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What is the time-frame for achieving steady state on a benzodiazepine? - ANS-One day to 21 days; when benzodiazepine is taken daily, the anount of time it takes to achieve "steady state" ranges from one day to about three weeks A client reports that her elderly father has seemed rather confused lately. A physician recently evaluated the man, all neuropsychiatric tests for a neurocognitive disorder have been negative. The physician found no major medical problems. The client says that she has decided to move her father (whose wife died 10 years ago) to an independent living facility. What is the social worker's best course of action? - ANS-Seek permission from the client to conduct an in-home assessment of her father; you (the test taker) don't know where the father is living (does he live alone?), and the question suggests that, so far, you have met with only the daughter; in other words, you haven't had an opportunity to observe or evaluate the client's father. A 40 - year old man is referred for case management services. Six months ago, the client was fired from a construction job he had held for many years due to poor performance and frequent absences that started shortly after he was injured at work. He has been unable to find new work and is in danger of losing his apartment. The client appears distracted during the interview and answers many of the social worker's questions by saying "I'm not sure," or "I don't remember." Given all of this information, what should the social worker explore first? - ANS-Whether the client has had access to medical care; as this client's case manager, you will want to identify all of his unmet needs and what barriers he has encountered in getting and using needed resources and services. However, the question suggests the possibility that the client has an organically based problem, perhaps due to the injury he suffered at work. You should find out immediately what medical care the client received after the injury and arrange for him to undergo current medical (including neurological) evaluations The client is a 41 - year old married man who reports feeling tired a lot of the time and having tremendous difficulty concentrating at his job. He no longer enjoys his work and finds that he is easily annoyed by his family and friends. He adds that he thinks he's depressed but doesn't know what to do to "pick himself up." In an effort to understand the client's needs, the social worker assessed him for suicidal risk; gathers information about his health history, medication use, and health and lifestyle behaviors; and performs a mental status exam to assess his psychological status. What should the social worker do next? - ANS-Gather information on the client's cultural background, social relations, and environmental connections: the question describes two of the three components of a comprehensive biopsychosocial-cultural assessment-"bio" and "psycho"
The MMPI- 2 can be used to measure which of the following? - ANS-Characteristic behavior: the MMPI- 2 is one of the most widely used self-report inventories for the assessment of personality. Its clinical and validity scales provide information about an examinee's characteristics traits and behaviors, including symptoms, major needs, perceptions of the environment, reactions to stress, self-concept, sexual identification, emotional control, interpersonal relationships, and psychological resources A client has been in therapy since the break up of his marriage several months ago. He arrives for a session looking disheveled. After a few minutes, he tells the social worker that he can't eat or sleep. as he speaks, his voice quivers and he appears to be in significant emotional distress. In terms of assessing these changes in the client's functioning, what should the social worker do first?
- ANS-Determine threat to life by asking direct questions: this client appears to be in acute crisis. The first things you should do is conduct a suicide assessment, including asking the client directly whether he has thought about harming himself. If left untreated, diabetes mellitus can result in which of the following symptoms? - ANS-Increased appetite with weight loss, apathy, confusion mental dullness: the pancreas releases insulin, which is involved in the uptake and use of glucose and amino acids, and hypoinsulinism produces diabetes mellitus (excessive blood glucose). Untreated diabetes mellitus may result in increased appetite with weight loss, apathy, confusion, mental dullness, polyuria, polydipsia, and increased susceptibility to infection A client reports experiencing fatigue and excessive nervousness. She says she has a history of periodic depression but has never felt so nervous or anxious before. She was treated for depression two years ago and says that her mood has improved since then. Now, she's just a "nervous wreck" and feels like she can never calm down. What should the social worker do FIRST in assessing this client? - ANS-Collect a medical history, including a review of medications, and refer the client for a physical exam A 40 - year old client has been unemployed since he started having seizures about a year ago. His wife works and the family has been getting by on her income. When asked by the social worker why he has come in, the client says he wants help figuring out how to get a job. With which of the following should the social worker consult FIRST? - ANS-A medical specialist: a medical consultation would be the most important first because the client's seizures are probably related to a medical condition. The physician (probably a neurologist) would have the expertise needed to offer an evaluation of any work-related problems that may result from the client's condition and could help you and the client understand the client's work-related limitations and how to best deal with these in the job search (including how to best advocate for the client's rights if the seizures constitute a disability). The neurologist may also be able to provide or recommend medical treatments to minimize the effects of seizures on the client's ability to work
