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35 Cards in this Set
- Front
- Back
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In treating a client in crisis, the caseworker should focus on:
A. the immediate presenting problem B. a few specific problems in day-to-day functioning C. a wide range of problems in day-to-day functioning D. underlying personality problems |
the immediate presenting problem
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Your new client is a self-referred woman who is recovering from a schizophrenic breakdown and mildly depressed. The client tells you that she is finally ready to begin her life and hopes that you can help her. She says she wants to find a good job, save money to buy a house, and begin dating regularly so that she can get married and start a family. What would be your initial step in providing treatment to this client?
a. Provide relevant referrals to address her goals. b. Help the client set more realistic goals. c. Focus on alleviating the client's depression. d. Help the client clarify her goals. |
Help the client clarify her goals.
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DSM IV permits certain diagnoses for mental disorders to be made, even though the diagnosis does not totally fit DSM IV criterion. These diagnoses are normally modified by the word;
A. revised B. provisional C. temporary D. latent |
provisional
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A patient presents at an ambulatory care facility and is in obvious psychological distress, showing severe anxiety and paranoia. The clinician is unable to determine the exact configuration of the patient's symptoms, but is certain that it is an Anxiety Disorder. The worker is unable to determine if the disorder is primary, caused by the patient's severe kidney disease or related to other factors such as the patient's continuing substance abuse. The most likely DSM IV diagnosis is;
A. Anxiety Disorder, with generalized anxiety B. Anxiety Disorder, undifferentiated C. Anxiety Disorder, NOS D. Anxiety Disorder, provisional |
Anxiety Disorder, NOS
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A school social worker interviews a 15 year old male student with an IQ of 70. Though assigned to slower classes, the student maintains social relationships and is able to respond appropriately to teachers and class mates. His school work is within the range that would be expected for his recorded IQ. He can read (somewhat below grade level) and is able to do very basic arithmetic. He is also able to follow instructions and is generally amiable in responding to coaching and correction. In developing a plan with this student and the family, the social worker would;
A. plan for eventual supervised residence in a facility for the mentally disabled B. establish a plan that includes vocational preparation and that will eventually lead to independent living. C. emphasize vocational achievement in the near term D. provide coaching and tutoring to improve his reading |
emphasize vocational achievement in the near term
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The process of assessment is the task of the
A. social worker B. client C. social worker and the client D. agency psychiatrist |
social worker and the client
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You are referred a client who is physically disabled and you will serve as her case manager. What would you do first with this client?
a. Connect her to needed medical services to address her disability. b. Offer to advocate on her behalf to overcome barriers in her environment and ensure that she receives the services she is intilted to. c. Gather infromation to identify her needs and concerns. d. Work with her to fromulate an appropriate case plan to address the immediate needs stemming from her physical condition. |
Gather infromation to identify her needs and concerns
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During an initial interview with a patient who was recently admitted to a hospital, you find that the patient takes anunusually long time to answer your questions because he spends a lot of time providing minute details and making parenthetical comments. However, the patient doesn't lose track of teh points he is trying to make and usually ends up answering your questions. The man's speech is described by which of the following terms?
a. Loosening of associations. b. Circumstantiality c. Confabulation d. Flight of ideas |
Circumstantiality
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During the mental status exam of a new client, you ask the client what factors led him to decide to quit his job two weeks ago. Apparently, you are interested in evaluating the client's:
a. concentration b. judgement c. abstraction d. registration |
judgement
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Your 10-yr. old client receives a score of 75 on an IQ test and has some mild social skills deficits. What diagnosis is indicated for this client?
a. Borderline intellectual functioning b. Mild mental retardation c. Moderate mental retardation d. Mental retardation, NOS |
Borderline intellectual functioning
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You are attempting to determine whether a teenage boy has conduct disorder or oppositional defiant disorder. Which of the following is associated with conduct disorder but not oppositional definant disorder?
a. Frequent verbal aggression b. Alcohol use c. A pattern of deceit d. Hostility |
A pattern of deceit
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The clients are a family of three – the parents and a 14-year-old son – who have presented for therapy because the son has become withdrawn lately and the parents don’t know what to make of this. The clients say little to each other or the social worker during the assessment. They present themselves as a happy family with no problems, other than the son’s “moodiness.” The social worker observes that the family members express little affection for each other and seem uncomfortable talking about their feelings. What approach to family therapy would be MOST useful for this family?
a. Experiential/humanistic. b. Extended family systems. c. Behavioral. d. Structural. |
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Unlike bipolar I disorder, bipolar II disorder must include which of the following?
a. A manic episode b. More than one manic episode c. A major depressive episode d. Both major depression and mania |
A major depressive episode
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The use of protagonists and role-reversal is associated with wich of the following?
a. Behavioral therapy b. Psychodrama c. Guided affecftive imagery d. Play therapy |
Psychodrama
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Brief dynamic therapy is least likely to involve which of the following?
a. a concern with restoring the client to his previous level of functioning. b. an effort to engender insight into the unconscious. c. removing specific symptoms d. techniques associated wtih long-term psychodynamic therapies. |
a concern with restoring the client to his previous level of functioning.
