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Bundle for LMSW exam latest 2023
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ASWB practice questions to become LMSW 100% accurate answers all correct
If a client is diagnosed with anxiety which medication will he/she most likely be taking A. Oxicodone (OxiConton) B. Atravastatin (Lipitor) C. Alprazola... [Show More] m (Xanax) D. Haloperidol (Haldol) C. Alprazolam (Xanax) is the correct answer. A.Oxycodone is used to treat severe pain. B.Atravastatin is used to manage cholesterol. and D. Haloperidol is an anti-psychotic medication typical. A couple meets with a SW about concerns in their relationship. Both partners report the other person does not offer emotional support of affection. What should the SW explore FIRST? A. Gender roles B. Safety risks C. Relationship expectations D. Relationship development C. Relationship expectations is the correct answer. By first exploring expectations SW is focusing on presenting problem. Gender roles and safety maybe later but make assumptions not known at this point. Relationship development may occur later but is not the first area of exploration. A SW leads a parenting skills group during a session a 3 year old roars like a lion and gestures. The parents appear embarrassed and scold the child. The SW should do what? A. Discuss importance of pretend play. B. Suggest parents take child to the zoo. C. Demonstrate approval of child's behavior. D. Use a animal song to normalize behavior. A. Discuss importance of pretend play is the correct answer. Educate parents of age appropriate healthy development of 3-year-old's pretend play. A zoo visit or song does not address parents response it demonstrates approval also does not take into account parents reaction. A hospital SW has a client who is non-compliant with management of diabetes. The client believes that the illness is Gods will and God will provide a cure. What should the SW do first. A. Assure the client that God want the client to be compliant. B. Educate the client on the health consequences of being non-compliant. C. Explore the role that religion plays in the clients overall self care. D. Inform the client that managing diabetes is not a spiritual issue. C. The SW should strive to promote clients self determination and respect differing values toward the role of religion. Understanding the role that religion plays is a part of the assessment process. A B D do not start where the client is at and disregard his or hers personal values. After first exploring with the client the role that religion plays in his beliefs system educating may be the appropriate intervention. A family services agency has a high number of clients that don't keep appointments the agencies SW administration conducts a client satisfaction survey which reveals clients believe the agency is not welcoming to their children. To alleviate the clients concern. What should the administrator do first. A. Create specialized activities for kids. B. Evaluate the need to change agency's programs. C. Obtain consultation to develop an action plan. D. Form a committee of clients and staff to identify solutions. D. Engaging those who are directly involved is an important first step. Forming a committee. D engages the clients and staff in formulating solutions after forming a committee A B C may follow. A SW facilitated a group for domestic violence perpetrators. A group member is now able to recognize the triggers for anger and is committed to changing resulting reactions. According to the trans theoretical model of change what stage is the group member most likely experiencing. A. Precontemplation B. Contemplation C. Maintence D. Termination B. Because the group member recognizes triggers and is a committed to change but has not determined action steps contemplation is most likely the stage. To take into account the information processing deficits of clients with schizophrenia what should SW do to best structure group treatment. A. Encourage the free flow of ideas. B. Use expressive therapy tools. C. Enforce a rigid agenda for the group. D. Schedule a variety of brief activities. D. This item requires understanding of schizophrenia and the information processing deficits that are typically present. Because of characteristics of schizophrenia a free flow of ideas use encouraging of expressive tools and enforcing rigid agenda are not indicated providing a schedule of brief activities is best suited for clients with schizophrenia. A SW who recently graduated begins working at a drug treatment program the SW notices that clients have many needs including medical attention, mental health services, social services, housing assistance, and employment training. The SW feels overwhelmed. What should the SW do first. A. Establish priorities B. Be aware of countertansference C. Obtain supervision D. Plan to write a grant to hire an additional worker C. Obtaining supervision is necessary Establishing priorities and being aware of counter transference may occur but not first. Option D assumes that the problem can be resolved with more staffing. It may simply be the SW experience level causing the stress. C will help SW to understand the situation. A SW at a community mental health program includes a spiritual assessment as part of the intake interview. The program serves members of a local tribal community. What is important for the SW to remember when working with clients who are Native Americans/Indigenous people. A. Close-ended questions with in a structured protocol should be used B. The assessment must be kept brief and storytelling minimized C. Clinical language should be used to create a safe environment D. Trust should be established before asking sensitive information. D. The item requires an understanding of the cultural aspects of working with Native peoples communities. B C and A are barriers because story telling is a cultural tradition story telling should be included not minimized making option B incorrect. A SW supervisor meets with a staff person who has difficulty setting limits with clients. What is the most effective strategy that the supervisor could suggest to correct his problem. A. Avoid contact with manipulative clients. B. Increase assertiveness through educational activities. C. Use work time for self appraisal D. Ask colleagues to provide feed back during clients sessions. B Increasing assertiveness through educational activities is the only option that directly focuses on improving the staff persons skills. A. Will not correct the pattern C and D could be used to support staff persons development the most helpful strategy is B. What is the first thing SW should do when attempting to evaluate institutionalized racism in an agency. A. Analyze the agencies policies and procedures. B. Dissuss the issue of fairness with the supervision C. Facilitate research on the impact of agency policies D. Review policies that have been successful in other agencies. A is the first action to take once the assessment has been completed option B C D may be appropriate action. The SW may facilitate research on the impact of agency polices C but not before completing an analysis A it is important to understand agencies practices first A hospital SW assists a patient who is scheduled for discharge the patient and family feel the patient needs more time to regain strength before returning home alone. What should the SW do next? A. Educate family on assisting with patient care. B. Arrange a meeting to discuss aftercare options. C. Inform the patient and family about hospital rules. D. Ask hospital administration to extend the discharge date. B is the next action. It is the only option related to determining appropriate steps following discharge. A C D occur later based on the outcome of the discharge planning meeting but would not occur next. A SW is asked to email a clients record to a local physician the client has signed a document legally permitting the release of the records. What should the SW do next? A. Email the records to the physician. B. Hand deliver records to physician. C. Confirm that the info can be securely transmitted. D. Explain that ethical standards prohibit electronic transmission of information. C as stated in the professional code of ethics the SW has the responsibility to ensure confidentiality of information transmitted through technology. Confirming that the information can be securely transmitted is the only option that respects the request for the records transfer and ensures that transfer will be confidential. A SW is to analyze new social welfare policies that will effect community. What should SW do first. A. Examine impact policies on the community. B Research the historical problems that led to the policies. C. Organize a grassroots coalition to discuss reaction to the policies. D. Look into legal precedents that could potentially nullify the policies. B This item requires understanding of the basic steps in policy analysis, must first understand historical background of policy before moving to the analysis stage. A C D are steps to take later in process. A woman who is 5 months pregnant speaks with an adoption agency. She lives with her sister and sister's boyfriend who threatening to force her out of home. She says she doesn't feel safe. What should SW do FIRST. A. Call the police. B. Develop a safety plan. C. Try to locate housing. D. Determine the nature of the danger. D Before taking any action assess the situation first. A B C are all action steps for later. Taking action without assessing the situation involves reaching conclusions without knowing the facts. SW meets with new client who is diagnosed with depression. SW observes client is ambivalent non trusting and passive. What should SW do next. A. Focus on directly engaging client. B. Suggest a task to improve clients mood. C. Encourage client to recall better times. D. Provide info about depression. A Engaging the client is the only option to help build rapport and supports client self determination. Should be done before taking additional steps such as B C and D. After the death of their child, a couple attend a bereavement group led by a SW. After the session, other group memberd report that this caused them to feel frustrated and uncomfortable. What should the SW do next A. Asak the couple to join a different support group B. Plan to discuss the issue with the group at the next session C. Meet individually with the couples before the next session D. Remind the members of their own first group experiences. B. This item requires knowledge of group dynamics. Given that the group is the client, it is important to manage the concerns within the group by NEXT discussing the issue with the group. Options A, C, and D may be appropriate steps to take depending on the discussion with the group A parent brings a 13-year old daughter to meet with a SW because of concerns about recent changes in the daughters behavior. the parent indicates that the daughter was playful, outgoing, and social until the last year, when she began to isolate herself at times. The parent is concerned about the daughters choice of friends and feels that her personality seems to have completely changed. The SW would FIRST want to determine whether the daughter is A. stuggling with new development crises B. being unconsciously influenced by early childhood issues C. becoming addicted to drugs or alcohol D. suffering from clinical depression A. It is FIRST important to determine if the daughters behavior is related to age appropriate healthy development before considering other issues such as the impact of early childhood issues B substance addiction C or clinical depression D. While these may be a factor they should not be a SW's initial focus. A SW is interested in the social cohesion of particular community. What should the SW assess for FIRST A. the rate of unemployment B. the level of trust in neighborhoods C. the high school graduation rate D. the social mobility within neighborhoods B. the level of trust within the community is most closely linked to social cohesion and thus should be assessed FIRST while unemployment rate, high school graduation rate and social mobility within neighborhoods are related to social cohesion, they would not be assessed FIRST A client who experienced severe neglect by his biological parents during infancy is brought to a SW agency for evaluation. According to records the client lived with several foster families before being adopted at bthe age of five. Despite recieving consistent nuturance from his adoptive family, the client has failed to bond with them. Upon initial assessment a SW notes that the clients inhibitions and ambivalence toward others could indicate the presence of A Rhett syndrome B. Selective mutism C. Seperation anxiety disorder D. Reactive attachment disorder D. is the correct answer this is a basic recall of the indicators of reactive attachment disorder. Options A, B, and C could be reasonable but the vignette points more directly to reactive attachment disorder A social worker provides services to a client at a mental health agency. The client dies suddenly. The clients family asks the SW for the clients records. What should the social worker do NEXT? A. Consult with a colleague at the agency B. Refuse the familys request for records C. Determine the jurisdictional mandates about release of records D. Offer to meet with the family to help them with their loss C is the correct answer. Before releasing any records the SW must determine jurisdictional mandates. While consulting with a colleague may occur it would not be the NEXT action taken. Refusing the family's request for records may occur only after determining jurisdictional mandates. Offering services to the family is not appropriate and doe not address the request. A hospice SW makes a home visit to a client who is becoming increasingly angry at his wife, who is his caregiver. The client is observed yelling and throwing books. What should the SW do FIRST during the home visit? A. Refer the wife to a caregiver support group. B. Assess the portential for further violence C. Instruct the wife to remove lethal means D. Evaluate home safety for hospice team members. B is the correct answer. Since the client has exhibited violent behaviors it is important to assess potential for further violence FIRST. This will help ensure family safety. Referral to a caregiver support group and instructing the removal of lethal means may be appropriate but only after further assessment Evaluating for the home for safety for team members should occur at some point but does not address the needs of the family unit. [Show Less]
