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26 Cards in this Set

  • Front
  • Back
10-year-old boy has been developing normally. His mother seeks services for him stating that he has recently developed insomnia and can no longer sleep through the night. Recent events include that his brother was sexually abused by an uncle and is having difficulty adjusting. Now this son also reports that he has poor appetite. She says that he ran away and is very withdrawn, spending much time in his bedroom. The physician that had examined him reported there were no medical conditions causing these symptoms. The first consideration for the social worker is:
A. assess for the potential for sexual abuse
B. assess for drug abuse
C. get the child another physical
D. test for hearing impairment
assess for the potential for sexual abuse
A 25-year-old female is meeting with a social worker for the first time. Her primary concern is nightmares that result in sleeplessness and anxiety. Later in the interview she reluctantly reports she was mugged and raped several months ago. What issue should the social worker address first?

A. nightmares
B. assess for the potential of suicide
C. validate feelings related to the rape/mugging.
D. get her to focus on her anxiety
validate feelings related to the rape/mugging.
A client is referred to a social worker by a physician to assist an elderly female client to get her medication. Upon arrival at the client's home the social worker notices the client has lacerations and bruising. When the client was questioned as to how these injuries occurred she become subdued and refuses to respond to any questions the social worker asks
during the interview. What should the social worker do:

A. complete the referral application
B. remove the elderly lady from the home immediately
C. contact the referring physician
D. report to adult protective services
report to adult protective services
An elementary school child referred to a school social worker is inattentive and failing in school. In the session, the social worker notices the child has many cuts and bruises in various stages of healing. What should the social worker do first?

A. report to principal
B. report possible abuse to Child Protective Services
C. assess further how he got the cuts and bruises
D. call the parents immediately
assess further how he got the cuts and bruises
A social worker receives a report of child abuse that outlines serious abuse to a child that lives in a very unsafe neighborhood considered a high crime area known for its "crack" houses and drive-by shootings. The social worker must do an immediate assessment, what should the social worker do first?
A. call the parent to set up a home visit
B. arrange to have a colleague go with you
C. consult your supervisor
D. develop a safety plan for the social worker to complete the assessment
develop a safety plan for the social worker to complete the assessment
A 7-year-old child with scrapes on her knees reports to the social worker she fell on the way to school. Her teacher had stated briefly that there were other incidents where she has come to school with bruises. What should the social worker do first?

A. refer to school nurse for examination
B. clarify with the teacher past incidents
C. report to child protective services
D. contact the parents to inquire about scrapes
clarify with the teacher past incidents
A teacher reports to the school social worker that she has a student in her class that is always hungry, looks disheveled, and often lays his head on the desk and sleeps through her class. What should the social worker do first?

A. discuss the situation with the student's parents
B. talk individually with the student
C. report to child protective services
D. ask the teacher to talk with the student
talk individually with the student
An 8-year-old is hospitalized and in need of a blood transfusion, however, the client’s parents are refusing to get medical treatment for their child. The parents state the reason for this refusal is related to their own religious beliefs. What should the social worker do?

A. respect client right to self-determination
B. report it as a potential case of child abuse
C. further explore options with the parents
D. contact hospital administration and let them decide
further explore options with the parents
A child was sexually abused, Child Protective Services intervened, and the family lost their child. The state took custody. They have been in therapy and the court thinks it is safe for the child to be returned to the parents. The social worker is unhappy with this decision and does not believe it is in the best interest of the child. What should the social worker do?

A. insist that custody not be granted
B. let the child wait until he is 18 and then reunite with the parents
C. abide by the courts decision
D. request another judge
abide by the courts decision
A five year old girl is being seen by a social worker because she is depressed. Her father has just died. She tells the social worker that before her father died she yelled at him and told him she wished he was dead. What is this an example of?
A. assimilation
B. magical thinking
C. process thinking
D. formal operations
magical thinking
A young mother is seeing a social worker for individual therapy. The client asks the social worker to watch her 10-month-old son while she goes to the bathroom. The child appears well fed with good hygiene. The baby cried when mom left the room, but when Mom came back she was unable to soothe the baby. To address this she told the social worker she just usually ignores him and his crying and put the baby on the floor. What is this a sign of:

A. a sign of abuse and neglect
B. a sign of inappropriate attachment
C. a sign of child endangerment
D. a sign of skilled parenting
a sign of inappropriate attachment
A 74 year old male has been diagnosed as having the beginning stages of Alzheimer's, and he continues to drive. After recently moving home with his family, he accidently ran over a mailbox. The family is very concerned about this and has come to the social worker for help and advice. What should the social worker do:

A. explore with the family the risk and liability to them if he gets in an accident
B. arrange a family session with grandparent to discuss concerns
C. recommend the family meet with the patient and his physician and ask for a letter documenting his condition
D. recommend the family call the motor vehicle office and ask for the procedure to handle the situation
recommend the family meet with the patient and his physician and ask for a letter documenting his condition
A seven-year-old boy was caught playing doctor with a friend. It is also noted that he has been masturbating at home since he was 5 years old and at times he does this in front of other children. What is the best intervention?