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A 14-year-old boy has been suspended from school and referred for therapy by his principal. The boy persistently disobeys his teachers and occasionally starts physical fights with his peers. Several times he has been caught stealing items from his classmates and younger sister. The boy’s school grades have been dropping steadily for about a year, and this semester he has begun skipping his classes. The boy is attending a new school this year; he was expelled from a private school last spring for destroying school property and lying about it afterwards. His parents divorced when he was age 4, and he lives with his mother and stepfather; the couple has been married for eight years. The boy’s natural father lives in another state and no longer has any contact with the boy or his sister. The mother and stepfather express concern about the boy and say that they are anxious for the social worker to help him. They don’t know how to “control him” anymore. How should the social worker approach treatment in this case?
A. Social learning family intervention. B. Residential treatment for the boy. C. Individual therapy for the boy to encourage self-exploration and family therapy using structural techniques. D. Contingency management and other behavioral techniques. |
Social learning family intervention.
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A social worker is meeting for the first time with a client who has sought therapy shortly after breaking up with his girlfriend of three years. The client blames himself for the break-up, saying that he has trouble expressing himself to loved ones. In order to establish rapport with this client, the social worker MUST:
A. be congruent in her words and actions. B. be aware of her personal biases. C. be authentic and self-disclose. D. always empathize with he client |
be aware of her personal biases
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A social worker meets with a 35-year-old woman and her 67-year-old father. The man’s wife died about six months ago. The daughter explains that she is concerned about her father’s recent “overuse of alcohol.” She says that he has suddenly started drinking two or three glasses of wine with his dinner. The father tells the social worker that his doctor has recommended that he drink wine as a way of stimulating his low appetite. The daughter confirms that this is true. What should the social worker do INITIALLY?
Screen for alcoholism and contact the man’s physician. Explore the man’s medical history, history of loss, and support system. Screen for alcoholism and assess the man’s ability to cope with loss. Use open-ended questions to explore how the system is coping with the death of the wife/mother and offer to provide grief counseling. |
Explore the man’s medical history, history of loss, and support system.
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A social worker is treating a family who presented with communication and discipline problems. The social worker assesses the family as having an enmeshed style and a weak executive subsystem. Her overall goal is to define clearer boundaries within the system. Given this context, it is likely that the social worker would agree with all of the following, EXCEPT:
A. both the family’s present and its past will be examined in therapy. B. the focus of treatment should be on changing the family’s maladaptive transactional patterns. C. dysfunctional patterns in the family can be altered through the use of directive techniques. D. the focus should be each family member and on how family members feel about and interact with each other. |
the focus should be each family member and on how family members feel about and interact with each other.
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A woman comes in alone to see a social worker in his private practice. The client reports difficulty sleeping, a generally anxious mood, and a sense of feeling “helpless” and “lost.” The client has been married for 10 years and has two children, a 7 year old and a 5 year old. The client talks freely about her children, but says very little about her husband, other than that he is “moody.” She says her symptoms are fairly long-standing. When asked, she insists that she can’t really connect them to any events in her life. She remarks that her husband tells her all the time that she “just has a weak character.” The social worker refers the client for physical evaluations, and it is determined that she doesn’t have a medical condition that could account for her symptoms and she doesn’t use any substances. What should the social worker do NEXT?
A. Attempt to see the entire family to assess their communication and interaction patterns and the couple’s parenting styles. B. Attempt to see the couple together to assess their communication and interaction patterns, including how they handle conflict. C. Assist the client to identify the source of her depressed mood and anxiety symptoms. D. Explore with the client her own interpretation of her symptoms, including whether she believes she has a “weak character.” and attitudes toward standardized test, and that these differences have not been eliminated in culture-fair tests. |
Attempt to see the couple together to assess their communication and interaction patterns, including how they handle conflict.
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Which of the following defense mechanisms is MOST primitive?
A. Projection. B. Intellectualization. C. Repression. D. Introjection. |
Introjection.
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Computer-generated interpretive statements may contain misleading or incorrect statements as a result of psychological and/or _______ characteristics that are unique to the client.
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environmental
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You may use your _________ and other client data to identify which statements apply to the client and which do not.
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clinical judgement
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A social worker is referred a 16-year-old male who has been acting out at school and doesn’t get along with his peers. After performing a comprehensive biopsychosocial assessment of the client, the social worker determines that she needs additional information about his emotional adjustment and personality attributes. Which of the following psychological tests would be MOST useful for attaining this information?
