ASWB Practice Test 22
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A social worker employed by a retirement home is approached by
a client for help in establishing a recycling program in the facility.
The social worker decides to cohost a meeting with the client to
discuss the idea with other residents. What is the MOST likely
D. Sharing leadership is very effective with groups
reason for this approach?
*By sharing leadership with the resident, the social worker is
supporting the resident's skill development as well as promoting
A. Antagonizing administration could be dangerous.
positive group dynamics.
B. Legitimizing the residents' concerns may be helpful.
C. Helping residents start new relationships is important.
D. Sharing leadership is very effective with groups.
At what age does normal separation anxiety typically begin?
A. 24 months
B. 18 months
C. 12 months
D. 3 months
C. 12 months
A nine-month-old child is neglected and lacks a secure attachment
to a caretaker. What long-term effects shoudl the social worker be
most concerned about as the child gets older?
D. Negative social interactions with peers
A. Posttraumatic stress disorder
*The MOST strongly linked-term effect of insecure attachment is
B. Social Anxiety in middle age
future negative social interactions with peers.
C. High blood pressure
D. Negative social interactions with peers
A 13-year-old adolescent meets with a social worker because
of poor hygiene, sleeping in class, and stealing food from the
cafeteria. What should the social worker asses for FIRST?
A. Conduct disorder
B. Child Neglect
C. Substance Abuse
D. Adolescent rebellion
B. Child neglect
*The social worker should understand that the behaviors are indicators of neglect
A school social worker meets with parents of a child who is
recently completed treatment for cancer. The child's physician is
recommending that the child return to school as soon as possible,
but the parents believe that more time at home would be beneficial. What should the social worker do NEXT?
A. Advocate for the parents to keep the child at home
B. Explore the reasons for the parents' beliefs
C. Obtain the child's perspective in situation
D. Refer the parents and child for family therapy
B. Explore the reasons for the parents' belief
*Before taking action, the social worker should acknowledge and
validate the parent's concerns and explore the events and emotions that have led to these concerns
A social worker beings a job at a psychiatric hospital and is assigned a caseload. One of the clients is a former intimate partner.
The social worker and client have not has any contact for several
years. What should the social worker do?
A. Process the issue with the client
B. Deny the relationship occurred
c. Transfer the client to a colleague
D. Request a transfer to a different department
C. Transfer the client to a colleague
*To avoid the ethical dilemma of dual relationships, the social
worker should transfer the client to another social worker.
A client is trying to become pregnant uses cocaine consistently
and has questions about the effects on the fetus. The social worker
tells the client that cocaine use could harm the fetus. What should
the social worker do NEXT.
A. Offer substance abuse treatment options to the client
A. Offer substance abuse treatment options to the client
*Offering treatment options to the client supports client's self-deB. Refer the case for possible criminal prosecution
termination and choice
C. Inform the client that the drug use will be reported to child
protective services
D. Ask the client's health care provider to drug test the client
A social worker is asked to analyze new social welfare policies
what will affect the community. What should the social worker do
FIRST?
A. Examine the likely impact of the policies on the community
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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. Research the historical problems that led to the policies
*This item requires an understanding of the basic steps in policy
analysis. The social worker must FIRST understand the historical
background of the policy
A client meets with a social worker at a crisis center. The client
is living with a sibling and shares that the sibling's boyfriend is
threatening to force the client out of the home. The client does not
D. Determine the nature of the danger
feel safe. What should the social worker do FIRST?
*Before taking any action, the social worker should assess the
A. Call the police for the client
situation FIRST
B. Develop a safety plan
C. Try to locate housing for the client
D. determine the nature of the danger
A social worker meets with a new client who is diagnosed with depression. The social worker observes that the client is ambivalent,
non-trusting, and passive. What should the social worker do next? A. Focus on directly engaging the client
A. Focus on directly engaging the client
*Engaging the client is the only option that helps build rapport and
B. Suggest a task to improve client's mood
supports client self-determination
C. Encourage the client to recall better times
D. Provide information about depression
An adolescent who has diabetes is admitted to the hospital for
the second time in three weeks after significant changes to the
client's insulin levels. The physician believes that the adolescent
is intentionally noncompliant with diabetes care and wants to be
D. Obtain a social and family history
admitted. The physician refers the patient to a social worker. What
* the FIRST step for the social worker is to complete an assessshould the social worker do FIRST?
ment
A. Contract with adolescent to prevent readmission
B. Review the medical management plan with the adolescent
C. Notify local child protective services
D. Obtain a social and family history
What client factor MOST likely determines the scope and focus of
an assessment?
A. Needs of the client
B. Motivation of the client
C. Family systems
D. Social Network
A. Needs of the client
*The needs of the client must be determine the focus of the
assessment.
A social worker is contacted by a client whose initial complaint is
depression. The client reports symptoms of insomnia, headaches,
inability to eat, vomiting, and neck aches. What should the social
worker do FIRST?
A. Obtain a detailed social history on the client
B. Probe for substance abuse problem
C. Engage the client in establishing goals
D. Ask the client to obtain medical consultation
D. Aske the client to obtain medical consultation
*The described physical symptoms suggest a potential medical
issue, which indicates the FIRST action to obtain medical consultation.
A client who is depressed mentions plans for suicide to a social
worker. Privacy and confidentiality had been discussed early in
the treatment process. The social worker believes that the threat
D. Discuss the need for hospitalization with the client
is serious. What should the social worker do NEXT?
*Discussing the need for hospitalization is the NEXT step after the
A. Respect the client's right to confidentiality
social worker has determined the existence of a serious threat.
B. Consult with an agency supervisor
C. Develop a safety plan with the client
D. Discuss the need for hospitalization with the client
During a therapy session, a client reveals to the social worker that
she has difficulty managing her three-year-old child. The client
reports that her child ran into traffic and was nearly hit by a car.
B. Work with the client to develop a safety plan
What should the social worker do first FIRST?
*Developing a safety plan is the FIRST action that a social worker
A. Report the possible neglect to CPS
would take upon learning of the client's concerns
B. Work with the client to develop a safety plan
C. Consult with the social work supervisor
D. Refer the client to a parenting class
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ASWB Practice Test 22
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Parents of a 24-month-old child report their only concern is that
their child plays alongside of, but not with, other children. What
should the social worker do?
A. Assess for symptoms of developmental delays
B. Observe the child's play in a group setting
C. Suggest that the parents report their concern at a doctor visit
D. Reassure the parents that parallel play is typical at this age
A social worker is providing marital therapy to a couple. What goal
statement is MOST likely to enhance a couple's motivation?
A. Increase by 1/4 the frequency of positive statements
B. Reduce by 1/3 the angry exchanges
C. Eliminate physical altercations
D. Reduce by 1/2 the amount of shouting
D. Reassure the parents that parallel play is typical at this age
* The role of the social worker is to educate the child's parents
about typical developmental behavior
A. Increase by 1/4 the frequency of positive statements
* The use of positive reinforcement is MOST likely to enhance
motivation levels. Increasing the frequency of positive statement
is the only option that is an example of positive reinforcement.
A social worker at an adoption agency receives a subpoena for
the records of an adults client who recently met with a social
worker about the client's adoption many years ago. In the process
of responding to the subpoena, what should the social worker do B. Discuss the subpoena with the agency's legal counsel
FIRST?
*Once a subpoena is received, the social worker should FIRST
A. Submit the client's record as requested by the subpoena
discuss it with legal counsel before submitting it.
B. Discuss the subpoena with the agency's legal counsel
C. Discuss the subpoena with a first
D. Ask for approval from the client to respond to the subpoena
A new social worker receives a court order to disclose client
records. The social worker notes that there are grammatical problems and minor errors regarding dates and events in the recordD. Meet with a supervisor
ings. What should the social worker do FIRST?
*When a court order is received to disclose client records, superA. Make corrections as needed
vision should be obtained FIRST
B. Claim record confidentiality
C. Send the records
D. Meet with a supervisor
A weekly meeting is held at a family services agency to determine
if referred families meet the criteria for services. Staff members
are frustrated because the meetings have become characterized
by unrelated discussions and have begun to last several hours.
What should the social worker do to facilitate the meeting?