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LMSW Exam 2023 questions and answers graded A+
AASPIRINS A: acknowledge & assess S: start where the client is P: protect Life (preventing danger to self and others) I: informed Consent R: rule out ... [Show More] medical conditions, send to Dr. if medical I: intoxication (don't treat if intoxicated) N: non-judgmental S: support self-determination For "Best"/"Worst" or "MOST reasonable" questions AREAFI What to do "FIRST" or "NEXT": A: Acknowledge/Assess feelings R: Refer E: Educate A: Advocate F: Facilitate I: Intervene Levels of cognition knowledge (teaching facts, theories, etc) comprehension application analysis synthesis (creating something new) evaluation (judging quality) Maslow's Hierarchy of Needs Physiological Safety Love/belonging Esteem Self-actualization Types of groups Shared problem, Counseling, Activity self help, natural group, closed group, open group, structured, reference, crisis Individual self-actualization occurs through... - release of feelings that block social performance - support from others - orientation to reality and check out own reality with others - reappraisal of self Bowenian Family Therapy change through understanding multigenerational dynamics -driven to achieve balance of internal and external differentiation Logotherapy change through finding meaning in life, understanding purpose Problem solving therapy (aka Task Centered) change through supporting client to take actions to address problems; client defined problems -Short term -Good for lower functioning, schizophrenia, homeless Dialectical Behavior theory Aims to change behavioral, emotional, and thinking patterns associated with dysfunction -teaches mindfulness, suicidal behavior, emotional regulation, interpersonal effectiveness • Good for Borderline Personality Disorder Narrative therapy Change occurs by externalizing problem and creating a new narrative or story, which emphasizes the client's competencies and strengths. -Problem separate of client, externalize the problem Feminist Therapy Change through recognizing disempowering social forces and empowering client. -Good for eating disorders. Emotional Triangulation Network of relationship between 3 people. Stable until anxiety starts between dyad, then 3rd party is used to reduce anxiety. structual family therapy SW engages family in restructuring; boundaries are determined with Interpersonal, boundaries w/ outside world, hierarchal organization of the family Interpersonal family structure Family is defined. Promoted differentiation and autonomy Boundaries of the outside world (Structural family therapy) Defines family. Must be permeable enough to maintain well functioning open system hierarchal organization (Structural family therapy) in all families and cultures. Maintained generationally; parent-child roles, rights, obligations, etc. Strategic Family Therapy - Pretend technique -1st order changes (superficial behavior changes) -2nd order changes (systematic interaction patterns) -Family homeostasis (preserve family organization and communication) -Relabeling (change label attached to problem or person) -Paradoxical directive (prescribe symptomatic behavior so client realize it can be controlled) Suprasystem (systems theory) An entity that is served by a number of component systems organized in interacting relationships Throughput (system theory term) Energy that is integrated into the system so it can be used by the system to accomplish its goals Subsystem (systems theory) A major component of a system made up of 2+ independent components that interact in order to attain their own purpose(s) and the purpose(s) of the system in which they are embedded SOAP format (Assessment) Subjective: How are they doing since last visit Objective: Vitals, physical exam, lab results Assessment: Tasks S & O into short assessment Plan: Done after assessment; treatment plan Mental Status Exam (MSE) Appearance Orientation (Time place events) Speech (Slurred, pressed, slow) Affect/Mood Impulsivity (Potential of harm) Judgement/Insight (Predict consequences) Thought process (reality, thinking style) Intellectual function/memory Suicide Assessment (Danger to self) - Hx of attempt/family hx - Lives alone, no social support - Psych disorders (depression, anxiety) - Substance use/abuse - Media & peer exposure - Losses - Firearms or lethal weapons Suicide Protective Factors - Social support, family connectedness - Coping skills -Access to clinical care/Treatment - Religion & participation in religious activities - Limited access to lethal methods Risk Assessment (Suicide/Violence) - Frequency, intensity & duration of suicidal or violent thoughts - Access to available methods - Availability/inability to control suicidal/violent thoughts - Ability to not act on thoughts - Factors making client feel better/worse -Consequences of actions - Deterrents to action - Using drugs/alcohol - Measures client uses to remain safe Community Strength & Challenges People, Partnerships, Facilities, Organizations, Policies, Regulations, Culture Delusions false beliefs, often of persecution or grandeur, that may accompany psychotic disorders Endogenous depression chemical imbalances in the brain rather than as a reaction to life events Exogenous depression depression caused by external events or psychosocial stressors Folie a deux shared delusion Postmorbid subsequent to the onset of an illness Premorbid before the onset of major symptoms Psychotic experiencing delusions or hallucinations contraindicated not recommended under these circumstances AntiAnxiety & Panic Disorder Ativan, Buspar, Klonopin, Valium, Xanax ADHD/ADD Stimulants Adderall, Concerta, Dexedrine, Ritalin Antidepressants (SSRIs) Celexa Lexapro Luvox Paxil Prozac Zoloft Antidepressants (Tricyclics) Anafranil Asendin Elavil Norpramin Pamelor Aventyl Surmontil Trofranil Vivactil Antidepressants (MAOI) Nardil Parnate *Avoid alcohol & aged foods Antidepressants (Others) Effexor Desyrel Remeron Serzone Wellbutrin Mood stabilizers (Anti-Manic/Bipolar) Depakote Lamictal Lithium Abilify Antipsychotics (Schizoprenia & Mania) Haldol Clozaril- need blood work done Thorazine Seroquel Risperdal Zyprexa Tardive dyskinesia (TD) Abnormal, involuntary movement of tongue, jaw, lips, & face; twitching and snakelike movement of extremities as a result of a high dose of antipsychotics over time Assessment of Violence (Danger to others) -Youth under 13 y/o who commit crimes & escalating violence -Aggression, associated w/ drugs, alcohol & risky behavior -Delinquent peers & gangs Assessment of violence (protective factors) Programs, individual risk & environment Target social context of change Access to clinical care Support system Coping skills Restrict access to lethal weapons Social Work Values 1. service 2. social justice 3. dignity and worth of the person 4. importance of human relationships 5. integrity 6. competence Ethical Problem Solving -Identify ethical standards being compromised -Determine if there is an ethical dilemma -Weigh issues in light of SW values & ethics -Suggest modifications -Implement modifications -Monitor for new dilemmas Payment (SW Ethics) Fees are fair, reasonable & commiserate w/ service. Bartering accepted only when it is acceptable in the local community Lack of Decision Making (SW Ethics) Act of behalf of client and safe guard against ill interest Referrals (SW Ethics) Refer for specialized knowledge Termination (SW Ethics) When services & relationships are no longer required or of interest Commitment to clients (SW Ethics) Promote wellbeing in client's interest; larger society or legal obligations may supersede loyalty to client Self-determination (SW Ethics) Respect and promote the right of clients and assist clients to identify goals and clarity informed consent (SW Ethics) An ethical principle that clients are told enough to enable them to choose whether they wish to participate; state purpose of service, risks, limits, costs, alternatives, right to refuse or withdraw consent, time frame of consent Cultural Awareness Understand culture and its function in human behavior and society Conflict of Interest (SW Ethics) Avoid interfering w/ exercising professional discretion and impartial judgement. No dual/multiple relationships Privacy and Confidentiality (SW Ethics) the responsibility we have to protect the privacy of patients and maintain the confidentiality of their medical information. Need consent for information release Access to Records (SW Ethics) Provide reasonable access to records Sexual relationships & physical contact (SW Ethics) None under any circumstances Short Term Intervention Psychodynamic Crisis intervention Cognitive behavioral therapy case management -Assessment -Planning -Linking -Monitoring -Advocacy Evaluation (research) -Quantitative info -Improvements -Symptom progress -Qualitative info Conflict resolution 1. Recognize existing potential conflict 2. Assess conflict 3. Select strategy 4. Intervention Intervention escalation -Decrease contact -Decrease time between sessions -Decrease formality of sessions -Limit scope fo issued that can be discussed -Use 3rd party mediator Social Work Process 1. Engaging 2. Assessing 3. Planning 4. Intervening 5. Evaluating 6. Terminating *Enhances mental emotional and action capabilities Qualitative measurement info that is not numerical (Open ended surveys, unstructured interviews, observations) Quantitative measurement collecting data involving numbers that can be statistically manipulated (number of clients, survey w/ a Likert scale) Task Centered Practice -quickly engage clients in problem-solving process&to maximize their responsibility for treatment outcomes -focus on here and now - client must be able to identify a precise psychosocial problem/solution confined to specific change in behavior or change of circumstances - client must being willing to work on problem establish relationship quickly - termination begins almost immediately upon onset of treatment Crisis intervention - relieve the impact of stress with emotional and social resources -return a clients to a previous level of functioning -help strengthen mechanisms during the crisis period -develop adapting coping strategies -4-6 weeks; directive, high level activity/involvement -local worker sets specific goals and task in order to increase a clients sense of mastery and control. Phases of Intervention -Engagement -Assessment (Strengths and needs) -Planning/Design intervention -Intervention -Evaluation -Termination Stages of Change Model -precontemplation -contemplation -preparation -action -maintenance -relapse Change strategies -modify systems (one on one or larger system) -modify individual thoughts (change interpretation & statements) -modify actions (behavior modification) -advocacy (secure change) -Mediator (negotiates) -modify feedback (alter reinforcement) Motivation Techniques -identify problem or risk -explain why change is important -advocating change -identify barriers -best course of action -setting goals -taking steps to change -preventing relapse *empathy increases motivation & lowers resistance [Show Less]
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ASWB LMSW Exam (Full) questions and answers latest 2023
