Ethical Dilemmas in Social Work: Case Studies and Analysis, Exams of Social Work

Download Ethical Dilemmas in Social Work: Case Studies and Analysis and more Exams Social Work in PDF only on Docsity!

MSW 170-Practice Exam Questions And

Answers.

Question # Which of the following is NOT true about motivation to change? (a) motivation fluctuates from one time to another (b) motivation can be increased by working to remove barriers to change (c) motivation is driven by hope or the belief that life can be different (d) motivation that is imposed by external forces is more salient than that which is intrinsic - \D Question # Evidence-based social work practice can BEST be defined as: (a) interventions that a social worker has gained training and experience in delivering (b) treatment that yields the most cost-effective outcomes according to a cost-benefit analysis (c) decision making based on the conscientious, explicit, and judicious use of research knowledge, clinical expertise, social work values, and client wishes (d) practice evaluations that adhere to scientific principles - \C Question # What are the stages of change in sequential order? (a) precontemplation, preparation, contemplation, action, maintenance, and relapse (b) preparation, action, precontemplation, contemplation, maintenance and relapse (c) preparation, precontemplation, contemplation, action, maintenance and relapse (d) precontemplation, contemplation, preparation, action, maintenance, and relapse - \D Question # Which of the following is NOT an essential step in ethical problem solving? (a) identifying the ethical standards that may be compromised (b) determining whether there is an ethical dilemma (c) weighing ethical issues in light of social work values and principles (d) asking a supervisor to monitor practice to identify new ethical issues or dilemmas - \D Question #

A young boy is stopped by a police officer and claims that he is a member of the armed forces, though it is obvious that he is not. This assertion by the boy is MOST likely a: (a) comorbid thought (b) dissociation (c) folie a deux (d) delusion - \D Question # A social work administrator is having trouble finding a group home manager for a new program scheduled to open in 2 weeks. Further delays in locating staff will delay clients from moving into the program. The administrator temporarily hires her niece, who just graduated with a social work degree, for this position. This action is: (a) ethical because the niece is clearly qualified for the position (b) unethical because this is a conflict of interest (c) ethical because the position is temporary and ensures clients get the services needed (d) unethical because clients will experience staff turnover when a new manager is hired

\B Question # A social worker is interested in seeing the extent to which current clients are satisfied with a new relapse prevention program. The social worker distributes a client satisfaction survey to those in the program. The social worker then collects the surveys and analyzes the results that are presented to a management team in the agency. The social worker is conducting which type of evaluation? (a) summative (b) experimental (c) quasi-experimental (d) formative - \D Question # Which of the following is an example of social stratification? (a) a child is not included in group activities in school because of his or her poor social skills (b) children who are violent need to be segregated from their peers (c) a child with social deficits is assumed to be delayed in cognition without additional assessment (d) children from affluent houesholds receive a better public education than those from low-income households -

\D

Question # During an intake interview, a client reports that she is extremely depressed and has self-destructive thoughts. She has had prior suicide attempts, but tells the social worker not to worry as she won't "do it again." The social worker should FIRST: (a) tell the client that her decision not to harm herself is a good one (b) explore with the client what is causing her depression (c) conduct a safety assessment (d) refer the client to a psychiatrist for a medication evaluation - \C Question # A client with a Social Anxiety Disorder will MOST likely be prescribed which of the following medications to take on an ongoing basis? (a) Zoloft (sertraline) (b) Mellaril (thioridazine) (c) Thorazine (chlorpromazine) (d) Valium (diazepam) - \A Question # A social worker is appointed by the court to conduct a child custody evaluation for a couple that is divorcing. The mother reports that her husband is verbally abusive, controlling, and neglects the children when they are in his care. She reports that the children have missed a lot of school when staying with their father because he does not assist with getting them ready for school or doing their homework. The father states that his wife is lazy, irresponsible, and cannot meet the children's basic needs. He reports that the school frequently has to provide lunch for the children because the mother does not supply it when they are in her care. In order to BEST evaluate the legitimacy of the information, the social worker should: (a) ask the husband and wife to put their allegations in writing and sign them, attesting to their accuracy (b) determine whether the husband or wife have had any past instances - \D Question # A social worker is facilitating a psychotherapy group for individuals who are in recovery from substance abuse. After group, a client mentions that she has been having problems dealing with job stress without the use of substances. In order to meet this client's needs, the social worker should:

(a) recommend that the client see the social worker individually in addition to the group therapy because she appears to need some additional support (b) suggest that the client bring this topic up in the group next week to see if others are having similar problems (c) evaluate whether group therapy is the best treatment modality for the client due to the issue being mentioned to the social worker outside of the group context (d) determine if there is an employee assistance program in the client's work setting to assist - \B Question # An 11-year-old child would like to start helping around the house with chores. She approaches her mother many times, but is told she cannot assist because "she won't do it right." During several attempts to do things on her own, she is scolded. According to psychosocial development theory, she may experience doubts in her abilities due to a crisis in which of the following stages? (a) industry versus inferiority (b) initiative versus guilt (c) autonomy versus shame/doubt (d) generativity versus stagnation - \A Question # A social worker employed in a hospital is asked to use a SOAP format in a client's record. In this format, the "A" stands for: (a) action plan (b) assessment (c) active treatment (d) adjustments to services needed - \B Question # Aphasia is BEST defined as difficulty with: (a) walking or running (b) common motor skills such as combining hair, despite normal strength (c) understanding language or using language to speak or write (d) recognizing familiar objects - \C Question # Culture-bound syndromes in the DSM-5 are replaced by all of the following concepts EXCEPT:

(a) cultural syndromes (b) cultural stratification (c) cultural idioms of distress (d) cultural explanations - \B Question # A social worker receives a court order to provide records of a former client. In this instance, the social worker should submit the records: (a) and try to contact the client to inform her about the disclosure (b) with the contact information of the client so the court can contact her about the release (c) but not contact the client as court orders are not to be discussed by anyone other than judges and attorneys (d) and write to the judge to see if he or she wants the client to know about the court order - \A Question # A family comes into treatment because of their young daughter's behavior. They report, upon intake, that she yells at her parents, doesn't listen, and complains about their behavior. There is little progress during the course of treatment and the girl reports that she has no intention of changing. After the sixth session, a social worker tells the girl that she cannot help with her behavior and she should continue to "do as she wishes." According to strategic family therapy, the social worker's directive is known as: (a) paradoxical intent (b) pretend technique(c) relabeling paradigm (d) differentiation response - \A Question # A social worker is leaving one agency to work at another. In order to address this situation ethically, the social worker should: (a) not inform clients in order to avoid causing them undue stress harm (b) advise clients that it would be best for them to transfer services to the social worker's new agency to avoid any interruptions in treatment (c) inform clients of appropriate options for the continuation of service and the benefits and risks of the options (d) discontinue services to clients immediately - \C Question #

Federal law requires health care facilities that receive Medicare and Medicaid reimbursements to do all of the following with regard to advance directives EXCEPT: (a) inform clients of their rights to have advanced dire directives that will allow them to make decisions regarding their health care (b) use a portion of their revenues to assist clients with the costs associated with creating advance directives (c) ask clients if they have advance directives and document their responses (d) provide education about advance directives - \B Question # In which of the following circumstances is task-centered treatment NOT recommended? (a) when the client wants to see immediate results or changes in circumstances (b) when the client is anxious to be an active part of the change process (c) when there is a time limited period in which to work with the client (d) when the client is addressing long-standing problems that are complex in nature - \D Question # A client is currently taking Clozaril for the treatment of Schizophrenia. The client is MOST likely going to be required to undergo what medical monitoring due to this medication use? (a) weight checks (b) blood work (c) dietary restrictions (d) exercise regimen - \B Question # Which of the following inhibits the establishment of a therapeutic relationship? (a) a universalism approach or the acceptance of a standard set of norms or standards (b) a pluralistic approach that values cultural pluralism (c) clients examined as being influenced by their environment with problems being seen as resulting from role ambiguity rather than individual deficits (d) flexible treatment approaches that take into account the subjective realitis of clients - \A Question # Which of the following is NOT an exception to a social worker's duty to protect confidentiality? (a) when a client poses a serious risk to self and others