A. Limit the number of cases presented
B. Redirect staff members who do not stay on topic
C. Schedule individual meetings with problem staff
D. Set time limits for the meeting
B. Redirect staff members who do not stay on topic
* One of the key roles of a group facilitator is to keep participants
focused on the purpose of the meeting. Since staff members are
discussing unrelated matters in the meeting, providing redirection
is critical.
A medical social worker in a home health setting believes a client
is abusing alcohol. The nurse reports that the client is not progressing medically. During a home visit, the social worker notices
multiple empty bottles in the trash. What should the social worker
do FIRST?
A. Explore this observation with the client
B. Refer the client to chemical dependency treatment
C. Assess the client for acute alcohol poisoning
D. request that the nurse make an additional visit
A. explore this observation with the client
*Before concluding that alcohol poisoning is occurring, intervening
with a treatment referral or making a referral to a team member,
the social worker should discuss the observation with the client.
This is the FIRST step in engaging the client and learning more
about the situation.
A client is referred to a domestic violence shelter after experiencing abuse by a partner. The client tells the social worker of plans to
return to the abusive partner because the client believes returning
is God's will. What concept BEST explains the client's reasoning? A. fatalism
A. Fatalism
*A belief that all events are predetermined and therefore inevitable
B. Nihilism
C. Familism
D. Paternalism
What task is the FIRST step in setting up a program evaluation?
A. Selecting a criteria for measuring success
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B. Determining the goals and objectives
C. Assessing the available resources
D. Designing the methodology
B. Determining the goals and objectives
*The goals and objectives must be completed FIRST
What practice has the MOST positive effect on service delivery?
A. Using employment practices that support diverse staff skills
B. Making the needs of clients that focus for all agency policy
B. Making the needs of client the focus for all agency policy
*Central to the mission of social work is the importance of clients
C. Providing paraprofessionals to ensure client attendance at all
being the center of service
activities
D. Providing professional development for in-service training.
A former client contacts a social worker to request access to
treatment records. The client and the client's spouse have been
seen individually and jointly. What is the social worker's MOST
appropriate response?
A. Allow the client access to information pertaining only to the
A Allow the client to access information pertaining only to the client
client
*Due to client confidentiality, only information pertaining directly to
B. Advise the client that agency policy prohibits client access to the client may be shared
records
C. Allow total access to records pertaining to the client and the
spouse
D. Request a ruling from the agency's executive director and
attorney
What instrument is MOST likely to be used by social workers in
the initial assessment of families?
A. Ecomap
B. Life history grid
C. Family sculpting
D. Global Assessment of Functioning Scale
A ECOMAP
A hospital social worker works with a terminally ill patient who is
refusing the use of a breathing machine to prolong life. What action
is the patient choosing?
A. Active euthanasia
B. Natural death
C. Physician-assisted death
D. Palliative care
B. Natural death
*end of life care
The personality disorder in which the individual is hypersensitive
to potential rejection, has low self-esteem, is socially withdrawn,
and is generally unwilling to enter social relationships is:
A. Avoidant
B. Schizoid
C. Antisocial
D. Histrionic
A. Avoidant
*personality disorders
What term describes the belief that one's thoughts alone can
result in the accomplishment of certain wishes?
A. depersonalization
B. Magical Thinking
C. Thought broadcasting
D. Looseness of associations
B. Magical thinking
An adolescent who has been living with her 23 year old boyfriend
for six months calls a crisis hotline at 2AM, requesting help. She
says her boyfriend evicted her because she may be pregnant. She
will be 18 in two days. The adolescent says that she has no place
to go. What should the social worker do FIRST?
A. Obtain a court order for emergency foster care placement
B. Notify the police of the boyfriend's actions
C. Call the adolescent's parents, requesting help
D. Contact a youth shelter facility
D. Contact a youth shelter facility
*In this crisis situation, the social worker must provide immediate,
tangible aid. Contacting a youth shelter facility for housing FIRST
helps with the client's basic need of shelter, which is the client's
presenting problem.
A social worker provides treatment to clients on the sex offender
registry. Some clients are discouraged when they are fired from a
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job after their sex offender status becomes known. What should
the social worker do to BEST support clients?
A. Refer the client to a human rights agency
B. Teach clients how to disclose their background practively when
offered a job
C. Require clients to empathize with how employers view individuals registered as sex offenders
D. Discourage clients from pursuing employment until they complete treatment
B. Teach clients how to disclose their background proactively when
offered a job
*Teaching clients how to proactively disclose their background
offers the BEST support because it involves empowerment and
demonstrates respect for the dignity and worth of the person.
A client reacts to criticism with rage, is interpersonally explosive,
has a grandiose sense of self, is preoccupied with thoughts of
unlimited success, and has a sense of entitlement. This meets
the criteria for which of the following DSM personality disorder
diagnoses?
A. Paranoid
B. Antisocial
C. Narcissistic
D. Histrionic
C. Narcissistic
Due to the recent death of a parent, a hospital social worker is
experiencing difficulty concentrating and completing work-related
tasks. A colleague reports to the social worker that patients are
complaining about the social worker's irritability. The social worker D. Seek consultation with supervisor
should?
* If a social worker's personal life is interfering with work it would
A. Schedule personal leave
be appropriate to seek consultation with the supervisor.
B. Self-monitor reaction to patients
C. Appropriately disclose the loss to patients
D. Seek consultation with supervisor.
What condition is NOT a cause of mild or major neurocognitive
disorder?
A. Alzheimer's disease
B. Substance abuse
C. cerebral Vascular event
D. Osteoporosis
D. Osteoporosis
During an assessment, a social worker is trying to understand
a client's perspective. At the same time, the social worker is
maintaining the perspective of an outside observer. What concept
is BEST reflected?
A. Sympathy
B. Supportive treatment
C. Empathy
D. Differential validation
C. Empathy
Termination of a 12-week therapy group needs to be initially
discussed in the group:
A. At the first session
* this item requires basic understanding of group dynamics. Clarifying expectations and time frames are important issues at the
beginning of a therapeutic group.
A. At the first session
B. During the sixth session
C. At the ninth or tenth session
D. When the clients are ready
Several clients who have physical disabilities attend a social worker's life skills class. The clients express doubt about voting in an
upcoming election because they have heard polling place are not
accessible. After determining that clients' concerns are valid, the
social worker should:
A. obtain legal advice relating to the clients' concerns
B. Obtain absentee ballots for the clients to complete during class
C. respect the clients' rights to refrain from voting in the election
D. Empower the client to educate local official on the needs of
voters with disabilities
D. empower the clients to educate local officials on the needs of
voters with disabilities
*Empowering the clients would assist the clients with life skills and
could increase self-efficacy, which is the goal of the life skills class
What is the most likely reason that a client in an outpatient alcohol
treatment program would be prescribed the drug naltrexone in
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conjunction with counseling?
A. to treat clinical depression
B. to ease alcohol withdrawal symptoms
C. to induce necessary sleep
D. To decrease cravings for alcohol
D. To decrease cravings for alcohol
A social worker creates a job readiness program for young people
transitioning to adulthood. The program is based on developmental theory. What is the PRIMARY goal of the program?
A. Learning the basics of how to find employment
B. keeping track of the number participants who secure employment
C. Determining a particular career path at program onset
D. Ensuring connections to community resources and systems
A. Learning the basics of how to find employment
* Learning how to find employment is the only option focusing on
the developmental task of young adulthood and is the primary goal
of the program
A client is in treatment with a social worker in a fee-for-service
setting. After paying in full on time for the first ten sessions, the
client begins to make either partial payments or no payments at
all. Assessment of risk indicates that the client poses no danger
to self or others. According to ethical standards of social work
practice, what is the social worker's BEST response?
A. continue services after negotiating a nonmonetary compensation system
B. Suspend services until the client has caught up on all financial
obligations
C. Terminate services after the third incident of insufficient or
nonpayment
D. Terminate services if debt persists after a discussion of financial
obligations
D. Terminate services if debt persists after a discussion of financial
obligations
*Since the client poses no danger to self or other and is in arrears,
services can be terminated after the discussion of financial obligations has occurred.
