Social Work Practices and Ethical Considerations, Exams of Nursing

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ASWB SOCIAL WORK BACHELOR LEVEL / LSW EXAM

QUESTIONS

When considering Native American customs and developing service plans, social workers should understand that: a. all Native Americans have the same culture and tribal differences are minor b. there are important reasons why Native Americans never integrated into American culture c. with more than 500 tribal groups, there are substantial cultural and social differences d. it is important for Native Americans to separate from traditional culture if they want to succeed economically - Answers-c. with more than 500 tribal groups, there are substantial cultural and social differences The positive cultural value that is expressed in the ideals of "machismo" is: a. masculinity b. family provider and protector c. power and control d. cooperation - Answers-b. family provider and protector When an interpreter is needed to conduct a social work interview, the least appropriate person is probably: a. a child of the client b. a relative c. an untrained interpreter d. an agency staff member - Answers-a. a child of the client Empirical research on diagnostic patterns has historically demonstrated that African Americans with the same symptom presentation as Caucasians will often be diagnosed: a. less severely b. more severely c. the same d. the research is irrelevant - Answers-b. more severely A recent social work graduate displays excellent relationship skills and a strong commitment to clients. The worker knows she has difficulty in translating her insights and goals into specific treatment plans. The worker might ask the supervisor to: a. point out problems and correct her when she loses sight of the goals b. provide concrete support and detailed help in areas that require improvement c. pair her with a more experienced worker

d. provide written guidelines on good practice - Answers-b. provide concrete support and detailed help in areas that require improvement A client expresses her disappointment at not being called back after a job interview and vents her anger at the job interviewer. She informs her social worker of this exchange. The social worker's best response is: a. You have to be patient in a job search b. I can see that you're upset about this c. I wonder how you feel about this d. I guess you're hurt and angry about not getting the job - Answers-d. I guess you're hurt and angry about not getting the job A worker has reached an agreement with an elderly woman on public assistance to move to an assisted living facility. The client talks about her fears of moving to a place where she won't know anyone. The worker's best response is: a. Don't worry, you'll make new friends b. I guess you'd rather stay where you are c. It seems like part of you wants to move and another part feels scared and wants to stay with people you know d. Most older people feel just like you, but then feel better after they move - Answers-c. It seems like part of you wants to move and another part feels scared and wants to stay with people you know After 2 months, an adolescent client ordered by the court to see a social worker complains that he sees no reason for continuing with the worker. He says he's avoided trouble the whole two months and the worker should trust him by now. The worker's best response is: a. You sound angry about coming here and annoyed with me for insisting that you do b. Two months isn't long enough to judge your trustworthiness c. You broke the law and now must suffer the consequences d. Perhaps there is no reason for us to continue - Answers-a. You sound angry about coming here and annoyed with me for insisting that you do Which of the below questions is not evidence of discrimination in a job interview or job application process: a. Please send a photograph with the application b. What is your birthdate? c. What is your husband's occupation? d. List your previous employment - Answers-d. List your previous employment People from Latino cultures tend to accept help from experts who:

a. sound very knowledgeable and work for prestigious institutions b. have a reputation for being knowledgeable about a certain subject and are a relative or friend of the person in need c. are not Latino, but are highly credentialed d. speak Spanish, are knowledgeable about the area of concern, and have a good reputation in the community - Answers-d. speak Spanish, are knowledgeable about the area of concern, and have a good reputation in the community A psychological, cultural and political orientation to life that both determines and influences how people think, behave, make decisions and understand phenomena is usually called a: a. world view b. culture c. personal opinion d. perception - Answers-a. world view A hospital social worker receives definitive information that a social work colleague is engaged in a sexual relationship with a client. In deciding what to do, the social worker must first consider: a. the impact on the client b. the impact on the profession c. the Code of Ethics d. the views of the supervisor and administration - Answers-c. the Code of Ethics Data collection in the engagement phase of social work practice means that social workers: a. identify clients' financial and insurance resources b. seek out information on any legal or criminal problems c. interview clients and fill out forms during the initial interview d. read documents, records and other written materials - Answers-c. interview clients and fill out forms during the initial interview A family has just relocated from a homeless shelter to permanent housing. The mother is in recovery from alcohol abuse. The father has been violent with the mother and is unemployed. The 8 year old changed schools 6 times in the past year. The family's records describe the family's problems and note the "contract" to which the parents have agreed and the services that will be provided. The social worker in the permanent housing program's first task is to: a. assure that the mother continues in an AA program b. review and prioritize the family's problems and reinforce the family's commitment to addressing them c. help the father find a job