MCMI-III. MMPI-2. Bender-Gestalt-II. MACI. . |
MACI.
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The PRIMARY element in determining vicarious liability is:
A. the social worker’s intentions. B. the disparity in training and experience. C. the presence or absence of a contract. D. whether or not a waiver had been signed. |
the disparity in training and experience
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Taking into consideration that the common feature of the somatoform disorders is the presence of physical symptoms that suggest a general medical condition, what of the following statements regarding Factitious Disorders is incorrect?
A. Malingering and Factitious Disorder both involve the intentional production B. In Factitious Disorder, panic attacks are often mistaken for heart attacks C. In Malingering, the individual has an external incentive (money, getting out of work, etc.) that he/she hopes to achieve by his/her presentation D. In Factitious Disorder, there is no apparent external motivation for the faking other than to receive medical attention. |
In Factitious Disorder, panic attacks are often mistaken for heart attacks
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While Conditioned Response (CR) is the learned response to a conditioned stimulus, what is it that is called ACQUISITION?
A. a negative conditioned stimulus is paired with a pleasant stimulus that elicits a response that is incompatible with the unwanted conditioned response B. learning to make distinctions among similar stimuli C. the recurrence of the previously extinguished conditioned response following a rest period D. the period during which the organism learns the association between the conditioned stimulus and the conditioned response |
the period during which the organism learns the association between the conditioned stimulus and the conditioned response
the period during which the organism learns the association between the conditioned stimulus and the conditioned response |
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Taking into consideration that Vineland Social Maturity Scale asses an individual's competency in taking personal responsibility and in seeing to practical needs, what is the purpose of Peabody Picture Vocabulary?
A. It is for use with the severely handicapped, ages 2.5 to 18 years of age. B. an individually administered mental-ability test that requires no verbal response and a minimum of motor response on the child's part C. Assesses hearing-impaired children ages 3 to 16 years of age D. used for children and adults as a behavior rating scale for the mentally retarded, emotionally maladjusted, developmentally disabled, and other handicapped persons |
the period during which the organism learns the association between the conditioned stimulus and the conditioned response It is for use with the severely handicapped, ages 2.5 to 18 years of age.
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If Cathexis is the process by which sources of energy are tied to thoughts, actions, objects, or people, what is the source of all basic drives as people progress through the stages of life?
A. mental energy B. chemical rebound C. physiologic energy D. biological energy |
biological energy
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TAKING INTO CONSIDERATION THAT Vineland Social Maturity Scale is assesing an individual's competency in taking personal responsibility and in seeing to practical needs, what is the Hiskey-Nebraska Test doing?
A. used for children and adults as a behavior rating scale for the mentally retarded, emotionally maladjusted, developmentally disabled, and other handicapped persons Assesses hearing-impaired children ages 3 to 16 years of age an individually administered mental-ability test that requires no verbal response and a minimum of motor response on the child's part It is used with those ages 2 – 18 and yields mental age scores and ratio IQs |
Assesses hearing-impaired children ages 3 to 16 years of age
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Luke spends 16 hours a day practicing for a big game and as a result he neglects his wife and children quite often. According to Freud's System of Personality, what part of the personality system (process) is responsible for the guilty feelings that result from the violation of the standards and morals set?
A. Id B. Ego C. Libido D. Superego |
Superego
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A topographical concept states that the personality has a conscious mind, a preconscious mind, and an unconscious mind. By what stage is the human personality determined?
a. In the adolescence b. When a person is 21 c. In the first five years of life d. When a person is 18 |
In the first five years of life
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If a person can not pass emotionally from oral to anal stage, because of what factor is the emotional development “stuck”?
A. The person didn’t received the needed affection B. The cathexis was not strong enough C. The person has experienced too much pain D. The fixation was not intense enough |
The person has experienced too much pain
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Taking into consideration that the Gesell Development Schedules is best used to identify early neurological defects and organically caused behavioral problems, what do McCarthy Scales of Children's Abilities measure in children of 2.6 to 8.6 years ages?
A. Perceptual-Performance Scale B. the developmental progress of a child C. verbal and nonverbal cognition D. cognitive and motor development |
cognitive and motor development
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Taking into consideration Rackets can be defined as a habitual feeling that is clung to after a game, what are the Life Scripts?
A. a habitual feeling (depression, guilt, anger) B. messages, both verbal and nonverbal and usually negative, that let a child know what to do to gain recognition C. conclusions about self and life reached by age 5 aimed at survival, recognition, and attention D. personal life plan born out of early decisions about self, others, and the world |
personal life plan born out of early decisions about self, others, and the world
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