A social worker is providing therapy to a family. The couple have
been arguing constantly for several months and are considering
a separation. recently, the oldest child began acting out in school.
With attention focused on the child's problems, arguments between the parents have subsided. What concept BEST describes
this family's situation from a systems perspective?
A. Reaction formation
B. Adaptation
C. Triangulation
D. Entropy
C. Triangulation
* The oldest child exhibiting behavior that is moving attention away
from parental arguments. Triangulation is resulting in lessened
parental conflict since the parents' attention has become focused
on the child's behavior.
A social worker is working with a s client who is severely depressed. The social worker has learned that earlier in the year
the client boasted of perceived importance to others, went without
sleep for several days, spent large amounts of money, and talked
rapidly. What disorder is the MOST likely diagnosis for the client?
A. Schizoaffective
B. Cyclothymic
C. Persistent depressive
D. Bipolar l
D. Bipolar l
A social worker makes a home visit to a family investigating
alleged neglect of one of the children. The social worker spends
the first part of the interview discussing the family's new roof, their
garden, and the rising costs of school supplies. In doing this, the
B. employing an important warm-up period to establish rapport
social worker is purposefully:
* the social worker is using the technique of small talk to begin
A. demonstrating the importance of a good conversational skills
establishing a relationship with the family and to build rapport
B. Employing an important warm-up period to establish rapport
C. disarming the family so that will be straightforward in responding
D. Avoiding discussion of a sensitive topic
A social worker facilitating change at a human services organization recognizes that clients are not assigned to the most appropri- A. Organizational structure
ate personnel. Case assignments are based only on caseloads, *Organizational structure is the aspect of the agency that involves
with no attempt to match clients' needs with workers' skill sets. On
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what aspect of the agency is the social worker focused?
A. Organizational structure
B. Agency mission
C. Communication system
D. Staff motivation
staff roles and responsibilities, including the process by which
case assignments are based.
A social worker assesses a client with an eating disorder. the
client expressed ambivalence about changing eating habits. what
should the social worker do NEXT?
A. Advocate for change
B. Confront the resistance
C. Explore the client's values
D. Validate the client's concerns
D. Validate the client's concerns
A social worker's research shows that when clients who have been
released from prison are given transportation resources, they are
less likely to re-offend. The social worker submits the research
to officials, advocating for a transportation program. What social
work value best describes the social worker's efforts?
A. Integrity in social work practice
B. Inherent dignity and work of individuals
C. Promotion of social justice
D. Competence in professional practice
C. Promotion of social justice
*The social worker in this item is attempting to rectify a social
justice variable that is related to recidivism. Advocating for a broad
transportation program is more strongly linked to concepts of
social justice
An agency social worker becomes aware that a coworker frequently consumes alcohol on their lunch break. When this occurs, the coworker does not appear intoxicated. This individual
is responsible for driving foster children to and from specialized
services throughout the day. What should the social worker do
first?
A. Discuss the drinking directly with the coworker
B. Inform the coworker's supervisor of the behavior
C. Continue to observe and document the coworker's actions
D. consult the jurisdictional social work regulatory board for direction
A. Discuss the drinking directly with the coworker
*As noted in the professional code of ethics workers should discuss the possible impairment directly with the colleague and assist
with remedial action if appropriate.
A social worker receives a call from an angry client who yells at
the social worker about perceived mistakes in a case. What should
the social worker do next?
A. Suggest that the client discuss the concerns at the next session
B. Refuse to listen because the client is behaving inappropriately
C. Respond empathically to the client's concerns
D. Refer the client to the agency supervisor
C. Respond empathically to the client's concerns
*To attend to the importance of the relationship between the social
worker and the client, the social worker should demonstrate empathy NEXT before moving to action such as suggesting concerns
be discussed at the NEXT session.
A social worker working in a shelter for people experiencing
homelessness is reviewing policies and procedures. The social
worker wants to focus on what can be done to enhance client
trust and mitigate power imbalances. What should social worker
do first?
A. Implement a staff training program on principles of confidentiality and exceptions
B. Create a client-managed review board that investigates critical
incidents
C. Interview clients to learn ways of implementing policy to be
sensitive to be sensitive to client needs
D. recruit former shelter clients to perform in policy advocacy roles
C. Interview clients to learn ways of implementing policy to be
sensitive to client needs
*Since the focus is on developing client trust, the only option
that accomplishes this is interviewing clients to learn ways of
implementing policy sensitive to their needs
A social worker provides opportunities to community residents
to increase political participation. The goal is to affect policy and
improve socioeconomic conditions. What approach is the social
worker MOST likely using?
D. Empowerment
A. Networking
B. Program development
C. Coalition building
D. Empowerment
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In a small community hospital, the newly hired social worker
learns that some nurses document that they preform a psychosocial family assessment as part of the patient's admission history.
The social worker proposes making this a social work function.
What is the best approach to advocate for this proposal?
A. Document how much time the change will save the staff
B. Compare length of stay for each approach
C. Ask the nurses why they are doing the family assessments
D. Identify the unique skills and abilities of social workers
D. Identify the unique skills and abilities of social workers
*To BEST advocate for this proposal with the nursing staff, the
social worker will need to educate them on social work skills and
abilities.
A social worker completes an initial assessment of a client diagnosed with anorexia nervosa. The client's weight has dropped
significantly resulting in negative affects to physical health. To best
meet the client's immediate needs, what should the social worker
do?
A. Network with a nutritionist who can recommend nutritional
supplementation
B. Refer the client to an occupational therapist who can beneficial
exercises
C. Consult with a physician regarding possible hospitalization
D. Contact a registered dietician who can teach the client healthy
eating habits
C. Consult with a physician regarding possible hospitalization
*Given the severity of the weight loss, it is imperative that a consultation with a physician occur to address the client's immediate
needs
A social worker works in a community where gangs and drugs are
a major problem. The mayor has requested that the social worker
develop a plan involving the community to reduce gang violence
and drug related problems. What should the social worker do first?
A. Create a forum for the gangs to meet
B. Hire community leaders to lead the initiative
C. Organize a task force to address the problems
D. Conduct an educational workshop at the community center
C. Organize a task force to address the problems
*organizing a task force is the FIRST step in social action and
involves those affected in addressing the issue and promoting
solutions.
What is the most important action that can be taken by a social
work supervisor to reduce liability resulting from acts or omissions
by supervisees?
A. Advise the supervisees to communicate potential risks
B. Request that supervisees sign waivers of liability
C. Document topics discussed in supervision
D. Purchase insurance that provides malpractice coverage
C. Document topics discussed in supervision
*The documentation of topics covered in supervision is the MOST
important action that a supervisor can take to reduce liability. Documentation will provide evidence of topics discussed and actions
recommended.
During an initial interview with a social worker, a client reports
a lack of desire for a sexual relationship with the spouse since
getting married. The client engages in sex only when pressured,
then dissociates during the intercourse. The client has been having recurring violent nightmares and suicidal thoughts. What is the
social worker's best response?
A. Refer the client and spouse for sex therapy
B. Refer the client to an inpatient psychiatric unit
C. Request a neurological evaluation for the client
D. Evaluate for a history of sexual abuse as a child
D. Evaluate for a history of sexual abuse as a child
*Evaluating past history is the BEST action for the social worker to
take in order to determine the most appropriate treatment option
for the client.
A child protective services social worker meets with a parent
who has allegedly been neglectful. The parent talks about being
overwhelmed by the needs of the child. The parent describes
having trouble sleeping because of the need to stay alert for
messages from a favorite talk show host. The parent also shares
beliefs that the child's teacher is working against the parent. What
should the social worker do next?
A. Refer the parent to a physician
B. Encourage the parent to discuss the anxiety
C. Initiate a mental status examination
D. Plan a collaborative meeting with the school
C. initiate a mental status examination
*Given the parent's descriptions of potential auditory hallucinations and possible paranoid thinking, it is important for the social
worker to assess what is occurring with the parent's mental health
by initiating a mental status exam.
A social worker is attempting to secure public income support for
a family who recently immigrated. What does the social worker in
this situation need to know?