d. accompany the parents to school with the child - Answers-b. review and prioritize the family's problems A generalist social worker is most concerned about: a. focusing on the hierarchy of client needs and the way they interact with the client's problems b. her/his relationship with the client c. the client's emotional well-being d. the way a person's spirit is connected to the client's physical well-being - Answers-a. focusing on the hierarchy of client needs and the way they interact with the client's problems In a clinical setting the most likely statistically significant program evaluation design would be: a. experimental b. quasi experimental c. single subject d. type 2 - Answers-b. quasi experimental Dysfunctional families that try to maintain the appearance of open, reciprocal relationships with each other are best described by the term: a. enmeshment b. mystification c. pseudo-mutuality d. disoriented - Answers-c. pseudo-mutuality The most significant clinical purpose for maintaining social work records in a family agency is: a. to facilitate worker accountability for treatment quality b. to assess client progress continually and to revise and update treatment planning c. to provide documentation that protects the agency and the worker from malpractice suits d. to provide continuity of care and to simplify transfer if the social worker leaves - Answers-b. to assess client progress continually and to revise and update treatment planning A social worker works with a clientele with varied substance and chemical dependencies and decides to establish a new group focused on drug and alcohol rehabilitation. In the first stages of the group, the worker might expect: a. denial, rationalization, projection b. low self worth, acceptance, projection

c. surrender, delusions, rationalization d. denial, rationalization, compliance - Answers-a. denial, rationalization, projection When testifying in court, a social worker is asked specific questions concerning his client, who is a defendant in a criminal case. What concept should guide the social worker: a. The social worker has social work privilege and cannot be asked to provide confidential case information. b. The social work privilege is not absolute and the worker may be required to testify if ordered to do so by the judge. c. The Code of Ethics requires that the worker refuse to testify. d. Agency policy requires the worker to maintain absolute confidentiality - Answers-b. The social work privilege is not absolute and the worker may be required to testify if ordered to do so by the judge A schizophrenic client takes prescribed medications intermittently. After an argument, his partner kicks him out of their apartment and asks the social worker to hospitalize him because his condition is deteriorating. The client sometimes experiences hallucinations, but says he wants to try to live on his own. He refuses hospitalization and says he plans to stop taking his meds. What is the best course of action: a. acknowledge the right to refuse medication and treatment and seek to maintain a relationship with the client b. seek an involuntary commitment c. continue to insist that the client take the medication and note that previous episodes of not taking meds have led to hospitalization d. suggest that his partner care for him for a short period until he is more stable - Answers-a. acknowledge the right to refuse medication and treatment and seek to maintain a relationship with the client A fearful client in a mental health agency is repeatedly asked for money by his drug dependent son. Recently, the son has threatened violence and calls the father at all hours. How should the social worker advise the father? a. suggest he disconnect his phone b. ask the client to tell the son to come to the agency and discuss his problems with the social worker c. do nothing as it is likely that the behavior will stop on its own d. suggest that he has the right to be fearful and should probably call the police - Answers-d. suggest that he has the right to be fearful and should probably call the police The Colonial Poor Laws established the principle of: a. neighborly involvement

b. local public responsibility c. federal responsibility d. residential care for the poor - Answers-b. local public responsibility A client is diagnosed with obsessive compulsive disorder. It is likely that : a. his personal life will not be affected b. he will be excessively studious c. he will experience performance problems at school and work due to his inability to finish tasks on time d. he will not have low self esteem - Answers-c. he will experience performance problems at school and work due to his inability to finish tasks on time While many variables affect suicidality among teenagers, which item below has been a particularly powerful predictor: a. a recent parental divorce b. a transfer to a new school c. a history of occasional drug use d. a change in family economic status - Answers-a. a recent parental divorce a patient experiencing dysthymic disorder will: a. Vividly describe hallucinations that began at least three months ago b. Have associated eating disorders that began at least six months ago c. Experience chronic depression on most days for two years or longer d. Probably be drug dependent - Answers-c. Experience chronic depression on most days for two years or longer Clients in a mental health agency group are encouraged by the group leader to socialize even when not participating in the group sessions. The group is probably: a. an analytically oriented group b. a behavioral group c. a supportive group d. a transactional group - Answers-c. a supportive group Jane is a client at a mental health clinic who has been attacked by her boyfriend on several occasions. She appears one day with her face badly bruised. Though she has previously been to court and her boyfriend has been ordered by a judge to stay away, he continues to harass and threaten her. In advising the client, the social worker should be aware that: a. court orders are rarely violated because offenders are afraid of arrest b. the police will react swiftly and will vigorously enforce orders of protection c. women often will not accuse their attackers for fear of retribution

