Questions and Answers
A social worker offers to continue the therapeutic relationship with several clients through e-mail. This suggestion is MOST appropriate to clients who:
A social worker sees a new client referred due to heavy alcohol use. The client questions the social worker's credentials. What should the social worker do NEXT?
According to the DSM-5, which diagnosis BEST describes a 19-year-old with a history of school truancy, property destruction, lying, and stealing since age 14?
A married mother of two referred for depression and inability to maintain work standards has recently lost her younger sister. The social worker's MOST appropriate practice approach is:
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During an initial interview, a client blushes and becomes silent. What should the social worker do NEXT?
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A social worker sees a 75-year-old man whose wife died six months ago and reports losing weight and having little energy. What should the social worker do FIRST?
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Study Notes
Social Worker Practice Scenarios
- A social worker offering email therapy should prioritize clients who can cope with day-to-day issues, indicating higher functioning (Key C).
- Clients facing crises require more direct contact, making email an inappropriate method for them (Key D).
- Clients harmed by early termination may need special attention but are not considered the best fit for email therapy (Key B).
- Completed treatment clients do not require ongoing therapeutic communication, thus making email redundant (Key A).
Initial Client Assessment
- When dealing with a client questioning a social worker's credentials, it is more effective to ask how the client feels about seeking help (Key C).
- Confronting the client prematurely may be damaging to the relationship (Key A).
- Discussing physical consequences of alcohol abuse (Key B) or obtaining indirect information (Key D) does not directly address the client's concerns.
DSM-5 Diagnosis
- Deliberate property destruction, lying, stealing, and other behaviors before age 16 suggest a diagnosis of conduct disorder, adolescent onset (Key C).
- Antisocial personality disorder (Key A) is typically diagnosed in adults and does not align with the provided age context.
- Oppositional defiant disorder (Key B) and intermittent explosive disorder (Key D) do not fit the symptoms presented.
Therapy Approach Selection
- For a mother experiencing depression and newly acquired caregiving responsibilities, a problem-solving approach is most effective (Key C).
- Solution-focused therapy (Key A) may not address her immediate, pressing needs.
- Other therapeutic approaches, such as ego psychology (Key B) and behavioral therapy (Key D), do not match her current circumstances.
Handling Client Emotions
- Allowing silence for a few seconds after a client becomes silent can help them process their emotions and formulate responses (Key B).
- Rephrasing questions (Key A) too soon may disrupt the client's processing.
- Delaying the discussion (Key C) or prematurely identifying the client's emotions (Key D) might not respect the client’s need for space.
Risk Assessment in Grief
- A 75-year-old client with symptoms like weight loss and low energy six months post-spouse death requires an immediate suicide risk assessment (Key A).
- Ensuring mental health safety takes precedence over exploring resources (Key B) or suggesting a doctor visit (Key C).
- Referring to bereavement groups can be helpful but is not the first step in addressing potential depressive episodes (Key D).
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Description
This quiz consists of flashcards designed to test knowledge relevant to social work practices and ethical considerations. Focused on how to manage therapeutic relationships, especially during transitions, it covers client situations effectively. Prepare to assess your understanding of appropriate client responses in challenging scenarios.