A. tell the parents this is normal for his age and to ignore the behavior
B. tell the parents this is normal for this age and help the parents understand how to best deal with it
C. immediately assess the child for possible sexual abuse
D. tell the child this behavior is inappropriate and will not be tolerated
tell the parents this is normal for this age and help the parents understand how to best deal with it
A client states that she had a sexual relationship with her last social worker. The client states firmly she does not want the current social worker to report the relationship. She only wants to discuss how it made her feel and does not believe she was harmed by what happened. Also she states the former social worker is married and says she is no longer being treated by the social worker. What should the social worker do first?

A. tell client this is unethical and must be reported
B. discuss with supervisor before discussing further with client
C. contact the previous social worker
D. educate the client as to her rights when working with a professional
educate the client as to her rights when working with a professional
A female reports to a social worker that her husband has recently died. She complains that her 15-year-old daughter spends more time with her friends than with her. The social worker should:

A. ask if the daughter's pattern of behavior existed before her husband's death
B. bring daughter in for the next session
C. discuss other underlying issues that could be happening with mother
D. offer to call the daughter to discuss her behavior
ask if the daughter's pattern of behavior existed before her husband's death
In a Latino family, a social worker visits the family for the first time in order to complete a home visit. The family has prepared snacks and you are offered to join them. The social worker should:

A. say no because of dietary restrictions
B. say it is against agency policy to eat with families
C. accept the invitation and engage in brief conversation
D. say no because it will prolong the process
accept the invitation and engage in brief conversation
A male client reports to a social worker that he is a "female trapped inside a man's body and forced to live a man's life" He is most likely experiencing:

A. ego dystonia B. ego systonic C. ego rejection
D. ego frustration
ego dystonia
A male client reports to a social worker that he is comfortable with his identity and the fact that he prefers males to females in his sexual relationships. The client reports that he wants to "come out" and tell his family members who do not know his preferences or how he really feels. He reports he has always known this but only in adolescence did he realize this is how he wanted to live. This client is most likely experiencing:

A. ego dystonic B. ego systonic C. ego rejection D. ego frustration
ego systonic
A young African American male is sent to the social worker's office after yelling and losing control of his temper with another student. In the office, it’s obvious to the social worker that he remains very angry. He starts yelling at the social worker that the principal sent him there because he is racist. The student is one of the two African American students in the school. What should the social worker do first:

A. tell the student regardless of what happened yelling at her is unacceptable.
B. listen to the student and get him to calm down
C. ask the student why he is so angry
D. assume it is possible this is racism and get the student to report the incident
listen to the student and get him to calm down
A social worker is counseling a Muslim couple where the wife has her face covered and the therapist could see any emotional expressions from the wife to assist with evaluation. What should the social worker do:

A. refer the couple to another therapist who is Muslim
B. talk to the husband only
C. ask the wife in the couple to remove the covering
D. ask the wife with the covering in place to confirm she understands
.ask the wife with the covering in place to confirm she understands
A social worker is working with a couple in therapy. The wife states that she had an affair because her husband a truck driver was gone all the time. The social worker suggests the wife go on the road with her husband from time-to-time. The husband agrees with this and so does the wife. In this scenario the social worker is:

A. manipulating the therapeutic session
B. the social worker is placing her values on them
C. discouraging independent decision making
D. empowering the husband to have more control
manipulating the therapeutic session
A 13-year-old boy, is withdrawing, argumentative, doesn't leave the house, hides under the bed when visitors come, stares into space, hears voices, and pot has been found in his room. What should the social worker do first:

A. assess for depression
B. refer for psychiatric evaluation
C. assess for physical abuse
D. assess for substance abuse
assess for substance abuse
A 75-year-old woman has moved in with her daughter because of health reasons, and the woman seeks assistance from the social worker with adjusting to her new surroundings. However, on each visit the elderly woman complains about how she misses her old home and her daughter doesn't have time for her. The social worker feels that the woman is using the sessions to:

A. avoid changing in treatment
B. has dementia
C. uses the social worker as someone to vent
D. needs to explore returning home to her original house
uses the social worker as someone to vent
A male child has aggressive behaviors at school. His parents are worried about his behavior and bring him in to see a social worker. In the session when asked about his parents the boy starts to get nervous, his lip trembles and he refuses to talk further.

A. explore the boy's anger
B. stop assessment and continue another day
C. acknowledge the client's frustration and consider nonverbal language
D. ignore the initial reaction and continue
acknowledge the client's frustration and consider nonverbal language
A 74 year old male has been diagnosed as having the beginning stages of Alzheimer's, and he continues to drive. After recently moving home with his family, he accidently ran over a mailbox. The family is very concerned about this and has come to the social worker for help and advice. What should the social worker do:

A. explore with the family the risk and liability to them if he gets in an accident
B. arrange a family session with grandparent to discuss concerns
C. recommend the family meet with the patient and his physician and ask for a letter documenting his condition
D. recommend the family call the motor vehicle office and ask for the procedure to handle the situation
recommend the family meet with the patient and his physician and ask for a letter documenting his condition
.
A seven-year-old boy was caught playing doctor with a friend. It is also noted that he has been masturbating at home since he was 5 years old and at times he does this in front of other children. What is the best intervention?

A. tell the parents this is normal for his age and to ignore the behavior
B. tell the parents this is normal for this age and help the parents understand how to best deal with it
C. immediately assess the child for possible sexual abuse
D. tell the child this behavior is inappropriate and will not be tolerated
tell the parents this is normal for this age and help the parents understand how to best deal with it