SSRIs are safer in overdose; less cardiotoxic; less likely to result in cognitive impairment; and have a more rapid onset An individual undergoing cocaine withdrawal is MOST likely to experience which of the following? - ANS-Depression: when a chronic user stops using cocaine (or another stimulant) or begins to use less of it, she may drop into a deep depression. According to the DSM, a cocaine (stimulant) withdrawal syndrome is associated with the following symptoms, which results in clinically significant distress or impairment in functioning ; dysphoric mood and two or more of the following physiological changes - fatigue; vivid, unpleasant dreams; insomnia or hypersomnia; retardation or agitation. Those changes develop within a few hours to several days after the person stops or reduces heavy, prolonged cocaine use Which of the following is a way to implement trauma-informed care practice within a service agency? - ANS-All of the above: each of the answer choices above represent ways to infuse the service delivery environment with trauma-informed practice. Answer choice A, enhancing the privacy of the office will improve clients sense of safety in the physical space. Additional staff training (B) will better equip staff to understand the context of clients experiences of trauma. And engaging clients in choosing discussion topics for group therapy sessions design programming, helps to build a collaborative and empowering therapeutic environment - that values clients contributions to the community. A client reports being very angry at a noisy neighbor and wanting revenge. The client is known to have a short temper and has been physically aggressive in the past. What should the social worker do during this interview to address the client's potential for violent behavior? - ANS-Pose questions to determine the client's intentions: you have several clues suggesting that this client could pose a danger to his neighbor. Therefore, you should ask direct questions to clarify his intent (what does he mean by "revenge?", does he have a specific plan of revenge?) The client is a 70 - year old man who has been experiencing cognitive symptoms. The onset of his symptoms was abrupt and his condition has followed a stepwise, fluctuating course. It is determined that the man has vascular neurocognitive disorder. Vascular Neurocognitive Disorder is caused by which of the following? - ANS-Cerebrovascular disease: vascular neurocognitive disorder is diagnosed when the criteria for major or mild neurocognitive disorder are met, the clinical features are consistent with a vascular etiology (stroke), and there is evidence of cerebrovascular disease from the individual's history, a physical examination, and/or neuroimaging that is considered sufficient to account for the symptoms
As described in the DSM-5, the characteristic symptoms of substance use disorder can be categorized in terms of which of the following? - ANS-Impaired control, social impairment, risky use, and pharmacological criteria A client is taking medication to control the symptoms of a mental disorder. Because of the potential side-effects of a serious blood disorder, she is required to have a blood test every week. The client is MOST likely taking which of the following medications? - ANS-Clozaril - the atypical (second- generation) antipsychotic clozapine (clozaril) was introduced in the United States in 1990. In clinical trials, this medication was found to be more effective than conventional (first-generation) antipsychotic medications in individuals with treatment resistant schizophrenia (schizophrenia that had not responded to other drugs) and the risk of tardive dyskinesia was lower. However, because of the potential side-effect of a serious blood disorder - agranulocytosis (loss of the white blood cells that fight infection) - individuals who are on clozapine must have a blood test every one or two weeks A diagnosis of schizoaffective disorder requires the presence of delusions and hallucinations for at least _____ without symptoms of a depressive or manic episode? - ANS-two weeks: as its name suggests, schizoaffective disorder is characterized by concurrent psychotic and mood symptoms. However, the diagnosis, the individual must have experienced a period of at least two weeks without prominent mood symptoms Which of the following diagnoses cannot be given to an individual who is under the age of 18 years? - ANS-Antisocial personality disorder: antisocial personality disorder is one of the few diagnoses which, by definition, cannot be given to a person who is younger than age 18. A minor who displays characteristic signs of antisocial personality disorder would receive a diagnosis of conduct disorder: an individual under age 18 may receive a diagnosis of borderline personality disorder if the maladaptive traits appear to be pervasive and persistent (have been present for at least one year), are unlikely to be limited to a particular developmental stage, and are not the result of another mental disorder. A social worker needs to perform a suicide evaluation of a client who reports feeling depressed and having thoughts about death. What should the social worker assess FIRST? - ANS-the client's plan for committing suicide: suicide risk evaluations include both direct and indirect assessments. In direct assessments, you question the client directly, emphasizing specific factors that have been linked to an elevated, more imminent suicide risk: you explore whether the client has the means to enact the plan; and if the client has a plan and the means, whether the client's plan relatively lethal - evaluating psychological, historical, situational, and demographical factors associated with a risk for suicide are indirect means of assessment. An indirect assessment is also important, but the risk factors investigated during a direct assessment are highly specific indicators that enable you to more accurately and more rapidly determine the current level of risk