d. battered women sometimes do not protect themselves and will permit violent men to reenter their lives even when a court order prohibits contact - Answers-d. battered women sometimes do not protect themselves and will permit violent men to reenter their lives even when a court order prohibits contact A client is interviewed by a social worker, but has reservations about discussing sensitive issues at the intake interview. In explaining confidentiality, the worker would: a. provide information about the limits of confidentiality as the need arises b. provide a thorough explanation of the limits of confidentiality c. do nothing until specific questions are raised by the client d. provide information initially regarding the limits of confidentiality only as it relates to the worker-client relationship - Answers-b. provide a thorough explanation of the limits of confidentiality A social worker who imposes his judgments on clients is most likely to elicit: a. acquiescence b. cooperation c. appreciation d. resistance - Answers-d. resistance A patient with dysthymic disorder is likely to benefit from: a. environmental change b. insight oriented therapy c. a drug treatment group d. a change of diet - Answers-b. insight oriented therapy A client diagnosed with schizophrenia has been released from an inpatient unit and is being followed at a community mental health agency. The client is stable enough to participate in a group. What type of group is the social worker likely to recommend? a. short term crisis oriented group b. activity group c. behavioral group d. supportive group - Answers-d. supportive group Mrs. W has a long history of alcohol abuse. Though she has made several failed attempts to quite, she is now convinced that alcohol is affecting her heart and liver and she decides to stop drinking. She refuses medical supervision. Several days after deciding to quit, she arrives at the clinic without making an appointment and demands to see her social worker. She is loud and demanding and seems disheveled and uncoordinated. She then abruptly leaves the clinic. The social worker might conclude that Mrs. W :

a. is going through alcohol withdrawal and needs medical attention b. wants the social worker's help in managing her discomfort c. is intoxicated d. may be experiencing delusions - Answers-c. is intoxicated A woman brings her husband to a busy emergency room because he is not feeling well. He dies while there. What should the social worker do? a. counsel the wife on grief and loss b. tell the wife that dying is part of life c. explain to the wife the stages of grief and loss d. find a room so that the wife can have privacy to deal with her feelings - Answers-d. find a room so that the wife can have privacy to deal with her feelings Empathy has been described as an attitude that engages a client in treatment. Which of the following best describes empathy? a. acknowledging what the client is saying b. accepting what the client is saying c. understanding what the client is saying d. judging what the client is saying - Answers-c. understanding what the client is saying a man who lives in your neighborhood phones you expressing concerns about his son's conduct at school. The boy has skipped classes and his grades have declined this year. You and the man have several friends in common and you see him frequently at parties. The man asks if you would see his son for therapy. Your best course of action is to: a. see the son for therapy after you clarify issues of confidentiality with his parents b. see the son once to assess his needs and then refer him to another social worker c. refer the son to another social worker d. agree to see the son for therapy - Answers-c. refer the son to another social worker You are a social worker practicing in a rural town. One of the local agencies asks you to test a child for ADHD. You would: a. Tell them you will need to speak with the child's parents b. Test the child c. Tell them you would need to speak with the school d. Refuse - Answers-a. Tell them you will need to speak with the child's parents You receive a phone call from clients who have a child who is refusing to shower. They report the child cries when they attempt to get him to shower, and when they back away and leave him alone, he stops crying. This is an example of: a. positive reinforcement b. negative reinforcement

c. punishment d. modeling - Answers-a. positive reinforcement Case management is used for the purpose of: a. improving overall client functioning b. providing client support c. coordinating resources d. gaining access to resources - Answers-c. coordinating resources There has been a traumatic event in your town. You have been instrumental in providing services. You would like to publicize the work you did. You would: a. write your congressman and ask him to issue a public statement about your work b. call the newspaper and ask them to do a story c. write your local social work board d. nothing - this would be unethical - Answers-d. nothing - this would be unethical A client is in the hospital and an attorney calls requesting his records. What are your ethical obligations? a. To turn over the records b. To claim privilege c. To ask the client to sign a release form d. To maintain confidentiality - Answers-d. To maintain confidentiality A single mother with 3 children is unemployed, has no support or family who live in the area, no services for the children, and no resources for herself. The mother states she would like a support network. What type of services would you provide for her? a. respite services b. referral to unemployment c. referral to a support group d. referral to parenting classes - Answers-a. respite services A client is told by her doctor that she has breast cancer. She is distraught and says she doesn't know what to do. She has 6 children. Which of the following would you do? a. Refer her to a support group b. Refer her for further medical tests c. Encourage her to make provisions for her children d. Provide supportive therapy - Answers-d. Provide supportive therapy A 5 year old boy is watching his 18 month old sister have her diapers changed and becomes aggressive. The mother is concerned. What would your intervention be? a. normalize his behavior

