Clinical Social Work Licensure Exam practice questions set with correct answers

Clinical Social Work Licensure Exam practice questions set with correct answers Clinical Social Work Licensure Exam practice questions set with correct answers Clinical Social Work Licensure Exam practice questions set with correct answers Clinical Social Work Licensure Exam practice questions set with correct answers Clinical Social Work Licensure Exam practice questions set with correct answers A young adult client has been meeting with a social worker due to a diagnosis of major depression. When discussing his childhood, the client reports that he was often bullied and humiliated by peers at school. The client reports this with a flat affect and a sense of detachment. The social worker should respond by: A. Sharing a personal experience of being teased as a child. B. Assist the client in developing awareness around his feeling related to being bullied. C. Confront the client's denial. D. Provide the client with psychoeducation on the relationship between bullying and depression. - correct answer-B. Assist the client in developing awareness around his feeling related to being bullied. Rationale: B is the best answer because awareness is the first step in helping the client integrate and process his feelings. A is inappropriate; C is inappropriate and may cause the client harm. D is less therapeutic than B and may not be helpful for the client. A client who is diagnosed with trichotillomania meets with a social worker after being referred by her primary care physician. The client says she feels guilty and ashamed, but is having difficulty stopping the behavior. She says that she doesn't even know why she started the behavior in the first place. What should the social worker do FIRST? A. Explore the feelings behind the behavior. B. Have the client wear a wig until she can stop the behavior. C. Reinforce that hair-pulling will likely lead to complete baldness. D. Teach the client thought stopping strategies. - correct answer-A. Explore the feelings behind the behavior. Rationale: A is the best answer because understanding the psychological purpose of the behavior will best help the client understand and change the behavior. B, C, and D might all be part of the complete intervention strategy, but A is the best place to start in terms of addressing the behavior. A social worker in a community agency receives a referral for a child with severe PTSD. The social worker has no training or experience treating children with PTSD. The social worker should: A. Attend a training on PTSD in children B. Conduct an initial assessment and make treatment recommendations C. Refer the child to appropriate services D. Treat the child after getting consultation - correct answer-C. Refer the child to appropriate services During a utilization review phone call, a social worker is asked by the managed care representative to provide specific details of the sexual abuse incidents the client experienced. The social worker should FIRST: A. Provide all requested information to the reviewer B. Refuse to give specific information to protect the client's privacy C. Review the release of information with the client prior to providing information D. Review the managed care contract with the supervisor prior to providing information - correct answer-C. Review the release of information with the client prior to providing information A social worker at a non-profit agency is assigned to be an advocate for a group of refugees who have recently been relocated. The refugees are in need of food, clothing, basic medical care. They do not speak English. In order to be successful, what should the social worker do FIRST? A. Provide supervisory direction to the refugees about how to obtain services B. Consult with colleagues about what services may best meet the refugees needs C. Review agency policy regarding available services and their requirements D. Obtain additional information about this client group and their specific needs - correct answer-D. Obtain additional information about this client group and their specific needs A social worker receives a referral from parents regarding their 9 year-old daughter. A social history reveals symptoms consistent with a diagnosis of Major Depressive Disorder. What should the social worker do FIRST? A. Determine if the child has had a recent physical examination to rule out possible physical causes for her symptoms B. Under the diagnosis of Major Depressive Disorder, refer the child to a psychiatrist for medication C. Have the parents fill out a questionnaire to confirm the diagnosis of Major Depressive Disorder D. Begin cognitive behavioral therapy with the child to decrease symptoms - correct answer-A. Determine if the child has had a recent physical examination to rule out possible physical causes for her symptoms RATIONALE: While B, C and D may all be appropriate at some time in the near future, option A is the best choice as medical conditions should always be ruled out before giving a diagnosis. A social worker in a community clinic meets with a woman who presents with issues related to her job. She discusses a recent incident in which she was gone from work for several days without notifying her boss or coworkers, although she has no memory of this. The client has found a pamphlet and tickets from a Broadway show in her home, although she states that she's never been to New York. The client is describing which of the following conditions? A. Depersonalization B. Derealization C. Delirium D. Dissociation - correct answer-D. Dissociation RATIONALE: D is the best answer because engaging in activities with no consciousness or memory of the activities is a form of dissociation; A, B and C describe different phenomena. A 45-year-old man meets with a social worker for an initial appointment. He reports that his wife is an alcoholic and becomes verbally abusive when she is intoxicated. He indicates that his wife refuses to go to treatment, insisting that they can resolve this problem on their own. The therapist should FIRST: A. Provide the man with psychoeducation around substance abuse and the stages of change. B. Explore the man's issues and work collaboratively to develop treatment goals. C. Explore the man's commitment to the relationship. D. Help the man identify the reasons behind his wife's behavior. - correct answer-B. Explore the man's issues and work collaboratively to develop treatment goals. RATIONALE: The best answer is B. A, C, and D could be options later in treatment after a treatment plan focusing on the man has been established. A social worker at a day treatment facility for teens with mood disorders is asked to provide crisis intervention following the suicide of a program participant. The social worker should A. Refrain from sharing information due to confidentiality. B. Contact the residents' parents to inform them of the situation. C. Facilitate a group session to discuss the incident with the other participants. D. Have individual meetings with each participant to discuss the incident. - correct answer-C. Facilitate a group session to discuss the incident with the other participants. RATIONALE: Debriefing by giving everyone the same information is the best place to start so C is the best answer. A is something to factor in, but would be done throughout. B and D could be done after C. A social worker in a nursing home is asked to meet with an 89-year-old man who is in poor health but continues to be mentally sound. The man has begun to refuse meals and the doctors have told him that he will soon require a gastric