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20 Cards in this Set

  • Front
  • Back
During a marital session, a husband begins to describe his wife's habit of leaving the dishes in the sink after he washes them. He says she has a knack for forgetfulness and hurrying to get things done. The worker's best response is to?
encourage the wife to express her feelings. When one member of a couple has shared his or her perspective about the other person, it is important that the latter be given the opportunity to express his or her feelings about what has been said.
A parent brings her 6-year-old child in for a consultation. The child exhibits a lack of awareness of the presence of others in the room, an inability to communicate, and a repetitive habit of stroking the chair he is sitting in. This disorder has most often been associated with what chemical in the body?
The answer is serotonin. Serotonin, also known as 5-hydroxytryptamine (5-HT), is a monoamine. Monoamines play a role in depression. There is a strong link between reduced serotonin levels and depression. This is not the case with the other response options.
A client who has a problem with GABA most likely suffers from?
The answer is Huntington Disease. This is an information question.
The PNS (Peripheral Nervous System) has both somatic and autonomic nervous systems. A client displays dilation of pupils, dry mouth, and increased heart rate. From which division in the autonomic nervous system would these symptoms emerge?
The answer is sympathetic division. The autonomic nervous system has two divisions: the sympathetic and the parasympathetic. The symptoms described are associated with the sympathetic division. The parasympathetic division functions in opposition to the sympathetic division (e.g., inhibits heart beat, contracts pupils).
A young woman seeks your help in alleviating stress from her life. She is underweight and was disgnosed with Graves disease several months ago. She states that she is experiencing nervousness in her job and is having a difficult time concentrating. Your first step would be to?
The answer is have the woman speak with her doctor. Whenever there is a possibility that a medical condition could be creating the symptoms, the patient should be referred to a medical doctor.
As a social worker in a private mental health clinic, you are asked to turn all your records for a client over to the director's administrative assistant. There appears to be a family relationship between the director and the husband of the client. You need to?
The answer is speak with the director regarding the reasons for the request. It is always important to clarify issues, in this case, asking the director about the reasons for the request before taking action.
During an interview with a client, she becomes belligerent and threatening for no apparent reason. The social worker should first?
The answer is share her concern with the client. The question asks for the first thing the social worker should do. Sharing her concern with the client is preferable to firmly telling the client to quiet down because the former may increase the client's self awareness. This is almost always preferable to a directive. Additional action may also be needed (e.g., calling security).
As a social worker in a detoxification facility, you discover that a recently admitted patient has brought in prescription drugs in a lipstick case. Agency policy calls for the patient to start detoxification over from the beginning if drugs are found. However, it is the patient who has informed you of the drugs and states that she has not taken any since being admitted. You should
The answer is start detoxification over since that is the policy. A policy of this type has been put in place to deal with this very type of occurrence.
During a session with a 36-year-old female client, a social worker becomes angry in response to the woman's tone of voice. Very likely, the social worker is experiencing?
The answer is counter-transference, which refers to a mental health provider responding to a client as if he or she is a significant person from the provider's past. It is very possible that the tone of voice that elicited anger in the social worker reminded him of negative interactions with a parent during his growing-up years.
In a hospital setting, a social worker working with an elderly man is instructed by a physician to find the man a nursing home, as the doctor believes that the man is unable to care for himself at home. The man does not want to go to a nursing home, and you are aware of some services that might enable the man to continue to live independently. However, the doctor refuses to listen. Your first responsibility is to?
he answer is the patient's wishes. Social workers have a primary responsibility to assist their patients in meeting their needs and achieving their goals.
While presenting a workshop at a conference regarding personality disorders, an attendee speaks with you at the break and describes herself as a borderline previously diagnosed at a psychiatrist's office. She asks you to confirm the diagnosis. The best response is to?
The answer is advise her to see another psychiatrist for a second opinion. The woman is an attendee of a workshop you are giving, not your patient. If the woman feels a need for confirmation of the diagnosis she was given, you can best serve her by suggesting she seek confirmation from another therapist/psychiatrist. Checking back with her doctor doesn't address her desire for a confirmation of the diagnosis.
A social worker at a homeless shelter is asked by a mother to take her children to the social worker's home on Christmas Eve so the children will have Christmas in a nice home. The social worker should?
The answer is call the local family service agency for support. It would be unethical for the social worker to take the children home for the night or to spend the night with the family. The social worker may explain this to the mother. The social worker should take action that could assist the mother in gaining access to needed resources.
The primary thing for a social worker to know when setting up a behavioral treatment program for a client is?
The answer is what the dysfunctional behavior is. This is the starting point for any treatment program behavioral or otherwise. The problem behavior must be clearly defined before an effective treatment program can be devised.
In a study of the effect of diagnosis on the outcome of a client intervention plan, the diagnosis would be known as?
The answer is an independent variable. The independent variable is the variable in a study that is thought to influence or cause a behavior or outcome. The focus of the study described in this question is the impact of diagnosis (independent variable) on client outcome (dependent variable).
A recent incident in a local social service agency in which a social worker was stabbed by a mentally ill client has produced extreme tension and fear in other employees. The supervisor's first step in easing tension would be to?
The answer is hold a group meeting to discuss fears. The question asks for the first step the supervisor should take. When a traumatic event like this occurs, those affected need assistance processing the event. After they have had this opportunity, decisions can be made, often with their assistance, relative to how similar events can be averted in the future and so forth.
In tasked-centered therapy, the social worker develops a contract in conjunction with the client through?
The answer is goal-setting; the hallmark of task-centered therapy. This is an information question.
Beck described depression as?
he answer is dysfunctional thought patterns. This is an information question.
In working with a client in AA, the social worker needs to appreciate the role of which of the following in intervention?
The answer is spirituality. Spirituality, in the form of a recognition of the individual's need for assistance from a higher power than self, is the crux of the AA model.
While discussing a relationship problem in couples counseling, the husband begins to talk about his wife's sexual difficulties. The wife tells him to be quiet. The social worker's response to this situation is best handled by?
The answer is being empathetic to the wife's position. Empathy is a key component of the therapeutic relationship. A demonstration of empathy for the feelings the husband's comments have elicited in the wife can both strengthen the therapeutic relationship and provide a safe environment to discuss sensitive issues.
As a social worker in a child abuse center, you create a group for abusive parents. During the first session, one of the parents becomes angry and starts to argue with another parent. You should handle this situation by?
The answer is having the parents work through the disagreement in an appropriate manner. What created the anger is not nearly as important as learning to resolve conflicts in appropriate ways. The tendency of these parents to vent their anger has gotten them into trouble in the first place. Insisting that the parent stop arguing does not help him or her to learn appropriate ways of resolving differences.