Lmsw License

Front 1

1) A woman who was referred to a community mental health agency by the local hospital is tested twice for AIDS. Though test results are negative, she requests another test. The social worker should assess

1) The reason for her concern
2) Her current mental health diagnosis
3) Her knowledge about AIDS
4) Her AIDS rish behavior

Back 1

The reason for her concern

Front 2

2) DSM-IV describes a group of symptom patterns limited to a specific ethnic or national group as

1) A cultural syndrome
2) A standard DSM-IV diagnosis
3) A nonstandard diagnosis
4) A culture-bound syndrome

Back 2

A culture-bound syndrome

Front 3

3) After an incident in which a neighbor’s dog attacked and bit her, the child refuses to be near dogs, has frequent nightmares and seems to “replay” the event. The likely diagnosis is

1) Separation anxiety
2) Childhood Adjustment Disorder
3) Reaction Formation
4) Post-Traumatic Stress Disorder

Back 3

Post-Traumatic Stress Disorder

Front 4

4) A social worker at a suicide hotline receives a call at 2:00am from someone who says he is depressed and contemplating suicide. The social worker should

1) Keep talking to him on the phone until a specific arrangement can be made with a therapist later in the morning

2) Send a crisis worker immediately or convince him to go to the hospital emergency room

3) Tell him no one is available and to call back in a few hours

4) Tell him to go to a mental health agency in the morning

Back 4

2) Send a crisis worker immediately or convince him to go to the hospital emergency room

Front 5

5) The difference(s) between social casework and psychoanalytic psychotherapy is (are) that

1) Social casework focuses on conscious and preconscious material; psychotherapy focuses on unconscious material.

2) Social casework avoids overcoming repression; psychotherapy tries to break though repression

3) Social casework involves only concrete services psychotherapy involves work with emotional and behavioral problems

Back 5

Social casework avoids overcoming repression; psychotherapy tries to break though repression

Front 6

6) In assessing personality functioning, the worker would not include

1) Object relations
2) Ego functioning
3) Symptomatology
4) degree of narcissism

Back 6

degree of narcissism

Front 7

7) The diagnostic category that does not mean the same as the other is

1) Character neurosis
2) Character Disorder
3) Personality Disorder
4) Psychoneurosis

Back 7

Psychoneurosis

Front 8

8) The most important consideration in choosing a goal with a client is

1) What the client wants
2) What the agency wants
3) What the worker wants
4) What the client’s parents want

Back 8

What the client wants

Front 9

9) A client’s capacity to enter a social work relationship cannot usually be determined by

1) Emotional and personality make up
2) Age
3) Judgment
4) intelligence

Back 9

Age

Front 10

10) A criterion that is not a measure of a client’s motivation is

1) The level of discomfort
2) The level of hope
3) Ego strength
4) The ability to see himself or herself as able to change

Back 10

Ego Strength

Front 11

11) A “Professional Relationship” between the social worker and the client would not include

1) A controlled relationship where the helping process is directed only to the client’s needs, without the intrusion of the worker’s personality or need

2) A testing found for the client to learn how to relate through contact with the worker

3) A structured situation in which the client may borrow strength from the worker

4) An arena for a transference relationship in which the worker encourages the client to explore early libidinal fears with the aim of reenacting them in the worker client relationship

Back 11

An arena for a transference relationship in which the worker encourages the client to explore early libidinal fears with the aim of reenacting them in the worker client relationship

Front 12

12) In the initial phase of treatment, the primary task of a social worker is to

1) Establish a relationship with the client

2) Understand why the client is seeking help

3) Engage the client in treatment

4) Gather information for a psychosocial diagnosis

Back 12

Understand why the client is seeking help

Front 13

13) To diminish a client’s resistance the worker would

1) Acknowledge the client’s ambivalence about accepting help

2) Increase the client’s anxiety to increase his or her motivation

3) Be firm with the client and insist on an answer to all questions

4) Remind the client of the reason for seeking assistance and stress the importance of cooperation

Back 13

Acknowledge the client’s ambivalence about accepting help

Front 14

14) The most appropriate technique to use with a new client who is decompensating is

1) Confrontation
2) Ego Support
3) Ventilation
4) Operant conditioning

Back 14

Ego Support

Front 15

15) Assertive casework is a technique in which

1) The worker encourages the client to be more assertive in his interpersonal relationship

2) The worker is insistent that the client answer all questions to see how he or she functions under stress

3) Within a very short time limit, the caseworker asks probing questions and provides direct interventions

4) The worker allows the client to tell the story in piecemeal fashion, allowing time to develop a relationship and increase his or her strength.