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A. People who immigrate are barred from receiving public assistance
B. Only people who immigrate and have refugee status qualify for
public assistance
C. Eligibility varies for public assistance that is provided to people
who immigrate
D. People who immigrate must become citizens to qualify for public
assistance
C. Eligibility varies for public assistance that is provided to people
who immigrate
*It is important to know that eligibility varies depending on the
program and jurisdiction
A social worker supervises volunteers in a day care facility. Parents are complaining about one volunteer's lack of sensitivity.
What should the social worker do first?
B. Assess the volunteer's ability to connect with others
A. Assist the volunteer in working with the families
*It is important to FIRST assess before recommending intervenB. Assess the volunteer's ability to connect with others
tions
C. Reassign the volunteer's responsibilities
D. Recommend education workshops
A client is discharged from inpatient treatment for substance use.
A mental health social worker meets for a follow-up session with
family members and observes that they avoid discussing the
problem. What should the social worker do first?
C. determine the extent of denial within the family system.
A. Confront family members about the long-term nature of the
*The social worker should FIRST follow up on the observation that
problem
the family is using denial as a coping strategy.
B. Assist the family in understanding the harm of substance use
C. Determine the extent of denial within the family system
D. Advise the family members that relapse is realistic possibility
After several meetings with a client, a social worker notices the
client making multiple complimentary statements about the social
worker. What should the social worker do first?
D. Help the client explore the reasons for the behavior
A. Restate the purpose of the therapeutic relationship
*The social worker should assess the reasons for the behavior
B. Ask the client to stop the compliments
FIRST before taking action
C. Confront the client about the inappropriateness of the behavior
D. Help the client explore the reasons for the behavior
Which medication would most likely be used for treatment of
depression?
A. Prolixin
B. Zoloft
C. Haldol
D. Zyprexa
B. Zoloft
A preschooler's parents report that their child masturbates at night
and has tried to touch a sibling's genitals while bathing. What do
these behaviors most likely indicate?
B. Normal sexual development
A. Child sexual abuse
*understanding of healthy sexual development for a preschooler
B. Normal sexual development
C. Diffuse personal boundaries
D. Delayed superego development
Social worker facilitates therapy with a married couple. Because
of limited experience working with the couple's issues the social
worker approaches a colleague in the community for structured
advice. What term best describes this action?
A. Consultation
B. Supervison
C. Cultural competency
D. Interdisciplinary collaboration
A. Consultation
A social worker meets with a client to complete a biopsychosocial
assessment. The social worker also speaks with client's parents
and probation officer to gather additional information. What term
best describes the social worker's actions?
A. Data triangulation
B. Client debriefing
C. Historical checking
D. Audit trail
A. Data triangulation
* Data triangulation is used in assessment to compare and verify
information from multiple sources. By speaking with the client's
parents and probation officer, the social worker is using data
triangulation
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A social worker meets with an adolescent who wants to run away
from home. The client gives several reasons for this desire. what
is the best technique for the social worker to use?
A. Confrontation
B. Rationalization
C. exception exploration
D. Partialization
D. Partialization
*The social worker needs to help the client gain a better understanding of the individual elements that are leading to the desire to
run away. By partializating, the issues are broken into manageable
components that would facilitate further discussion and problem
solving.
A social worker assess a victim of psychological abuse by a long
term partner. What is the most important for the social worker to
remember about the dynamics of abuse within a relationship?
D. Abuse is often an effort to retain control
A. Abuse frequently arises from uncontrolled anger
*retaining control is the MOST common underlying dynamic in
B. Abuse is often a response to the fear of abandonment
abusive relationships
C. Abuse frequently comes from feelings of inadequacy caused by
jealousy
D. Abuse is often an effort to retain control
A social worker meets with an 8 year old client to work on issues
of impulsivity and anger management. The client tells the social
worker of his intent to push his infant siblings down the stairs. The
client asks the social worker not to tell anyone. After discussing
the client's concerns. what should the social worker do next?
A. report to the appropriate jurisdictional authorities
B. Discuss the client's statements with the parents
C. Assess the client's current coping strategies
D. Teach anger management techniques.
B. Discuss the client's statements with the parents
*The social worker has a duty to warn the parents of potential harm
to the infant sibling. Because no harm has occurred, reporting to
authorities would be inappropriate
A social worker is a member of the disaster response team in
a community where there was a recent tornado. An elementary
school was destroyed and three children were killed. A month
later, parents and school officials ask the social worker to evaluate
a child whose behavior has become unmanageable in class. The
child is having difficulty concentrating and has not completed any
assignments in several weeks. What should the social worker do
first?
A. Refer the child for an evaluation for ADHD
B. encourage the parents to spend more time with the child each
day
C. Complete an individual assessment with the child
D. Provide crisis intervention for the child
C. Complete an individual assessment with the child
*The child's behaviors are appropriate given the situation, so it is
important to complete the individual assessment FIRST in order
to determine the nature and extent of the issues.
A social worker meets with a client who is chronically mentally ill.
The client often refuses to take psychotropic medications but does
not yet exhibit symptoms of active psychosis. What approach is
most likely to help the client achieve long-term optimal functioning?
A. developing a behavioral program to enhance medication compliance
B. Referring the client to a day treatment center
C. Referring the client for long-term hospitalization
D. Arranging for medication to be administered by a visiting nurse
A. developing a behavioral program to enhance medication compliance.
*The only approach MOST likely to help the client achieve
long-term optimal functioning is medication compliance.
A social worker is subpoenaed to testify at a court hearing. However, the client asks the social worker not to disclose information
from their sessions. The social worker might support adhering to
the client's request on the basis of:
A. Privileged communication
B. self-determination
C. Liability reduction
D. Best practices
A. privileged communication
*know basic terminology
A social worker is asked to evaluate a 10 year old child who was
reported to be talking with peers about explicit sexual activity and A. Assess other exposures to sexually explicit material
singing a song about incest. After ruling out direct sexual abuse * Assessing additional exposure is the NEXT reasonable action
to the child, what should the social worker do next?
for the social worker to take. Direct sexual abuse may not be
A. Assess other exposures to sexually explicit material
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B. Assess the child's level of impulse control
C. Consider a diagnosis of conduct disorder
D. Educate the child about appropriate talk with peers
occurring, but the indicators noted suggest that the child is being
exposed to some form of indirect sexual activity.
A medical social worker discusses discharge planning with a patient's spouse. The patient's spouse is adamant that no follow-up
medical care is needed. The patient has the capacity to make
C. Explain the patient's rights to the spouse
medical decisions. What should the social worker do next?
*Legal and ethical principles obligate the social worker to ensure
A. respect the spouse's wishes
that the spouse has full understanding of the patient's rights.
B. Inform the patient's physician of the spouse's request
C. Explain the patient's rights to the spouse
D. meet with the hospital board of ethics
A social worker is aware of a client having difficulty paying for
prescription medication. What should the should worker do?
A. Loan the client money to pay for the medications
B. Suggest alternatives to prescription medications
C. Inform the client of low-cost medications available online
D. Encourage the client to talk with a pharmacist about payment
options
D. Encourage the client to talk with a pharmacist about payment
options
*Encouraging the client to talk with a pharmacist uses the expertise of the professional to review payment options such as generic
drugs or pharmaceutical discount programs.
A client requests mental health services to manage chronic and
escalating anger. During the initial session, the client tells the
social worker of instances when she was verbally abusive to
an individual in her care who uses a wheelchair. The client is
C. Discuss the incident further to determine the appropriate action
remorseful and say that the incidents have occurred on only two
*During the initial session, the social worker should assess further
or three occasions. What should the social worker do next?
before taking action such as collecting collateral information.
A. Collect collateral information from the care recipient
B. Explain the need to report the incidents to the proper authorities
C. Discuss the incidents further to determine appropriate actions
D. Develop a personalized anger management program
What components are included during the contracting phase of
intervention?
A. Informative events and critical incidents
B. An ecomap and periods of observation
C. Goals and objectives
D. Assessment and evaluation
C. Goals and objectives
*Setting goals and objectives is a core component to the contracting phase of intervention
During what stage of development does a gay/lesbian adolescent
experience the greatest need for support?
