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A hospital emergency room social worker meets with a 45-year-old man who recently immigrated from Mexico and has been experiencing severe panic attacks and anxiety. When the social worker approaches him, he says that he does not need any mental health treatment and that she can leave. The MOST likely explanation for his behavior is: A. His preference for seeking treatment from a curandero. B. His denial that he has a mental health problem. C. The negative cultural response associated with mental health treatment. D. A miscommunication due to a language barrier. - correct answer ✅C. The negative cultural response associated with mental health treatment. Rationale: C is the best answer because many cultures associate stigma with mental health treatment. A is not the best answer because it makes an assumption that is not indicated by the information in the stem. B may be true, but is not as likely as C. D is
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not the best answer since the stem gives no indication that there is a language barrier between the client and social worker. A mother meets with a social worker due to concerns with her seven-year-old son. The mother reports that her family recently survived an earthquake that destroyed their house and the surrounding area. She is worried about her son because any time he hears a loud noise he starts to cry inconsolably and won't leave her side. In behavioral therapy, what is this an example of? A. Extinction B. Negative reinforcement C. Operant conditioning D. Classical conditioning - correct answer ✅D. Classical conditioning Rationale: This is a recall question: the stem describes an example of classical conditioning in which the client develops a conditioned response (crying and clinging to mom) when exposed to stimuli
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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
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of the complete intervention strategy, but A is the best place to start in terms of addressing the behavior. A social worker is meeting with a recently retired woman who is seeking counseling due to feelings of irritability and poor frustration tolerance. The client reports that she was looking forward to retirement so that she could do the things she enjoyed and see more of her spouse after a demanding career in the health care industry. The client says that instead she's been having trouble sleeping and just wants to be alone. She says that she doesn't enjoy the things that she used to and is confused. The social worker should FIRST inquire about: A. Any dysfunctional changes in the marital relationship. B. The impact of losing status in the community. C. Other symptoms that might indicate depression. D. Volunteer opportunities that might help the client feel useful again. - correct answer ✅C. Other symptoms that might indicate depression.
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Rationale: A is the best answer because the client has experienced a significant loss and acknowledging and accepting his feelings is an effective way to help him feel more comfortable and encourage him to discuss his feelings and symptoms. B, C and D might all be useful interventions, but not before the social worker has acknowledged the client's feelings of loss regarding his wife. A couple meets with a social worker. The woman reports that her 80-year-old father has been living with them since her mother passed away four years ago. The woman reports that her father has recently been refusing to eat meals with the couple, appears agitated, and is concerned that he may be depressed. The woman says that she and her husband are constantly arguing about whether or not they should suggest that her father move to an assisted living facility. The FIRST factor the social worker should consider is the: A. Family's cultural background and the value placed on caregiving. B. Father's decreased risk for suicide since he is living with a family member. C. Guilt associated with caregivers suggesting that the family member move out.
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D. Daughter's ability to withstand the father's negative response. - correct answer ✅C. Guilt associated with caregivers suggesting that the family member move out. Rationale: C is the best answer because the guilt may both prevent the couple from reaching a consensus and be adding to the tension between them; without resolving it, it will be difficult to move forward. A may be considered, but not before the more likely issue of guilt. B is not the best answer because the stem doesn't provide enough information to determine whether there is a risk of suicide. D is not the best answer because the stem does not indicate that the father will have a negative response. A 7-year-old child who was sexually abused by a family friend is being treated by a social worker. During one session, the client's mother reports that his teacher contacted her to report that the child was sexually act out with another child at school. The mother reports that she is concerned by this behavior and unsure what to do. The social worker should explain that this behavior: A. Will almost certainly decrease over time. B. Probably means the child is still being abused.
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C. Using their children to mask deeper problems in their relationship. D. Experiencing stress associated with a life cycle change. - correct answer ✅D. Experiencing stress associated with a life cycle change. Rationale: D is the best answer because the stem described a very typical pattern in families experiencing a life cycle change (new baby). A makes the assumption that there is a safety issue, when nothing in the stem indicates that. B is not supported by the stem, since the couple's problem, while very real, is not unusual. C is not supported by the information in the stem. A family meets with a social worker after their 17-year-old son was diagnosed with schizophrenia. The psychiatrist recommends intensive outpatient treatment so that the client can remain in the family home with a support system. The family physician believes that inpatient treatment is necessary due to the presence of alcohol abuse. The client's parents are afraid and unsure what to do. The social worker should FIRST: A. Support the family in making a treatment decision.
