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17 Cards in this Set

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Rachel is in therapy for anger management. She has set a goal with her therapist to find healthy outlets to release her anger. Rachel has recently begun kickboxing and reports to her therapist that it is helpful to have a release for her pint-up feelings. Rachel engaging in a healthy activity such as kickboxing to release her anger is an example of which defense mechanism?



A) sublimination


B) regression


C) displacement


D) projection

A) Sublimination- This defense mechanism is defined as a person engaging in a healthy activity in order to release internal emotions that are unpleasant, discomforting, or stressful.

In facilitating a hospital support group for bereaved parents, a social worker can discuss a personal experience of death of child to:



A) create empathy with the participants


B) receive help from the group


C) create a sense of shared experience


D) establish a role as an expert no grief issues

C) create a sense of shared experience- The ideal purpose of self-disclosure on behalf of the facilitator is to create a shared experience amongst the group members, and increase cohesion between the facilitator and group members.

Emergence of symbolic thinking, animistic thinking (the belief that inanimate objects are alive), and egocentric thinking ( viewing the world from one's own perspective and not being capable of seeing things from another person's perspective) are characteristics of which stage of Piaget's Theory of Cognitive Development?



A) concrete operational


B) preoperational


C) formal operations


D) sensorimotor

B) preoperational- ages 2-7.

A young couple present for counseling following police intervention for domestic violence. He admits to drinking "a few too many sometimes, usually only 8-10 beers". The FIRST step for hte social worker to take is:



A) complete a clinical assessment


B) refer the husband immediately to a detox center


C) provide informed consent for treatment


D) assess for safety

C) provide informed consent for treatment- Before information can be provided (such as resources), or gathered (such as a safety concerns), the social worker must inform the clients consent, and limitations to consent.

On a Mental State Examination, the least remarkable piece of information is:



A) the state if the client's psychological make-up


B) the client's cognitive ability


C) the client's emotional functioning


D) the client's social status in the community

D) the client's social status in the community- The Mental Status exam focuses on client's psychological, emotional, and cognitive abilities.

Christine has been described by her mother as a normal and healthy child since her birth. However, one and a half months ago she began regurgitating her food and re-chewing it after every meal. She has been checked by her primary medical physician who found no physiological symptoms, thus the referral to your practice. No other DSM-5 diagnostic symptoms are present except those described above. What is the most appropriate diagnosis?



A) pica


B) rumination disorder


C) anxiety disorder


D) enuresis

B) rumination disorder- a condition in which a person keeps bringing up food from the stomach into the mouth and re-chewing the food. This disorder usually starts after 3 months, following a period of normal digestion. This disorder often gives the child control and can be seen as attention seeking.

Prior to assigning a diagnosis to a client, a clinical social worker should first rule out:



A) substance-related disorders and life cycle stage issues


B) general medical conditions and substance-related disorders


C) recent trauma and general medical conditions


D) none of the above

B) general medical conditions and substance-related disorders- these should always be considered first, and then ruled out if appropriate. Many mental health disorders share symptoms that are often present with medical conditions or substance abuse-related disorders.

A couple requests help in improving their 7 year marriage. When you ask them about their goals, they begin to argue almost immediately. The husband states his wife nags him too much about chores. The wife states her husband is lazy. How should you proceed with establishing treatment goals?



A) Recommend that they receive individual treatment to help them work on their separate issues.


B) Assist them in establishing treatment goals to help them learn how to improve communication and resolve conflict.


C) Recommend that they each attend a session with you individually to set up separate goals until they are ready to work together.


D) Assist them in setting a goal to help them resolve their arguments over household responsibilities.

B) Assist them in establishing treatment goals to help them learn how to improve communication and resolve conflict.

A social worker has started to treat a woman who has been diagnosed with dependent personality disorder. The woman reports a variety of failed relationships. She acknowledges that she often makes unhealthy choices in the kinds of partners that she picks. When establishing a therapeutic relationship with a client, what sort of information should the social worker keep in mind?



A) Establishing rapport will be difficult and the client will likely drop out of treatment early.


B) The client may be superficially compliant with treatment to try to gain approval but may struggle to make lasting changes.


C) The clients dramatic presentation and desire to be the center of attention may interfere with developing a therapeutic relationship.


D) The client is likely to have difficulty expressing her emotions and most likely lacks basic social skills.

B) The client may be superficially compliant with treatment to try to gain approval but may struggle to make lasting changes.

Bobby and Betty have 3 kids, Billy, Bambi, and Brooke. During therapy Bambi sits inbetween the parents nad looks at mom before answering any question. Dad shakes his head everytime she looks at her mom. Which of hte following should a structural therapist probably do?




A)Point out the isomorphism between the two family coalitions by having mom and sister sit on floor where other kids were playing.


B) Get the mother to say how she feels every time the daughter looks to her.


C)Direct the child to sit next to her brother and sister ans ask parents to sit next to each other.


D)Arrange to see mom and child separately

C)Direct child to sit next to brother and sister and mom and dad next to each other.

IN the rational choice model, which alternative is the most likely to be selected?




A)The lowest net value ratio, representing efficiency


B)The highest net level, representing efficiency


C) Zero sum value ratio


D) The most economically feasible

B) The highest net level, representing efficiency




The rational choice model uses the net value ratio to determine the alternative that maximizes all values, not just economical, to be the most efficient; therefore, the alternative with the highest net value ratio is the most likely to be selected.

The process of physically training someone to return to a specific job is called




A)Job examination


B) Work hardening


C)Job clubbing


D) Occupational replacement

B) Work hardening refers to facilitating the return of the worker to the workforce. Work hardening programs have become fulls service programs to address the needs of returning the patient to gainful employment

If a client is suffering from panic attacks, which of the following interventions, along with deep breathing would probably be most beneficial?




A) Analysis of resistance


B) Implosion


C) Interoceptive Training


D) Reaction Formation

C) Interoceptive training are a type of conditioning technique where the therapist helps the client become more capable of recognizing and coping with social cues, triggers, and early signs of panic attacks. C

Major administrative trends exist in the field of social services. One is the existence of more competitive behaviors. Traditionally, welfare agencies worked more cooperatively with one another. Which of the following is NOT a reason for the change?




A) Competition for clients


B) Competition for new revenue sources


C) Competition for new services and products


D) Increase in privatized resources

Competition will continue to increase across all sectors. Privatized resources will unlikely increase. The answer is D.

Mack is in an automobile accident, which nearly claimed his life, leaving him in intensive care for two months followed by three months of physical rehabilitation. What is your FIRST intervention strategy?




A) Facilitate involvement with others who have shared a common experience to decrease isolation.


B) Advocate for stricter safety requirements on automobiles.


C) Explore the experience of all five senses.


D) Facilitate him telling his story and personal truth.

The first intervention will be to facilitate him telling his story and personal truth. The answer is D.

According to the DSM, the following disorders are most closely related.




A) Schizophrenia/ Depersonalization


B) Dissociative identity/ Schizophrenia


C) Dissociative identity/ Depersonalization


D) Depersonalization/ Antisocial personality

Depersonalization and Dissociative identity are most closely related. The answer is C.

Sacral refers to




A) Four vertebrae in the lowest portion of the back


B) Twelve vertebrae in the upper portion of the back


C) Five vertebrae in the lower portion of the back


D) Seven vertebrae in the neck

The sacrum is the portion of the vertebrae column between the lumbar vertebrae and the structures of the coccyx. The answer is A.