A. Becoming involved in an intimate relationship
B. Coming out to others
C. Exploring gay/lesbian identity
D. Experiencing the sense of being different
B. Coming out to others
A couple meet with a social worker about concerns in their relationship. Both partners report the other person does not offer
emotional support or affection. What should the social worker
explore FIRST?
A. Gender roles
B. Safety risks
C. Relationship expectations
D. Relationship development
A social worker leads a parenting skills group. During a session,
a three-year-old child roars and gestures like a lion. The parent
appears embarrassed and scolds the child for this behavior. What
should the social worker do?
A. Discuss the importance of pretend play
B. Suggest the parent take the child to the zoo
C. Demonstrate approval of the child's behavior
D. Use an animal song to normalize the behavior
C. Relationship expectations
*Both partners are expressing a lack of emotional support. By
FIRST exploring relationship expectations, the social worker is
focusing on the presenting problem.
A. Discuss the importance of pretend play
*It is important to educate the parent about age appropriate
healthy development.
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A school social worker completes a functional behavioral assessment of a child who is exhibiting challenging classroom behaviors.
What is the social worker trying to identify by completing this
B. An understanding of why the disruptions occur
assessment?
*Completing a functional behavioral assessment allows the social
A. An overview of the client's family system
worker to understand the reasons for the child's disruptions
B. An understanding of why the disruptions occur
C. The strengths of the client
D. Times when learning can best occur
Lithium would MOST likely be prescribed for what type of disorder?
A. Sleep-wake
B. Anxiety
C. Bipolar I
D. Dissociative
C. Bipolar I
A hospital social worker has a client who is noncompliant with
management of diabetes. The client believes that the illness is
God's will and God will provide a cure. What should the social
worker do first?
C. Explore the role that religion plays in the client's overall self-care
A. Assure the client that God would want the client to be compliant * The social worker should strive to promote client self-determinaB. educate the client on the health consequences of being non- tion and to respect differing values toward the role of religion.
compliant
C. Explore the role that religion plays in the client's overall self-care
D. Inform the client that managing diabetes is not a spiritual issue
An adolescent who was recently discharged from a psychiatric
hospital is meeting with the school social worker to assist with
school adjustment. The social worker would like to speak with the
referring psychiatrist about the treatment plan. What should the
D. Call the student's guardian to obtain a release of information
social worker do first?
*Informed consent from the student's guardian must be obtained
A. Advise the staff that specialized services will be required
FIRST before the social worker can speak with the psychiatrist.
B. Review the student's records to determine if a discharge plan
was sent
C. Schedule a case conference to discuss the treatment plan
D. Call the student's guardian to obtain a release of information
A family services agency has a high number of clients who do
not keep appointments. The agency's social worker administrator
conducts a client satisfaction survey, which reveals that clients
believe the agency is not welcoming to their children. To alleviate D. Form a committee of clients and staff to identify solution
the client's concern, what should the administrator do first?
*Engaging those who are directly involved is an important FIRST
A. Create specialized activities for children
step
B. Evaluate the need to change agency programs
C. Obtain consultation to develop an action plan
D. Form a committee of clients and staff to identify solutions
What is a social worker required to do before beginning work with
a client that includes an electronic transfer of records?
A. Mail a copy of the requirements to all clients, including minors
B. Provide the client with the agency privacy policy
C. Give the client information regarding fee policies
D. Obtain signed insurance releases to protect client privacy.
A client meets with a social worker to discuss parenting a rebellious adolescent. After several sessions, the client shares religious
beliefs that support physical punishment. What should the social
worker do FIRST?
A. Inform the client that physical punishment psychologically
harms children
B. Validate the client for openly sharing the physical punishment
viewpoint
C. Request that the client describe the physical punishment practices
B. Provide the client with the agency privacy policy
*It is the ethical responsibility of the social worker to ensure that
clients understand the risks and limits of privacy when electronically transferring records.
C. Request that the client describe the physical punishment practices
*Clarifying the client's basic understanding of physical punishment
practices is a necessary FIRST step before any other action.
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D. Explore the client's own history of physical punishment during
childhood
A social worker is in the early stages of intervention with a client
who is acutely depressed. What approach style would be MOST
effective for the social worker to use at this point in treatment?
D. Supportive
A. Emotional
*Working with a newer client who is acutely depressed requires a
B. Directive
supportive approach
C. Motivational
D. Supportive
To take into account the information processing deficits of clients
with schizophrenia, what should the social worker do to best
structure group treatment?
D. Schedule a variety of brief activities
A. Encourage the free flow of ideas
*Providing a schedule of brief activities is BEST suited for clients
B. Use expressive therapy tools
with schizophrenia.
C. Enforce a rigid agenda for the group
D. Schedule a variety of brief activities
A social worker facilitates a group of people who have abused a
partner. A group is now able to recognize the triggers for anger
and is committed to changing resulting reactions. According to the
transtheoretical model of change, what stage is the group member B. Contemplation
MOST likely experiencing?
* because the group member recognizes triggers and is committed
A. precontemplation
to change but has not determined action steps.
B. Contemplation
C. Maintenance
D. Termination
A social worker meets with a client who reports shortness of
breath and a rapid heartbeat. The client has a fear of losing control.
What disorder is the client most likely experiencing?
A. Impulse control
B. Delusional
C. Neurocognitive
D. Panic
D. Panic
A social worker disagrees with the way agency policy restricts
client services and believes it is ethical issue. What should the
social worker do NEXT?
A. Inform clients of the ethical disagreement
B. Identify possible actions to resolve the issue
C. Organize colleagues to lobby for change
D. Determine whether ethical values are in conflict
D. Determine whether ethical values are in conflict
* process involving steps for ethical problem solving
Which of the following factors is MOST helpful in assessing a
client's ability to use insight-oriented psychotherapy?
A. Availability of support systems
B. Ability to form relationships
C. Level of Motivation
D. Socioeconomic Status
C. Level of motivation
*insight oriented therapy depends on the internal work of the client.
Without motivation to change the client will be unsuccessful. This
form of mental health psychotherapy treatment is a client-centered
type of talk therapy that guides clients toward developing an improved understanding of self and take a s deeper look at issues.
A social worker who recently graduated begins working in a drug
treatment program. The social worker notices that clients have
many needs, including medical attention, mental health services,
social services, housing assistance, and employment training.
The social worker feels overwhelmed. What should the social
worker do FIRST?
A. Establish priorities
B. Be aware of countertransference
C. Obtain supervision
D. Plan to write a grant to hire an additional worker
C. Obtain supervision
*because the social worker is feeling overwhelmed, obtaining
supervision is necessary. It may simply be the social worker's experience level is causing the stress. Obtaining supervision FIRST
will help the social worker to understand the situation.
A social worker in a high school is asked to facilitate a treatment
group. What consideration would be MOST important in planning
for the group?
A. Conflict with authority is characteristic of adolescence
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B. Adolescents can form cliques
C. The media can be influential on behavior at this age
D. Drug and alcohol use should be addressed.
A. Conflict with authority is characteristic of adolescence
*effective group facilitation and developmental tasks as defined by
erikson.
A social work administrator in a public social service agency is
assessing how to provide services in response to an influx of
multiple immigrant groups. What should be the administrator's
PRIMARY task?
A. Ensuring coordinated services for all immigrant groups
B. Establishing separate service centers for each ethnic group
C. Hiring agency staff form immigrant groups
D. Encouraging immigrants to assimilate into the larger society
A. Ensuring coordinated services for all immigrant groups
* To best provide services to multiple groups, the administrator should be PRIMARILY concerned with ensuring coordinated
services for all. The administrator's PRIMARY responsibility is to
establish what services are needed and in what framework
The relationship with client reminds a social worker of the social
worker's relationship with a sibling. This is an example of:
A. transference
B. A therapeutic block
C. A dual relationship
D. Countertransference
D. Countertransference
A social worker is working with a client who experiences ongoing
physical abuse from an intimate partner. The social worker has
reviewed and complied with any reporting requirements. The social worker explores the situation further and finds that the client
makes excuses for the partner. The client also refuses to go to a
shelter. What should be the social worker's next step?
A. Ask the client to have the partner come to their next meeting
B. Obtain more information about client's relationship with the
partner.