Initiative versus Guilt - ANS-Around age 3 and continuing to age 6, children assert themselves more frequently. They begin to plan activities, make up games, and initiate activities with others. If given this opportunity, children develop a sense of initiative, and feel secure in their ability to lead others and make decisions. Conversely, if this tendency is squelched, either through criticism or control, children develop a sense of guilt. They may feel like nuisances to others and will therefore remain followers, lacking self-initiative. Industry versus Inferiority - ANS-From age 6 to puberty, children begin to develop a sense of pride in their accomplishments. They initiate projects, see them through to completion, and feel good about what they have achieved. If children are encouraged and reinforced for their initiative, they begin to feel industrious and feel confident in their ability to achieve goals. If this initiative is not encouraged but instead restricted, children begin to feel inferior, doubting their abilities and failing to reach their potential. Identity versus Role Confusion - ANS-During adolescence, the transition from childhood to adulthood is most important. Children are becoming more independent, and begin to look at the future in terms of career, relationships, families, housing, and so on. During this period, they explore possibilities and begin to form their own identities based upon the outcome of their explorations. This sense of who they are can be hindered, which results in a sense of confusion ("I don't know what I want to be when I grow up") about themselves and their role in the world. Intimacy versus Isolation - ANS-In young adulthood, individuals begin to share themselves more intimately with others and explore relationships leading toward longer term commitments with others outside the family. Successful completion can lead to comfortable relationships and a sense of commitment, safety, and care within a relationship. Avoiding intimacy and fearing commitment and relationship can lead to isolation, loneliness, and sometimes depression. Generativity versus Stagnation - ANS-During middle adulthood, individuals establish careers, settle down within relationships, begin families, and develop a sense of being a part of the bigger picture. They give back to society through raising children, being productive at work, and becoming involved in community activities and organizations. By failing to achieve these objectives, individuals become stagnant and feel unproductive. Ego Integrity versus Despair - ANS-As individuals grow older and become senior citizens, they tend to slow down and explore life as retired people. It is during this time that they contemplate accomplishments and are able to develop a sense of integrity if they are satisfied with the progression of their lives. If they see their lives as being unproductive and failing to accomplish life goals, they become dissatisfied with life and develop despair, often leading to depression and hopelessness.
A client shows a social worker a list of reasons why she should and should not leave her abusive husband. She says that she is preparing the list to see if the benefits are greater than the risks. The client is basing her decision on which of the following theories? - ANS-Social exchange: social exchange theory is based on the idea of totaling potential benefits and losses to determine behavior. A client will leave a gathering relationship when the alternative is seen as better than the current situation (rewards outweigh costs) Which of the following is true about human trafficking? - ANS-Human trafficking is not the same as human smuggling - trafficking is based on exploitation and does not require movement across borders - smuggling involves moving a person - although human smuggling is very different from human trafficking, human smuggling can turn into trafficking if the smuggler uses force, fraud, or coercion to hold people against their will for the purposes of labor or sexual exploitation - sex trafficking exists, but is not the only type of human trafficking - both involve exploitation of people
- human trafficking victims can be any race, gender, or nationality, and may come from any socioeconomic group - human trafficking exists in every country, including the United States Role complementarity occurs when - ANS-Two individuals act in expected manner - role complementarity happens when there is a coordination of roles in a dyad or group (individuals act as expected by others) - role discomplementarity occurs when an individual acts differently than what is anticipated or is though to be acceptable - unclear expectations lead to role ambiguity and dysfunctional relationships or behavior - thus, social workers aim to ensure that clients are aware of required actions and demands A social worker needs to contact a client who has not shown up for services in many weeks - he calls the number provided, only to get a household answering machine - the social worker leaves a simple message including his name, his agency name, and his contact information - the social worker's actions were - ANS-Unethical because members of the household are now aware of the client's affiliation with the agency - social workers should take precautions to ensure and maintain confidentiality of information transmitted to other parties through the use of email, fax machines, telephones, and telephone answering machines, and other electronic or computer technology - in this case vignette, the social worker's actions were unethical because all household members and others who listen to the message will be aware of confidential information - that is, the client's affiliation with the agency What is the MOST significant difference between a formative and summative evaluation? - ANS-a formative evaluation examines processes while a summative evaluation is focused on outcomes - a formative evaluation examines the processes that are occurring in an attempt to determine which are promoting and/or inhibiting successful outcomes - information gathered from a formative
