170-Question Practice Test

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Questions and Answers

In order to best evaluate the legitimacy of the information regarding the child custody case, the social worker should:

Always speak to the husband and wife together so that they are more likely to be honest

Determine whether the husband or wife have had any past instances with being untruthful

Ask the husband and wife to put their allegations in writing and sign them, attesting to their accuracy

Obtain information from school personnel and records after obtaining parental consent (correct)

In order to meet the needs of a client discussing job stress after group therapy for substance abuse, the social worker should:

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

Determine if there is an employee assistance program in the client’s work setting to assist

Suggest that the client bring this topic up in the group next week to see if others are having similar problems

Recommend that the client see the social worker individually in addition to the group therapy because she appears to need some additional support (correct)

According to psychosocial development theory, the child may experience doubts in her abilities due to a crisis in which of the following stages?

Autonomy versus shame/doubt

Industry versus inferiority (correct)

Initiative versus guilt

Generativity versus stagnation

In a SOAP format, the 'A' stands for:

Assessment Signup and view all the answers

Aphasia is best defined as difficulty with:

Understanding language or using language to speak or write Signup and view all the answers

Culture-bound syndromes in the DSM-5 are replaced by all of the following concepts except:

Cultural stratification Signup and view all the answers

If a social worker receives a court order to provide records of a former client, they should submit the records:

But not contact the client as court orders are not to be discussed by anyone other than judges and attorneys Signup and view all the answers

According to strategic family therapy, the social worker's directive encouraging a young girl to continue her behavior is known as a:

Paradoxical intent Signup and view all the answers

When a social worker leaves one agency for another, they should:

Inform clients of appropriate options for the continuation of services and the benefits and risks of the options Signup and view all the answers

Federal law requires healthcare facilities that receive Medicare and Medicaid reimbursements to do all of the following regarding advance directives except:

Use a portion of their revenues to assist clients with the costs associated with creating advance directives Signup and view all the answers

In which of the following circumstances is task-centered treatment not recommended?

When the client wants to see immediate results or changes in circumstances Signup and view all the answers

In order to facilitate continued progress, the social worker should suggest that the client:

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. Signup and view all the answers

Which of the following is NOT a key diagnostic criterion of Paraphilic Disorders according to the DSM-5?

Legal involvement due to sexual interests or behaviors Signup and view all the answers

Which of the following is a limitation when using existing case records as the data source for the evaluation of client progress?

The scope of the evaluation is restricted to that which is explicitly stated in the file. Signup and view all the answers

In order to BEST assist a client who needs to access services from another organization, a social worker should:

Work with the client to evaluate options and select an agency that the client thinks will best meet his or her needs. Signup and view all the answers

During an intake interview, a client uses derogatory language about a particular ethnic group, causing the social worker to become angry. The social worker should:

Recognize the anger and discuss it later with the supervisor. Signup and view all the answers

What should a social worker do if a client with Schizophrenia is in crisis and does not want to be readmitted to the hospital?

Identify community resources to meet his immediate needs. Signup and view all the answers

If a client's insurance company threatens to discontinue payment for services without current treatment goals, the social worker's action of sending these goals without written consent is:

Unethical because such a release requires written consent. Signup and view all the answers

Which of the following is NOT true about motivation to change?

Motivation that is imposed by external forces is more salient than that which is intrinsic. Signup and view all the answers

Evidence-based social work practice can BEST be defined as:

Decision making based on the conscientious, explicit, and judicious use of research knowledge, clinical expertise, social work values, and client wishes Signup and view all the answers

What are the stages of change in sequential order?

Precontemplation, preparation, contemplation, action, maintenance, and relapse Signup and view all the answers

Which of the following is NOT an essential step in ethical problem solving?

Asking a supervisor to monitor practice to identify new ethical issues or dilemmas Signup and view all the answers

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:

Delusion Signup and view all the answers

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:

Unethical because this is a conflict of interest Signup and view all the answers

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?

Summative Signup and view all the answers

Which of the following is an example of social stratification?

Children from affluent households receive a better public education than those from low-income households. Signup and view all the answers

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:

Conduct a safety assessment Signup and view all the answers

A client with a Social Anxiety Disorder will MOST likely be prescribed which of the following medications to take on an ongoing basis?

Zoloft (sertraline) Signup and view all the answers

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?

Blood work Signup and view all the answers

Which of the following inhibits the establishment of a therapeutic relationship?

A universalism approach or the acceptance of a standard set of norms or standards Signup and view all the answers

Which of the following is NOT an exception to a social worker’s duty to protect confidentiality?

When a client has violated criminal laws and has not been properly prosecuted Signup and view all the answers

Which of the following theories is used to explain why clients in battering relationships will not leave until the benefits exceed the risks?

Social exchange Signup and view all the answers

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 feelings related to the imaginary situation in detail. This technique by the social worker is known as:

Covert modeling Signup and view all the answers

Which of the following is an example of role discomplementarity?