C. Assist the client in creating a safety plan, in case it is needed.
D. Help the client identify the coping skills and strenghts
C. Assist the client in creating a safety plan, in case it is needed
* it is important to honor the client's refusal to go to a shelter, however, the client safety is still an issue. The key C supports client's
right to self-determination while attending to safety concerns
What characteristic is one of the diagnostic criteria of hoarding
disorder?
A. Inappropriate compensatory behavior
B. Unmanaged stress
C. Avoidant personality traits
D. Impaired quality of life
D. Impaired quality of life
*requires knowledge of the diagnostic criteria for hoarding disorder
include impaired quality of life
What personality disorder is characterized by a restricted range of
emotional experience and expression?
A. Antisocial
B. Schizoid
C. Histrionic
D. Dependent
B. Schizoid
*knowledge of personality disorder
A social work 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 this pattern?
A. Avoid contact with manipulative clients
B. Increase assertiveness through educational activities
C. Use work time for self-appraisal
D. Ask colleagues to provide feedback during client sessions
B. Increase assertiveness through educational activities
*increasing assertiveness through educational activities is the
only option that directly focuses on improving the staff person's
skills. the MOST helpful strategy is improving the staff person's
skill level
A social worker meets with a client who is having marital difficulties. The client reports unmet needs and difficulty communicating
the needs to the spouse. After assessing the nature of the relationship, what should the social worker do BEST support skill
development?
A. Use role play as an intervention
B. Encourage the client to be self-sufficient
C. Refer the couple for marital counseling
D. Provide reading material on assertiveness
A. Use role play as an intervention
*In the context of the session taking place, role play would be an
appropriate intervention to assist the client in developing the skills
to communicate more effectively with the spouse.
A social worker at a clinic for military veterans meets with a client.
The client requests help with finding a job. Military records show
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that the client was diagnosed with posttraumatic stress disorder
when discharged from the military ten years ago. The client denies
this diagnosis and refuses to be evaluated by the clinic psychiatrist. What should the social worker do FIRST?
A. Respect the client's right to refuse services
B. Focus on the client's presenting problem of obtaining a job
C. Refuse services until the client accepts the psychiatric evaluation
D. Refer the client the local employment center
A. Respect the client's right to refuse services
*The professional code of ethics indicates that the client has
the right to refuse services. Respecting that right is what should
happen FIRST.
What is the FIRST thing social workers should do when attempting
to evaluate institutionalized racism in an agency?
A. Analyze the agency's policies and procedures
A. Analyze the agency's policies and procedures
*Analyzing policies and procedures is the FIRST action to take. it
B. Discuss the issue of fairness with the supervisor
is important to understand agency practices FIRST
C. Facilitate research on the impact of agency policies
D. Review policies that have been successful in other agencies
A second grade student has repeated absences from school, an
unclean appearance, and occasional bruises. The student has
historically maintained average grades and does not exhibit behavior difficulties in the classroom setting. What should the school
social worker do FIRST?
A. Interview the student
B. Contact a child protective services agency
C. Develop an intervention plan
D. Facilitate a behavioral observation
A. Interview the student
* it is important for the social worker to directly interview the
student FIRST before facilitating a behavioral observation or intervening in any way.
A hospital social worker 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
social worker do NEXT?
A. Educate the family on assisting with patient care
B. Arrange a meeting and family about hospital rules
D. Ask hospital administration to extend the discharge date
B. Arrange a meeting to discuss aftercare options
*Arranging a meeting with involved parties to discuss options
following discharge is the NEXT action.
A school age child is being beaten almost daily by a parent, who
has a substance use problem for which the parent receives no
treatment. The child solves school conflicts by punching and kickA. Identification with the abuser
ing younger children. What is the best description of this behavior?
*identification with the abuser is the BEST descriptor of the beA. Identification with the abuse
haviors in this vignette
B. Hostility toward peers
C. A conduct disorder
D. A personality disorder
A social worker receives notice that a close family member living
out of state has become gravely ill. The social worker makes plans
to go to stay with the relative for an indeterminate period of time.
What should the social worker do first?
A. Arrange for ongoing coverage for clients
B. Direct the office assistant to cancel all appointments
C. Send a letter to clients explaining the situation
D. Provide clients with a list of alternative resources
A. Arrange for ongoing coverage for clients
*The professional code of ethics indicates that social workers have
an ethical responsibility to arrange for service coverage when they
are unavailable.
A social worker is working with a 16 year old who was sexually
abused by a former stepparent. The social worker believes it is
important for the client to be able to talk about the abuse in
order to deal with the complicated feelings the client has already
expressed. The client tells the social worker that talking about the
abuse is painful and asks not to proceed in that way. What is the
social worker's BEST response?
A. Reiterate the importance of dealing with feelings through talking
about the abuse
B. Change the course of treatment as the client requests
C. Refer the client to a support group to hear from other who have
experienced abuse
D. Engage the client's family to provide more consistent support
B. Change the course of treatment as the client requests
*Changing the course of treatment as requested is respectful of
the client's self-determination and is likely to further engage the
client
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A social worker is asked to email a client's records to a local
physician. The client has signed a document legally permitting the
release of the records. What should the social worker do NEXT?
A. Email the records to the physician
B. Hand deliver the records to the physician
C. Confirm that the information can be securely transmitted
D. Explain that ethical standards prohibit electronic transmission
of information.
C. Confirm that the information can be securely transmitted
* As stated in the professional code of ethics, the social worker has the responsibility to ensure confidentiality if 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 the transfer will
be confidential
What is the MOST practical research design for completing an
agency program evaluation?
A. Correlational
B. Quasi-experimental
C. Single-subject
D. Qualitative
B. Quasi-experimental
*research design design
A social worker at a family services agency has been working with
a parent and an 8 year old child. The child is enrolled in the same
school as the social worker's child. On the first day of school, the
social worker finds out that the children are assigned to the same
classroom. What should the social worker do NEXT?
A. Talk with the agency supervisor
B. Request that one child be moved to another classroom
C. Share information on confidentiality with the family
D. Refer the family to another social worker
A. Talk with the agency supervisor
*Before any action steps are taken, including options BCD the
social worker should meet with the agency supervisor to address
the potential dual relationship and discuss alternatives.
A social worker meets with a family who believes that alcohol
has health benefits. the parents purchase alcohol for their young
children and permit them to become intoxicated. What should the
A. File a report with the appropriate authorities
social worker do to protect the children?
*intoxication of young children is a behavior that requires the social
A. File a report with the appropriate authorities
worker to report the abuse to appropriate authorities.
B. Encourage the family to practice their beliefs
C. Consult with a colleague at another agency
D. research the family's beliefs further
After the death of their child, a couple attend a bereavement group
led by a social worker. The group meeting deals almost exclusively
with this couple's loss. After the session, other group members
report that this caused them to feel frustrated and uncomfortable. B. Plan to discuss the issue with the group at the next session
What should the social worker do NEXT?
*group dynamics knowledge. Given that the group is the client, it
is important to manage the concerns within the group by NEXT
A. Ask the couple to join a different support group
discussing the issue with the group
B. Plan to discuss the issue with the group at the next session
C. Meet individually with the couple before the next session
D. Remind the members of their own first group experiences
A social worker meets with a 13 year old client and parent because of a parent's concerns about recent changes in the client's
behavior. The parent says that the client was playful, outgoing,
and social until the last year, when isolation increased. The social
worker would FIRST want to determine whether the client is:
A. Struggling with a new developmental crises
B. Being unconsciously influenced by early childhood issues
C. Becoming addicted to drugs and alcohol
D. Suffering from clinical depression
A. Struggling with new developmental crises
* it is important to FIRST determine whether teh client's behavior
is related to age-appropriate healthy development before considering other issues such as the impact of early childhood issues,
substance addiction, or clinical depression. While these may be
factors, they should not be the social worker's initial focus
A social worker is treating a young single mother for depression.
the client expresses feeling overwhelmed while caring for her
toddler and going to school. The client then reveals that she is
pregnant and is planning an abortion. The social worker possess
strong negative feelings about the client's decision and feels unable to continue to treat her. What should the social worker do
FIRST?