A school social worker has been informed that a student has been involved in an accident which has caused permanent physical disability. In order to BEST meet this student's needs, the social worker should be sure to assess the.. - ANS-impacts on the student's psychological and/or social functioning - the social worker must recognize the impact of illness or disability on all aspects of well being, not just the physical restrictions - systems theory is based on the concept that when one thing changes in a system, other aspects are affected - the student has experienced a change in physical functioning - this will likely impact on psychological and social well-being as the biopsychosocial functioning of an individual is interrelated - performance in these domains will affect the spiritual and cultural aspects of one's life as well A school social worker learns that a 10 - year old student has just been placed in foster care because physical abuse by her parents has been substantiated. The social worker has had many referrals for this student in recent weeks concerning incidents of bullying other children. This student's behavior is MOST likely a result of.. - ANS-displacement - displacement is shifting thoughts, attitudes, or behaviors to a less threatening target - in this case vignette, the student cannot strike back at her abusive parents, so she is displaying displaced aggression toward the other children A social worker and her supervisor are meeting when a teenager comes into the office and wants "to talk." The teenager reports that she is "being tortured" at home and is the victim of emotional and physical abuse. The supervisor tells the social worker that this child made similar allegations several years ago and they were not substantiated by the child protection agency. The supervisor tells the social worker to "monitor" the situation and keep the supervisor informed if any subsequent allegations are made by the teenager. The social worker should.. - ANS-report the allegations to the child protection agency immediately, informing both the teenager and the supervisor of the need to do so - social workers are mandated reporters - despite the supervisor's recommendation to "monitor" the situation instead of reporting, the social worker still must make a report based on the teenager's claims - it would not be appropriate to delay reporting to collect more information from the parents or see if subsequent allegations are made - in addition, the social worker should be forthcoming with her supervisor and the teenager about her actions and should not anonymously report after hours Which perspective of bonding is based on the belief that humans come into the world preprogrammed to from attachments because they help them survive by providing security and safety? - ANS-evolutionary - John Bowlby suggested that children come into the world preprogrammed to form attachments with other because these attachments will help them to survive - this perspective views bonding within an evolutionary context in which a caregiver provides security and safety for a child - an alternative perspective views bonding as a learned behavior that results from classical conditioning - it posits that a child develops an attachment over
time with whoever feels and cares for him or her because these actions reinforce contact with the caregiver Needle exchange programs for intravenous drug users are based on which of the following models of treatment? - ANS-harm reduction - harm reduction model refers to any program, policy, or intervention that seeks to reduce or minimize the adverse health and social consequences associated with substance use without requiring a client to discontinue use - needle exchange programs ensure that intravenous drug users have access to clean needles and syringes in order to reduce the passage of diseases caused by sharing "works" - these programs may be available in concert with inventions aimed at motivating clients to stop using intravenous drugs, but this is not the focus of needle exchange programs Which of the following is true about child sexual abuse? - ANS-most children who are sexually victimized do not perpetrate against others - while past sexual victimization can increase the likelihood of sexually aggressive behavior, most children who were sexually victimized never perpetrate against others A social worker meets with a family whose 21 - year old daughter with significant developmental disabilities is leaving her educational entitlement and has been found unemployable at this time due to medical concerns. She has never had a job and financial assistance is needed to pay for her living expenses. She has no income or assets. Her parents are working and receive no public benefits. The daughter will MOST likely be eligible for which of the following? - ANS-supplemental security income - supplemental security is a benefit to low income people who are 65 or older; to adults who are disabled or blind - the program is only for people who have very limited income and assets - it is for individuals who have not worked or not worked enough to qualify for Social Security Disability Tranference can BEST be defined as the.. - ANS-redirection of a client's feelings toward a social worker - tranference refers to redirection of a client's feelings to a social worker - transference is often manifested as an erotic attraction toward a social worker, but can be seen in many other forms such as rage, hatred, mistrust, parentification, extreme dependence, or even placing a social worker in an esteemed status - countertransference is redirection of a social worker's feelings toward a client When a client is receiving services involuntarily, a social worker must provide all of the following as part of the informed consent procedure EXCEPT.. - ANS-a copy of the court order - when clients are receiving services involuntarily, social workers should provide information about the nature and extent of services and about the extent of clients' right to refuse service - a copy of the court