(b) when child abuse is suspected (c) when a client has violated criminal laws and has not been properly prosecuted (d) when there is an imminent threat by a client to an identifiable third party - \C Question # Which of the following theories is used to explain whey clients in battering relationships will not leave until the benefits exceed the risks? (a) psychoanalytic (b) problem solving (c) functional (d) social exchange - \D Question # A social worker is working with a client who is anxious about public speaking. The social worker asks the client to close her eyes, visualize herself speaking to a large group, and describe her feeling related to the imaginary situation in detail. This technique by the social worker is known as: (a) covert modeling (b) self-modeling (c) live modeling (d) symbolic modeling - \A Question # Which of the following is an example of role discomplementarity? (a) a husband complains that his wife does not take responsibility for keeping the house clean and a wife is upset that her husband does not financially provide for the family (b) a woman states that she does not like working and wants to quit her job (c) a young child wants to play in the neighborhood unsupervised (d) a man struggles to fit in time at home with is family due to his hectic work schedule - \A Question # Which of the following is NOT one of six levels of cognition? (a) synthesis (b) knowledge (c) affective (d) evaluation - \C

Question # Which of the following is NOT a stated purpose of the professional code of ethics? (a) to be used by malpractice insurance companies to mitigate liability (b) to summarize the values on which the profession is based (c) to be used by the profession to determine whether social workers have acted unethically (d) to serve as a guide to socialize new social workers in the field - \A Question # Which of the following is an example of role reversal? (a) a mother who shares her 11-year-old daughter's clothes and collects stuffed animals (b) a mother expecting her 11-year-old daughter to stay at home unsupervised (c) a mother with relationship problems who is repeatedly emotionally comforted by her 11-year-old daughter (d) a mother who arranges a date for her 11-year-old daughter - \C Question # A social worker receives a subpoena from the courts in the mail for a former client's records. In this situation, a social worker should: (a) immediately send in the original records to the courts (b) prepare a summary of the records to send in immediately (c) claim privilege to protect the confidentiality of the client (d) ignore the subpoena because it relates to a former client and is not relevant - \C Question # In the DSM-5, when a social worker provides a reason why a condition does not qualify for a disorder, it should be noted as: (a) not otherwise specified (b) other specified (c) unspecified (d) not specified elsewhere - \B Question # A client abruptly stops coming to therapy after the sixth session. She shows up at the office several weeks later demanding a copy of her records. The social worker does not believe that the information in the record could cause harm to the client, but denies access because the client did not provide any reason for the abrupt termination or reason for wanting the copies. The actions by the social worker are:

(a) unethical because the client should have access to his or her record under these circumstances (b) ethical because the reason for the release must be disclosed to the social worker (c) ethical because the client terminated without notice (d) unethical because the client is always able to access his or her record under any circumstances - \A Question # A client was referred to a mental health agency for treatment. Upon admission, he reported feeling lethargic and hopeless and had difficulty getting out of bed. Several weeks later, he states that he is sleepless, agitated, and unable to focus. Which of the following medications is the client MOST likely going to be prescribed? (a) Ativan (lorazepam) (b) Nardil (phenelzine) (c) Lithium (lithium carbonate) (d) Buspar (buspirone) - \C Question # When clients are at high risk for relapse after discharge, all of the following should occur after termination EXCEPT: (a) regular assessments to determine whether services are needed (b) creation of client contracts that reinforce positive behaviors (c) utilization of natural supports and peer support services (d) follow-up to see whether discharge plans are being implemented - \B Question # A social worker in private practice designs a standard intake form that includes questions about the client's demographic information including age, gender, marital status, sexual orientation, education, and drug-alcohol use. This form is: (a) ethical since it contains important information for the social worker to know in order to work with the client effectively (b) ethical since all of this information will be kept confidential (c) unethical since this information may not be needed for treatment (d) unethical unless the social worker makes it clear that the client has the choice as to whether to complete it - \C Question #