Erik Erikson known for his 8-stage theory of psychosocial development focusing on resolving successive identity crises Basic Trust Vs Mistrust (Eri... [Show More] kson) infants learn trust and develop a sense of safety through the consistency of the caregiver meeting their needs (birth to one year) Autonomy Vs Shame & Doubt (Erikson) toddlers learn to do things for themselves through encouragement and support (1-3 years) Initiative Vs Guilt (Erikson) preschoolers learn to initiate tasks and carry out plans or they feel guilty about their efforts at independence (3-6 years) Industry Vs Inferiority (Erikson) school-age children learn the pleasure of applying oneself to a task, or they feel inferior (6-12 years) Identity Vs Role Confusion (Erikson) teenagers develop a sense of self by testing roles and then integrating them to form a single identity, or they become confused about who they are (12-20 years) Intimacy Vs Isolation (Erikson) young adults work on forming and maintaining intimate relationships or they feel socially isolated (20-25 years) Generativity Vs Stagnation (Erikson) middle-aged adults discover a sense of contributing through family or work, or they may feel a lack of purpose (25-65 years) Ego Integrity Vs Despair (Erikson) older adults reflect on satisfaction with their lives or feel a sense of failure (65 years to death) Social Development - Micro learning how to behave and interact well with others; learning how to manage feelings in a way that is productive rather than counterproductive Social Development - Macro learning how people interact in groups and society (family, community), especially in regards to social norms, institutional change, and inclusion Emotional Development learning self-awareness, self-regulation, social skills, cooperation, attention, transitioning from one activity to another, self-confidence, forming and maintaining relationships Six Levels of Cognition knowledge, comprehension, application, analysis, synthesis, evaluation (KCAASE) Knowledge rote memorization, recognition, recall of facts (1st level of cognition) Comprehension understanding what facts mean (2nd level of cognition) Application correct use of facts, rules, or ideas (3rd level of cognition) Analysis breaking information down into its component parts (4th level of cognition) Synthesis combination of facts, ideas, or information to make a new whole (5th level of cognition) Evaluation judging or forming an opinion about the information or situation (6th level of cognition) Jean Piaget known for his 4-stage theory of cognitive development in children Sensorimotor Stage (Piaget) infants and young toddlers explore using the senses and learn object permanence (birth to 2 years) Preoperational Stage (Piaget) young children engage in symbolic thinking (pretend play and imaginary friends) and concrete, egocentric thinking (2-7 years) Concrete Operations Stage (Piaget) school-age children engage in logical thinking, understanding rules and cause-effect relationships (7-11 years) Formal Operations Stage (Piaget) by puberty, people are able to engage in abstract hypothetical thinking, plan for the future, and test hypotheses (11 years through adulthood) Lawrence Kohlberg known for his theory of stages of moral development Preconventional Morality (Kohlberg) obeys authority out of fear of punishment; acts in own best interests; conforms to receive rewards (childhood) Conventional Morality (Kohlberg) acts to gain approval from others; obeys laws and fulfills obligations to maintain social system; avoids censure and guilt (adolescents & most adults) Postconventional Morality (Kohlberg) genuine interest in others' welfare; concerned with individual rights and being morally right; guided by principles and concerns based on broad, universal ethics and morality (some adults) Learning Theory - Behaviorism learning is viewed through change in behavior and the stimuli in the external environment are the locus of learning; change the external environment and change behavior Learning Theory - Cognitive Theory learning is viewed through internal mental processes (insight, information processing, memory, perception) and the locus of learning is internal cognitive structures; develop opportunities to foster capacity and skills to improve learning Learning Theory - Humanism learning is viewed as a person's activities aimed at reaching his or her full potential, and the locus of learning is in meeting cognitive and other needs; develop the whole person Learning Theory - Social Theory learning is obtained between people and their environment--their interactions and observations in social contexts; establish opportunities for conversation and participation Respondent Behavior (Behaviorism) involuntary behavior (anxiety, sexual response) that is automatically elicited by certain behavior. A stimulus elicits a response. Operant Behavior (Behaviorism) voluntary behavior (walking, talking) that is controlled by its consequences in the environment Classical Conditioning learning to associate an involuntary response and a stimulus (Pavlov's dogs develop the expectation that they will be fed when a bell rings) Operant Conditioning learning to associate a voluntary response with a consequence (Skinner's rats develop the expectation that they will get food by pressing a lever) Best known applications of behavior modification sexual dysfunction, phobic disorders, compulsive behaviors (overeating, smoking), and training for people with intellectual disabilities or Autism Spectrum Disorder Behavioral theories suggest that personality is a result of... interaction between the individual and the environment Behavioral theories focus on... observable and measurable behaviors rather than internal thoughts and feelings advantages of client self-monitoring (Behaviorism) inexpensive, practical, therapeutic disadvantages of client self-monitoring (Behaviorism) clients collecting inadequate/inaccurate information or resisting to collect any at all Positive Reinforcement (Operant Technique) increases probability that behavior will occur: praise, giving tokens, or otherwise rewarding positive behavior Negative Reinforcement (Operant Technique) behavior increases because a negative/aversive stimulus is removed (i.e., remove shock) Positive Punishment (Operant Technique) presentation of undesirable stimulus following a behavior for the purpose of decreasing or eliminating that behavior (i.e., spanking) Negative Punishment (Operant Technique) removal of a desirable stimulus following a behavior for the purpose of decreasing or eliminating that behavior (i.e., time out) Aversion Therapy behavioral treatment aimed at reducing the attractiveness of a stimulus or behavior by pairing it with an aversive stimulus (i.e., treating alcoholism with Antabuse) [Show Less]
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LMSW Practice Test 100% accurate answers with complete top solution
Anal Which of the following stages coincides with Erikson's stage of autonomy vs. shame? Splitting The defense mechanism that is used at the young... [Show More] est age is Task A group worker who attempts to organize members so everyone has an opportunity to participate is probably in a ____________ group. Down syndrome An infant displaying a small skull and protruding tongue generally has First few months Prototaxic mode occurs during the Scripts Transactional analysis entails Isolation of affect With borderline personality disorder, it is most likely that the individual has a problem with which of the following defense mechanisms? Continue treatment The social worker's first recommendation for this client upon release would be to Bowen Triangulation is a central concept for which theorist? Preaffiliation stage During an hour of observation of an adolescent group, you notice several different small groups talking between themselves and laughing. At a very serious time when one member is trying to speak, another member distracts the group with a story about his latest drug experience. Most likely this group is the Give the client opportunity to talk about the situation further A new client informs you at the beginning of the first session that she had sex with her former therapist. You know who this therapist is and have always thought very highly of him. Your next step should be to Gestalt therapy In a therapeutic session, the client starts speaking to an empty chair as if someone is sitting there. This is most likely occurring in Contact a homeless shelter The doctor who saw the client during her inpatient stay noted that getting in touch with the client was difficult because she was homeless. As a social worker in the hospital, it would be your responsibility to Talk with the director At an agency whose funding has diminished, the new budgetary manager insists that 90% of all clients must have insurance from this point on. This is up from 50%. You are concerned with the impact this will have on clients. Your first step would be to Open group A therapeutic group in an impatient setting of an adult psychiatric hospital is designed to provide feedback and therapeutic care to patients while in residence. The average stay of a hospital patient is two weeks. The patients range in age from 18 to 65 and have a variety of problems. A patient who is psychotic and can't seem to get under control has been disruptive in the group. Intermittently An established behavior pattern is more likely to be strengthened if the reinforcement is provided Conventional According to Kohlberg, the level of morality most individuals reach is Creates mental retardation PKU is an illness that Doing to oneself what one wants to do to others Retroflexion entails Premack principle Utilizing a high-probability behavior to reinforce a low-probability behavior is an example of Intensity of extremes The difference between bipolar I and bipolar II is Scapegoating All of the following are circular models of causality to Satir except Complementary Communication can be either symmetrical or Agency The supervisor of workers is important in helping develop professional social workers. The supervisor's first responsibility is to the Democratic An administrator in a social service decides to consult with front-line social workers regarding a policy of change the Board of Directors is making. Which style of leadership is this administration using? Inform the client During a third visit to an agency, the client reveals to the social worker the name of her husband from whom she is estranged. The social worker recognizes the name as someone she has previously dated. The social worker should Build a therapeutic relationship A young woman comes to see you regarding her fear of relationships. Although she states she has a good job and some family some family relations, she has never had a close personal friend and does not go out of her apartment often. While her clothing appears clean, she does little to her hair and wears no makeup. Her nails are bitten down and her body odor is strong. A good first step in working with this client would be to Paradoxical directive In a family in which the 4-year old is wetting the bed, the social worker suggests to the parents that they take shifts each night in which they wake the child up every 30 minutes to ensure that he does not need to go to the bathroom. The purpose in doing this is to decrease the parents' overanxiety about the bedwetting. This is called a Structure was the focus of the intervention Structural family therapy is most likely the type of family therapy being used because Subsystems The child's reaction may also reflect on the __________ of the family. Join with the family A structural family therapist's initial action is to Based on the work of Minuchin Structural family therapy is Older adults Disengagement theory is related to Schizophrenia A man arrives at a mental hospital and displays disorganized thought, speaks in rhymes, and attempts to be admitted to the hospital. He is very likely suffering from Empty chair A Gesalt therapist would most likely utilize POR A record-keeping method which includes follow-up plans is Talk with the nurse about the client In a session with a client in an impatient mental health setting who has been diagnosed with schizophrenia, the client appears to be groggy and off-balance in her chair. The social worker needs to Coach clients If you utilize Bowen's brand of therapy, it would be important to Behavioral therapy The best approach for dealing with adolescents has been found to be A dangerous medical condition Narcolepsy is Malingering A person who fakes being emotionally or physically ill to avoid being held responsible for his or her inappropriate behavior would likely be diagnosed with One year A diagnosis of cyclothymic disorder in an adolescent requires the presence of symptoms for what period of time Frotteurism A man rubs his body against a woman he does not know in a subway. When arrested, it is discovered that he has been previously arrested for this type of behavior. The man would likely be diagnosed with Unethical A social worker who has seen a client in treatment for three months agrees to allow the client to make draperies for her office in lieu of payment. This action is Snowball sample A social work researcher wants to survey a group of fathers who have sole custody of disabled children. The best type of sample to use in this study is a Sexual abuse in this family A family comes to see a social worker in a child welfare agency to discuss family problems. The father discusses the fact that he was sexually abused by his father. This fact is strongly related to possible Refer the couple to another agency In a private adoption agency, a lesbian couple makes an application to adopt a child. The new caseworker begins a file but is told later that this is not an approved family structure for placing children. The social worker should first Aid the client in looking at all options open to her In working with a young woman (age 18) in treatment, the client informs the social worker that she would like to have an abortion for her unexpected pregnancy. The first step the social worker should take is to Show the records if it will not harm the client A client in a family agency requests to see her records. The social worker should Communication between therapists A client is using both group and individual therapy. The client is improving. The most likely reason is Treatments are introduced over time An ABAC design occurs when Trust vs. Mistrust dependency on mother, food, nurture Autonomy vs shame starts doing things independently Initatives vs guilt language, competence, guilt about sexual urges industry vs inferiorisy task completion = satisfaction identity vs identity difussion identity conflict - body/personality image intimacy vs isolation intimate relationships or isolation generativity vs self absorbtion children with someone integrity vs despair old happy life, and death Erikson Stage Trust Vs Mistrust = Freud's stage? Oral Erikson Autonomy vs Shame = Freud's Stage Anal Erikson Initiative vs Guilt = Freud's stage Phallic Eriksons Industry vs Inferitority = Freud's Stage Latency Symetrical Communication Believe that people are created equal Complementary Communication interactions with one another, fit between different roles transferance client onto therapist counter-transference therapist onto client Oral Stage birth - 1 year, dependency on mother, nourisment sucking Anal Stage 2-3 years, pooping, potty training, independence some autonomy Phallic Stage 3-5 years, Discover of Sexual pleasure from privates Latency Stage 6-11 years Repression of sexual desires due to guilt and shame Genital Stage 12- Adult, pleasure from genitals and intimate relationships Catharsis Purging and cleansing of emotions Somatization Unreal, fake pain, treatment seeking behaviors Nominal Measure Based on groups Ordinal Measure Based on ranks Group Stages Forming, Storming, Norming, Perorming, Adjourning Group Forming Stage meeting participants, with same interests, orientation Group Storming Stage Competition/conflict in personal relationships Group Norming Stage Building relationships within group-Cohesion Group Performing Stage Begin being productive and completing tasks together Group Adjourning Stage termination of group Delusion thing that could happen, but actually isn't Hallucination Irrational/unreal beliefs Score for PKU/Mental Retardation 70 or less Retro-Flexion doing onto oneself, what they want to do to others Latency postponed sexual pleasure, delayed Stages of Crisis (4) 1. percipitating event 2. tension/shock 3.escalating tension 4. attempt to cope Phases of Crisis intervention (3) 1. Identification of crisis 2. implementation 3. termination Coprolalia Bad Language Stages of Dying (5) Denial, anger, bargaining, depression, acceptance Operant Conditioning skinner, behaviors performed based on consequences (reward) Classical Conditioning Pioget, Behaviors based on stimulus [Show Less]
