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jan 24 #2

Jan 24 #2

by mgredgold, Jan. 2014

Subjects: and clinical management practice

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44 Cards in this Set

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	When referring a client to a psychologist who will be providing collateral service of psychometric testing you may a) reveal all infromation pertinent to the service about to be reveived, with the client's consent b) reveal all information pertinent to the service about to be received, even without the client's consent c) with the client's consent, reveal any information requested by the psychologist d) reveal no information, even with the client's consent. The psychologist should rely on information obtained directly from the client	reveal all information pertinent to the service about to be received, with the client's consent
	In using a crisis intervention approach you should do all of the following EXCEPT a) help the client separate their experience of the present stressful event from their experience of prior crisis b) use the crisis intervention approach as a way of engaging the client in longer term therapy c) explore how the present experience of stabilizing and resolving a crisis state may help in coping with future crisis d) see what can be learned from past coping mechanisms	use the crisis intervention approach as a way of engaging the client in longer term therapy
	For successful engagement in a brief therapy approach, your client should a) be free of ambivalence about using psychotherapy b) have multiple conflicts or problem areas to focus on c) have ego strength to tolerate rapid involvement and loss d) be free of ego defenses	have ego strength to tolerate rapid involvement and loss
	You may reveal confidential information in order to prevent a significant threatened danger, but only if.. a) the client consents b) care is taken to determine the information's validity c) the client was instructed earlier about the limits to confidientiality d) the client hs a serious and presistent mental illness	care is take to determine the infromation validity
	In psychodynamic psychotherapy, "resistance" means that a client is resisting.. a) the pursuit of their own goals b) insight c) the therapist's techniques d) the therapist's authority	the pursuit of their own goals
	A client offers to enter into a business partnership with you. The client offers to terminate therapy to avoid the dual relationship problem, and has access to adequate resources for resuming therapy with another SW a) You may enter into this business relationship, but only after confirming that the client has actually engaged with another therapist b) You may not enter into this business relationship c) You may not enter into this business relationship if you believe the client's request represent a resistence. d) You should enter into this business relationship if you bellieve it would be mutually beneficial and if you believe it would foster the client't goals.	You may not enter into this business relationship
	Another professional refers a client to you. The referring professional later spends one hour presenting you with the client's psychological testing and explaining the tests to you. As a private practitioner you may pay a fee to this other professional only if a) the payment is based on the nature of the referral b) the payment is based on both consultive services received from the referring person and on the nature of the referral c) the payment is based on consulative services received from the referring person but not on the nature of the referral d) the payment should not be made at all. No payment of any kind may be made to a person who referred a client to you.	the payment is based on consultive services received from the referring person but not on the nature of the referral
	An attorney has sought clinical SW services from you as a private practitioner. The attorney offers to provide legal services in exchange for psychotherapy services, rather than pay a fee. The barter arrangement.. a) constitutes a dual relationship and should therefore not be made b) may be made only if a written agreement clarifies the nature of the exchange c) may be made only if an independent third party confirms the comparable worth of the barter exchange d) is nontaxable and should therefore not be made	constitutes a dual relationship and should therefore not be made
	An AIDS patient has been hospitalized with a second bout of pneumocystis pneumonia. In this midstage of the disease process you would expect to find a) loss of hope and emotional exhaustion b) affective numbing c) denial d) reduction of suicide risk following the initial stage turmoil	loss of hope and emotional exhaustion
	Hypoglycemia, excessive caffeine use, or mitral valve prolapse can cause.. a) schizoptypal symptoms b) panic symptoms c) depression symptoms d) manic symptoms	panic symptoms
	The AA Program.. a) is based on Rankian personality theory b) is affiliated with the Methodist Church, but nonsectarian in its approach and membership c) charges dues according to a sliding scale fee with no fee charged to those who cannot afford payment d) has a primary purpose of achieving sobriety and staying sober	has a primary purpose of achieving sobriety and staying sober
	Which of the following is a membership requirement of Cocaine Anonymous? a) a desire to stop using cocaine b) abstinence from using cocaine while engaged in the program c) belief in a higher power d) being introduced by a sponser who is already a member	a desire to stop using cocaine
	Depression is NOT an associated feature of.. a) panic disorder b) schizophrenia c) bereavement d) specific phobia	specific phobia
	As a member of a nonprofit coporation's board of directors you a) are liable for damages caused by the organization's staff b) are hired by the organization's executive director c) are salaried employee of the organization d) are appointed by a state agency	are liable for damages caused by the organization's staff
	Your client has a diagnosis of PTSD. When this client experiences psychic numbing probably.. a) has the purpose of protecting against pain following physical injury b) involves a feeling of detachment or estrangement form others c) means that she has learned to use cognitive therapy technique involving mind over matter d) is due to substance use	involves a feeling of detachment or estrangement from others