b. get the family in treatment c. get the 5 year old in treatment d. start treatment with the mother - Answers-a. normalize his behavior A 70 year old woman lives with her 82 year old sister. They are having difficulty taking care of their basic needs. They have no support or help with shopping, chores, or self- care. What would you do? a. refer for in-home nursing services b. refer for in-home care services that will deliver groceries and take care of their daily needs c. refer to local church groups d. refer to hospice care - Answers-b. refer for in-home care services that will deliver groceries and take care of their daily needs You decide that one of your clients could be best helped by a treatment intervention that is outside your scope of practice. What would you do? a. end treatment with the client b. seek consultation c. tell the client you are not familiar with the needed intervention d. get training in this intervention - Answers-a. end treatment with the client A female client is having difficulty eating and sleeping. She cannot complete her work because she is plagued by constant worrying. What is the most likely diagnosis? a. bipolar disorder b. generalized anxiety disorder c. major depressive disorder d. adjustment disorder - Answers-b. generalized anxiety disorder Two social workers are in a crowded restaurant when one of the social worker's clients approaches them. What should the social worker do? a. pretend he doesn't know the client b. introduce the client as his friend to the other social worker c. tell the client to leave them alone d. tell the client he'll call him later - Answers-d. tell the client he'll call him later A client is referred to you due to ongoing depression. Your best intervention is: a. refer to a doctor for medication b. refer to a psychiatrist for medication c. refer to support groups d. begin individual counseling - Answers-d. begin individual counseling

You have been seeing a client for a while when you discover you are dating his brother. What should you do? a. end the relationship with the boyfriend b. tell the client and refer him to another social worker c. tell the client and let him decide what he wants to do d. don't tell the client - Answers-b. tell the client and refer him to another social worker Who would be most at risk for abusing his/her children? a. A young, single mother who drinks b. a man with a history of impulsive behavior c. a woman who often gets angry with her teenage son d. a woman who was raised in homeless shelters. - Answers-a. A young, single mother who drinks You have been seeing an elderly couple for one month. The 70 year old husband recently had a stroke. The wife tells you that sometimes he hits her. She rolls up her sleeve and shows you large bruises. You should: a. consider that the stroke caused his violence b. report elder abuse c. refer the couple to a doctor before reporting abuse d. call adult protective services and ask if you should file a report - Answers-b. report elder abuse A 28 year old female has been raped. When she calls you, she is crying and having difficulty breathing. The most important thing to do first is: a. get her medical treatment b. give her phone numbers of shelters c. have her call the police d. call the police yourself, but get her permission to do so - Answers-a. get her medical treatment Your 17 year old client is demonstrating behavioral problems and considerable anger. You consider referring him for group therapy. Your main concern should be: a. the education of the group leader b. the experience of the group leader c. whether the group is heterogeneous or homogeneous d. the structure and format of the group - Answers-d. the structure and format of the group If a client from a minority group seems suspicious and mistrustful and hesitant to talk to a white social worker, the most likely reason is:

a. resistance b. paranoia c. transference d. language issues - Answers-c. transference A healthy couple has been referred to you because the woman is unable to have orgasms. The doctor that referred them states there are no obvious medical problems. You would first: a. explain female anatomy b. begin exploring the couple's relationship c. find out what the couple has tried thus far to address the problem d. do a genogram to explore family of origin issues - Answers-c. find out what the couple has tried thus far to address the problem An effective intervention for hyperactive children would include which of the following: a. the child will decide on rewards for completing tasks b. the parents will set up a behavioral modification program and enforce it consistently c. both the parents and child will determine appropriate punishments d. the parents will set up a behavioral modification program and be flexible in its enforcement - Answers-b. the parents will set up a behavioral modification program and enforce it consistently You are a social worker in an inpatient psychiatric facility. A female patient tells you a secret and asks you not to share it with others. You should: a. Assess her needs and decide whether or not to disclose her secret to other staff members b. Disclose her secret to other staff members and her therapy group and tell the client when you do this c. Discuss the case with a supervisor d. Tell the client you will honor her wishes - Answers-a. Assess her needs and decide whether or not to disclose her secret to other staff members Your client is a man whose wife was raped. He reports feeling overwhelmed and confused, wanting to be supportive but also feeling sexually distant from his wife. She is in treatment with another therapist. Your best treatment plan would be: a. Call the wife's therapist to consult and coordinate treatment b. Bring the wife into counseling with you and her husband c. Refer your client to a group for men whose partners have been assaulted d. Normalize your client's feelings and continue individual counseling - Answers-c. Refer your client to a group for men whose partners have been assaulted A social work intern admits to his supervisor that he had sex with a client. The supervisor should: a. Report the intern to the licensure board