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DSM: Development of diagnosis hypothesis (diagnostic formulation); Gather information and make assessment (723.1) Diagnostic Formulation considera... [Show More] tions: 1. onset of issue 2. chronic/episodic 3. Family history 4. Use Multiple Sources (client, collateral) 5. context of information (e.g., currently in crisis?) 6. Use clinician observation and client reports (723.1) Assessment Rule out: 1) Malingering and Factitious Disorder, 2) a substance etiology, 3) an etiological medical condition, 4) determining the specific primary disorder(s), 5) differentiating Adjustment Disorder from the residual Other Specified and Unspecified conditions, and 6) establishing the boundary with no mental disorder. (723.1) Parsimony Use the fewest dx's to explain the most/all symptoms (723.1) Diagnostic Challenges 1. inadequate data 2. multiple diagnoses 3. atypical presentations 4. limited intake time (723.1) MSE (Mental Status Exam) Considerations 1. Appearance (hygiene, facial hair, body art/piercings, clothing) 2. Attitude (rapport, degree of engagement) 3. Behavior (calm, energetic, tired? ) 4. Movement (pscyhomotor retardation/agitation) 5. Gait/posture/tics 6. Eye contact and Facial Expressions 7. Speech (volume, rate, style, accent, clarity) 8. Mood: Client's report of emotional state 9. Affect: Clinician's observation of outward emotional presentation 10. Thought Process: Quality, content and Rate (obsessions?) 11. Perceptions: client experience of world 12: Oriented x 3 (person, place, date) 13. SI/HI (current, recent, hx) 14. Insight: level of awareness 15. Judgment: impulse control 16. Memory: Immediate/ST(recent)/LT(remote) (723.1) [II.A] Schizophrenia 1. increase in prodromal sx: isolation, depression, reduced self care, and changes in perception 2. onset: Late teens/early adult 3. compounded or triggered by AOD/SA 4. Positive Sx: *hallucinations *delusions (beliefs in the face of contradictory reality) *Disorganized: Speech/Behavior/Thinking 5. Negative Sx: *Lack of motivation/interest *limited emotional expression 6. Duration: sx for >6 months *Brief Psychotic Disorder: 1 day to 1 month *Schizophreniform Disorder: 1 to 6 months (723.2) Other Psychotic Disorders 1. Schizoaffective: Schizophrenia with a concurrent mood disorder 2. Delusional disorder: (bizarre beliefs) (723.2) Anti-psychotic medications: Neuroleptics. First generation (typical) anti-psychotics (1940s) 1. Thorazine 2. Stelazine Second Generation: (atypical) (1980s) 1. Clozapine 2. Risperidone All work on neurotransmitters (dopamine, sometimes serotonin) (723.2) Social Work Interventions for Schizophrenia 1. SST-Social Skills Training 2. CBT- Cognitive Behavioral Therapy 3. ACT-Assertive Community Treatment (723.2) Differential Diagnosis (723.3) Major Depressive Disorder 1. Depressed mood 2. Decreased motivation 3. Decreased interest in previously pleasurable activities 4. Anhedonia 5. Inappropriate guilt/self-deprecation 6. Insomnia/hypersomnia 7. increased fatigue 8. Cognitive issues 9. Suicidal ideation (723.3) Etiology of Depression *no 'brain test' *Neurotransmitters: imbalances in serotonin, dopamine and norepinepherine are correlated with depression *Hypothalamic-pituitary-adrenal axis is hyperactive (impacts stress) *fMRI : abnormalities in reward seeking, emotion processing in adults with depression Risk Factors for depression: 1. First degree family member w/ dx/hx 2. Environment factors: abuse, adverse experiences 3. Temperament: negative affect Prevalence of depression According to the National Institute of Mental Health, the twelve-month prevalence rate is 7%, with 30% of those cases, or 2% of the U.S. adult population, considered to be severe. The percentage sounds low, but if the adult population is around 237.6 million, that means around 4 million people in the U.S. have reported having depression in the past year. The percentages by age group are as follows: 18-25 years: 9%, 26-49 years: 7.5%, 50+ years: 4.5%. The breakdown by gender is as follows: Women 8%, Men 4.5%. (723.3) Medications for Depression 1. Tricyclics (not always effective) 2. MAOIs (monoamine oxidase inhibitors)(dietary restrictions) 3. SSRIs (selective serotonin reuptake inhibitors)(Zoloft) 4. SNRIs (selective norepinepherine reuptake inhibitors) (Cymbalta: SNRI/SSRI combination) 5. Abilify: Anti-psychotic used to treat depression (723.3) Social Work Interventions for Depression CBT (723.3) Bipolar I Disorder 1. Euphoria 2. Inflated self-esteem 3. Decreased need for sleep 4. Increased energy 5. pressured speech 6. Irritability 7. impulse control problems 8. Increased denial 9. No Major Depressive episode is required (723.3) Bipolar II Disorder same as Bipolar I, only with hypomanic experience . (723.3) Bipolar: Hypomania v. mania 1. No hospitalization 2. shorter duration 3. no psychotic symptoms 4. Does not significantly impair occupational/social functioning Medications for Bipolar 1. Mood stabilizers: a. Lithium b. Lamictyl c. Depakote 2. Anti-psychotics a. Abilify b. Seroquel c. Zyprexa d. Risperdal (723.3) [Show Less]
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LMSW EXAM - Assessment and Intervention Planning 100% accurate answers latest 2023
Indirect practice (1) improve the effectiveness and efficiency of service provision and (2) bring about changes in policies, programs, or budgets, (3) ch... [Show More] anges in communities and organizations. (4) policy development, program planing, program evaluation, administration, and intervention with communities. Using Biopsychosocial Approach 1. Multidimensional framework 2. Risk factor 3. Person-in-environment framework 4. Ecosystems theory Multidimensional framework (1) examine the full range of possible causes and explanations of a client's functioning. (2) Gathering information and theory from the biophysical,psychological, and social dimensions. Risk factor When working to identify potential causal factors, SW consider precipitants (activating situations) to the problems. Person-in-environment framework (1) understand the client's situation from this framework (2) Consider the client as part of an environmental system Ecosystms theory It concerned with the study and description of human beings and other living systems and the transactions between them, and it proposes that psychological prepossess are manifestations of interaction between and among biological, interpersonal, cultural political, economic, legal, and organizational forces and that theses forces interact continually and influence a persons' behavior during her entire lifespan. The phases of Assessment 1. Data collection - avoid jumping to conclusions about the nature or causes of the client's problem at this time. 2. Organizing and Studying the data - should include client's strengths and deficiencies The presenting problem Consists of symptoms and issues, or difficulties "I have trouble forming relationships with men" "I'm so depressed" "My husband and I can't stop fighting" Problems may also include others such as family members, coworkers. Questions to explore in problem assessment 1. problems and concerns 2. Legal mandates 3. Health or safety issues 4. signs and symptoms - it is something observed by you rather than reported by the client 5. individuals/ systems 6. interact 7. severity 8. duration 9. where, when and frequency 10. consequences 11. emotional reactions 12. meanings 13. developmental stage or life transition 14. other issues 15. coping skills 16. skills, strengths, resources 17. cultural, social and social class 18. support system 19. external resources Guidelines for conducting a competent assessment 1. Follow the principles of relevance and salience - limited sessions under managed care. 2. Address top priorities FIRST 3. Gather information from a variety of sources 4. Recognize the uniqueness of the client - Should not draw final conclusions about client. 5. Adopt a strengths perspective 6. Be aware of factors that can affect a client's response - Malingering / defensiveness 7. View assessment as both a product and a process Address top priorities FIRST 1. Start where the client is - "What the client sees as her primary problem or concern?" 2. Legal mandates - should be addressed at the begining 3. Health /Safety concerns Malingering "Faking bad" Defensiveness "Faking good" Independent assessments vs Clinical Team approach Independent assessment - assessment completed in 1-3 sessions/ the worker may consult with colleagues or professionals when the client's case situation is complicated Clinical team approach - SW role is to compile a social history off the client. Skills for eliciting the presenting problem 1. "Start where the client is" 2. Make statements that allows client to choose her own direction 3. Ask Open-Ended questions 4. Seek clarification Start where the client is 1. allow a client to speak freely about the concerns - speak upto 10 or 15 minutes 2. if the client is upset - FIRST, reducing her distress or negative feelings - "Responding Emphatically" or "Reflective Opening" Responding empahtically Responding empathically to the client's feelings and communicating your understanding and acceptance. Reflective opening "Somethings, it can be difficult to get started" " You seems upset today" Make statements that allow client to choose her own direction "Tell me about your problem", "How can I help you?" Open-end questions Allow the client to present her own view of the problem Closed-ended questions "When was your most recent psychical exam?" or simple "Yes" or "No" answers [Show Less]
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D. Motivation that is imposed by external forces is more salient than that which is intrinsic Which of the following is NOT true about motivation to chang... [Show More] e? A. Motivation fluctuates from one time to another B. Motivation can be increased by working to remove barriers to change C. Motivation is driven by hope or the belief that life can be different D. Motivation that is imposed by external forces is more salient than that which is intrinsic C. Decision making based on the conscientious, explicit, and judicious use of research knowledge, clinical Evidence-based social work practice can BEST be defined as: A. Interventions that a social worker has gained training and experience in delivering B. Treatment that yields the most cost-effective outcomes according to a cost-benefit analysis C. Decision making based on the conscientious, explicit, and judicious use of research knowledge, clinical expertise, social work values, and client wishes D. Practice evaluations that adhere to scientific principles D. Pre-contemplation, contemplation, preparation, action, maintenance, and relapse What are the stages of change in sequential order? A. Precontemplation, preparation, contemplation, action, maintenance, and relapse B. Preparation, action, precontemplation, contemplation, maintenance, and relapse C. Preparation, pre-contemplation, contemplation, action, maintenance, and relapse D. Pre-contemplation, contemplation, preparation, action, maintenance, and relapse D. Asking a supervisor to monitor practice to identify new ethical issues or dilemmas Which of the following is NOT an essential step in ethical problem solving? A. Identifying the ethical standards that may be compromised B. Determining whether there is an ethical dilemma C. Weighing ethical issues in light of social work values and principles D. Asking a supervisor to monitor practice to identify new ethical issues or dilemmas D. Delusion A young boy is stopped by a police officer and claims that he is a member of the armed forces, though it is obvious that he is not. This assertion by the boy is MOST likely a: A. Comorbid thought B. Dissociation C. Folie a deux D. Delusion B. Unethical because this is a conflict of interest A social work administrator is having trouble finding a group home manager for a new program scheduled to open in 2 weeks. Further delays in locating staff will delay clients from moving into the program. The administrator temporarily hires her niece, who just graduated with a social work degree, for this position This action is: A. Ethical because the niece is clearly qualified for the position B. Unethical because this is