A. discuss the negative feelings with the client
B. Obtain supervision about personal feelings
B. Obtain supervision about personal feelings
*The ethical responsibility to obtain supervision is indicated because the social worker is having a strong negative reaction to the
client's decision.
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C. Refer the client to another social worker
D. Enter therapy to resolve the negative feelings
A social worker at a chemical dependency treatment center devotes time after each session to complete case notes. In recording
the client's progress toward specific treatment goals, what information should the social worker include in each case note?
A. Compliance with treatment program requirements
B. The development of insight on the part of the client
C. The client's level of investment in treatment
D. The Actual service or treatment provided during the session
D. The actual service or treatment provided during the session
*While content of case notes varies from objective to subjective
information each case note should minimally include actual services provided during the session
A social worker develops educational sessions for parents of
adolescents. The sessions focus on how parents can intervene to
reduce sexual exploitation of their children on the Internet. What
developmental need is MOST important for the social worker to B. Intimacy
discuss with the parents?
* One of the primary tasks of adolescence is to develop intimate
A. Industry
relationships with others outside of the family unit.
B. Intimacy
C. Separation
D. Autonomy
A social worker is interested in the social cohesion of a particular
community. What should the social worker assess for FIRST?
B. The level of trust in neighborhoods
A. The rate of unemployment
*The level of trust within the community is most closely linked to
B. The level of trust in neighborhoods
social cohesion and this should be assessed FIRST.
C. The high school graduation rate
D. The social mobility within neighborhoods
A 16-year-old adolescent meets with a social worker while being
admitted to an inpatient psychiatric facility. The adolescent reports
alcohol use and sniffing paint on a daily basis. The adolescent's
family relationships are strained, and school performance is poor.
In the process of completing the assessment, what should the
social worker recommend NEXT?
A. Family sessions
B. One-to-one observation
C. Further psychological testing
D. Review of school attendance and performance reports
C. Further psychological testing
*Further psychological testing is warrented, given that the adolescent is being admitted to an inpatient facility. Testing is immediately available and is needed to further assess the adolescent's
condition.
A 12 year old client who experiences severe neglect by biological
parents during infancy is brought to a social work agency for
evaluation. According to records, the client lived with several foster
families before being adopted at the age of five. Despite receiving
consistent nurturance from the adoptive family, the client has
failed to bond with them. Upon initial assessment, a social worker
notes that the client's inhibitions and ambivalence toward others
could indicate the presence of:
A. Rett syndrome
B. Selective Mutism
C. Separation anxiety disorder
D. Reactive Attachment Disorder
D. RAD
*sx of RAD
A social worker interviews an adolescent who recently emigrated from another country. The adolescent describes abandoning
customs from the other country and reports refusing to speak his
native language. What concept BEST describes this dynamic?
A. Integration
B. Separation
C. Assimilation
D. Marginalization
C. Assimilation
*Indicators of assimilation
A social worker provides services to a client at a mental health
agency. The client dies suddenly. The client's family asks the social
worker for the client's records. What should the social worker do
NEXT?
A. Consult with a colleague at the agency
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B. Refuse the family's request for records
C. Determine the jurisdictional mandates about release of records
C. Determine the jurisdictional mandates about release of records *before releasing any records, the sw must determine jurisdictionD. Offer to meet with the family to help them with their loss
al mandates.
A social worker is assisting a client with problem resolution. The
problem has been identified, solutions have been explored, and
pros and cons have been considered. What is the NEXT step
A. Developing specific goals
toward resolving the problem?
*Since the problem has been identified and solutions discussed,
A. Developing specific goals
developing goals is the NEXT step.
B. Establishing a time line for resolution
C. Identifying termination criteria
D. Highlighting the client's strenghts
What level is least effective for the social when engaging client in
the beginning phase of treatment?
A. Considering options for problem resolution with the client
B. Exploring the client's perceptions of the problem
C. Reducing the client's anxiety by providing support
D. Clarifying the services that can be offered to the client
A. considering options for problem resolution with the client
*Considering options for problem resolution with the client occurs
later in the problem-solving process, making it least effective activity in engagement.
A hospice social worker makes a home visit to a client who is
becoming increasingly angry with his spouse, who is his caregiver.
The client is observed yelling and throwing books. What should
the social worker do FIRST during the home visit?
A. Refer the spouse to a caregiver support
B. Asses the potential for further violence
C. Instruct the spouse to remove lethal means
D. Evaluate home safety for hospice team members
B. Assess the potential for further violence
*Since the client has exhibited violent behaviors, it is important
to assess his potential for further violence FIRST. This will help
ensure family safety. A, and C may be appropriate but only after
further assessment.
A parent brings her four-year-old child to a clinic following a referral
by the child's pediatrician. The child is aggressive with the parent
and peers and has poor language skills. What should the social
worker do FIRST?
A. Recommend firmer discipline.
B. Explore how the child is disciplined
C. Begin a behavioral program
D. Refer the child for speech therapy
B. Explore how the child is disciplined
* Assessment should occur before any intervention. Exploring how
the child is disciplined is the only option that is not an intervention.
While initiating a behavioral program (c) or referring to speech
therapy (d) may be indicated, they would not occur first. A recommendation for firmer discipline (A) is premature.
In a couples therapy session, the spouses disagree on who should
do household chores. The social worker assists the couple in
understanding their functioning as a unit. What framework is the
social worker MOST likely using?
A. Structural family
B. Self-psychology
C. Solution-focused
D. Psychoanalytic
A. Structural family
*The structural family framework is the only option that incorporates roles and functions of family members. Helping the couple
manage expectations of roles in the relationship is MOST likely
approach through a structural family lens.
A social worker meets with a 15 year old who is promiscuous and
struggles with low self-esteem. The client describes symptoms
of an eating disorder. What should the social worker assess for
FIRST?
A. Oppositional defiant disorder
B. Sexual Abuse
C. Suicidal ideation
D. Adjustment disorder
B. Sexual abuse
*Promiscuity, low self-esteem, and eating disorder are most
strongly associated with sexual abuse.
That theory of addiction is used by alcoholics Anonymous as the
PRIMARY approach to explaining alcoholism?
A. Psychodynamic
B. Behavioral/social learning
C. Biopsychosocial
D. Disease
D. Disease
*AA classifies addiction as a disease
During a session, a social worker becomes increasingly frustrated
with a client's denial of issues. The social worker chooses to end
the session early. What concept BEST fits this action?
A. Boundary diffusion
C. Countertransference
*SW reaction to the situation
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B. Disengagement
C. Countertransference
D. Role Differentiation
A client informs a social worker that despite a court mandate the
client does not intend to attend future sessions. What should the
social worker do FIRST?
A. Inform the client of the consequences of that decision
B. Advise the judge of the client's decision
C. Assist the client in identifying and clarifying goals
D. Express disappointment in the client's decision
A. Inform the client of the consequences of that decision
* Clients have a right to make choices. Ensuring the client understands the consequences of the choice is what should happen
FIRST.
A social worker meets with a couple who describe frequent arguments at home. They are unable to answer specific questions
about the conflict and lack insight into their arugments. What is the
MOST effective method of assessing the couple's communication
skills?
A. Observation of the couple discussing an issue of concern
B. Videotaping of the couple in their home
C. Review of client reflections in individual journals
D. Review of client responses on a communication skills test.
A. Observation of the couples discussion an issue of concern
*directly observing the couple is the MOST effective wat to assess
the couple's communication skills and provides an opportunity for
the social worker to immediately follow up with related questions
A social worker meets with a new client who has recently reunited
with the spouse, who is an injured soldier. The client is struggling
with assisting the spouse to cope with the injury, but the spouse
responds with irritation. What should the social worker do FIRST?
A. Avoid the topic of the injury
B. Talk with the client about the situation
C. Ask to meet with the spouse to assist with reintegration
D. Refer the client and spouse for martial counseling.
B. Talk with the client about about the situation.
*Gaining a better understating of the situation is the FIRST action
the social worker should take with a new client who is expressing
stress.