b. Explain to the intern that sex with a client is inappropriate and take the intern off the case c. Consult with the client before taking any further action in order to determine whether the client consented to the sex d. None of the above - Answers-a. Report the intern to the licensure board You are beginning a group for parents and their teenage children. From your experiences with new groups, you know that there is an expected communication style among members in the early stages of groups. Typically, which of the following occurs: a. Group members are hostile toward the social worker b. Group members interact with one another and more or less ignore the social worker c. Group members communicate through the social worker and ignore one another d. Cliques develop within the group - Answers-c. Group members communicate through the social worker and ignore one another Which of the following is an issue that lawmakers may need to decide? a. Anonymity b. Privilege c. Confidentiality d. Self-determination - Answers-b. Privilege A man dies and, after hearing of this, a relative living in another state experiences chest pains. Which of the following describes this reaction: a. Projection b. Reaction formation c. Sublimation d. Introjection - Answers-d. Introjection A lesbian client says she wants a lesbian social worker. You should: a. Tell her you are a lesbian, if you are b. Refer her to a lesbian therapist c. Explore why she wants a lesbian therapist d. Reassure her that you can be helpful to her regardless of whether or not you are gay

• Answers-c. Explore why she wants a lesbian therapist

65. What do you do first in a clinical interview with a client? a. Present your qualifications b. Establish rapport c. Complete an intake d. Identify treatment goals - Answers-b. Establish rapport Task groups are an important means of accomplishing an agency's objectives. A task group: a. Is leaderless so that all staff are motivated to contribute b. Is convened to achieve a specific function or goal

c. Focuses on supporting staff members in order to maintain high quality services delivery d. Relies on brainstorming to identify obstacles to achieving agency objectives - Answers-b. Is convened to achieve a specific function or goal A social worker who recently began working at a community agency is inadvertently violating one of the agency's policies. The supervisor should a. Speak to the social worker b. Give the social worker a written evaluation c. Discuss the matter with the social worker's clients who have been affected d. Fire the social worker - Answers-a. Speak to the social worker A boy is in a wheelchair. His peers at school have been making fun of him. What would be the best intervention for a social worker to make? a. Inform his teachers b. Talk to the student body c. Help the boy accept his disability d. Talk to his parents - Answers-c. Help the boy accept his disability How might a black client initially relate to a white social worker? a. with minimal countertransference issues b. with passive aggressiveness c. with transference issues d. with self disclosure - Answers-c. with transference issues A social worker is making little progress with a client after 4 weeks of treatment. What might the social worker do? a. refer the client to another social worker b. schedule a case consultation c. continue with treatment, it's too early for progress to occur d. confront the client about their lack of motivation - Answers-b. schedule a case consultation Of the following, which would be least important in the acculturation of an Asian girl in treatment with a social worker? a. the wishes of her parents b. the social worker's experience with similar situations c. the social worker's skills d. the girl's network of friends - Answers-d. the girl's network of friends Per Minuchin, psychosomatic families are most likely to be characterized by which of the following:

A. frequent intense open conflicts between family members B. weak boundaries between family members C. family roles that are inflexible and stereotyped D. marked emotional distance between the husband and wife - Answers-B. weak boundaries between family members A child is engaging in risk-taking behavior and is disruptive with his parents and peers. What is the most likely diagnosis? a. ADHD b. Conduct disorder c. Antisocial personality disorder d. Depression - Answers-a. ADHD A newly referred adult male does not trust women. You are a female social worker. What would you do? a. ask how your being a female might affect the relationship b. talk about the problems that the client has with women c. suggest a referral to a male social worker d. discuss the client's relationships with other female social workers - Answers-a. ask how your being a female might affect the relationship A client is displaying extinction of a particular operant behavior. What do you expect? a. more of the same behavior b. less of the same behavior c. an increase in other types of behavior d. no change in behavior - Answers-b. less of the same behavior A child is experiencing separation anxiety during the school day. What should you do? a. refer to a child psychiatrist b. assess the home and school environments c. refer to medical doctor d. recommend Ritalin - Answers-b. assess the home and school environments A client is referred to you because of substance abuse. Your first step is to: a. refer to AA b. take a history of substance abuse c. do urine screen d. talk to the client's spouse - Answers-b. take a history of substance abuse A researcher identifies a .05 difference between boys and girls in aggression. This indicates:

a. statistical significance b. no statistical significance c. statistical regression d. an inverse relationship - Answers-a. statistical significance An autistic boy has been rocking his body and flicking his fingers more often than he used to. You would refer this boy to: a. a neurologist b. a psychiatrist c. a speech therapist d. a social worker - Answers-a. a neurologist How would you explain a DSM diagnosis to a client? a. let the client read it from the DSM b. don't explain it, the client wouldn't understand c. tell the client in which category the disorder is described d. explain the client's behavior and how it meets criteria - Answers-d. explain the client's behavior and how it meets criteria A social worker reveals insight to a client: a. when she believes the client is ready b. when the client thinks he is ready c. during the termination process as a summary of what the client has learned d. before dealing with a new issue - Answers-a. when she believes the client is ready For rapport to develop, it is important for a social worker to: a. always empathize with the client b. have similar issues as the client c. be congruent in words and behaviors d. be aware of personal biases - Answers-d. be aware of personal biases How would you discuss the results of the Beck Depression Inventory with a client? a. discuss your findings with the client b. incorporate your findings into the treatment plan c. have the client complete another depression scale for comparison d. don't discuss the results because they might confuse the client - Answers-a. discuss your findings with the client A 15 year old high school student believes he is a policeman. This illustrates which of the following:

a. a delusion b. a hallucination c. grandiosity d. metacognition - Answers-a. a delusion A man in the army is referred to a social worker for alcohol abuse. He and his wife have been having many arguments about his drinking, which have escalated into physical abuse. What you consider for an intervention? a. assess for alcohol abuse and continue therapy b. refer to a marriage/family therapist c. refer to an alcohol treatment center d. refer to domestic violence classes - Answers-c. refer to an alcohol treatment center A client has been voluntarily admitted to a psychiatric hospital. He is psychotic, HIV+, and suffers from alcohol abuse. His parents want nothing to do with him. What would you do first? a. stabilize on meds b. start treatment for alcohol abuse c. perform blood tests to determine T-cell count and viral load d. call the family - Answers-a. stabilize on meds A Native American girl has been having frequent nightmares about her deceased father. You would: a. refer to a therapist b. refer to a tribal healer c. refer to a psychiatrist for medication d. refer to a doctor - Answers-b. refer to a tribal healer What is the best way to control for external validity? a. when subjects are homogenous in relationship to personal characteristics b. when subjects are informed about what the study is measuring c. when subjects volunteer for the study d. when subjects are non-volunteers - Answers-d. when subjects are non-volunteers To deal with service delivery problems, an agency would: a. hire a consultant b. develop a client feedback system c. use resource records d. review each case after termination - Answers-a. hire a consultant

a social worker discovers that a nurse is giving more pain medication to a patient than the doctor has prescribed. What should the social worker do? a. discuss the issue with the nurse b. report the nurse immediately to the medical board c. immediately tell the nurse's supervisor d. tell the doctor - Answers-a. discuss the issue with the nurse A Latino male who is a recent immigrant to the US is referred to you by his sister due to his recent use of drugs. Do you: a. ask for a urine analysis b. explore immigration problems c. take a history of drug use d. refer for inpatient treatment - Answers-c. take a history of drug use Two gay men have been voluntarily admitted to a residential facility. One is HIV+ and one is not. During their stay, they engage in a sexual encounter. How would you respond? a. advise the negative one to have an AIDS test b. tell the positive one about HIV laws c. talk to the negative one about the dangers of unprotected sex d. review the rules of the facility with both - Answers-c. talk to the negative one about the dangers of unprotected sex A male client diagnosed with Bipolar and Alcohol Dependence is scheduled to be discharged from a facility. The man tells his social worker that he is going to start drinking again and stop taking his meds. The social worker should: a. involuntarily hospitalize the man b. involuntarily medicate the man c. extend the discharge date d. call someone who can take the man to AA meetings - Answers-c. extend the discharge date A woman has been physically abuse several times by her live-in boyfriend. For the last 3 days, he has been buying her expensive clothes. This period is referred to as: a. the honeymoon period b. the intervention period c. the safety zone d. the tension reduction period - Answers-a. the honeymoon period A court-ordered client who has engaged in antisocial activities has not been making any progress. You would:

a. redefine the treatment goals b. remind the client of the court order c. refer to the probation officer d. terminate the client - Answers-a. redefine the treatment goals Native Americans are often distrustful about whether social workers will be able to provide treatment in a value-free manner. What would be the best intervention to promote trust? a. meet the client at the reservation b. maintain eye contact c. model self-disclosure d. not mention historic events that have affected the lives of Native Americans - Answers-a. meet the client at the reservation The first step in forming a new program is to: a. form the board of directors b. hire the executive director c. identify the program's policies d. determine the budget - Answers-a. form the board of directors A gay client shakes your hand at the end of a session. As a rule, you never shake hands with your clients. In the next session, the client accuses you of being homophobic because you hesitated in shaking his hand. You should: a. explain your policy b. ask the client whey he thinks you are homophobic c. tell the client you are not homophobic d. suggest to the client that he has taken your behavior too personally - Answers-a. explain your policy Which of the following is most difficult to indentify in a pre-school age child? a. physical neglect b. physical abuse c. sexual abuse d. emotional abuse - Answers-d. emotional abuse If a social worker is attracted to a client, his supervisor should: a. ask the social worker if he is attracted to other clients b. ask the social worker to describe his attraction c. refer the social worker to a therapist

