1. The concept of acceptance is best described as:
a) A contractual agreement to provide a client with counseling services.
b) Expressing approval to the client.
c) Accepting the client’s values and beliefs.
d) Holding the client in unconditional positive regard.
2. An appropriate Release of Information form should have all but one of the following features:
a) A place for an agency official to sign for the client if he/she is not available to sign.
b) A place for the name of the person/facility where the information is being released.
c) A place for description of the specific type of information to be released.
d) A date upon which the Information Release form terminates (i.e., is no longer valid).
3. A school social worker is meeting with a high school sophomore girl of Southeast Asian descent. She is a bright and successful student. However, she is concerned because the time has come for her to enter into an arranged marriage and she is unsure if she will be able to maintain a household and successfully continue her studies. She explains that her family feels that only men need to complete high school, and women need only “raise the children” and “keep house.” In spite of this, she wants to continue her education and does not want to marry at this time. The school social worker’s FIRST response should be to:
a) Review pregnancy prevention options so that the girl can at least prevent an untimely pregnancy after she is married.
b) Contact Child Protective Services to intervene and stop the impending marriage.
c) Call a “parent-teacher conference” to discuss the upcoming plans.
d) Complete a biopsychosocial assessment, with an emphasis on cultural, familial, and religious factors.
4. A sixth-grade child is referred to see a school social worker for issues of aggressive behavior and class disruption. Upon entering the counselor’s office, the child presents as angry, sullen, and belligerent. He refuses to make eye contact, does not respond to questions, and instead plays with a pocket-sized toy to avoid engagement. When asked to hand over the toy, the child does not respond and continues playing. The social workers BEST response would be to:
a. Address the child’s anger and resentment at being sent to see the counselor.
b. Physically take the toy from the child to remove it as a distraction.
c. Ask the child why he is behaving so badly and why he is so angry.
d. Schedule a meeting with the parents to address the problem behaviors.
5. Individuals with borderline personality disorder (BPD) most commonly use which of the following defense mechanisms:
6. During a group session in a chemical dependency program, a client persists in citing external factors for his drug use (a stressful job, home responsibilities, etc) and notes that he only uses recreationally. Therefore he should not have to be in the program because it was just a “freak thing” that he was cited for driving under the influence anyway. Which defense mechanisms are being used by this client:
a) Denial and distortion.
b) Justification and minimization.
c) Intellectualization and rationalization.
d) All of the above.
7. According to Erikson’s Psychosocial Stages of Development, the greatest challenges for those age 50 and beyond is:
a) Intimacy versus Isolation.
b) Ego Integrity versus Despair.
c) Generativity versus Stagnation.
d) Initiative versus Guilt.
8. If a client offers to bring the social worker a cup of coffee from the machine down the hall, the MOST appropriate response is to:
a) Not accept, but express appreciation for the thought.
b) Accept the gesture as a token of kindness.
c) Offer to go with the client so both can purchase a cup.
d) Accept the gesture, but make sure the client is paid back.
9. While talking with the family caregiver of a client with dementia, the caregiver confesses that she is stressed by the burdens of caregiving and finds it particularly difficult when the client does not cooperate with care. At one point she notes, “Sometimes I tell him to swing his legs out of bed and he’ll do it. Other times he gets belligerent and will not. I’ve found that if I just slap his legs a few times, that gets his attention and he’ll swing them out of bed like I’ve asked.” The social worker should respond to this situation by:
a) Encouraging the caregiver not to slap the client for any reason.
b) Explaining that dementia waxes and wanes and capacity thus changes often, as well.
c) Commending the caregiver for her creative approach to motivating the client.
d) Reporting the abuse to Adult Protective Services.
10. The questions, “You wouldn’t do that, would you?” and “Surely you know better than that, right?” are both examples of:
a) Leading questions.
b) Split questions.
c) Complex questions.
d) Close-ended questions.