a conflict of interest C. Ethical because the position is temporary and ensures clients get the services needed D. Unethical because clients will experience staff turnover when a new manger is hired D. Formative A social worker is interested in seeing the extent to which current clients are satisfied with a new relapse prevention program. The social worker distributes a client satisfaction survey to those in the program. The social worker then collects the surveys and analyzes the results are presented to a management team in the agency. The social worker is conducting which type of evaluation? A. Summative B. Experimental C. Quasi-experimental D. Formative D. Children from affluent households receive a better public education than those from low-income households. Which of the following is an example of social stratification? A. A child is not included in group activities in school because. of his or her poor social skills B. Children who are violent need to be segregated from their peers C. A child with social deficits is assumed to be delayed in cognition without additional assessment D. Children from affluent households receive a better public education than those from low-income households. C. Conduct a safety assessment During an intake interview, a client reports that she is extremely depressed and has self-destructive thoughts. She has had prior suicide attempts, but tells the social worker not to worry as she wont "do it again". The social worker should FIRST: A. Tell the client that her decision not to harm herself is a good one B. Explore with the client what is causing her depression C. Conduct a safety assessment D. Refer the client to psychiatrist for a medication evaluation A. Zoloft (sertraline) A client with a Social Anxiety Disorder will MOST likely be prescribed which of the following medications to take on an ongoing basis? A. Zoloft (sertraline) B. Mellaril (thioridazine) C. Thorazine (chlorpromazine) D. Valium (diazepam) D. Obtain information from school personnel and records after obtaining parental consent A social worker is appointed by the court to conduct a child custody evaluation for a couple that is divorcing. The mother reports that her husband is verbally abusive, controlling, and neglects the children when they are in his care. She reports that the children have missed a lot of school when staying with their father because he does not assist with getting them ready for school or doing their homework. The father states that his wife is lazy, irresponsible, and cannot meet the children's basic needs. He reports that the school frequently has to provide lunch for the children because the mother does not supply it when they are in her care. In order to BEST evaluate the legitimacy of the information, the social worker should: A. Ask the husband and wife to put their allegations in writing and sign them, attesting to their accuracy. B. Determine whether the husband or wife have had any past instances with being unfaithful. C. Always speak to the husband and wife together so that they are more likely to be honest D. Obtain information from school personnel and records after obtaining parental consent B. Suggest that the client bring this topic up in the group next week to see if others are having similar problems A social worker is facilitating a psychotherapy group for individuals who are in recovery from substance abuse. After group, a client mentions that she has been having problems dealing with job stress without the use of substances. In order to meet this client's needs, the social worker should: A. Recommend that the client see the social worker individually in addition to the group therapy because she appears to need some additional support B. Suggest that the client bring this topic up in the group next week to see if others are having similar problems C. Evaluate whether group therapy is the best treatment modality for the client due to the issue being mentioned to the social worker outside of the group context D. Determine if there is an employee assistance program in the client's work setting to assist. A. Industry versus inferiority An 11 year old child would like to start helping around the house with chores. She approaches her mother many times, but is told she cannot assist because "she wont do it right". During several attempts to do things on her own, she is scolded. According to the psychosocial development theory, she may experience doubts in her abilities due to a crisis in which of the following stages? A. Industry versus inferiority B. Initiative versus guilt C. Autonomy versus shame/doubt D. Generatively versus stagnation B. Assessment A social worker employed in a hospital is asked to use a SOAP format in a client's record. In this format, the "A" stands for: A. Action plan B. Assessment C. Active treatment D. Adjustments to services needed C. Understanding language or using language to speak or write Aphasia is BEST defined as difficulty with: A. Walking or running B. Common motor skills such as combing hair, despite normal strength C. Understanding language or using language to speak or write D. Recognizing familiar objects B. Cultural stratification Culture-bound syndromes in the DSM-5 are replaced by all of the following concepts EXCEPT: A. Cultural syndromes B. Cultural stratification C. Cultural idioms of distress D. Cultural explanations A. And try to contact the client to inform her about the disclosure A social worker receives a court order to provide records of a former client. In this instance, the social worker should submit the records: A. And try to contact the client to inform her about the disclosure B. With the contact information of the client so the court can contain her about the release C. But not contact the client as court orders are not to be discussed by anyone other than judges and attorneys D. And write to the judge to see if he or she wants the client to know about the court order. A. Paradoxical intent A family comes into treatment because of their young daughter's behavior. They report, upon intake, that she yells at her parents, doesn't listen, and complains about their behavior. There is little progress during the course of treatment and the girl reports that she has no intention of changing. After the 6th session, a social worker tells the girl that she cannot help with her behavior and she should continue to "do as she wishes". According to strategic family therapy, the social worker's directly is known as a: A. Paradoxical intent B. Pretend technique C. Relabeling paradigm D. Differentiation response C. Inform clients of appropriate options for the continuation of services and the benefits and risks of the options A social worker is leaving one agency to work at another. In order to address this situation, ethically the social worker should: A. Not inform clients in order to avoid causing them undue stress and harm B. Advise clients that it would be best for them to transfer services to the social worker's new agency to avoid any interruptions in treatment C. Inform clients of appropriate options for the continuation of services and the benefits and risks of the options D. Discontinue services to clients immediately B. Use a portion of their revenues to assist clients with the costs associated with creating advance directives Federal law requires healthy care facilities that receive medicare and medicaid reimbursements to do all of the following with regard to advance directives EXCEPT: A. Inform clients of their rights to have advance directives that will allow them to make decisions regarding their health care B. Use a portion of their revenues to assist clients with the costs associated with creating advance directives C. Ask clients if they have advance directives and document their responses D. Provide education about advance directives D. When the client is addressing long-standing problems that are complex in nature In which of the following circumstances is task-centered treatment NOT recommended? A. When the client wants to see immediate results or changes in circumstances B. When the client is anxious to be an active part of the change process C. When there is a time limited period in which to work with the client D. When the client is addressing long-standing problems that are complex in nature B. Blood work A client is currently taking Clozaril for the treatment of Schizophrenia. The client is MOST likely going to be required to undergo what medical monitoring due to this medication use? A. Weight checks B. Blood work C. Dietary restrictions D. Exercise regimen A. a universalism approach or the acceptance of a standard set of norms or standards Which of the following inhibits the establishment of a therapeutic relationship? A. a universalism approach or the acceptance of a standard set of norms or standards B. A pluralistic approach that values cultural pluralism C. Clients examined as being influenced by their environment with problems being seen as resulting from role ambiguity rather than individual deficits D. Flexible treatment approaches that take into account the subjective realities of clients C. When a client has violated criminal laws and has not been properly prosecuted Which of the following is NOT an exception to a social worker's duty to protect confidentiality? A. When a client poses a serious risk to self and others B. When child abuse is suspected C. When a client has violated criminal laws and has not been properly prosecuted D. When there is an imminent threat by a client to an identifiable third party. D. Social exchange Which of the following theories is used to explain why clients in battering relationships will not leave until the benefits exceed the risks? A. Psychoanalytic B. Problem solving C. Functional D. Social exchange A. Covert modeling A social worker is working with a client who is anxious about public speaking. The social worker asks the client to close her eyes, visualize herself speaking to a larger group, and describe her feelings related to the imaginary situation in detail. This technique by the social worker is known as: A. Covert modeling B. Self-modeling C. Live modeling D. Symbolic modeling A. A husband complains that his wife does not take responsibility for keeping the house clean and a wife is upset that her husband not financially provide for the family. Which of the following is an example of role discomplementarity? A. A husband complains that his wife does not take responsibility for keeping the house clean and a wife is upset that her husband not financially provide for the family. B. A woman states that she does like working and wants to quit her job. C. A young child wants to play in the neighborhood unsupervised. D. A man struggles to fit in time at home with his family due to his hectic work schedule. C. Affective Which of the following is NOT one of six levels of cognition? A. Synthesis B. Knowledge C. Affective D. Evaluation A. To be used by malpractice insurance companies to mitigate liability Which of the following is NOT a stated purpose of the professional code of ethics? A. To be used by malpractice insurance companies to mitigate liability B. To summarize the values on which the profession is based C. To be used by the profession to determine whether social workers have acted unethically D. To serve as a guide to socialize new social workers in the field. C. A mother with relationship problems who is repeatedly emotionally comforted by her 11 year old daughter Which of the following is an example of role reversal? A. A mother who shares her 11 year old daughter's clothes and collects stuffed animals B. A mother expecting her 11 year old daughter to stay at home unsupervised C. A mother with relationship problems who is repeatedly emotionally comforted by her 11 year old daughter D. A mother who arranges a date for her 11 year old daughter [Show Less]
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LMSW Practice Questions with correct answers rated A+