	Affect is considered inappropriate when it.. a) is associated with abusive or exploitive acting out b) is discordant with the content of a person's speech or ideation c) reflects an exaggerated or histrionic response to a minor stressor d) is inconsistent with a person's ethnic culture	is discordant with the content of a person's speech or ideation
	Self-determination means that your clients have a right to determine.. a course of action b) the outcome of their actions c) the outcome of their own psychotherapy d) the therapist's level of genuiness	a course of action
	Mr Dodd is a 68 yr old retired teacher. When asked to describe his last teaching job he couldn't remember important information such as the grade he taught or the name of the school he taught at. He gave an answer, however, saying that his last class was a 3rd grade class at the Waldorf School in a local suburb. He said that the 3rd grade was always his favorite and that he received a warm send off at his retirement party. Mr Dodd is manifesting.. a) malingering b) factitious disorder c) lying d) confabulation	confabulation
	According to Helen W. "When I'm in the supermarket I feel as if other shoppers are watching to see what I buy. When they do, they then avoid buying those items." Helen W is manifesting a) an hallucination b) a delusion c) an illusion d) an idea of reference	an idea of reference
	Your client meets the criteria for a paranoid personality disorder. This client's symptoms will probably tend to a) become more prominent with age b) become less prominent with age c) remain stable over the course of one's life d) become more functional under stress	become less prominent with age
	ECT is now a) illegal in most states b) an effective means of reducing depression that is not responsive to other methods c) the treatment of choice for melancholic depression d) an effective means of reducing psychosis that is not responsive to other methods	an effective means of reducing depression that is not responsive to other methods
	A client has sought psychotherapy for treatment of an eating disorder. The client comes late to the second and third session, attends the fourth session on time, and misses the fifth session without notifying the therapist. You should... a) terminate jthe client until her motivation is sufficient for effective engagement b) identify and explore the a client's ambivalence about psychotherapy, while setting clear expectations about attendance c) respect the client's self-determination with regard to shceduling and encourage the client to improve attendance d) intrepert the relationship between eating disorder and ambivalence	identify and explore the client's ambivalence about psychotherapy, while setting clear expectations about attendance
	The object concept develops during the developmental stage of.. a) trust vs. mistrust b) autonomy vs. shame and doubt c) initative vs. guilt d) industry vs. inferiority	trust vs. mistrust
	A client has been referred to you by a colleague who is retiring. You should.. a) contact the previous service provider for consultation, but only with the client's consent b) contact the previous service provider for consultation, with or wothout the client's consent if you believe that the consultation will be in the client's best interrest c) not contact the previous service provider for consultation in order to avoid possible confusion and conflict d) discuss with the client whether consultation with the previous service provider is in the client's best interest	discuss with the client whether consultation with the previous service provider is in the client's best interest
	Your state's laws mandate that all SW reports a reasonable suspicision of child abuse. When you interview Mr T you suspect that he has been sexually abusing his daughter because his family's dynamics are exceptioanlly patriarchal and enmeshed, because he expesses exceptional intense interest in his daughter's sexual conduct, and because you find his personality patterns to be similar to that of other incest prepetrators you have known over the years. When you tell your supervisor that you intend to file a child abuse report she tells you that you are being overly suspicious. She directs you not to make the report. You should.. a) contact your supervisor's supervisor in order to see if the supervisor's decision can be overruled b) make the report c) refrain from making the report and take no further action unless directed to do so d) gather addditional iformation so that you can provide your supervisor with a stronger case to back up your suspicion, thereby gaining the supervisor's permission to make the report	make the report
	You are the supervisor of a newly formed multidisciplinary team. In order to facilitate the development of cohesion on the team you should.. a) encourage members to handle their conflicts between themselves on a one to one basis outside of team meetings b) encourage members to bring their conflicts with other team members to you during supervision sessions so that you can find resolutions that will benefit all team members c) encourage members to air their conflicts during team meetings so that they can work out resolutions as a group d) encourage members to supress their conflicts so that they do not interfere with work	encourage members to air their conflicts during team meetings so that they can work out resolutions as a group
	A supervisor is responsible for the quality of a supervisee's services to clients. Therefore, in order to learn about the nature of those services, especially with neophyte SW, the supervisor should.. a) review the supervisee's case documentation and process notes b) intrview clients without the supervisee present to inquire about their satisfaction with the supervisee's services c) directly observe occasional sessions by sitting in with the client and supervisee d) review the supervisee's case documentaion and progress notes, and directly observe occasional sesions by sitting in with the client and supervisee	review the supervisee's case documentation and progress notes, and directly observe occasional sessions by sitting in with the client and supervisee
