CORRECT | 2025-2026 LATEST UPDATE
Begin a complete suicide risk assessment Terri showed up for his appointment very upset
and anxious. She stated she is frightened because she has begun hearing voices again. The
voices that tell her she should kill herself. She has been hearing these voices for approximately
5 years and has two prior suicide attempts over this time. She states that the voices have
become stronger over the past week. She says she had received a call from her mother that a
friend from high school had completed a suicide attempt. Your FIRST intervention should be....
We have discovered the specific genetic etiology of this disorder. Obsessive-Compulsive
Disorder appears to have a genetic component. Numerous studies have identified components
of the disorder, including obsessive thoughts which often produce anxiety and by which the
individual uses repetitive actions to reduce the anxiety. Which of the following statements
DOES NOT describe our knowledge of this disorder?
Enmeshment of family members You have begun working with a family in which there is a
verified history of incestuous relationships. Of the following characteristics, which one is MOST
often found in families in which incestuous relationships have occurred?
Talk to your supervisor about your reactions toward this client You accept a referral from an
agency on 65-year old male client. During the initial interview you learn that he has been
physically abusive to his wife or 40 years and he appears very depressed. He relates that two of
his children will not talk to him and did not call him for his birthday last year. You quickly find
you dislike this client intensely and have difficulty feeling any empathy for this client and his
,situation. That evening after the session, you realize he reminds you of your spouse's step-
father who was abusive to your spouse during their childhood. You should....
Highly supportive and sharing daughter-mother relationship You have been asked to work
with a family with a known history of father-daughter incest. As you evaluate this family
system, you should expect to see all of the following concerns in relationships EXCEPT.....
Depakote You are seeing a client who brings in a plastic bag full of prescription bottles. Most
are empty but you locate one which is half full. You realize, from this prescription the client
probably is being treated for a seizure disorder. The medication you discovered was....
Stop the session and bring your clinical supervisor into the room. You work for a local
mental health agency and have been seeing a client for 11 sessions in individual therapy. At the
beginning of your next session the client reveals they are sexually attracted to you and have
been having sexual fantasies about you for several sessions. They tell you they cannot imagine
not coming in to see you. You are caught completely off guard and do your best to try to
process the information with the client. It becomes clear that the client is fixated on the
admission. Your BEST response is to....
Empower the parents through education about the disorder. You have been asked by a
colleague to consult with a young couple who have two children, ages 6 and 2. They have
recently been told, their 6-year old child has an Affective Disorder. The diagnosis was made
after a school referral to a clinical social worker. The FIRST thing you should do for this couple
is....
,Ego Dystonic You have been working with a client who has been describing a behavior which
causes them to feel uncomfortable, distressed, and burdened. According the tenets of Ego
psychology, this type of behavior would be BEST described as...
Dialectical Behavioral Therapy You are working with an adult female who is experiencing
difficult relationships plagued by feelings of abandonment, idealization, and devaluation of
others with high positive regard and heavy disappointment or dislike. You believe this problem
with relationships deals with unstable childhood experiences. Of the following treatment
models, which would provide the BEST chance of success in therapy.
Assess current familial relationships You have accepted a position working in a sheltered
workshop. You will be trained by the last social worker before she leaves her post for a new job.
The workshop is specifically designed to help individuals suffering from a developmental delay.
You would expect the social worker training you to use a primarily focused on a behavioral
approach. Of the following interventions, which would she be LEAST LIKELY to use to train you?
Risperdol (Risperidone) Of the following drugs prescribed by a psychiatrist, which would be
most likely prescribed for a diagnosis which included psychosis?
Verify that services are provided in the most verifiable manner and with the best client
outcomes. You are evaluating an agency you intend to use as a referral agency. You are
looking first and foremost at their use of evidenced-based practice models. This is MOST
IMPORTANT because you need to....
, Determine the degree of assimilation into American culture. Marco is a clinical social worker
who has just taken a position with a community mental health agency which primarily serves
Latino families in a 30 mile radius. When dealing with families referred to the agency, Marco
should be concerned FIRST with....
Explore the feelings underlying the resistance. A social work colleague is having problems
addressing the resistance a client (who was referred by the court system) is giving them during
therapy. They ask you for help. Your BEST response is to tell them....
Body Dysmorphic Disorder You have been asked to consult with another social worker who
is working with a 15 year old girl. During her first visit the youth stated, "I wish I could convince
my parents to take me to a plastic surgeon". She presented with the following issues. She is
preoccupied with her "large" jaw, "small" breasts and "uneven" skin and will ask her mother
whether she looks okay at least a dozen times per day. She has begun to use heavy makeup and
has also started wearing long sleeves and pants at all times in order to cover her skin. Her
appearance concerns are so time-consuming and distressing that she has ceased to spend time
with her friends and has dropped extracurricular activities. What is her probable diagnosis
according to the DSM-IV or DSM-IV-TR symptoms?
Simply listen to her story and do not offer advice or suggestions. You have just began an
initial session with a battered woman who is just starting to tell you about the story and history
of abuse. The BEST thing you can do as a therapist is....
Maybe we need to explore what it means to you to come here for our sessions. It is your
fourth session with a client and they arrive 22 minutes late. Upon seating themselves on the
couch they say, "I know I'm late, I got stuck at work today and could not get away from my