interview? - ANS-past history of violent behavior - dynamic risk factors can be improved by interventions such as change in living situation, treatment of psychiatric symptoms, abstaining from drug and alcohol use, access to weapons, and so on - static risk factors cannot be altered (such as past offenses, history of violence, age) and thus, should not be the target of interventions The Personal Responsibility and Work Opportunity Reconciliation act created the Temporary Assistance for Needy Families program. Which of the following was NOT one of the reconstructed elements of this program? - ANS-states could set their own benefit levels - states were allowed to set their own benefit requirements under the Aid of Families with Dependent Children program, TANF's predecessor, which was created in 1935 as part of the Social Security Act A client is having trouble at her job as her boss is asking her to do tasks that she does not feel qualified to do. The client has been afraid to say anything to her boss as she is worried about being fired. The BEST way for a social worker to help this client is to.. - ANS-engage in role playing with her to enhance her assertiveness skills - role playing is a good way to assess and enhance clients' communication skills - engaging in an active learning technique such as role playing will allow the client to practice asserting herself in a "safe" environment before doing so with her boss - this response choice is also best because it aims to enhance a skill that will be beneficial to the client not only in this situation, but in others in her life - the problem is not that the client is not qualified or does not feel qualified, but instead that she is reluctant to engage in a needed conversation with her supervisor Which of the following is the best definition of environmental justice? - ANS-environmental justice is the fair treatment and meaningful involvement of all people regardless of race, color, national origin, or income with respect to the development, implementation, and enforcement of environmental laws, regulations, and policies - the concept of environmental justice began as a movement in the 1980s due to the realization that a disproportionate number of polluting industries, power plants, and low-income or minority communities - the movement was established to ensure fair distribution of environmental burdens among all people regardless of their background - it is based in the belief that a person's health should not suffer because of the environment where he or she lives and works An emancipated minor can do all of the following EXCEPT.. - ANS-obtain a driver's license at a younger age than typically required - an emancipated minor can enter into a contract, sue others, make health care decisions, and so on - however, the emancipated minor still has to follow other laws and, thus, cannot get a driver's license or drink alcohol prior to the legal age to do so A community has a number of problems including rampant drug addiction, high crime rates, and poor school achievement - in order to assist, a social worker should FIRST.. - ANS-speak with
community residents to assist them to prioritize their concerns - community organizing is based on the collective power of its residents to tackle problems of shared concern - there are several issues facing this community and it is critical that the social worker FIRST determine which of these problems, or other areas of concern are most critical for residents - social workers should not be making decisions about the focus of the intervention - as in micro practice, the social worker must immediately find out why the client has sought assistance in this case vignette, the client is the community and the social worker must work with residents to prioritize concerns as part of the initial engagement process. A client who always said that she loves her job now reports that she is quitting because she "can't stand it anymore." A social worker replies with "This is surprising because you have always said that you were happy there." The statement by the social worker is a(n).. - ANS-confrontation - confrontation is calling attention to something - in this case vignette, the social worker is pointing out to the client that her actions are not consistent with her prior statements A client gets into a fight with his wife and buys her flowers and a ring several days later. These gifts are an example of.. - ANS-undoing - undoing is performing an act to "undo" a previous unacceptable act - in this case vignette, the client buys his wife flowers and a ring to try to eradicate the fight that they previously had Symbolization is when.. - ANS-a mental image is unconsciously represented by an object or another thought Reaction formation is.. - ANS-acting in a manner opposite of one's unconscious belief Projective identification is.. - ANS-what is commonly referred to as a "self-fulfilling prophecy" because it occurs when a person begins to identify with the impulses being projected on him or her and the person subsequently acts in a manner consistent with this projection A social worker uses a puppet when playing with a 6 - month old infant. The social worker quickly hides the puppet behind her back. The infant begins to cry. This behavior is MOST likely a result of the child not yet developing which of the following? - ANS-object permanence - object permanence is the ability to realize that an object exists even if it is not seen, felt, or heard - it develops at about 8 - 12 months of age, within the sensorimotor stage of cognitive development, according to Piaget