Parents continually refuse to communicate with their child who is in a residential treatment facility. The social worker should FIRST: a. respect the pare... [Show More] nt's need for separation by not contacting them b. request that the child be discharged c. contact the parents about the child's placement d. assess the child's response to the parents' actions A fifteen year old girl has been sent home from school on three occasions for drinking alcohol at school. Each time, the mother becomes angry and threatens to punish the girl but is convinced by the father to give her another chance. Which of the following BEST characterizes the father's behavior in this situation? a. triangulation b. enabling c. advocating d. manipulating Common indicators of sexual, physical and emotional abuse include all of the following EXCEPT: a. violence against younger children b. sexualized behavior c. isolation d. stuttering The concept of gender roles is BEST defined as: a. attitudes and behaviors attached to individuals because of their sex b. an individual's sex orientation and/or preference c. biological characteristics that influence an individual's behavior d. interplay of biological and sociocultural influences Which type of interviewing question is MOST likely to generate client defensiveness? a. open ended b. closed c. leading d. why When interviewing a client whose speech patterns are different from the social worker's, the social worker's PRIMARY consideration should be that: a. communication patterns vary due to economic conditions b. speech is influenced by culture and experience c. psychosocial conditions will cause variations in speech d. speech is influenced by group taboos and norms and may indicate false beliefs The initial symptoms of schizophrenia MOST often occur between which of the following years of age? a. 6 to 12 b. 13 to 16 c. 17 to 45 d. 16 to 60 Which of the following approaches would be MOST appropriate to use in evaluating client satisfaction with the social worker's provision of services? a. using a single system design, evaluate the quality of services b. in the final interview, ask the client about their level of satisfaction c. after submitting process recordings, ask supervisor for feedback d. at termination, ask clients to complete a service evaluation and satisfaction form When conducting an assessment of the risk factors of child abuse for a child of a different ethnic background, a social worker must FIRST: a. be aware of how personal cultural biases affect the social worker's ability to deal with issues of diversity b. realize that assessment models are not a substitute for clinical judgment or experience c. use a strengths' perspective rather than a deficit model to form a partnership with the child's family d. understand the need for appropriate eye contact, tone of voice and question techniques during the assessment A social worker is receiving a client with long-standing depression. It becomes known that the client has racist beliefs. The social worker should: a. respectfully confront the client's prejudiced beliefs b. educate the client about the negative effects of racism c. refer the client to another therapist who might have similar belief d. respect the client's beliefs and focus on the presenting problem The phase of the helping process which leads to subsequent implementation of intervention is: a. exploration and summation b. exploration, assessment and planning c. initiation of established rapport d. clarification and analysis When reviewing a social worker's performance, the supervisor notes that the social worker conveys little empathy toward clients who have recently left welfare and holding first jobs. In order to help the social worker develop empathy with her clients, the supervisor should: a. explain welfare-to-work procedures from the client's perspective b. suggest the social worker enter therapy to become a more empathetic person c. model empathetic communication when engaging with the social worker d. clarify the agency's reason for supporting these clients The purpose of feedback in a social worker interview is to: a. allow the social worker to confront distortions in the client's thinking b. summarize main points of the interview c. let the client know social worker understands the issue d. give the social worker opportunity to self-disclose for benefit of the client A social worker is leading a women's group with the purpose of improving personal and environmental circumstances. The social worker asks the members to identify the area in which they feel most competent. The social worker is following an intervention strategy BEST described as: a. reinforcement b. endorsement c. enhancement d. empowerment The BEST example of the educational component of supervision is: a. monitoring the caseload b. providing in-service training c. utilizing individual and group conferences d. refining knowledge and skills In facilitating a hospital support group for bereaved parents, a social worker can discuss a personal experience of a death of a child to: a. create empathy with the participants b. receive help from the group c. create a sense of shared experience d. establish role as expert on grief issues The primary role of a social worker is: a. building rapport b. providing support systems c. acting as a resource d. curing emotional or mental dysfunction A client with a history of drug abuse was referred to a social worker by a concerned relative. The social worker should FIRST: a. conduct a family interview b. begin treatment, focusing on the reason for the drug abuse c. refer the client for substance abuse treatment d. evaluate the client's motivation for change In adult survivors of childhood sexual abuse, the most frequently encountered defense mechanism is: a. denial b. intellectualism c. suppression d. projection Which of the following approaches would be MOST appropriate to use in evaluating client satisfaction with the social worker's provision of services? a. using a single system design, evaluating the quality of services b. in the final interview, ask the clients about their level of satisfaction c. through process recordings, ask the supervisor for feedback d. at termination, ask clients to complete a services evaluation and satisfaction form A female client comes to see a social worker to discuss her relationship issues. According to the psychosocial perspective, the social worker should: a. have her tell you about the issues affecting her life b. begin training behavioral techniques c. provide a referral to a psychologist for testing d. refer to a marriage and family therapist As a new clinical social worker you find yourself being told by your supervisor you need to be more confrontational. This seems at odds with the social work mission, until you supervisor explains the primary purpose of confrontation is to: a. demonstrate accurate understanding b. help a client change her view of a problem c. make a client aware of inconsistencies d. help the client identify alternatives to her present behavior You have been hired, by a private, non-profit agency, which works with the HIV/AIDS population. The primary function of your unit is to educate sexually active individuals about the disease and to help them understand the importance of testing, life-style changes and treatment if necessary. What is the BEST way to describe your agency's type of prevention? a. crisis intervention b. tertiary prevention c. secondary prevention d. primary prevention You are sitting in a case staffing meeting at your agency while several other social workers are discussing their new cases and receiving feedback and suggestions. Of the four following situations, which one WOULD NOT lend itself to family therapy...? a. A 17 year-old son who needs to separate psychologically from his family b. A couple with two children that has decided to divorce. c. A separated couple with two children, one child in the family has an eating disorder d. An enmeshed family, where improvement in one member is likely to cause distress in the other members An example of cultural blindness in social work practice is: a. Viewing the needs of all clients, not just those in the dominant culture, as equally important b. Identifying cultural norms that have impacted on clients' presenting problems c. Advocating for the rights of all clients regardless of culture, race, and/or ethnicity d. Applying helping approaches universally to all clients without considering cultural diversity [Show Less]
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Medications-LMSW Exam 100% accurate answers latest 2023
antipsychotic used for the treatment of schizophrenia and mania (typical) Haldol (haloperiodal) antipsychotic used for the treatment of schizophren... [Show More] ia and mania (typical) Haldol Decanoate (long acting injectable) antipsychotic used for the treatment of schizophrenia and mania (typical) Loxitane (loxapine) antipsychotic used for the treatment of schizophrenia and mania (typical) mellaril (thioridazine) antipsychotic used for the treatment of schizophrenia and mania (typical) moban (molindone) antipsychotic used for the treatment of schizophrenia and mania (typical) navane (thiothixene) antipsychotic used for the treatment of schizophrenia and mania (typical) prolixin (fluphenazine) antipsychotic used for the treatment of schizophrenia and mania (typical) serentil (mesoridazine) antipsychotic used for the treatment of schizophrenia and mania (typical) stelazine (trifluoperazine) antipsychotic used for the treatment of schizophrenia and mania (typical) thorazine (chlorpromazine) antipsychotic used for the treatment of schizophrenia and mania (typical) trilafon (perphenaizne) antipsychotic used for the treatment of schizophrenia and mania (atypical) abilify (aripiprazole) antipsychotic used for the treatment of schizophrenia and mania (atypical) clozaril (clozapine) antipsychotic used for the treatment of schizophrenia and mania (atypical) geodon (ziprasidone) antipsychotic used for the treatment of schizophrenia and mania (atypical) Risperdal (risperidone) antipsychotic used for the treatment of schizophrenia and mania (atypical) seroquel (quetiapine) antipsychotic used for the treatment of schizophrenia and mania (atypical) zyprexa (olanzapine) Mood stabilizer-used for treatment of bipolar disorder Depakene (valproic acid, divalproex sodium), Depakote sprinkles Mood stabilizer-used for treatment of bipolar disorder Lamictal (lamotrigine) Mood stabilizer-used for treatment of bipolar disorder Lithium (lithium carbonate), Eskalith, lithobid Mood stabilizer-used for treatment of bipolar disorder Tegretol (carbamazepine) carbotrol Mood stabilizer-used for treatment of bipolar disorder Topamax (topiramate) SSRI used for treatment of Depressive Diorders Celexa (citalopram) SSRI used for treatment of Depressive Diorders Lexapro (escitalopram) SSRI used for treatment of Depressive Diorders Luvox (fluvoxamine) SSRI used for treatment of Depressive Diorders Paxil (paroxetine) SSRI used for treatment of Depressive Diorders Prozac (fluoxetine) SSRI used for treatment of Depressive Diorders Zoloft (sertraline) Tricyclic-Used for treatment of Depressive Disorders Anafranil (clomipramine) Tricyclic-Used for treatment of Depressive Disorders Asendin (amoxapine) Tricyclic-Used for treatment of Depressive Disorders Elavil (amitriptyline) Tricyclic-Used for treatment of Depressive Disorders Norpramin (desipramine) Tricyclic-Used for treatment of Depressive Disorders Pamelor (nortriptyline) Tricyclic-Used for treatment of Depressive Disorders Sinequan (doxepin) Tricyclic-Used for treatment of Depressive Disorders Surmontil (trimipramine) Tricyclic-Used for treatment of Depressive Disorders Tofranil (imipramine) Tricyclic-Used for treatment of Depressive Disorders Vivactil (protriptyline) Monoamine Oxidase Inhibitors (MAOIs)-used to treat depressive disorders Nardil (phenelzine) Monoamine Oxidase Inhibitors (MAOIs)-used to treat depressive disorders Parnate (tranylcypromine) Other medication used to treat Depressive Disorders Desyrel (trazodone) Other medication used to treat Depressive Disorders Effexor (venlafaxine) Other medication used to treat Depressive Disorders Remeron (mirtazapine) Other medication used to treat Depressive Disorders Serzone (nefazodone) Other medication used to treat Depressive Disorders Wellbutrin (bupropion) Benzodiazepine used to treat Anxiety Disorders Ativan (lorazepam) Benzodiazepine used to treat Anxiety Disorders Buspar (buspirone) Benzodiazepine used to treat Anxiety Disorders Klonopin (clonazepam) Benzodiazepine used to treat Anxiety Disorders Valium (diazepam) Benzodiazepine used to treat Anxiety Disorders Xanax (alprazolam) stimulant used to treat ADD/ADHD Adderall (amphetamine, mixed salts) stimulant used to treat ADD/ADHD Concerta (methylphenidate, long acting) stimulant used to treat ADD/ADHD Dexedrine (dextroamphetamine) stimulant used to treat ADD/ADHD Dexedrine Spansules (long acting) stimulant used to treat ADD/ADHD Metadate (methylphenidate, long acting) stimulant used to treat ADD/ADHD Ritalin (methylphenidate) Adair Diskus common prescription used to treat asthma and chronic obstructive pulmonary disease (COPD) Crestor common prescription; lipid lowering agent Cymbalta common prescription; a selective serotonin and norepinephrine reuptake inhibitor (SSNRI) for Depression Diovan common prescription used to treat heart disease or heart failure Hydrocodone/acetaminophine most popular painkiller used to treat moderate to severe pain- can become habit forming Levothyroxine sodium common medication used to treat hypothyroidism, used to treat thyroid cancer and help shrink an enlarged thyroid gland Lantus common prescription-sterile solution of insulin glargine for use as subcutaneous injection for diabetes Lisinopril common prescription used to treat high blood pressure-also treats heart failure Lyrica common prescription used to control seizures, treat nerve pain and fibromyalgia Metoprolol common prescription-generic version of lopressor-used to treat high blood pressure and helps reduce risk of repeated heart attacks; treats heart failure and heart pain or angina Nexium common prescription-used to treat symptoms of GERD and other conditions involving excessive stomach acid [Show Less]
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ASWB PRACTICE QUESTIONS (lmsw level) 100% accurate answers rated A+