	An organization should make consultee-centered case consultation available to its staff for all of the following reasons EXCEPT.. a) deficits in applying knowledge or skill b) development of fundamental knowledge or skill c) lack of professional self-confidence d) lack of professional objectivity	development of fundamental knowdedge or skill
	You are employed by a community MH agency as a clinical SW. The agency's sole mission is to support community living for persons with serious and persistent mental illness who are at risk of hospitalization. As a result of this mission many applicants for service are turned away, even though they have a significant mental health problems such as anxiety, depression and domestic violence. In the course of your intake activities you should.. a) deny services to persons who do not have serious, presistent mental illness and are at risk of hospitalization. b) accept anyone for service who can benefit from the services available c) accept anyone for sevice who can benefit from the services available, but only after all seriously, persistently mentally ill applicants have been served d) deny service to persons who do not meet the agency's target population, but assist them in organizing to confront the Board of Directors in support of a more flexible target population definition	deny service to persons who do not have serious, persistent mental illness and are at risk of hospitalization
	When employees are persented with global mission statements that promise to offer all things to all people, which of the following is least likely to happen? a) supervisors will make unprioritized and conflilcting demands on employees b) employees will determine their own personal directions and priorities in an uncoordinated manner c) employees will feel little need to rely on muntiple specific policies and procedures to guide their work d) support for the agency's programs from the community will be diminished	employees will feel little need to rely on multiple specific policies and procedures to guide their work
	Susto is a term used in Latino communities to refer to the experience of a characteristic cluster of anxiety, depression and psychosomatic symptoms attributable to a person having experienced a severe fright. It is assumed that these symptoms result from the soul leaving the body. A person presenting with a prolonged pattern of susto.. a) should be considered free of mental health problems because this symptom pattern is specific to a particualr culture b) should be considered to have a mental health problem c) should be respectfully helped to understand that soul loss is not teh cause of their symptoms d) should be denied access to services designed for the mentally ill	should be considered to have a mental health problem
	A supervisor's authority is least likely to be accepted by supervisees when.. a) it is used to achieve objectives to which both supervisor and supervisee are committed b) it is exercised continously and pervasively, not only when the situation demands it c) it is clear that it is being exercised on behalf of organizational goals as perceived by the supervisee d) it is predictable rather than carpicious	it is exercised continously and pervasively, not only when the situation demands it
	A social service agency may be thought of as a social system. Whenever three or more staff as a social service agency have more intense exchanges between themselves than they do with other agency staff, then in realtion to the agency they may be thought of as a.. a) dyad b) system c) subsystem c) group	subsystem
	In an organization's dynamics, leaders, dependents, codependents and counterdependents are part of .. a) "the family romance" b) a role network c) a homeostatic balance d) the organization's task focus	a role network
	In a new employee's orientation group at the Alderbrook Community MH Connsortium staff catch on quickly to the ground rules and role structure of the organization. They readily learn what it is means to be a case manager, therapist, and intake worker, and they have a clear understanding of each one's responsibilities and tasks at team meetings. This orientation group functions well with regard to.. a) socialization b) goal orientation c) norm enforcement d) group adaption	socialization
	In developing a new multidiciplinary team at the Glenview Family Development Agency, which of the following is the supervisor's most important task? a) contribute to the group's development of cohesiveness, and then to maintain cohesiveness b) attend to the unique personalities of group members without getting distracted by the group's dynamics c) interpert the relationship between group dynamics and psychodynamics d) teach fundamental practice knowledge skills	contribute to the group's development of cohesiveness, and then maintain cohesiveness
	During the early phases of building a group culture in a intensive, explolratory psychotherapy group, a SW should.. a) make members aware of the importance of the group b) encourage members to communicate through the therapist rather than through chaotic direct communications wtih one another c) promote norms of courtesy and self-containment d) select natural group leaders from among those with greatest leadership potential	make members aware of the importance of the group
	An organization's members exchange influence in patterened ways. These patterns constitute.. a) organizational structure b) habits and character traits c) goal orientations d) entropy	organizational structure
	Relationship patterns begin to develop and roles begin to become differentiated in which phase of a therapy group's development? a) pregroup orientation b) exploring and testing c) cohesiveness d) problem solving	exploring and testing
	The members of your staff team at the new Northgate Day Treatment Program are preoccupied with questions about who is in control. Coalitions are being formed and these subgroups are testing one another for dominance. This staff is at which stage of development? a) forming b) stroming (the early phase of exploring and testing) c) norming (the later phase of exploration and testing) d) performing (problem solving)	storming (the early phase of exploring and testing)

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