A social worker is charged with creating a behavioral objective to assist her client, John, in his educational setting. Which of the following statements is the BEST example of this type of objective? (a) John will make eye contact during conversations in practical arts class at least 75% of the time (b) John will be motivated to complete his homework daily in order to achieve a grade of a B or better (c) The teacher will praise John during class at least 10 times per hour (d) John will sit in his chair at least 80% of the time - \A Question # A new client enters the office walking slowly, using a cane, and has difficulty picking up objects, swallowing, and speaking as a result of a stroke. The BEST diagnosis for this client is: (a) agnosia (b) ataxia (c) prosopagnosia (d) aculculia - \B Question # Echolalia is BEST defined as: (a) mimicking another's speech (b) spontaneous movement (c) repetitive movements (d) odd mannerisms or actions - \A Question # A man who is having problems at work finds that he is yelling at his children more and has begun to have marital issues with his wife. The husband is MOST likely using the defense mechanism of: (a) reaction formation (b) projection (c) conversion (d) displacement - \D Question # Upon admission, a client reports that he has always feared disapproval and rejection from others in his life. Several weeks later, the client appears anxious and worried.

When asked about his behavior, he states that he feels judged by the social worker and that the social worker is being critical of him when he sees her. The client's feelings are an example of: (a) countertransference (b) psychosis (c) paranoia (d) transference - \D Question # Which of the following is the MOST significant change in the DSM-5 concerning Substance Related Disorders? (a) Substance Abuse and Substance Dependence have been combined into a single Substance Use Disorder (b) Recurrent legal problems were added to the criteria for Substance Use Disorders (c) Craving or a strong desire to use a substance was deleted from Substance Dependence (d) Recurrent legal problems were deleted from the criteria for Substance Abuse - \A Question # A social worker sees that a colleague is distracted when interacting with clients and is showing up for appointments late. The social worker learns that this behavior began several weeks earlier, after the death of her colleague's husband. In this instance, the social worker should: (a) give the colleague additional time to grieve and monitor the colleague's actions to see if the behavior subsides on its own (b) speak to a supervisor to see if the colleague's workload could be reduced for a period of time (c) contact the human resources department to see if there are employee assistance services available (d) speak to the colleague directly about the observations to see if additional assistance is needed - \D Question # Which of the following is NOT true of life crises? (a) they must be precipitated by major life events (b) the ways in which they are addressed significantly impact subsequent functioning (c) they can produce healthier behavior if understood and overcome (d) they produce anxiety, tension, and disequilibrium - \A

Question # Which of the following is true of BOTH networking in business and networking in social work practice? (a) it aims to educate about the problems experienced by others and thereby helps to effect system changes (b) it aims to attract more individuals to organizations so that these entities can prosper (c) it is beneficial for clients as it keeps the costs down through sharing of resources (d) it creates a community and builds alliances around a common interest or goal - \D Question # Which of the following is the MOST important benefit of community participation in social work practice? (a) it puts the decision-making power partly or wholly with community members (b) it shows the media that individuals want to get involved when there is a good cause (c) it informs community members about the work that needs to be done to make change (d) it divides the workload so that it can be distributed across a larger group - \A Question # If a client has a Substance Use Disorder in addition to Schizophrenia, these two disorders are considered to be: (a) premorbid (b) comorbid (c) contraindicated (d) dissociated - \B Question # A woman complains that her 7-year-old son "makes things up and exaggerates." He often adds information when recalling experiences and talks about knights and dragons being part of his everyday world. The woman is angry about this behavior and worried that it is an indication of some mental health problem. In order to best assist, the social worker should: (a) explain that the behaviors are associated with the preoperational thought stage of cognitive development (b) conduct a mental status examination on the child (c) refer the child for a mental health evaluation based upon the mother's concerns (d) determine whether this behavior is a concern to others, including his teachers - \A

Question # A social worker notices what appears to be burns on a child's arm and asks the child about these markings. The child responds that "grandma burned me, but mommy isn't going to let me go over there anymore so it's OK." The social worker should: (a) document the conversation in the file and make sure to check on the child regularly in the future for burns or bruises (b) report the conversation immediately to child protective services (c) discuss the conversation with a supervisor at the next supervision session (d) contact the grandmother to validate this report by the child - \B Question # A client has been in therapy for about 4 months and has made substantial progress toward achieving his goals. The social worker and client believe that continued treatment would be beneficial. However, the client recently lost his job and has been informed that his insurance coverage, which has been paying for the services, will end immediately. The client states that he cannot afford to pay the rate paid by the insurance company. In order to facilitate continued progress, the social worker should: (a) suggest that the client now only pay the amount of the copay and keep track of what would have been paid by an insurance company so a payment plan can be put in place once the client is employed again. (b) brainstorm with the client about services that the client can provide in exchange for treatment (c) terminate therapy immediately, but with the understanding that it will begin immediately upon enrollme - \D Question # Which of the following is NOT a key diagnostic criterion of Paraphilic Disorders according to the DSM-5? (a) atypical sexual interests (b) personal distress about sexual interests not strictly due to societal disapproval (c) sexual desire or behavior that involves another person's psychological harm or from persons who are unwilling or unable to consent (d) legal involvement due to sexual interests or behaviors - \D Question # Which of the following is a limitation when using existing case records as the data source for the evaluation of client progress?