feeding tube in order to obtain nourishment. The man's son has been trying to talk his father into this intervention, but the man refuses. What should the social worker do FIRST? A. Make a referral for family therapy for the father and son. B. Assist the son in working through his feelings about his father's health. C. Provide the son with information about the father's right to refuse treatment. D. Refer the man for a competency evaluation. - correct answer-D. Refer the man for a competency evaluation. RATIONALE: The first thing to determine is whether the father is competent to make the decision to refuse the needed feeding tube. Once that is determined, A, B, or C could be done. All of the following are examples of primary prevention strategies EXCEPT: A. A social skills group for children with ADHD. B. Free informational sessions on immunizations for parents. C. Ongoing skills training for teens on how to build healthy relationships. D. Providing information on infant development to new parents. - correct answer-A. A social skills group for children with ADHD. RATIONALE: A is the best answer because it does not represent a primary prevention strategy; the intervention is aimed at helping a targeted group of children manage a long-term problem, making it an example of tertiary intervention. A patient admitted into ER has his partner listed as the emergency contact. The social worker learns that the nursing staff contacted his family instead of the partner. The social worker should NEXT: A. Call the partner. B. Tell the patient that his family was notified. C. Wait until the family arrives and find out what they think is best. D. Discuss the situation with the doctor. - correct answer-B. Tell the patient that his family was notified. RATIONALE: B is the best answer because the client should know and be able to emotionally prepare for his family's response or arrival at the hospital. A might be a good step, but not until after the client is informed of the mistake. C would violate the client's confidentiality and takes away his self-determination. D does not make sense since the doctor has not bearing on this particular situation. A medical social worker starts a job at a hospital that has no referral strategy for the patients in need of social service. The social worker is invited to make a referral strategy. Which of the following methods BEST links social workers to those clients who need them most? A. Interviews of all new patients by the social worker. B. Visible and available social work office and staff. C. Team staff meeting, which include social workers, to discuss all current patients. D. Standardized referral forms for in-house physicians to use. - correct answer-C. Team staff meeting, which include social workers, to discuss all current patients. RATIONALE: C is the best answer because it will foster a collaborative approach and ensure that social workers are aware of the needs of patients. A is too time intensive; B may not directly address the needs of patients. D may be helpful, but may not increase physicians' rate of referral or their ability to identify patients in need of social work services. A client who has recently immigrated to the United States seeks therapy to adjust to the client's culturally different spouse. To assess the client's level of acculturation, which of the following factors should the social worker take into consideration FIRST? A. Newly immigrated individuals are often hesitant to challenge cultural traditions in their marital relationships. B. Newly immigrated individuals are resistant to learning the rules of a new country. C. Gender differences cause more discomfort than acculturation issues. D. The pace of acculturation may vary from group to group. - correct answer-D. The pace of acculturation may vary from group to group. Rationale: D is the best answer because it does not make assumptions and encourages the social worker to understand more about this individual's experience. A and B both make negative assumptions. C is not true. A 38-year-old woman with Borderline Personality Disorder continually engages in scapegoating during a weekly treatment group. After consultation, the social worker facilitating the group decides to dismiss the client from the group due to the destructive nature of her in-group behaviors. What should the social worker to FIRST in order to facilitate termination? A. Inform the client during a group session that she will be leaving the group in 2 weeks. B. Ask the group whether the client should be dismissed from the group. C. Schedule an individual appointment with the client to discuss the decision. D. Refer the client for individual treatment before termination is discussed. - correct answer-C. Schedule an individual appointment with the client to discuss the decision. RATIONALE: C is the best answer because this is a matter that should be handled privately and confidentially. A and B are inappropriate and would clearly shame the client in front of other group members. D could be done as part of the individual appointment, but would not be done In establishing a therapeutic alliance with a client from a different racial or ethnic background, the FIRST issue for the social worker to address is: A. The racial or ethnic difference and how it may impact treatment. B. Transference issues with the therapist. C. The therapist's countertransference. D. The client's history of encounters with people of different racial or ethnic backgrounds. - correct answer-A. The racial or ethnic difference and how it may impact treatment. RATIONALE: The best answer option is A because it deals directly with the client-therapist relationship and brings the topic up for exploration. B might be done later in treatment, but not FIRST. C would be addressed in consultation or supervision if the therapist felt it was interfering with treatment, but would not be done FIRST. D would not do anything to help establish a therapeutic alliance between the client and social worker. A white social worker at a hospital is asked to evaluate a black woman who was recently brought in by the paramedics. When the social worker approaches the client, she refuses to tell the social worker what happened and states repeatedly that she fears anything she says to the social worker will be used against her. The woman requests to instead speak with the Latina nurse who has been caring for her since arrival. What is the MOST likely explanation for the woman's behavior? A. Cultural paranoia, which represents a healthy reaction to racism. B. An episode of acting out of Borderline Personality dynamics. C. Pathological paranoia regarding all social workers. D. Resistance to assessment and treatment. - correct answer-A. Cultural paranoia, which represents a healthy reaction to racism. RATIONALE: Answer A is the best answer because it takes into account the cultural issues presented in the case. B and C both pathologize the client's behavior; D makes a negative judgment about the client's behavior, when it may in fact be protective. A social worker begins the intake process with a new client, a 33-year-old female. Before the social worker can finish explaining the risks and benefits of treatment, the client jumps in and says, "Oh, I just know this is going to work! You're so much better than all of my previous therapists." After acknowledging the client's positive reaction, what should the social worker do next in order to engage the client? A. Begin negotiating the agency's treatment contract. B. Ask what interfered with previous treatment. C. Explore expectations regarding this helping relationship.