Which of the following is NOT true about Motivation to Change
Motivation fluctuates from one time to another
Motivation can be increased by working to remove barriers to change
Motivation is driven by hope or belief life can be different
Motivation that is imposed by external forces is more salient than that which is intrinsic
Evidence Based Social Work Practice can be BEST defined as
Intervention that SW has gained training and experience in delivering
Treatment that yields the most cost effective outcomes according to a cost-benefit analysis
Decision making based on the conscientious, explicit, and judicious use of research knowledge, clinical experience, social work values, and clients wishes
Practice evaluations that adhere to scientific principles
What are the stages of change in sequential order?
Precontimplation, preparation, contemplation, action, maintenance, relapse
Preperation, action, precontemplation, contemplation, maintenance, and relapse
Preperation, precontemplation, contemplation, action, mainteneance, relapse
Precontemplation, contemplation, preperation, action, maintenance, relapse
A social work administrator is having trouble finding a group home manager for a new program scheduled to open in two weeks. Further delays 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:
Ethical because the niece is clearly qualified for the position
Unethical because of the conflict of interest
Ethical because the position is temporary and ensures clients get the needed services
Unethical because clients will experience staff turnover when a new manager is hired.
Which is NOT an essential step in ethical problem solving
Identifying the ethical standards that may be compromised
Determining whether there is an ethical dilemma
Weighing ethical issues in light of social work values and principles
Asking a supervisor to monitor practice to identify new ethical issues or dilemmas
A young boy is stopped by a police officer and claims he is a member of the armed forces although it is obvious he is not. This assertion by the boy is MOST likely a
Comorbid Thought
Dissociation
Folie a Deux
Delusion
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 what type of evaluation
Summative
Experimental
Quasi-Experimental
Formative
Which is an example of social stratification
A child who is not included in group activities in school because of his or her poor social skills
Children who are violent and need to be separated from their peers
A child with social deficits is assumed to be delayed in cognition without formal assessments
Children from affluent households receive better public education than those from low income households
During an intake interview, a client reports that she is extermely depressed and has self destructive thoughts. She has had a prior suicide attempt but tells the social worker not to worry because she wont "do it" again. The SW should FIRST
Tell the client her decision not to harm herself is a good one
Explore with client what is causing her depression
Conduct a safety assessment
Refer to a psychiatrist for a medication evaluation
A client with Social Anxiety Disorder will MOST likely be prescribed which of the following medications to take on an ongoing basis
Zoloft (setraline)
Mellaril (thioridazine)
Throazine (Chlorpormazine)
Valium (diazepam)
A SW 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 they are in his care 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
Ask the husband and wife to put their allegations in writing and sign them, attesting to their accuracy
Determine whether the husband or wife have any past instances of being untruthful
Always speak to the husband and wife together so they are more likely to be honest
Obtain information from school personnel and records after obtaining parental consent
A SW 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 SW should
Recommend that the client see the SW individually in addition to group therapy because she seems to need additional support
Suggest the CL bring the topic up in group next week to see if others are having similar problems
Evaluate whether group therapy is the best treatment modality for the client due to the issues being mentioned to the social worker outside of the group context
Determine if there is an employee assistance program in the clients work setting to assist
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 "wont do it right". During several attempts to do things on her own, she is scolded. According to the psychosocial theory of development she may be experiencing doubt in her abilities due to a crisis in which of the following stages
Industry vs Inferiority
Initiative versus guilt
Autonomy versus shame/guilt
Generativity vs stagnation
A social worker is asked to use a SOAP format. What does A stand for
Action Plan
Assessment
Active Treatment
Adjustment to services needed
Aphasia is BEST defined as difficulty with
Walking or Running
Common motor skills such as combing hair, despite normal strength
Understanding language or using language to speak or write
Recognizing familiar objects
Ataxia is the difficulty with
Inability to recognize familiar objects is labeled
Culture -bound syndromes in the DSM 5 are replaced by all of the following concepts EXCEPT
Cultural syndromes
Cultural stratification
Cultural idioms of distress
Cultural explanations
A social worker receives a court order to provide records of a former client, the social worker should submit the records:
And try to contact the client and inform her about the disclosures
with the contact information so the client so the court can contact her about the release
But not contact the client as court orders are not to be discussed by anyone other than judges and attorneys
And write to the judge to see if he or she wants the client to know about the court order
A family comes into treatment due to young daughters bx. They report that she yells at her parents, doesn't listen, and complains about their bx. There is little progress during the course of treatment and the girl reports she has no intention of changing. After the sixth session, the SW says she cannot help with her behavior and she should continue to "do as she wishes". According to strategic family therapy, the social workers directive is known as
Paradoxical intent
Pretend Technique
Relabeling Paradigm
Differentiation response
A SW is leaving one agency to work at another. In order to address this situation ethically, the SW should