(a) it saves time because the information is already available and does not have to be gathered (b) there are financial benefits because there are no additional costs associated with data collection (c) the scope of evaluation is restricted to that which is explicitly stated in the file (d) it cannot be done unless the client consents in writing to allow such use - \C Question # A client needs to access services from another organization. In order to BEST assist this client, a social worker should: (a) let the client identify and contact agencies independently to avoid interfering with the client's right to self-determination (b) refer the client to an agency that the social worker has a relationship with to ensure an easy transition (c) work with the client to evaluate options and select an agency that the client thinks will best meet his or her needs (d) contact the client's insurance company to see which agencies are participating providers - \C Question # During an intake interview, a client uses derogatory language to refer to individuals of a particular ethnic group. This language causes the social worker to become angry.In order to appropriately deal with the anger, the social worker should: (a) explain to the client in a professional manner that this language is inappropriate and upsets the social worker (b) suggest that the client see another social worker in the agency without giving the client an explanation (c) recognize the anger and discuss it later with the supervisor (d) tell the client about the reaction so that a decision can be made by the client about whether the social worker is the best match for the client - \C Question # A client who has Schizophrenia has not been taking his medication. He is in crisis, but does not pose a danger to himself or others. The client was recently discharged from an inpatient hospitalization after an involuntary commitment. In the social worker's opinion, the client would benefit from rehospitalization, but the client does not want to be readmitted. The social worker should: (a) identify community resources to meet his immediate needs (b) contact the hospital to see if he can be readmitted

(c) recommend that the client be involuntarily committed again to get the medication needed (d) determine if he has a family member of someone who can persuade him to enter the hospital again - \A Question # A client's insurance company threatens to discontinue to pay for services immediately if it does not receive the current treatment goals of the client. The social worker sends these goals without written consent from the client. This action by the social worker is: (a) ethical since the client would not be able to continue services without the insurance payments (b) unethical because such a release requires written consent (c) ethical since treatment goals can be sent to an insurance company without written consent (d) unethical or ethical, depending upon whether the social worker spoke to the client about insurance requirements at the beginning of treatment - \B Question # A social worker is running a group with adolescents. One of the group members calls the social worker because she is very upset that something that she said in group was disclosed to others in her school by another group member. The BEST method for the social worker to address this situation is to: (a) individually contact the group member who disclosed the information to discuss the concern (b) terminate the group member who disclosed the information in order to create a "safe" environment for the other participants (c) suggest that the upset group member bring up her concern at the next group session (d) develop a confidentiality agreement to be signed by all members at the next group session - \C Question # Which of the following is NOT one of Freud's stages of psychosexual development? (a) genital (b) latency (c) castration (d) oral - \C Question # Which is NOT true when an agency uses the services of a consultant?

(a) the agency retains formal authority over agency practices, whereas a consultant has informal authority based on skills and knowledge (b) the agency must get consent for releases on information when sharing client information wit ha consultant (c) the agency is mandated to follow a consultant's recommendations (d) the agency must use a consultant who has demonstrated knowledge, expertise, and competence - \C Question # A client expresses an attraction to the social worker during a therapy session. In order to address this issue ethically, the social worker should: (a) explore it as a therapeutic issue, seek supervision, and document the disclosure in the client file (b) ignore the overture and hope that the client does not express this attraction again (c) immediately refer the client to another social worker in the agency because the current social worker cannot be objective once such a disclosure has occurred (d) terminate services immediately in case a personal relationship develops - \A Question # An agency that employs social workers has detailed job descriptions that delineate the best way to perform functions, closely supervises its employees, and ties employee pay increases to behaviors that promote the goals of the organization. This agency is MOST likely using which of the following approaches to manage its workers? (a) scientific management (b) human relations (c) systems (d) contingency - \A Question # Projective tests are based on which of the following theoretical approaches? (a) behavior management (b) human relations (c) systems (d) contingency - \B Question # Most models of spiritual development move from an individual being egocentric to eventually becoming a(n):