11. A foster child with fetal alcohol syndrome (FAS) has been referred to an agency for further evaluation and intervention. The FIRST step a social worker should take is to:
a) Work with the foster parents to determine the child’s needs.
b) Submit the child for a battery of performance tests.
c) Refer the child for a comprehensive psychiatric evaluation.
d) Begin to play with the child to initiate the assessment process.
12. During an intake interview, a client tells a social worker that her previous social worker had obtained prescription valium for her whenever she felt she needed it, and she wants to know if this social worker can assist her in the same way. When questioned further, the client refused to divulge the identity of the prior social worker. The MOST appropriate response would be to:
a) Ignore the issues since she is no longer seeing the social worker.
b) Contact local law enforcement and file a report.
c) Describe how to file an ethics complaint, and urge her to do so.
d) Refuse the client access to services unless she divulges the social worker’s identity.
13. A social worker in a drug treatment program interviews a client who is angry, belligerent, and apparently under the influence. During the process of telling him that he needs to be tested before he can be formally seen, the client voices a threat of harm against staff at the drug-testing center (“I’ll get a knife and stab those people if they report me positive again!”) and then bolts out the door. The proper response would be to:
a) Dismiss the threats as empty “drug talk” and note the incident in the client’s chart.
b) Call the police and relay information about the client, the lab, and the threat.
c) Call both the lab and the police, reporting the threat to each.
d) Call the testing lab and let them know the client has made a serious threat.
14. A newly divorced client discloses that she meets weekly with three other divorced women to “give each other a little support and just have a little fun.” This type of group would be called a:
a) Reference group.
b) Primary group.
c) Natural group.
d) Task group.
15. A social worker is seeing a four-year-old child for issues of grief and loss related to the recent death of a grandmother. The grandmother provided daily after school care for the child until her sudden and unexpected demise. The parents note that they have repeatedly explained that the grandmother had died and would not be returning, but the child remains distressed and continues asking for her grandmother. At times she asks if she did something to “make grandma go away” because she “didn’t mind” the last time she was with her grandma. The child is displaying symptoms of:
a) Separation anxiety.
b) Magical thinking.
c) Stranger anxiety.
d) Social phobia.
16. According to Erikson’s Psychosocial Stages of Development, “Identity versus Role Confusion” is a characteristic of what developmental stage?
17. A social worker receives a call from a child custody mediator, as the client gave the social worker’s name as a reference. The client’s treatment is ongoing and involves issues of spousal neglect and abuse. The mediator faxes over a signed Information Release form, and then asks specifically if the social worker could serve as a character reference for the client, specifically indicating his ongoing efforts to resolve his past problems. The appropriate response from the social worker would be to:
a) Agree to support the client at this difficult time.
b) Decline to testify in any court case, but agree to send a letter of support.
c) Discuss the client’s continuing issues with the mediator, and any reluctance the social worker might have about the client’s progress as related to his involvement with his children.
d) Decline to get involved in any way, citing the ongoing therapeutic relationship.
18. An overly directive counseling approach can lead to a social worker telling a client what to do, rather than allowing the client to discover their way via careful questioning and mutual exploration. When this occurs the MOST likely outcome is:
a) Client dependency on the counselor.
b) Reduced client self-determination.
c) Limited information and understanding of the client’s problems.
d) Diminished sense of self-worth on the part of the client.
19. Upon receipt of a subpoena for a client’s records, a social worker should:
a) Discuss the subpoena with an agency or facility supervisor.
b) Immediately copy and send out all of the client’s case records.
c) Provide a written summary of the client’s chart in lieu of the records.
d) Consult with an attorney specializing in confidentiality issues.
20. The concept of “vicarious liability” refers to the legal liability that supervisors have for the actions of those they supervise. This concept is also known by TWO of the following four terms (select the two alternate terms for this concept from the following four):
a) Substituted liability.
b) Imputed negligence.
c) Reciprocal liability.
d) Respondeat Superior.