cause significant pain and fatigue, and it can interfere with a person's ability to carry on daily activities - it is considered a rheumatic condition, a medical condition that impairs the joints and/or soft tissues - most of those diagnosed with fibromyalgia are women - the causes of fibromyalgia are unknown - many people associate the development of fibromyalgia with physically or emotionally stressful or traumatic events or repetitive injuries - others link it to an illness for others, fibromyalgia seems to occur spontaneously An 8 - year old child who was physically abused several years ago before being removed from his home is in need of services to address anger issues. Based on the cognitive development of the child, the BEST modality to meet the child's needs is.. - ANS-play therapy - an 8 year old child may not have the cognitive and expressive verbal communication skills to adequately describe his or her feelings or thoughts - thus, play therapy that uses pictures, toys, puppets, dolls, and other objects is BEST used to assist in addressing the concerns in all steps of the problem solving process A client reports that he is having problems with neurological functioning and is being seen by his physician for additional testing. Which of the following is NOT a physical neurological symptom? - ANS-confusion and delirium - confusion and delirium are changes in consciousness or mental signs of problems in neurological functioning A social worker who is leaving employment to work at another agency must do which of the following related to termination with clients? - ANS-inform clients of appropriate options for the continuation of services - according to the NASW Code of Ethics, social workers who are leaving an employment setting should inform clients of appropriate options for the continuation of services and of the benefits and risks of the options A social worker using a strengths approach during assessment would.. - ANS-ask the client to identify area of concern - a strengths approach views the client as the "expert" in his or her life circumstances An 11 - year old student is performing well below her academic potential as she lacks confidence in her abilities and is fearful to take on assigned tasks. She is MOST likely experiencing a crisis in which of the following stages of psychosocial development? - ANS-industry versus inferiority - according to Erikson, industry versus inferiority takes place from age 6 to puberty - during this stage, children should initiate and complete projects, taking pride in their accomplishments - if they are not encouraged to do so or restricted in any way, children will feel inferior and lack confidence in their abilities
When a client develops a strong sense of his or her cultural, racial, ethnic identity, and is comfortable socializing with those with diverse identities, a client is in which stage of his or her development? - ANS-internalization and commitment - the classic model of cultural, racial, and ethnic identity development refers to identity statuses rather than stages, because "stages" implies a linear progression of steps that may not occur for all - in internalization and commitment, the final status in the model, a client has developed a secure sense of identity and is comfortable socializing both within and outside the group he or she identifies with - identity development begins with a pre-encounter in which a client may not be consciously aware of his or her culture, race, or ethnicity, and how it affects his or her life - in encounter, a client has an interaction that provokes thought about the role of culture, racial, and ethnic identification - after an encounter, there may be period of immersion - emersion, followed by searching for information about cultural, racial, and ethnic differences and learning through interaction with others A social worker who believes that a colleague's impairment interferes with practice effectiveness, and that this colleague has not taken adequate steps to address this impairment, should take action through appropriate channels. This includes all of the following except.. - ANS-determining the reasons for the impairment and providing supportive services as needed - the NASW Code of Ethics states that social workers who believe that a social work colleague's impairment interferes with practice effectiveness and that the colleague has not taken adequate steps to address the impairment should take action through appropriate channels established by employers, agencies, National Association of Social Workers, licensing and regulatory bodies, and other professional organizations - the social worker should not provide services to the impaired colleague directly A client who acts in a manner opposite of his or her unconscious beliefs is MOST likely using which of the following defense mechanisms? - ANS-reaction formation - reaction formation is adopting attitudes, beliefs, and/or feelings contrary to what is actually believed unconsciously - it also may be acting differently than what would be expected given a client's unconscious views; for example, a client treats someone that he or she dislikes in an overly friendly manner - Splitting - ANS-viewing people or things as all good or all bad Substitution - ANS-replacing an unattainable goal, emotion, or object with a more realistic or acceptable one Undoing - ANS-trying to erase a thought or feeling by doing something that is based on the opposite thought or feeling