(a) conformist (b) integrated being (c) dichotomous thinker (d) follower of blind faith - \B Question # All of the following are true about empathetic communication EXCEPT: (a) empathetic communication bridges the gap between the social worker and client by establishing rapport (b) empathetic communication is nonjudgmental, accepting, and genuine (c) empathetic communication is verbal communication in which the client is engaged in oral problem solving and processing of new information (d) empathetic communication decreases defensiveness and encourages a more rational discussion of problems - \C Question # A new client comes to the first appointment and is extremely anxious. She paces while in the waiting room and states that she 'just needs to get some sleep." During the intake interview, the client reports that she is a recreational drug user. Based on her behavior, the client is MOST likely using: (a) heroin (b) cocaine (c) marijuana (d) oxycontin - \B Question # A woman who is in a relationship that is physically abusive would like to begin couples counseling because she believes that helping her boyfriend to see her point of view may assist in decreasing the violence. In order to appropriately address this request, the social worker should: (a) suggest that she ask her boyfriend to come to the next session (b) ask if the social worker can contact the boyfriend to asses his interest in receiving couples counseling (c) explain to the woman that couples counseling should not take place at this time, given the physical abuse (d) contact the boyfriend about coming in for individual counseling with the suggestion that there be joint sessions with the two of them at the time - \C

Question # A client has just been diagnosed with terminal cancer. Using a systems approach, the social worker should: (a) develop a plan for long-term care aimed at meeting the client's medical needs (b) work with the client on addressing the impacts of this prognosis on his or her psychological and spiritual well-being (c) consider whether continuing to treat the client is in the client's best interest given this prognosis (d) reexamine the treatment goals to see if they are still relevant or need to be revised given this health information - \B Question # According to Freud, an adolescent in puberty is in which stage of psychosexual development? (a) genital (b) phallic (c) latency (d) anal - \A Question # Which of the following is the BEST definition of empowerment? (a) obtaining resources to assist in improving a client's financial and social status (b) building skills and obtaining resources that will assist a client in controlling and making changes, if desired, in his or her own well-being (c) meeting basic needs in a client's life to facilitate growth toward self-actualization (d) creating alliances or power networks that can be used by a client to increase his or her social standing - \B Question # A client is starting a new business and really needs a partner to assist with start-up activities. Without this help, the client will experience extreme financial hardship because she will not be able to bring in needed income to her household. The social worker has a lot of business expertise that would be valuable to the client. In this situation, the social worker should: (a) continue to serve the client, proving only emotional support during this crisis (b) terminate services to the client to assist with the start-up business so that the client does not experience financial loss (c) continue to serve the client, providing financial support in addition to emotional support during this crisis

(d) stop billing the client for a short period while assisting the client with business start up, with the understanding that this arrangement is time limited - \A Question # Which of the following is NOT considered as part of culturally informed intervention planning? (a) involvement of family members in treatment (b) use of individual versus group treatment modalities (c) incorporation of alternative treatment approaches (d) need for informed consent procedures - \D Question # Which of the following statements about gender identity and/or sexual orientation is TRUE? (a) pansexual refers to being attracted to individuals outside or independent of gender (b) individuals who cross-dress usually identify as homosexual (c) sexual orientation and gender identity are related (d) gender expression and gender identity must be congruent - \A Question # A deceased client has: (a) all of the same rights to confidentiality as a living client, with the exception of billing records (b) some of the same rights to confidentiality as a living client as decided by the executor of the state (c) none of the same rights to confidentiality as a living client (d) all of the same rights to confidentiality as a living client - \D Question # A social worker cannot limit a client's right to self-determination in the following circumstances EXCEPT: (a) when a client's actions violate policies set forth by the social worker's agency (b) when the social worker does not believe that a client is making appropriate decisions (c) when a client poses a serious and imminent risk to himself or herself or others (d) when there are alternatives that will enhance the client's well-being - \C Question #