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. Signup and view all the answers

Which of the following is NOT one of six levels of cognition?

Affective Signup and view all the answers

Which of the following is NOT a stated purpose of the professional code of ethics?

To be used by malpractice insurance companies to mitigate liability Signup and view all the answers

Which of the following is an example of role reversal?

A mother with relationship problems who is repeatedly emotionally comforted by her 11-year-old daughter Signup and view all the answers

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:

Claim privilege to protect the confidentiality of the client Signup and view all the answers

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:

Other specified Signup and view all the answers

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:

Unethical because the client should have access to his or her record under these circumstances Signup and view all the answers

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?

Nardil (phenelzine) Signup and view all the answers

When clients are at high risk for relapse after discharge, all of the following should occur after termination EXCEPT:

Creation of client contracts that reinforce positive behaviors Signup and view all the answers

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:

Ethical since it contains important information for the social worker to know in order to work with the client effectively Signup and view all the answers

Which of the following statements is the BEST example of a behavioral objective for assisting a client in an educational setting?

John will make eye contact during conversations in practical arts class at least 75% of the time. Signup and view all the answers

What is the BEST diagnosis for a client who has difficulty picking up objects, swallowing, and speaking as a result of a stroke?

Ataxia Signup and view all the answers

Echolalia is BEST defined as:

Mimicking another’s speech Signup and view all the answers

A man who is having problems at work is yelling at his children more and has marital issues with his wife. What defense mechanism is he MOST likely using?

Displacement Signup and view all the answers

The client's feelings of being judged by the social worker, despite there being no criticism, are an example of what?

Transference Signup and view all the answers

What is the MOST significant change in the DSM-5 concerning Substance Related Disorders?

Substance abuse and substance dependence have been combined into a single substance use disorder. Signup and view all the answers

What should a social worker do if they notice a colleague showing signs of distraction and lateness after a personal loss?

Speak directly to the colleague about these observations. Signup and view all the answers

Which of the following is NOT true of life crises?

They must be precipitated by major life events. Signup and view all the answers

Which of the following statements is true for both business networking and social work networking?

It creates a community and builds alliances around a common interest or goal. Signup and view all the answers

What is the MOST important benefit of community participation in social work practice?

It puts decision-making power partly or wholly with community members. Signup and view all the answers

If a client has a Substance Use Disorder in addition to Schizophrenia, these two disorders are considered to be:

Comorbid Signup and view all the answers

What should a social worker do if a mother is concerned about her son who exaggerates experiences?

Explain that the behaviors are associated with the preoperational thought stage of cognitive development. Signup and view all the answers

What action should a social worker take when a child reports burns and mentions a family member?

Report the conversation immediately to child protective services. Signup and view all the answers

What should be considered if a client has made progress in therapy but is losing insurance coverage after losing their job?

Discuss alternatives for continuing therapy without insurance. Signup and view all the answers

Study Notes

Practice Test Structure

Total of 170 questions, 150 score-based; 20 are pilot items.
Complete all questions to assess timing and knowledge.
Random order of questions across different domains as in actual exam.

Exam Content Areas

Human Development, Diversity, and Behavior in the Environment: 46 Questions
Assessment and Intervention Planning: 41 Questions
Interventions With Clients/Client Systems: 41 Questions
Professional Relationships, Values, and Ethics: 42 Questions

Practice Test Guidelines

Use as a mock exam after studying, do not memorize answers.
Avoid applying answers to actual exam to mitigate confusion over nuances.
Take within a 4-hour time frame to mimic real-test conditions.
Avoid looking up answers until completing the test for an accurate self-assessment.

Scoring Insights

Correct answers range for passing: generally between 93-106 of the 150 scored items.

Sample Questions Overview

Motivation to change can fluctuate; intrinsic motivation may be more impactful than imposed change.
Evidence-based social work incorporates research knowledge, clinical expertise, and client preferences.
Stages of change: Precontemplation, Contemplation, Preparation, Action, Maintenance, and Relapse.
Ethical problem-solving involves identifying ethical standards, dilemmas, and weighing issues against core values.

Clinical Insights

Misguided self-assessment can reflect potential delusion in children, as illustrated by a boy claiming military affiliation.
Conflict of interest issues arise when personal relationships interfere with professional responsibilities.
Client satisfaction surveys help gauge the effectiveness of programs like relapse prevention.

Example of social stratification includes disparities in educational opportunities based on socioeconomic status.
In a crisis intake, conducting a safety assessment is crucial for clients expressing suicidal ideations.

Medication Awareness

Zoloft (sertraline) is commonly prescribed for Social Anxiety Disorder, emphasizing the importance of medication selection.

Child Custody Evaluation Techniques

Credibility assessment is vital in custody evaluations, especially when conflicting reports from parents arise.