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B. Schedule a conference with both the psychiatrist and physician involved. C. Try outpatient therapy with the addition of AA meetings. D. Discuss the importance of sobriety with the family. - correct answer ✅B. Schedule a conference with both the psychiatrist and physician involved. Rationale: B is the best answer in order to help the family and achieve some agreement between professionals regarding the course of treatment. A and D might both be reasonable, but not until after trying to obtain consensus between the professionals involved. C disregards the family physician's opinion, which may be based on physical withdrawal symptoms associated with alcohol abuse. A 7-year-old child who was sexually abused by a family friend is being treated by a social worker. During one session, the client's mother reports that his teacher contacted her to report that the child was sexually act out with another child at school. The mother reports that she is concerned by this behavior and unsure what to do. The social worker should explain that this behavior:
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B. In need of professional home-based support services. C. Using their children to mask deeper problems in their relationship. D. Experiencing stress associated with a life cycle change. - correct answer ✅D. Experiencing stress associated with a life cycle change. Rationale: D is the best answer because the stem described a very typical pattern in families experiencing a life cycle change (new baby). A makes the assumption that there is a safety issue, when nothing in the stem indicates that. B is not supported by the stem, since the couple's problem, while very real, is not unusual. C is not supported by the information in the stem. A mother brings her 16-year-old son to the emergency room stating that she does not know what is wrong with him. She reports that starting a few weeks ago, her son has been forgetful about his homework and chores around the house, has fallen down the stairs twice, and this evening attempted to make an expensive purchase from an infomercial. When asked, the mother reports that the only
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other change in the teen's life is that a new neighbor moved in a month ago. The MOST likely cause for the son's behavior is: A. Peer conflict B. Sleep loss C. Typical adolescent behavior D. Marijuana abuse - correct answer ✅D. Marijuana abuse Rationale: This is a recall question; D is the best answer because the behaviors described in the stem are most associated with marijuana abuse. A is not the best answer because no social problems are indicated in the stem. B is not the best answer because it is not as likely as D and would be described differently in terms of the boy's behavior. C does not make sense given the significant changes in the boy's behavior. A family meets with a social worker after their 17-year-old son was diagnosed with schizophrenia. The psychiatrist recommends intensive outpatient treatment so that the client can remain in the
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A social worker has been meeting with a 9-year-old child who was severely neglected by her parents. The child is in foster care and has been seeing the social worker for six months with good results. The social worker discovers that the child's parents want to get her back, however, refuse to follow the treatment plan mandated by the judge. They report that they know what they did was wrong, but state that since they are her parents they deserve to have her back. The social worker should focus on: A. A plan for reunification. B. Developing a permanency plan for the child. C. The parents' mental health treatment. D. Helping the parents change their behavior. - correct answer ✅B. Developing a permanency plan for the child. Rationale: B is the best answer because the child's parents have had sufficient time to make changes and address their issues, but have failed to do so; at this point, the social worker should focus on finding a permanent, safe place for the child. A is not a good choice,
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since the parents have not met their court-ordered obligations to achieve this. C and D don't make sense in this context, since the social worker's responsibility is to the child. A social worker in private practice meets with the parents of a young child who has recently been diagnosed with Asperger's Disorder. The parents report that the child's teacher is open to working with the child and they feel supported by the school and community. The social worker should NEXT: Response: A. Recommend that the parents advocate for a teacher's aide to assist with the child in class. B. Encourage the parents to enroll the child in a social skills group. C. Refer the parents to a gymnastics class for children with special needs. D. Help the parents identify appropriate classmates for future play dates. - correct answer ✅B. Encourage the parents to enroll the child in a social skills group.
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Rationale: This is an application question; C is the best answer because the scenario fits the definition of "family secrets." A, B, and D would all be described in a different way. A social worker is treating a mother and her 15-year-old son for frequent conflicts. At the end of one session, the mother points out how helpful her son has been around the house; the son replies by saying, "I didn't really do that much." What should the social worker do FIRST? A. Point out the son's inability to accept praise from his mother. B. Ask the mother why she's complimenting the son now. C. Suggest that perhaps the son resents having to help around the house. D. Assist the son in accepting his mother's praise. - correct answer ✅D. Assist the son in accepting his mother's praise. Rationale: D is the best answer because it directly addresses the dynamic that has just occurred and uses a positive strategy to create change. A, B, and C might all be good interventions at a
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future session, but would not be done before working to help the son accept the mother's praise in the moment. During an initial evaluation, a 53-year old man reports that he is upset regarding his sex life with his wife. He reports that they used to have an active sex life, but that since his wife started menopause a few months ago, she often refuses sex or says she isn't in the mood. The client has done online research that has normalized his wife's experience, but he still believes that she may be having an affair. The social worker's MOST appropriate action is to: A. Suggest that the wife have a medical evaluation. B. Provide psychoeducation about the affects of menopause on desire. C. Offer couples therapy to the client and his wife. D. Suggest individual therapy to help the husband address his frustration. - correct answer ✅C. Offer couples therapy to the client and his wife.