d. tell the social worker to terminate the client - Answers-b. ask the social worker to describe his attraction A client tells his social worker that he has thought about committing suicide because he is failing out of law school. He is lucid, has no plan, and says he has good family support. He adds that he feels like he needs help. The social worker should first: a. have him hospitalized b. call the man's parents c. establish a no-suicide contract d. reassure him that his depression will decrease if he can accept that everyone fails sometimes - Answers-c. establish a no-suicide contract A social worker sees and teen boy and his parents. The son has been displaying serious conduct problems. He is the identified patient. Which of the following is most likely to be true? a. the homeostatic balance of the family has been disrupted b. there is too much power in the executive subsystem c. the teen's behavior is functioning to keep the system in line d. the boy is going through normal developmental phases - Answers-c. the teen's behavior is functioning to keep the system in line A client begins to cry during an initial meeting. Your best action is to: a. reassure him that he will feel better b. sit with him quietly until he is ready to speak c. ask open-ended questions to find out why he is crying d. ask him to stop crying - Answers-b. sit with him quietly until he is ready to speak A social worker is interested in evaluating his clients' perceptions of a treatment program. This type of evaluation is referred to as: a. quality assurance b. outcome model c. cost analysis d. systems analysis - Answers-b. outcome model The Indian Child Welfare Act: a. allows tribes to reclaim jurisdiction over matters of Indian child welfare b. requires that tribes and parents be notified when an Indian child is the subject a child custody dispute c. provides for the development of family services on reservations d. all of the above - Answers-d. all of the above

When working with a client from a _________________ background, it is best to avoid direct eye contact: a. African American b. Asian c. Caucasian d. Native American - Answers-d. Native American You are working with a client who exhibits some symptoms of alcohol abuse but denies that he has a problem. You decide to complete a genogram with your client. In this case, what would be the purpose of doing a genogram? a. To identify family history of this disease b. To check the client's long term memory c. To determine the client's current support system d. To determine personality characteristics of the client's family - Answers-a. To identify family history of this disease A woman comes in to your agency upset about her 4 year old son who is wetting the bed and having temper tantrums. A new sibling has just been born. What is your first intervention? a. Do individual counseling with the child b. Tell the mother she needs support and recommend that she place the 4 year old in daycare c. Set up a behavior program for the bed wetting and temper tantrums d. Discuss with the mother that this is often normal behavior when a new sibling is born

• Answers-d. Discuss with the mother that this is often normal behavior when a new sibling is born You are seeing a Somali woman who has been in the U.S. for one year. She has been experiencing nightmares, difficulties in her personal relationships, inability to sleep, and difficulty concentrating, and her affect is flat. What might you suspect for a diagnosis? a. Post Traumatic Stress Disorder b. Alcohol Abuse c. Depression d. Generalized Anxiety Disorder - Answers-a. Post Traumatic Stress Disorder A social worker is uncomfortable with a gay client. The client wants to continue working with this social worker. You would recommend: a. Referral to another social worker b. That the social worker consult with her supervisor regarding her discomfort with this client c. Therapy for the social worker d. Terminating the client - Answers-b. That the social worker consult with her supervisor regarding her discomfort with this client

An attorney calls to request a client's case file. What is your best initial response? a. Refuse b. Ask the client to sign a release of information c. Call the attorney to discuss the case d. Release the case file to the attorney - Answers-a. Refuse You receive a call from a woman who is the ex-wife of a client you are currently working with. The woman wants to set up an appointment with you. You should: a. Set up an appointment with her without telling your client you have done so b. Set up a conjoint appointment with the ex-wife and client c. Refer the ex-wife to another social worker d. Tell the ex-wife that you cannot see her because you are already treating her ex- husband - Answers-c. Refer the ex-wife to another social worker A social worker should be aware that client records: a. Are protected by law and cannot be disclosed without the client's consent b. Are the property of the social worker and cannot be disclosed without his or her consent c. Are the joint property of the client and social worker and cannot be disclosed without the consent of both d. Are not free from disclosure all the time, regardless of the wishes of the client or the social worker - Answers-d. Are not free from disclosure all the time, regardless of the wishes of the client or the social worker You have been working with a client for five months. At the end of a session, the client begins crying and says with a great deal of emotion that you have helped him a lot. During the next meeting, the client is quiet, seems embarrassed, and refuses to talk about his feelings. You should: a. Respect the client's right to self-determination b. Work through his transference c. Talk about your feelings d. Explore what happened in the last session - Answers-d. Explore what happened in the last session Your 19 year old client's parents want information from you about their son. Do you: a. Get a release of information from your client in order to talk to the parents b. Ask the parents to join you and your client in a session c. Call the parents to discuss this request d. Refuse this request - Answers-d. Refuse this request A client begins arriving late for her meetings with you. At the end of one meeting, she asks if she can stay longer so she can have a full hour with you. Your best response is to: a. Extend the session, but tell her it's an exception b. Ask the client if she has a problem with her scheduled time and explain that, if she does, you can offer a different appointment time