Back 15

Within a very short time limit, the caseworker asks probing questions and provides direct interventions

Front 16

16) A key element of Freud’s work that is the basis of social casework is the idea of

1) Transference
2) Social History
3) Interpretation and clarification
4) Defense mechanism

Back 16

Transference

Front 17

17) Using the technique of “modifying the environment” helps to diminish

1) Superego anxiety
2) Objective anxiety
3) Instinct anxiety
4) Anticipatory anxiety

Back 17

Objective anxiety

Front 18

18) In the social work relationship, the social worker should be careful not to act on

1) A transference reaction

2) A worker-client relationship

3) A countertransference reaction

4) The client’s desire to change the contract and add new goals

Back 18

A countertransference reaction

Front 19

19) A social worker would interpret preconscious material to a client

1) Only when the new insight will help him or her

2) If he or she understands the client’s behavior thoroughly

3) When the client is ready to accept it and not see it as criticism

4) Only in the most unusual circumstances, or not at all.

Back 19

When the client is ready to accept it and not see it as criticism

Front 20

20) According to Ego Psychology, a client often invokes feelings in the social worker that the client is trying to repress. This allows the client to

1) Relieve himself of any responsibility for his own feelings

2) Discharge pent-up feelings by satisfying them vicariously through the social worker

3) Help the worker understand how he or she feels unconsciously

4) Get the mothering and nurturance that he or she did not receive as a child

Back 20

Discharge pent-up feelings by satisfying them vicariously through the social worker

Front 21

21) On an unconscious level, according to Ego Psychology, a client seeks help for motives that differ from those on the conscious level. These unconscious motives include

1) Mothering

2) Reassuring unconscious desires from consciousness

3) Keeping unconscious desires from consciousness

4) Fear of intimacy

Back 21

Keeping unconscious desires from consciousness

Front 22

22) Supportive therapy would not be used if the client is

1) Diagnosed as psychotic

2) Seeking self-awareness

3) Able to solve problems not adversely affected by the unconscious

4) Diagnosed as a schizophrenic

Back 22

Seeking self-awareness

Front 23

23) In working with a client who has paranoid ideation, the social worker would not use

1) A corrective relationship

2) Ventilation

3) Selected interpretations

4) Confrontation

Back 23

Controntation

Front 24

24) In Rational Behavior Therapy, the difference between the “normal” adolescent and the adolescent who acts out is that the latter

1) Is less intelligent and more aggressive

2) Needs less structure and more interpretation

3) Have more anxiety and an unloving family

4) Needs more structure and resolves conflict with activity as opposed to thinking

Back 24

Needs more structure and resolves conflict with activity as opposed to thinking

Front 25

25) Mr. & Mrs. Beech continuously argue and bicker, though they agree in one area: Mr. Beech’s beginning career as a college teacher. Both are pleased with his choice of the profession, the salary, and the university that hired Mr. Beech. Mr. Beech is on the verge of an emotional collapse, however, due to his dears of starting a career and the stress involved in completing his dissertation and his work as an instructor. Mrs. Beech demands constant attention and interferes with his work and his work as an instructor. The social worker’s primary focus in treatment would be to

1) Modify the attitudes that created the material crisis

2) Give support to Mr. Beech and help him work through the stresses involved in pursuing his academic career

3) Examine and interpret the underlying causes of their martial conflict

4) Help Mrs. Beech minimize her destructive attacks on her husband

Back 25

Give support to Mr. Beech and help him work through the stresses involved in pursuing his academic career

Front 26

26) In treating a client diagnosed as schizophrenic, the caseworker’s most important task is to

1) Examine the client’s negative experiences with his or her parents

2) Listen sympathetically, but at the first opportunity, shift to reality matters

3) Establish affective contact with the client

4) Separate fantasy from reality for the client

Back 26

Establish affective contact with the client

Front 27

27) The process of termination does not involve working through the client’s feelings of