Trichotillomania is classified under which of the following in the DSM-5? (a) disruptive, impulse-control, and conduct disorders (b) anxiety disorders (c) trauma- and stressor-related disorders (d) obsessive-compulsive and related disorders - \D Question # Group therapy is not appropriate for all of the following client groups EXCEPT those who are: (a) actively in crisis (b) paranoid or psychotic (c) compulsively in need of attention (d) isolated from others - \D Question # A client is referred to a social worker by an employee assistance program for problems at work including insubordination and not following company policies. Upon intake, the client sates that he is not the one that needs help and that the social worker should be trying to 'fix" his boss, who is the real problem. The client reports that his difficulties are a result of jealousy by his boss because the client "knows more and is more successful." The client dominates the conversation during the session and spends most of the time describing his achievements, including the amount of money that he earns and spends on his possessions. The BEST diagnosis of the client is: (a) narcissistic personality disorder (b) histrionic personality disorder (c) avoidant personality disorder (d) obsessive-compulsive personality disorder - \A Question # A client enters a social worker's office and is outraged at an interaction that has just taken place with another agency staff member. The client is indignant and demands that the social worker "do something." In this situation the social worker should FIRST: (a) explain to the client that it would be best for the client to address the issue directly with the staff member (b) get the staff member so that the client can speak to him or her and resolve the issue immediately (c) tell the client to go to the agency director who is in a position to take action (d) listen to the client's account of the situation - \D

Question #79 Which of the following statements is true? (a) consent and assent have the same legal meaning (b) when treating those who lack capacity to provide informed consent, consent should be obtained by the responsible third party and assent should be obtained by the client (c) all clients must receive social work services voluntarily (d) there is no need to get consent to audiotape or videotape services because it is always permitted if a client signs a consent form - \B Question #80 A mother comes in to see a social worker because she is concerned about cognitive delays in her child. The child is far behind her peers in academic achievement. A social worker refers this child for diagnostic testing. Given the mother's concerns, the child will MOST likely be given which of the following assessments? (a) The Minnesota Multiphasic Personality Inventory (b) The Myers-Briggs Type Indicator (c) The Thematic Apperception Test (d) The Wechsler Intelligence Scale - \D Question #81 A client is very worried about her financial situation. She buys a new car and tells the social worker that she made the purchase "because the car is much less likely to break down and will save money in the long run." This statement MOST likely results from: (a) ego-syntonic beliefs (b) isolation of affect (c) a double bind (d) cognitive dissonance - \D Question #82 A social worker's ex-husband comes to her agency for therapy services. The ex- husband asks that the social worker provide these services because she is aware of his history and he feels comfortable speaking to her about his problems. They have been divorced for 15 years. The social worker refuses. Based on the professional code of ethics, this action by the social worker is: (a) unethical because it has been more than 10 years since they were married (b) ethical because she had a prior sexual relationship with the client (c) unethical because the social worker did not respect the client's wishes with regard to the provision treatment

(d) ethical because the social worker does not want the client to know anything about her current life circumstances - \B Question #83 A teenager is having problems initiating conversation with peers. In order to BEST assist the teenager, the social worker should: (a) ask the teenager to keep a journal documenting thoughts that can be used in later conversations with peers (b) explore with the teenager the underlying reasons for his or her problems with peer relationships (c) asses whether there are other social deficits that may result in appropriate diagnosis (d) engage in a role play with the teenager so that he or she can practice needed communication skills - \D Question #84 Which of the following represents the order of client needs within a hierarchy? (a) physiological, safety, social, esteem, and self-actualization (b) physiological, safety, esteem, social, and self-actualization (c) safety, physiological, social, esteem, and self-actualization (d) safety, physiological, esteem, social, and self-actualization - \A Question #85 A client reports that he has experienced some "ringing" in his ears for the last week, which is causing him great distress. The social worker should FIRST: (a) refer the client for a neurological evaluation (b) provide the client with coping skills to address his distress (c) identify whether he is reporting an auditory hallucination (d) explore with the client what changes in his life may have coincided with this symptom - \A Question #86 Which of the following is the basic premise of groupthink? (a) groups make faulty decisions because they ignore alternatives due to group pressures (b) groups with similar membership tend to be more cohesive and effective (c) decision making by groups takes longer than individual decision making (d) groups come up with creative solutions to problems using their diverse perspectives