c. Tell the client she has an obligation to arrive on time d. Refuse to extend the session - Answers-b. Ask the client if she has a problem with her scheduled time and explain that, if she does, you can offer a different appointment time A new client tells you that his last social worker made sexual advances toward him. Your best response is to: a. Tell him this is not typical behavior for a social worker b.Tell him you will report the other social worker to the state board c. Inform the client of his legal options d.Tell him that he can talk freely to you about what happened and that no one else will ever hear about it - Answers-c. Inform the client of his legal options A social worker who has very little experience is required to have "live supervision" when she sees clients. This means that: a. There must be a supervisor on-call to deal with emergencies b. There must be one hour per week of supervision for the social worker c. There must be a supervisor in the session with the social worker while she is meeting with clients d. There must be access to a supervisor at all times - Answers-c. There must be a supervisor in the session with the soial worker while she is meeting with clients A client diagnosed with Bulimia is likely to display all of the following symptoms except: a. Shame and guilt b. Binging and purging c. Diuretic use d. Concern about being overweight even though she is well below normal body weight - Answers-... A social worker becomes angry with a client during an initial interview. This social worker should: a. Focus on the positive characteristics of the client b. Focus on the internal sources of this anger c. Express these feelings to the client d. Refer this client to another social worker - Answers-... A female African American senior citizen has been coming in to your agency daily asking for support. She seems depressed and is recently retired from a job that she held for 40 year. She currently attends a senior citizen center where she eats one full meal a day. She is fairly involved in her church. What would you suspect as this client's presenting problem? a. Malnutrition b. Substance abuse c. Identity disturbance d. Adjustment due to recent role changes - Answers-...

A 70 year old woman has been calling her children by other names and forgetting her where her keys are. The children are concerned about her and bring her to you for an assessment. Based on this limited information, you suspect she is suffering from: a. Dementia b. This is normal age-related cognitive decline c. Substance abuse d. Malnutrition - Answers-... A social worker is assessing an 8 year old boy referred by his school for behavior problems. The boy is inattentive, has difficulty with reading and math and is easily distracted. He rarely follows instructions and does not finish his assignments. The social worker should first consider that the child may be: a. Mentally retarded b. Emotionally disturbed c. Hyperactive d. Learning disabled - Answers-... In the first interview with a voluntary client, the primary purpose of asking questions is to: a. Establish a warm and accepting atmosphere to insure that the client will return b. Determine the presenting problem so that a decision can be made on the appropriateness, scope and direction of additional interviews and intervention c. Direct and focus the client's conversation on the client's family history d. Find out if the client really wants help - Answers-... Treatment for children who have been sexually molested by their father will not include: a. Group treatment with other child sexual abuse victims b. Individual treatment c. Mother-child treatment groups to help the child and mother deal with their anger d. Father-child groups to help with reconciliation - Answers-... In developing an alliance with a voluntary client, a social worker should: a. Assure the client that the agency's treatment goals are appropriate for the client b. Assure the client that everything is confidential c. Demonstrate that the client's preferences and goals will be respected and that the client will not lose control Suggest a written contract that specifies both the worker and client's responsibilities - Answers-... Treatment for grief issues are often provided through: a. Psychoanalysis b. Groups focused on grief and loss issues c. Behavioral treatment Intensive case management - Answers-...

Mr. Blank, an 80 year old resident of a nursing home, seems anxious after every visit from his son. The case manager discovers from the nursing staff that the son is trying to get money from Mr. Blank to buy a new car. Knowing that his son is an alcoholic, Mr. Blank does not want to provide him with cash, worrying that he would spend the money on alcohol. The best intervention the social worker could do is: a. Recommend to the nursing staff that they monitor the son's visits b. Have discussions with Mr. Blank about his son and his concerns about the son's drinking c. Tell Mr. Blank to refuse visits from his son d. Arrange a meeting with Mr. Blank's son - Answers-... In the first meeting with parents referred by Children's Services due to child abuse allegations, the social worker would most likely: a. Confront the parents on their inappropriate use of physical discipline b. Meet separately with the parents c. Discuss the parents concerns and feelings about being referred for treatment d. Indicate the parents could lose their child if they do not cooperate - Answers-... The mission statement of an agency represents: a. A broad statement of the agency's goals and social purposes b. An absolute commitment to specific activities c. A basis for planning next year's programs d. A fund raising device - Answers-... Someone who curses or gesticulates uncontrollably and without premeditation may suffer from: a. Tourette's syndrome b. Anxiety disorder c. Bipolar disorder d. Alzheimer's - Answers-a. Tourette's syndrome Severe grief and mourning are sometimes accompanied by: a. Mutism b. Hallucinations c. Hypothermia d. Sensory deprivation - Answers-b. Hallucinations