1) Abandonment

2) Loss

3) Relief

4) Anger

Back 27

Relief

Front 28

28) “Positive Regard” and “non- possessive warmth” as outlined by Rogers refer to an attitude of

1) Respect for client autonomy

2) Support for a client

3) Acceptance

4) Permissiveness

Back 28

Acceptance

Front 29

29) In social work the function of the contract is to

1) Hold the worker accountable

2) Hold the client accountable

3) Confirm the reciprocal role expectations and tasks to be achieved

4) Hold the agency accountable

Back 29

Confirm the reciprocal role expectations and tasks to be achieved

Front 30

30) A major difference between clinical social work and psychiatry is

1) The use of verbal techniques

2) The use of nonverbal techniques

3) The ability to prescribe medications

4) A focus on intrapsychic issues

Back 30

The ability to prescribe medications

Front 31

31) A major distinction between gestalt therapy & psychoanalytic treatment modes centers around their

1) Focus on the client’s problem

2) Emphasis on biological

3) Emphasis on the here and now, as opposed to past experiences

4) Goals

Back 31

Focus on the client’s problem

Front 32

32) A client diagnosed as schizophrenic begins to hallucinate. The social worker would

1) Engage the hallucinate to diminish anxiety

2) Continue to provide ego support

3) Refer the patient to a psychiatrist for medication

4) Offer insight

Back 32

Continue to provide ego support

Front 33

33) A social worker sees a client whose problems involve symbiosis. In determining the preference for individual, rather than group or family treatment, the social worker’s decision would most take into account

1) The social worker’s professional experience

2) An assessment of the client’s location on the developmental ladder: the greater the level of symbiosis, the more a one-to-one relationship will be preferred

3) The client’s manifestation of problems reflecting later phases of psychosexual development

4) The need to increase census figures as necessary in individual, group, or family therapy

Back 33

An assessment of the client’s location on the developmental ladder: the greater the level of symbiosis, the more a one-to-one relationship will be preferred

Front 34

34) A client lives with her husband and two children two blocks from her parents. She sees her parents often and talks to them on the phone. She seems helpless and dependent. In a clinical relationship, the worker would most likely focus on

1) The impact of her behavior on the family

2) Her understanding of infantilization

3) A poor self-image created in the past, which is being reenacted in the present

4) The cues received from her parents to continue to play a helpless and dependent role.

Back 34

The cues received from her parents to continue to play a helpless and dependent role.

Front 35

35) In working with a newly married couple in which the husband has been previously hospitalized for schizophrenic episodes, the social worker would

1) Help increase the husband’s awareness of how his actions affect his wife

2) Support the couple’s relationship, help the wife understand her husband, and provide opportunities for both to express their feelings

3) Assist with concrete issues that can ease the stresses they experience

4) Refer them for individual treatment and the wife to a support group

Back 35

Support the couple’s relationship, help the wife understand her husband, and provide opportunities for both to express their feelings

Front 36

36) Mrs. K. has been in treatment for the past three months. She says she feels inferior and worthless with family and friends. She avoids closeness and fears dependence. She feels that others are more in control and “happy about their lives.” Preoccupied and anxious about her failures and worries about the future, she constantly complains about chest and back pains that keep her awake at night Medical evaluations are negative. She also experiences sudden modd shifts in which she appreciates her achievements, feels good, and sees others as the problem. Mrs. K’s condition could be diagnosed as

1) Overanxious reaction to adulthood

2) Borderline Personality Disorder

3) Narcissistic Personality Disorder

4) Reactive depression

Back 36

Borderline Personality Disorder

Front 37

37) To treat a person with a borderline condition it is generally recommended that social worker

1) Urge the client to accept group treatment, preferably the Gestalt approach

2) Allow the client to feel in control of the session

3) Focus on the issue of dependency and the client’s inability to choose life goals

4) Confront the client on his or her use of diminishing defenses.

Back 37

Allow the client to feel in control of the session

Front 38

38) In treating a client with a narcissistic personality disorder, the social worker most frequently becomes

1) The object of the client’s libidinal impulses

2) An object of the client’s anger

3) Idealized by the client to fulfill functions that have remained unfulfilled by the client’s parents.