\A

Question #87 When working with an involuntary, court-mandated client, it is useful for a social worker to FIRST do which of the following to address resistance? (a) show the client a copy of the court order so that he or she can understand the reasons for treatment (b) make sure that the client sees all reports given to the court to build trust between the client and social worker (c) include some of the client's own goals in the service plan in addition to those that must be addressed as mandated by the court (d) acknowledge the client's circumstances and lack of choice in receiving services - \D Question #88 A client who has been experiencing severe depression and previously expressed thoughts aimed at hurting herself appears less hopeless and to have a more positive affect. In this situation, the social worker should FIRST: (a) acknowledge the recent improvement in depressive symptoms to the client (b) determine the coping skills that the client is using to bring about change (c) focus on other immediate goals that are a concern to the client (d) conduct a suicide risk assessment - \D Question #89 Which of the following stages is often described as "a midlife crisis" where individuals struggle between guiding the next generation and become self-absorbed? (a) generativity versus stagnation (b) ego integrity versus despair (c) intimacy versus isolation (d) identity versus role confusion - \A Question #90 A mother and teenage child yell at each other almost the entire time of a session. The mother says that she is upset with her daughter's choice in boyfriend, her grades in school, her inappropriate dress, and her lack of help around the house. The daughter says that she is angry as her mother does not listen to her, does not respect her privacy, does not give her any "space," and speaks to the daughter's friends in a demeaning manner. In order to BEST assist with helping them resolve their conflicts, the social worker should: (a) work with the mother and child to prioritize their concerns

(b) focus on both the mother's and child's strengths and skills (c) suggest that the mother and child increase the amount of time that they spend with one another to facilitate the problem-solving process (d) acknowledge the level of conflict and discord between the mother and child - \A Question #91 Which of the following is NOT congruent communication? (a) ignoring nonverbal cues that indicate anger (b) smiling at a person who is being annoying (c) hugging a person in pain (d) yelling at an individual when upset - \B Question #92 Which of the following is NOT an objective of social work supervision? (a) to increase the social worker's capacity to work more effectively (b) to assist the social worker in resolving conflicts or problems (c) to assure the delivery of the most effective and efficient client services (d) to ensure consistent treatment of clients - \D Question #93 A client is having difficulty finding a career that is fulfilling to her. She has repeatedly taken jobs that she has quit because "they just don't fit." In order to assist the client in resolving this problem, which of the following tests may be used? (a) Minnesota Multiphasic Personality Inventory (b) Myers-Briggs Type Indicator (c) Thematic Apperception Test (d) Wechsler Intelligence Scale - \B Question #94 A client is very distressed because she is physically attracted to individuals of the same gender. She has became increasingly upset by these desired and wants to find ways to eliminate them. The feelings that the client is experiencing are: (a) latent (b) ego alien (c) ego-syntonic (d) rooted in the pleasure principle - \B

Question #95 A client learns that she may have a genetic condition and would like to be tested as she and her husband are thinking about having children. all of the following are true EXCEPT: (a) the social worker should make sure that the client is fully informed of all risks/benefits of treating before it is done (b) the insurance provider must authorize these tests in order for them to be completed (c) self-determination of the client should be respected in this situation (d) the social worker should be aware of the process of genetic inheritance and develop a genogram to assist in decision making - \B Question #96 A client who has repeatedly stated that she hates her sister tells a social worker that she has just asked her sister to be the maid of honor in her wedding. The social worker points out that this action appears contradictory to her feelings about her sister. This statement by the social worker is known as a: (a) clarification (b) generalization (c) paradoxical instruction (d) confrontation - \D Question #97 Which of the following is NOT a component of a client contract? (a) the problem to be worked on and the goals to reduce the problem (b) authorization letter approving services by the client's insurance company (c) means of monitoring progress (d) fees and frequency of meetings - \B Question #98 Which of the following does NOT have to be done in order for a social worker to provide services in arenas that are new to him or her? (a) the social worker must engage in appropriate study of the arena (b) the social worker must receive supervision from someone who is competent in the arena (c) the social worker must receive training and consultation in the area as needed (d) the social worker must add it to his or her resume to reflect practice in this area - \D Question #99