orientation?" - ANS-d. "What is your sexual orientation?"
Eduardo is a 60-year-old Latino man who identifies as gay and is disabled due to a
work-related accident. These aspect of his identity illustrate with of the following terms?
a. privilege
b. intersectionality
c. an invertedly advantaged population
d. a protected population - ANS-b. intersectionality
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?
a. xenophobia
b. ethnography
c. prejudice
d. discrimination - ANS-c. prejudice
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?
a. gain knowledge and skills for cross-cultural encounters
b. recognize the commonalities and differences of humans from different backgrounds