4) Angered by the client’s projection

Back 38

Idealized by the client to fulfill functions that have remained unfulfilled by the client’s parents.

Front 39

39) A social worker in a community agency is treating a married woman. She complains that her husband is a compulsive gambler. He owes money to bookies and has received physical threats. Her discussions always emphasize her husband’s behavior. The social worker would

1) Call Gambler’s Anonymous

2) Ask that the husband come in to see the social worker

3) Refer the wise to a credit agency as a community agency

4) Determine with the woman whether both she and her husband are the clients

Back 39

Determine with the woman whether both she and her husband are the clients

Front 40

40) In comparing models of social worker clinical practice, probably the most significant difference is related to

1) Contracting

2) Interpretation

3) Clarification

4) Confrontation

Back 40

Contracting

Front 41

41) In dealing with a client’s guilt, the worker would

1) Accept and understand the client’s guilt, allowing him or her to ventilate

2) Always relieve the client’s guilt

3) Help the client see that guilt is very unhealthy and find ways to rid the client of guilt

4) Help the client see what he or she has done

Back 41

Accept and understand the client’s guilt, allowing him or her to ventilate

Front 42

42) Mrs. Taylor was referred to the social worker after her alcoholic husband was hospitalized following an acute episode. She felt there was no reason to see a social worker as she had consulted with several doctors and read popular books on alcoholism. She offered him a psychology book to read that she thought would help him understand his behavior. Mrs. Taylor found pages from an abnormal psychology book that she thought described her husband. She read sections of the book to Mr. Taylor, especially charters describing personality disorders, egocentricity and dependency. Initially, treatment with Mrs. Taylor would involve

1) Telling her that her approach has merit and suggests sensitivity to her husband

2) Reflecting that her approach is overly intellectualized and futile

3) Exploring her feelings about her personal and family situation

4) Assuming that she is reluctant to be engaged and attempt to deal with resistance.

Back 42

Exploring her feelings about her personal and family situation

Front 43

43) Mrs. Taylor was referred to the social worker after her alcoholic husband was hospitalized following an acute episode. She felt there was no reason to see a social worker as she had consulted with several doctors and read popular books on alcoholism. She offered him a psychology book to read that she thought would help him understand his behavior. Mrs. Taylor found pages from an abnormal psychology book that she thought described her husband. She read sections of the book to Mr. Taylor, especially charters describing personality disorders, egocentricity and dependency. Mrs. Taylor’s major defense mechanisms are

1) Reaction-formulation

2) Denial and intellectualization

3) Obsession and compulsions

4) Compensation and displacement

Back 43

Denial and intellectualization

Front 44

44) A client who is unable to tolerate frustration and has a tendency to discharge tension by action is said to

1) Act-in

2) Act-out

3) Decompensate

4) Sublimate

Back 44

Act-out

Front 45

45) The common consequences of parents discouraging expressions of feeling in young children are

1) Bulimia and other eating disorders

2) High anxiety levels

3) Psychomotor problems

4) Acting-out behavior, somatization, a sense of powerlessness

Back 45

Acting-out behavior, somatization, a sense of powerlessness

Front 46

46) A client complains that if the social worker really cared about him like his mother does, then the social worker would not charge him for treatment. This is an example of a

1) Countertransference reaction

2) Sublimation experience

3) Transference reaction

4) Objective criticism

Back 46

Transference reaction

Front 47

47) Conscious and unconscious attempts by the client to thwart the effectiveness of the therapeutic process, the expression of emotions, and emotionally charged material can be considered

1) Projective identification

2) Sublimation

3) Resistance

4) Countertransference

Back 47

Resistance

Front 48

48) A key concept in the behavior medication approach when used in marital counseling is

1) Marital trust

2) Love between partners

3) Bargaining and negotiation

4) Total intimacy

Back 48

Bargaining and negotiation

Front 49

49) According to Beck, the treatment modality that seems to be least used in treating clients diagnosed as schizophrenic is

1) Individual therapy

2) Group therapy

3) Milieu therapy

4) Community therapy

Back 49

Individual therapy

Front 50

50) A patient who was readmitted to a psychiatric hospital complains to the social worker that his doctors have never understood him. In such a situation, the social worker should

1) Explore the client’s reason for this feeling, and offer to discuss them immediately with the doctor