Roles of social workers when making observations are.. - ANS-complete participant (living the experience as a participant), participant as observer (interacting with those who are participating), observer as participant (limited relationship with others participating - primarily observer), or complete observer (removed from activity - observer only) - observation is a method used in scientific inquiry or other social work activities to collect data During a first meeting with a client, which of the following will be least effective in reducing resistance.. - ANS-asking the client for assurance in cooperating with agency policies - resistance is often reduced by acknowledging the courage that it takes to seek help - often a client is unclear about what to expect as part of services provision so explaining the parameters alleviates fear and anxiety - a client should also not be afraid to speak openly about his or her needs, so confidentiality policies should be reviewed - asking a client to commit to cooperating may appear abrupt or threatening during a first meeting and is the least effective technique in garnering a willingness to work together Which of the following is TRUE about physical contact of a client by a social worker? - ANS-it is not allowed if there is a possibility of psychological harm to a client or it is sexual in nature - setting clear, appropriate, and sensitive boundaries that govern physical contact are essential for professional practice - social workers should not engage in physical contact with clients when there is a possibility of psychological harm to a client as a results of the contact (such as cradling or caressing clients) - physical contact or other activities of a sexual nature with clients are clearly not allowable for social workers A 13 year old client is staying home alone after school and is responsible for organizing her time. She is looking forward to high school next year and is selecting her classes so she can be a good candidate for college acceptance. This client is MOST likely in which of the following stages of cognitive development? - ANS-formal operation - the formal operations stage of cognitive development is the last one according to Piaget - this stage, which begins at about age 11, is characterized by planning for the future, think hypothetically, and assuming adult roles Sensorimotor stage occurs.. - ANS-in the first 2 years of life Preoperational stage occurs.. - ANS-between ages 2 and 7 Concrete operations stage ends.. - ANS-at about age 11 - in the concrete operations stage, cause and effect relationships are understood and there is the beginning of abstract thought, but the level of abstraction is not as fully developed as it is in the formal operations stage
A social worker notices that a client who has been very depressed in past weeks after being hospitalized for a suicide attempt appears to be much happier. The social worker should FIRST : - ANS-conduct a suicide risk assessment - a client who has been depressed and suddenly appears happier may be at higher risk of committing suicide if the change in affect is attributable to a decision to act - a client is also at greater risk after being started on antidepressants because he or she may now have the energy to implement a suicide plan - the question asks for the FIRST action that a social worker should take, which is the completion of a risk assessment to address safety concerns Acculturation is achieved by.. - ANS-a give and take approach in which minority and majority cultural groups both change to facilitate interactions and a achievement of common goals - acculturation is a reciprocal process where both minority and majority cultural groups change in order to facilitate interaction and achieve common goals - members of a minority cultural group in a pluralistic society should never have to abandon their customs, tradition, or beliefs in order to conform - there is a responsibility by a majority cultural group to alter their dominant ways in order to ensure that those in the minority can be full participants, even with differences in practices or attitudes - not acknowledging cultural differences leads to a lack of sensitivity and awareness and a failure to develop healthy cultural identities A client stated that she feels like hurting herself, but will not act on her urges so the social worker "should not worry." To most appropriately address the client's needs, the social worker should FIRST
.. - ANS-determine the client's suicide risk and protective factors - in this case vignette, the social worker has not said or done anything to address the client's reports about hurting herself - it is essential that the social worker FIRST conduct a suicide risk assessment to determine if the self- report of the client - that she will not act - is supported - this assessment is based on identifying the risk and protective factors present - if there does not appear to be an imminent risk, the social worker can engage in other actions to address the client's underlying concerns while continuing to monitor her suicidality. Which of the following is NOT a reason to seek collateral information related to client problems? - ANS-there could be payment and other service problems that should be known before formally accepting the client into services - the use of collateral sources and information is not "a fishing expedition" to see what can be caught - social workers can use collateral sources as informants, with clients' consent, to gather vital information from other professionals or agencies that may have treated clients in the past - family members and friends may provide important information about the length of severity of issues or problems - the use of collateral information is also used when the credibility and validity of information obtained from a client or other are questionable