These notes provide a concise overview of key areas and considerations relevant to the practice test and social work concepts, aiding effective study preparation.### Allegations and Family Dynamics

Request both husband and wife to document their allegations in writing and sign for accuracy.
Investigate any prior instances of dishonesty from either spouse.
Conduct discussions with both spouses present for increased honesty.
Gather information from school personnel with parental consent to provide a comprehensive view.

Client Support in Substance Abuse Recovery

Suggest individual therapy for a client struggling with job stress alongside group therapy for more tailored support.
Encourage the client to discuss her job stress issues in the next group meeting for shared experiences.
Assess the appropriateness of group therapy based on individual challenges presented by the client.
Explore available employee assistance programs at the client's workplace for additional resources.

Child Development and Behavior

An 11-year-old child feeling incompetent may face doubts due to the industry versus inferiority stage in psychosocial development.
This stage emphasizes the child's capacity to succeed and be recognized for their efforts.

In the SOAP format, "A" stands for Assessment, which encompasses the social worker's judgment about the client's status.

Understanding Aphasia

Aphasia is characterized by difficulties in understanding or using language, affecting communication abilities.

Cultural Concepts in DSM-5

DSM-5 replaces culture-bound syndromes with cultural syndromes, cultural idioms of distress, and cultural explanations.
"Cultural stratification" is NOT a recognized concept under the updated terminology.

When a court order is received, records should be submitted without contact with the client about the order, keeping discussions confidential.

Strategic Family Therapy

A social worker’s directive to a child to continue her behavior without change is known as paradoxical intent in strategic family therapy.

Clients should be informed of options for continued care when a social worker transitions to a different agency.
Maintaining transparency about changes helps in minimizing client stress and disruption of services.

Advance Directives Compliance

Healthcare providers receiving Medicare and Medicaid must inform clients of their rights regarding advance directives but are not mandated to cover their costs.

Task-Centered Treatment Limitations

Task-centered treatment is not advised when addressing long-standing, complex issues that require careful attention over time.

Clozaril Monitoring Requirements

Patients on Clozaril for schizophrenia typically require routine blood work to monitor potential side effects.

Therapeutic Relationship Barriers

A universalism approach, emphasizing standard norms, obstructs the development of a therapeutic relationship by failing to account for individual client needs.

Confidentiality exceptions include situations where a client poses a significant risk to themselves or others, or in cases of child abuse.
Disclosure is not permitted simply due to a client’s prior criminal behavior if they haven’t been prosecuted.### Theories in Battering Relationships
Social exchange theory explains why clients in battering relationships may not leave until the perceived benefits outweigh the risks.

Techniques in Therapy

Covert modeling involves visualization; a social worker guides a client to imagine public speaking and reflect on feelings.

Role Discomplementarity

Role discomplementarity occurs when partners express unmet expectations, such as a husband feeling his wife doesn't take responsibility for housework while she feels he doesn't provide financially.

Cognition Levels

Six levels of cognition include knowledge, synthesis, affective, and evaluation; synthesis is notably included.

Professional Code of Ethics

The code serves various purposes: summarizing professional values, guiding ethical determinations by the profession, and socializing new social workers.

Role Reversal

Role reversal is identified when a parent depends on a child for emotional support, such as a mother being comforted by her daughter.

Subpoenas and Client Records

Upon receiving a subpoena for former client records, a social worker should protect client confidentiality rather than immediately comply.

DSM-5 Classification

Conditions that do not qualify as disorders can be labeled as "Other specified."

Client Access to Records

A social worker's denial of access to records due to the abrupt termination is ethical under the premise that a clear reason for access must be provided.

Medication for Mental Health Conditions

A client showing lethargy progressing to agitation is likely to be prescribed Ativan (lorazepam); it's a common sedative for such symptoms.

Post-Termination Procedures

After discharge, regular assessments and follow-ups are critical, while a creation of client contracts is encouraged to reinforce positive behaviors.

Intake Forms and Ethics

Including demographic questions in an intake form is ethical as it gathers relevant information, provided confidentiality is maintained.

Behavioral Objectives in Education

A precise behavioral objective for a client in an educational setting may include a measurable goal, such as maintaining eye contact 75% of the time.

Stroke Symptoms and Diagnosis

A client with difficulty speaking and moving post-stroke may be diagnosed with ataxia due to compromised motor control.

Echolalia Definition

Echolalia is characterized by mimicking someone else's speech, often seen in communication disorders.

Defense Mechanisms

Displacement is observed when a person expresses frustration at work by directing anger towards family members.

Client Perception in Therapy

A client fearing judgment may demonstrate transference by projecting anxieties onto the social worker, interpreting their actions as critical.

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Description

This comprehensive practice test consists of 170 questions designed to prepare you for an upcoming examination. Keep in mind that only 150 questions will count towards your final score, as 20 items are experimental. Test your knowledge and readiness with this extensive quiz.