2) Explore the reasons for this feeling and help the client discuss them directly with his doctor

3) Acknowledge that this is a common problem to minimize his hostility

4) Tell the doctor about the patient’s complaint so that the doctor can handle this with the patient directly

Back 50

Explore the reasons for this feeling and help the client discuss them directly with his doctor

Front 51

51) In establishing a professional relationship, a social worker must convey


1) A neutral attitude

2) A sense of objective
observation

3) Healthy skepticism

4) Positive acceptance

Back 51

Positive acceptance

Front 52

52) In approaching the client, a social worker should

1) Espouse moral responsibility

2) Be open and permissive

3) Accept the client unconditionally

4) Accept the client with positive though conditional regard

Back 52

Accept the client with positive though conditional regard

Front 53

53) As a client is presenting material, a social worker should

1) Wait with a patient and encouraging attitude

2) Be gently teasing and provocative

3) Ask leading questions

4) Interpret nonverbal behavior

Back 53

Wait with a patient and encouraging attitude

Front 54

54) In reacting to client material in a psychotherapeutic or clinical situation, the social worker should primarily

1) Deal solely with the concrete data presented

2) Expand the data by interpreting on a deeper level

3) Reflect back to the client using the same language and words where possible

4) Abstract the basic theme of the communication and reflect it in a broader perspective.

Back 54

Abstract the basic theme of the communication and reflect it in a broader perspective.

Front 55

55) In establishing a working alliance, the social worker should

1) Establish the conditions for proceeding

2) Subtly try to encourage a positive relationship

3) Consider clinical objectives and get the client to agree to them

4) Allow for the client’s idea, understanding that conditions change as clinical work proceeds

Back 55

Allow for the client’s idea, understanding that conditions change as clinical work proceeds

Front 56

56) In developing a contact with clients who have negative feelings about the agency, the social worker should

1) Support the client’s negative feelings about the agency, when agency policy is unreasonable

2) Express the agency viewpoint when hostile or negative attitudes are expressed by the client

3) Assume the client has problems with authority

4) Help the client assess the
extent o which his or her reaction is emotionally appropriate

Back 56

Help the client assess the extent o which his or her reaction is emotionally appropriate

Front 57

57) The social worker’s professional behavior toward the client should incorporate

1) Agreement with the client to build confidence

2) Remaining impassive to encourage the client to think for him or herself

3) Showing feelings freely to foster spontaneous interaction

4) Avoiding fixed positions and
pre-established attitudes.

Back 57

Avoiding fixed positions and pre-established attitudes.

Front 58

58) In encouraging the client to bring forth material the social worker should

1) Identify with the client

2) Ally with the client

3) Intervene on behalf of the client

4) Empathize with the client

Back 58

Empathize with the client

Front 59

59) As the social worker develops an understanding of the basic behavior of the client, he should

1) Continue to observe the client, keeping this knowledge in mind

2) Share this information with the client

3) Direct the client toward awareness without interpretation

4) Gauge when the client is ready to both share and contribute to understanding his own behavior and then discuss it.

Back 59

Direct the client toward awareness without interpretation

Front 60

60) Being an “active” listener means that the social worker should primarily

1) Convey involvement by occasional nonverbal cues

2) Make comments that keep the client directed toward meaningful material

3) Actively participate by verbal and nonverbal behavior, thus showing continued interest

4) Allow attention, concern, empathy, and compassion to be communicated through presence and manner

Back 60

Allow attention, concern, empathy, and compassion to be communicated through presence and manner

Front 61

61) In listening and gather data, the social worker should keep in mind that to be helpful

1) Unconscious processes should be made conscious

2) Manifest content is less important than latent content

3) Symbol must be understood and interpreted

4) Effective and positive behavioral changes can occur without grasping the underlying process

Back 61

Effective and positive behavioral changes can occur without grasping the underlying process

Front 62

62) To foster growth in the client, the social worker should

1) Reduce the client’s negative self-image by making positive comments about him or her

2) Carefully suppress negative feelings toward the client as inappropriate and non-therapeutic

3) Be mindful of positive regard as the primary element in healing

4) Consider than an aloof stance may lead to self-acceptance

Back 62

Be mindful of positive regard as the primary element in healing