Not inform clients so to avoid causing them undue stress and harm
Advise clients that it would be best for them to transfer services to the new agency to avoid any interruptions in Treatment
Inform the clients of appropriate options for the continuation of services and the benefits and risks of the options
Discontinue services to clients immediately
Federal law requires health care facilities that receive Medicare and Medicaid reimbursements to do the following in regards to advanced care directives EXCEPT
Inform clients of their right to have advanced care directives that will allow them to make decisions regarding their health care
Use a portion of their revenues to assist clients with the costs associated with creating advanced directives
Ask clients if they have advance directives and document their response
Provide education about advance directives
In which of the following circumstances is task-centered treatment NOT recommended
When the client wants to see immediate results or changes in circumstances
When the client is anxious to be an active part of the change process
When there is a time limited period in which to work with the client
When the client is addressing long standing problems that are complex in nature
A client is currently taking Clozaril for the treatment of Schizophrenia. The CL is MOST likely going to be required to undergo what medical monitoring due to this medication use
Weight Checks
Blood Work
Dietary Restrictions
Exercise Regimen
Which of the following theories is used to explain why clients in battering relationships will not leave until the benefits exceed the risks
Psychoanalytic
problem solving
Functional
Social Change
A SW is working with a CL who is nervous about public speaking. The SW asks her to close her eyes and visualize herself speaking to a large audience and describe her feelings related to the imagined situation in detail. This technique is called
Covert Modeling
Self Modeling
Live Modeling
Symbolic Modeling
Which is an example of Role Discomplementarity
A husband complains that his wife does not take responsibility for keeping the house clean and wife is upset that her husband does not financially provide for the family
A woman states that she does not like working and wants to quit her job
A young child wants to play in the neighborhood unsupervised
A man struggles to fit time in at home with his family due to his hectic work schedule
Which is not one of the six levels of cognition
Synthesis
Knowledge
Affective
Evaluation
A SW recieves a subpoena from the courts in the mail for a former clients records. In this situation the SW should
Immediately send the original records to the court
Prepare a summary of the records to send in immediately
Claim privilege to protect the confidentiality of the client
Ignore the subpoena because it relates to a former client and is not relevant
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
Not otherwise specified
Other Specified
Unspecified
Not specified elsewhere
A client abruptly stops coming to therapy after the sixth session. She shows up to the office several weeks later demanding a copy of her records. The SW does not believe the information in the record could cause harm but denies because the CL hasnt given a reason for termination or wanting copies. The actions by the SW are
Unethical because the client should have access to his or her records under THESE circumstances
Ethical because the reason for the release must be disclosed to the SW
Ethical because CL terminated without notice
Unethical because CL is always allowed access to records under ANY circumstances
A client was referred to a mental health agency for treatment. Upon admission, he reports feeling lethargic and hopeless and had difficulty getting out of bed. Several weeks later he states he is sleepless, agitated, and unable to focus. Which of the following is the CL MOST likely to be prescribed
Ativan - Lorazepam
Nardil (Phenelzine)
Lithium (Lithium Carbonate)
Buspar (buspirone)
When CL is at high risk for relapse after discharge, all of the following should occur after termination EXCEPT
Regular assessment to determine if services are needed
Creation of client contracts that reinforce positive behaviors
Utilization of natural supports and peer support services
Follow up to see whether discharge plans are being implemented
A SW in a private practice designs an intake form that includes questions about a clients 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 CL effectively
Ethical since all of the information will be kept confidential
Unethical since this information may not be needed for treatment
Unethical unless the social worker makes it clear the client has the choice as to whether to complete it
A SW is charged with creating a behavioral objective to assist her Cl in his educational setting. Which is the BEST example of this type of objective?
John will make eye contact during conversations in practical arts class at least 75% of the time.
John will be motivated to complete his homework daily in order to achieve a grade of B or better
The teacher will praise John during class at least 10 times per hour
John will sit in his chair at least 80% of the time
A new CL 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 CL is
Agnosia
Ataxia
Prosopagnosia
Acalculia
A man who is having problems at work finds he is yelling at his children more and is starting to have marital problems. The husband is MOST likely using defense mechanism of
Reaction Formation
Projection
Conversion
Displacement
Upon admission, a clietn 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 SW and the SW is being critical of him when he sees her. The CLs feelings are an example of
Countertransference
Psychosis
Paranoia
Transference
A woman complains her 7 year old son "makes things up and exaggerates"/ He often ads information when recalling experiences and talks about knights and dragons being part of his everyday world. The woman is angry about this bx and worried it may be an indication of other mental health problems. in order to best assist, the SW should
Explain that the bxs are associated with the preoperational thought stage of cognitive development
Conduct a mental status exam on the child
Refer for MH evaluation based on mother's concerns
Determine whether this behavior is a concern to others including his teacher