Compared to non abusive parents, parents who physically abuse their children A. Are more easily irritated, and annoyed by their children. B. Have no kn... [Show More] owledge or understanding of child development. C. Are more permissive. D. Rely on physical punishment more often. Your Answer should be A. Despite extensive research in the area, few specific characteristic have been found that distinguish abusive parents from non-abusive parents. The research does show however, that compared to non abusive parents, abusive parents tend to be more easily irritated, and annoyed by their children, in part because they tend to misperceive their children's behaviors in a negative way. Therefore the correct answer is A: More easily irritated and annoyed by their children. An adolescents has been referred to the school social worker because of hostility and fighting with peers. To establish a therapeutic relationship with this client, the social worker should FIRST? A. Discuss confidentiality limitation with the student. B. Advocate with the school administrator to change the student's school program. C. Validate the student's hostile feeling and explore reasons for fighting. D. Reduce the student's tension by discussing school activities A. Is the correct answer . Discussing the confidentiality limitation (key A) is one of the first things the social workers should do with clients as this prerequisite to the client sharing information with informed consent. In this situation, the social worker would next reduce the students tension (D), then validate the student's hostile feeling and explore reasons for fighting (C). Later, there may be a need for the social worker to advocate with school administration to change the student's school program (B). Therefore, your answer to this question should be key (B). Discuss confidentiality limitation with the student. Studies of abused children seem to indicate A. Most abused children are under the age of. 6 B. Abused children almost never develop emotional attachment to their abusive mothers. C. Socioeconomic status is not a factor in a child abuse. D. Among your children, girls are the most common victims of abuse. Key (A) is the correct answer. Perhaps not surprisingly, studies have found that young children (under the age of 6) are at greater risk for abuse, probably as result of their inability to defend themselves or escape from the abusive situation To receive Title IV-B for foster care, states are required to provide certain protections to all children in foster care. These protections include all of the following EXCEPT A. Placement in the most family-like setting available, and in close proximity to the child's biological parents or legal guardian. B. Placement consistent with the special needs o the child. C. Provision of a detailed written case plan, and a case review at least every six months. D. A Permanency planning hearing as soon as the child is placed in foster care. Key (D) is correct: if you are familiar with the protections offer to children in foster care, this question just requires your to read the choices carefully. A permanency planning hearing must be held or the child within 12 months of his or her initial placement or after a determination that reasonable efforts to reunite the family are not required or have been unsuccessful. Therefore, the correct answer is: A permanency planning hearing as soon as the child is placed in foster care. A social worker with a home health agency assess a client for possible dementia. The client lives alone and receives home health aide services. The nursing aide states the client's cognitive abilities have changed significantly in the past several days. In addition , to being confused and disoriented, the client is unsteady when walking. What should the social worker do FIRST? A. Refer the client for a battery of psychological tests. B. Arrange a medical exam for the client as soon as possible. C. Refer the client for adult care services. D. Discuss possible care placement with the client Key (B). The FIRST action the social should take is to investigate whether the symptoms describe in this question have a neurological or organic basis. (key B). Ignoring the physical symptoms in favor of psychological testing (A) put the client as risk, as does making a referral for adult daycare (C). In addition, discussing placement options (D). The recent onset of these symptoms require immediate action to rule out a medical condition. Therefore the correct answer is B: Arrange a medical exam or the client as soon as possible. A hospital social worker interviews a couple whose infant has recently been hospitalized for cystic fibrosis. The social worker notices that the parent are reluctant to touch the child. Based on this observation, what should be the social worker's FIRST intervention. A. Have the parents talk about their reactions to the child's illness. B. Refer the couple to an appropriate support group. C. Evaluate the situation or out-o home placement or the child. D. Provide the couple with psychoeducation pertaining to cystic fibrosis. The answer is key (A). The question asked or the FIRST intervention. The social worker has observed the parents reluctance to touch their child, and now should bein an intervention by helping the couple express their feelings. (A) Options, (B), (C), and (D) may be appropriate action to take at a later time.. Therefore, the correct answer is A. In this situation, you want to talk to the parent about their reactions to the child's illness. Which of the following activities MOST accurately measures client progress during social work treatment? A. Comparing the client's current level of functioning in relation to original treatment goals. B. Recording the decline in anxiety as reported by the client regarding the present problem. C. Assessing the client's ability to discuss painful difficulties more openly than in initial sessions. D. Recording frequency of crisis call and the client's expressed need for emergency sessions. Key (A) is the correct Answer. The client functioning in relation to the original goals is a valid measurement of progress. Therefore, Key (A) is the correct Answer. Key (B),would mean the client was being treated for anxiety, which is not indicated in the question stem. The same is true for Key (C). There is no evidence that the client has difficulty discussing painful issues. In addition, Key (D) is not indicate, because there is no evidence of crisis call or an expressed need for emergency sessions. A social worker would be most concerned if a client began to exhibit sign of school phobia when she was (blank) years old. A. 5 B. 7. C. 10 D. 13 The correct answer is Key (D). This question asks you to identify at what age school phobia (an acute and irrational fear of going to school) is most serious. According to Rosenhan and Seligman (198)4), when school phobia occurs during adolescence, it is often an early sign of depression or more severe disorder. Kohlberg's theory of moral development views it as being: A. The result of parental expectations. B. Biologically innate and universal. C. The result of school and church teachings. D. Promoted by peer interactions. Answer (D) is the correct answer. Rationale: Kohlberg was concerns with how children think about moral issues and emphasized the role of interactions with the environment in mora development. According to Kohlberg, although children may learn values and moral rules from adults, peers help each other judge and interpret what they are learning at their own level of cognitive development . A social worker is providing disaster relief services to families following extensive loss of lives and property due to flooding in their area. What is the MOST important thing for the social worker to hep the families understand ? A. That a crisis will continue indefinably without therapeutic intervention. B. The persons involved in a crisis will try to achieve a degree of equilibrium. C. That resolution of feelings related to this crisis will prevent recurrence of disequilibrium. D. That they will be unable to return to the pre-crisis level of functioning. Key (B) is correct. Crisis tend to be self-limiting, thus making option (A) Incorrect. Resolution of feelings related to a current crisis will help restore a sense of equilibrium and may provide skills for resolution of future crisis, but it will not prevent disequilibrium from occurring. Option (C) is incorrect. With approprite intervention, people can return to pre-level of functioning or perhaps achieve a higher level of functioning. (D) is incorrect. According to the crisis theory, those involved in a crisis will try various methods to achieve a sense of equilibrium, since previous coping measures may not be helpful. Therefore, Option (B) is the best option. A baby has been living with a foster care family since shortly after she was born. She is adopted by a different family at the age of 11 months. After moving to her new home, the baby is MOST likely to exhibit which of the following? A. Few or no negative consequences. B. A failure to bond with the adoptive parents. C. Long-term emotional and behavioral problems that may be quite severe. D. A moderate reaction involving feeding, sleeping problems, and excessive clinging. Answer key (D) is the correct Answer. Rationale: Studies examining the long term-effects of early parent-child separation have looked at children, who are adopted during early childhood and are, therefore sperate from the initial primary caregivers. While children seperated prior to 3 months of age show or no negative consequences. Children 9 months or older at time of separation exhibit moderate to extreme reactions including feeding and sleep problems, social withdrawal, increased "Stranger Anxiety". and either physical rejection of the new mother or excessive clinging to her. A school age child is removed from his parents home due to chronic physical abuse. He is placed in foster care. The Child's FIRST reaction to this MOST likely to be which of the following? A. Distrust and fear of more abuse. B. Quick attachment to the foster parents. C. Relief and sense of safety. D. Aggression. Answer (A) is the correct answer. Rationale: Among the psychological and behavioral consequences of abuse for a child are pathological object relations, a lack of trust, and fear of being approached by adults. In addition, children who are chronically maltreated may come to see abuse as inevitable, and themselves as "Victims", and may blame themselves for the Abuse. Therefore, the correct answer to this questions is KEY (A). While Conditioned Response (CR) is the learned response of a conditioned stimulus, what is it that is called ACQUISTION? A. A negative conditioned stimulus is paired with a pleasant stimulus that elicit a response that is incompatible with the unwanted conditioned response. B. Learning to make distinction among similar stimuli. C. The reoccurrence of the previously extinguished conditioned response following a rest period. D. The organism learns the associated between the conditioned stimulus and the conditioned response. Key (D) is the correct answer choice for this question. Acquisition is the period during which the organism learns the associated between the conditioned stimulus and the conditioned response. In other words, Acquisition refers to an early stage of the learning process during which time a response is first established. A child living in the United States is exposed to both English, and a second language between the age of six month, and 3 years, and a result, becomes fluent in both languages. If the child has not been exposed to the second language until after the age of 4 or 5, she would have had more trouble acquiring the second language. This provides evidence for. A. The concept of critical periods. B. The concept of sensitive periods. C. The theory of informational processing. D. The notion of imprinting The correct answer choice is (B). Although, some authors use the terms "critical periods" and "sensitive periods" interchangeably. However, they actually mean two different things. A critical periods refers to a time when, if certain developmental event dont happen, later aspect of developmental will not occur. A sensitive periods refers to an optimal period rater than a necessary period. The situation described in this question suggest there is a sensitive period for dual language learning. To understand what influences their clients development and behavior, social workers often use a multidimensional framework that includes there main dimension. Which dimension is concerned with social regulation, and early attachments? A. Social B. Psychological C. Personality D. Biophysical Key (B) is the correct answer. Rationale: The multidimensional framework used by most social workers emphasizes the biophysical, psychological, and social dimensions. The Psychological dimension is concerns with psychological functions that influence a person's ability to satisfy his/her needs over the lifespan. It consist of early emotional bonding, basis temperament, cognitive development, and informational processing. communication, personality identity, and self - concept, emotions, attitudes, social regulation, and moral development, and incorporates both psychological strengths (protective factors), and psychological hazards (risk). Therefore, the correct answer is choice (B) A proponent of system theory would say which of the following about the effects on a family of contact with the environment? A. The family affects the environment more then the environment affects the family. B. It has a positive effect. C. It has a negative effect. D. It will have no effect if the family has healthy boundaries. The Correct Answer choice is (B). Rationale: Think systems theory. According to the system theory, a system with continuous information flow to and from the outside (environment) is an "open system". While a system whose boundaries are not easily crossed is a "closed system". Therefore, an "open family system" has permeable boundaries that permit a high degree of interaction with, and accessibility to it outside environment. While "closed family" has impermeable boundaries that permit little interaction with the outside environment. By failing to interaction sufficiently with the outside environment . A closed system lacks feedback corrective mechanism, becomes isolates, and resist change. In contrast, an open family system, by welcoming and initiating interaction with the outside environment, is more adaptable and accessible to change. As result of exchanges beyond it boundaries, an open family system is more able to deal with stress and change and to make necessary and enabling adaption....However, no family system is fully closed nor open, as a totally open system would have no boundaries, and therefore, would cease to exist as a separate entity, and a totally closed system would have no exchanges at all with its outside environment and would die. A number of relapse prevention model have been proposed for alcoholism, cigarettes' smoking, and other addictive disorders. According to the model developed by Marlatta and his colleagues, what is the MOST effective way to increase the likelihood of recovery after the relapse? A. Continue to promote complete abstinence. B. Emphasize the negative consequences of future "acting out". C. Shifts attention from internal and external antecedents. D. Clarifying underlying issues. Answer choice key (C) is correct. Rationale: The relapse prevention model proposed by Marlatt and associates is a CBT model that emphasizes the role of cognitions (especially attributions) and the situational factors that precedes relapse. Marlatt "abstinence violation effect (AVE) model considers recovery after relapse to be related to attributions about the cause of the relapse. Successful recovery from relapse is more likely when the person blames it on external, stable, and global factors. Note that the research has found the most common precipitant of relapse among people with alcohol and other types of substances is experience anxiety, frustration, depression, or other negative emotional state. A client who is a member of a minority group expresses negative feeling about her own culture, and positive feeling towards the dominant (Anglo) culture. From the prespective of Atkinson, Morten, and Sue (1979). Minority Identity Model, this client is which stage? A. Conformity B. Dissonance C. Immersion D. Denial Answer Choice (A) is correct. The minority identity model distinguishes between 5 stages a. Conformity b. dissonance c. resistance and immersion. d. introspection; and synergistic articulation e. awareness. The conformity stage is characterized by a preference for the dominant culture over one's own culture. Therefore, the correct answer is conformity. All of the following assumptions are consistent with a strength- based approach, EXCEPT: A. Negative experience are opportunities to grow. B. Every environment, no matter how harsh, has resources to offer a client. C. Treatment should focus on empowering a client to overcome their deficiencies. D. Focusing on pathology can undermine a client's ability to achieve their full potential. The correct answer is key (C). In this question you need to identity the untrue statement. Therefore, B is not consistent with a strength based prespective. While empowerment is a key part of this approach, the focus of assessment and intervention is not the client's deficiencies but rather on their strengths and abilities. The strength prespective encourages social workers to attend closely to client strengths during assessment and intervention and , thereby helps to offset the focus on problems. Deficiencies , and pathology that characterizes many other practice frameworks. A "strength" can be seen as anything sufficient and positive that a client is doing, can do. Key Assumptions underlying a strength-based approach includes (1). It is easier to help a client achieve positive, enduring change by building on their strengths than by trying to eliminate their problems or deficiencies. (2) Every person, family group, and community has strengths. As a social worker, you should help a client identify, use , and increase the strengths and abilities they already have. (3) Although negative and traumatic experiences can result in deficits that hinders a client, they can also be sources of challenge and opportunity (4) You cannot know the full extent of a client's potential to grow and change and you should take their goals and desires seriously. For example, you should hold high expectations for the client. (5) You can best help a client by collaborating with them. (6) Every environment offers resources, you should help the client to identify and access the resources in her environment. A client who experienced a maniac episode is released from the hospital and begins seeing a social for outpatient individual psychotherapy. The client is taking medication and learning to cope with how the medication makes her feel. She hopes to get her life back on track. If the social worker adopted a psychoanalytic prespective, he would suspect that which of the following underlies the client's mania? A. Primitive factors of aggression. B. A defense against underlying feeling of depression. C. The projection of unwanted impulses. D. An unresolved conflict in the anal stage of development. Answer Choice (B) is correct. From a psychoanalytic prespective, mania is a defense against suppressed depression. Problem drug use among adolescents is MOST linked with. A. Peer Pressure. B. Lack of information/education. C. Alienation. D. Early experiment with drugs Answer choice (C) is correct. Based on longitudinal study, J Shedler and J. Block (1990), concluded that problem drug users exhibit a coherent syndrome, often as early as age 7, this is characterized by alienation, impulsivity, and subjective distress, and these symptoms clearly precede the onset of drug use. Therefore, the correct answer for this questions is (C). An attorney phones a social and request a copy of one of her client's records. What should the social worker do FIRST? A. Refuse to release the records. B. Release the records. C. Have the client sign a release. D. Find out what information the attorney is seeking. The correct answer choice is (A). This question doesn't specify why the attorney is requesting records, not does it indicate whom the attorney represents. An ethical social worker, however, would not simply release a client's records based on a request from an attorney without having proper consent from the client to do so. Instead, the social worker should take steps to protect the client's confidentiality to the greatest extent permitted by law. With the above in mind, the social workers FIRST reaction in this situation should be to ASSERT PRIVILEDGE on the client's behalf, and not release the records at this time. A social worker is treating a married couple in couple's therapy. The wife reveals new information to the social worker during a phone call. In addition, ask that it be kept secret from her husband. What should the social worker do ? A. Follow a clear policy regarding private information, which he would have discussed with the couple at the beginning of treatment. B. Not keep the secret since it was revealed via phone rather than in a therapy session and, therefore, is not governed by confidentiality principles. C. Consider the welfare of both client and decide accordingly. D. Revealed the information only if properly subpoenaed or questioned in court. The correct answer choice is (A). The NASW ethical standards, which states the following " When social workers provide service to two or more people, who have a relationship with each other (for example, couples and family members). Social workers should clarify with al parties which individuals will be considered clients, and the nature of social worker's professional obligations to the various individuals who are receiving services. Therefore, the correct answer is follow a clear policy regarding private information, which he would have discussed with the couple at the beginning of treatment. Which if the following BEST describes the relationship between legal violations and ethical violation? A. Ethical violations, by definition, constitute legal violations. B. Any legal violation is also an ethical violation C. A breach of ethics does not constitute a legal violation. D. A legal violation may constitute an ethical violation. The correct answer choice this question is key (D). In some cases, a legal violation will lead to a charge of ethical misconduct, but in other, it will not. For example, conviction of a misdemeanor may or may not be construed as an ethical violation, but conviction of a felony usually is. Therefore, the correct answer to this question is (A)- A legal violation may constitute an ethical violation. Which of the following tasks is appropriate for a social worker utilizing a strategic approach to family therapy? A. Designing an intervention for a each specific problem. B. Limiting intervention to the immediate family. C. Assuming a non-directive role with the family. d. Completing an in-depth family history. A- The key to strategic family therapy is to design interventions to resolve specific issues.. Completing a family history is not apart of strategic family therapy. An a social worker assumes somewhat directive role as the family seeks strategies to problem- solving. A social worker has been seeing a 16- year old boy in individual therapy, with the consent of his parents. One day, the parents call the social worker, reporting new concerns about their son. They say he has become more secretive and withdrawn and they think he might also be depressed. They ask the social worker for an update on his progress in treatment. In particular, they want to know what the boy has been talking about in his last few sessions with her. What should the social worker do? A. Remind the parents that everything their son discloses in therapy must be kept confidential. B. After getting permission from the son, invite his parent to a family session. C. Avoid giving the parent the information they want, but reassure them that their son will be fine. D. Give the parent the information they have asked for because they have a legal right to receive an update about their son's therapy. Answer choice B is correct. Ideally, at the beginning of treatment the social worker established with this client and his parents what type of information should would, and would not share with the parents. The basic rule is that parents are entitled to general information from a social worker about their minor child's progress in treatment. In this case, the parents have asked for specific detailed information. Therefore, the social worker needs to balance (3) considerations. (1) From a legal prespective, the parents of a minor child have the right to right to receive information from a therapist regarding their child's progress in therapy. Therefore, this eliminates answer choice (a) and (c). (2) from an ethical standard, a minor client has the right to a confidential relationship with the social worker (this eliminates answer choice d). (2) The distinction between values and ethics is BEST stated by which of the following? A. Ethics, but not values, results in formal standards of conduct that should be practice by the members of the profession. B. Ethics relates to "Desirable" conduct, while values emphasize moral judgement that codifies what kind of behavior is, and is not acceptable for the members of a profession. C. Ethics apply to professional conduct, but values apply to only personal conduct. D. None of the above. For an ethical social worker, there is no difference between ethics and values, A- "Ethics" tend to be codified into a formal system or set of rules that is explicitly adopted by group of people (such as members of the social work profession). While "values" are the standard (for example, customs and beliefs)by which individuals or groups make decisions about "right" and "wrong", "should, and "should not". A social worker is providing case management services to a client who works part-time at low paying job, has difficulties with managing his diabetes, and lacks transportation because he cannot afford to own a care, and doesn't understand the public transportation system in his city. The client reports that been having difficulty getting good medical care for his diabetes- he says that doctors don't take him seriously because he can't read or speak very well. In providing case management services to this client, the social worker overall focus should be on which of the following? A. The client's unmet needs. B. The client's strengths and capacities. C. The client's relationship to his environment. D. The barriers that keep the client from using resources in his environment. Answer choice (C) is the correct ansewer. A case manager's "overall focus" is on the client's relationship to his environment. This is based on an ecological prespective, which assumes that a person has needs that are unmet by resources in his environment and that the environment makes demands that are responded to by capacities within the person. For healthy and adaptive functioning, there must be a balance of resources to needs and a balance of capacities to the environmental demands. During assessment, a CM examines which needs and demands must be balanced by which resources and capacities. The CM's goals is to develop the client's competence to achieve and maintain this balance by himself. A study's dependent variable is measured on a nominal scale. Therefore, the researcher can, at most, do which of the following with the data? A. Identify the mean score. B. Compare frequencies C. Calculate the difference between scores. D. Determine that one subject has more of the characteristic being measure than the other subject. Answer choice (B) is the correct ansewer. The systems used for measuring variables are often described in terms of 4 measurement scales- nominal, ordinal, ratio, and interval.- Which divides a set of observations (for the variables) into mutually exclusive and exhaustive categories. Each scale provides different types of information and permits different mathematical operations to be performed. A Nominal scale is the simplest scale (it divides the observations into unordered categories) You can assigned the number to these categories. Therefore, the only mathematical operation that can be performed on a nominal date is to compare (i.e count) the frequency or number of cases in each category. [Show Less]
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