Parents bring their five year old child to a family center for treatment. During the intake interview, the parents report that their
child is defiant because the child does not listen to commands
to be quiet when the older sibling is studying. The social worker
explains that the child us not deliberately defiant but unable to
A. Egocentrism
understand things from the point of view of others. The social
*Age-appropriate behaviors for a five year old include egocentrism
worker is explaining:
A. Egocentrism
B. Syllogistic reasoning
C. Reversibility
D. Conservation
Both the general public and decision makers have very little
awareness of a community problem brought to the attention of a
social worker. What strategy can BEST facilitate the development
of policies or programs to correct the problem?
C. Using multiple forms of media communication
*Using multiple communication techniques BEST addresses the
A. Facilitating extensive client satisfaction surveys
concern about community awareness.
B. Organizing empowerment training for key players
C. Using multiple forms of media communication
D. Circulating a petition in the neighborhood
In a clinical setting, what is information gathered from an ecomap
MOST often used for?
A. To identify a family's evolutionary patterns
B. To assess family strengths and weaknesses
C. To assess intrafamilial communication patterns
D. To Identify systems that are part of a family's life
D. To identify systems that are part of a family's life
A social worker is providing court mandated services to a child
of divorcing couple. The court has granted one parent sole legal
custody. The child's other parent demands that the social worker
share the child's records. What should the social worker do?
A. Schedule a session with both parents
B. Disclose all records are requested
C. Provide the limitations of disclosure in writing
*one parents is the child's legal guardian. Providing the limitations
of disclosure in writing is the most responsible and ethical action
for the social worker to take. The other parent has no legal right to
the child's records, therefore, providing the records is not correct.
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C. Provide limitations of disclosure in writing
D. Encourage both parents to communicate with each other
A hospital social worker meets with the parents of a three year
old child who has a seizure disorder. The parent refuse a test
to measure the child's brain activity because of their religious
beliefs. The medical team feels strongly that the child could be
at imminent risk without the test results. What statement should
guide the social worker's response?
A. The child's right to medical treatment supersedes the parent's
right to refuse treatment
B. The parents' right to religious expression supersedes their
child's medical needs'
C. The parents must first consent to treatment per hospital protocol
D. The family's right to well-being may override laws and policies
A. The child's right to medical treatment supersedes the parents'
right to refuse treatment.
*Social work ethical principles support the idea that the potential
imminent harm to the child is the primary factor in this situation.
Therefore, the child's welfare overrides the parent's religious beliefs.
A social worker is asked to devise a strategy for promoting greater
community involvement. The social worker begins by facilitating
a series of community meetings and focus groups to foster a
shared sense of common needs and concerns. This approach to B. Social planning.
community intervention is MOST closely identified with:
*Social planning is MOST closely related to the development of a
A. Policy advocacy
shared sense of community
B. Social planning
C. Political activism
D. Social movement
A family applies to a local department of social services for assistance. The social worker uses established criteria to decide
whether the family may receive financial assistance. What term
MOST accurately describes what the social worker is doing?
B. Eligibility determination
A. Family advocacy
B. Eligibility determination
C. Relief assistance
D. Family planning
A social worker in a community agency is responsible for coordinating a variety of services to meet clients' needs. After linking
clients to programs to meet those needs, what should the social
worker do NEXT?
A. develop a backup list of referral programs
B. Reexamine the client's formal and informal resources
C. Monitor the services received to ensure effectiveness
D. Discharge the client from the community agency
C. Monitor the services received to ensure effectiveness
*In a care coordination model, the NEXT task after linking clients
to needed programs is to determine if the services received have
been effective.
A social worker who works in an assisted living facility meets with
a resident prior to a family meeting. The resident says that his
daughter is upset about his new romantic relationship. What is
MOST important for the social worker to consider when planning
the meeting?
A. The daughter's resistance to the resident's choices
B. The resident's attempts to maintain his independence
C. The daughter's reaction to the romantic relationship
D. The resident's feelings about his daughter's objections
D. The resident's feelings about his daughter's objections
*The focus of the social worker is on the resident, who is the client
in this situation. Understanding the resident's feelings about his
daughter's objections us MOST important to consider.
What is the PRIMARY barrier to women entering and completing
substance abuse programs?
A. Lack of access to programs
B. Employment commitments
C. Child care responsibilities
D. Limited social support
C. Child care responsibilities
* Because women are the most common care providers of their
children, their child care responsibilities are present the PRIMARY
barrier to successful substance abuse program completion.
During a group session, an adolescent has difficulty talking about
an interaction with an abusive parent. The social worker helps the
adolescent define and express feelings. What social work concept
is demonstrated by this process?
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A. Summarizing
B. Clarifying
C. Reflecting
D. Linking
B. Clarifying
*defining and expressing feelings are key aspects of the skill
clarifying
A social worker wants to assess the impact of heritage and belief
systems on a family's interactions. What form of assessment
BEST accomplishes this goal?
A. Ecomap
B. Genogram
C. Person-in-environment
D. Culturagram
D. Culturagram
A social worker refers a client to an agency for additional services
that the social worker cannot provide. The social worker says,
"call me after your meeting to let me know what happened." What
BEST describes the social worker's statement?
A. The social worker is experiencing countertransference
B. The social worker is assessing the quality of referral agencies
C. The social worker is attempting to increase the client's chance
of success
D. The social worker is being overly protective of the client
C. The social worker is attempting to increase the client's chance
of success
* The social worker is supporting action on the client's part by
asking the client to call after the meeting. Increasing the client's
chance of success will likely result.
A social worker in an agency providing services to clients with a
chronic mental health diagnosis wants to ensure that policies to
engage clients are in place. What statement is consistent with this
goal?
A. Clients will develop realistic personal goals.
B. Clients are encouraged to attend monthly progress reviews
C. Stereotypes about disabilities are unacceptable
D. Employees will ensure that clients are safe at all times.
B. Clients are encouraged to attend monthly progress reviews.
*Encouraging client attendance at monthly reviews is the only
option that reflects engagement
What is the MOST appropriate time for social workers in health
care settings to gather family histories?
A. During an acute medical crisis
B. When directed by agency practice
C. During the initial visit with the patient
D. After meeting with a physician
C. During the initial visit with the patient
*History gathering should occur as early as possible in order for
the social worker to gain a broad understanding of the elements
impacting clients. The MOST appropriate time to gather family
histories is during the initial visit with the patient.
In a routine review of case records at a mental health center, a
social worker supervisor discovers that case managers routinely
refer clients from a specific culture to either Alcoholics Anonymous
or Al-Anon. In discussing this practice with the case managers,
the supervisor learns that the referrals are made without obtaining
information about the clients' use or abuse of substances. What
should the supervisor do FIRST?
A. Reprimand case managers about providing client services
based on stereotyping
B. Educate the staff about services provided by Alcohol Anonymous and Al-Anon
C. Provide staff training about culturally competent social work
practice
D. Allow no referrals to be made without approval from the supervisor
C. Provide staff training about culturally competent social work
practice.
*It is important to provide educational interventions before moving
on to more restrictive supervisory practices.
A client who is a college student meets with a social worker. The
client is distressed and wishes to discuss sexual orientation and
attraction to others. What should the social worker do FIRST?
A. refer the client to a social workers who specializes in this topic
B. Explain that sexual orientation is not a choice
C. explore the client's feelings further
D. Assess how the client's family would react to the client's feelings
C. Explore the client's feelings further
*Since the client expressed wanting to better understand his feelings, C, is the appropriate action for the social worker to take
FIRST
A client begins services with a social worker. The client has
multiple problems, including substance abuse and posttraumatic A. Ask the client what is most troubling now
stress. The client recently became unemployed, and a close friend *Consulting with the client is the only option that supports client
died two weeks earlier. What should the social worker do NEXT?
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A. Ask the client what is most troubling now
B. Refer the client for substance abuse treatment
C. Encourage the client to find employment
D. Begin client-centered bereavement couseling
self-determination and engagement. This should be done NEXT
before taking additional steps
A social worker provides case management to a child with multiple
disabilities. The family uses several services, including school
social work, psychiatric consultation, and a family therapist. What
is the BEST strategy for evaluating the child's progress?
A. Use of family self-evaluation tools
B. Periodic case review conferences
C. Repeated psychiatric measurement
D. Parental and educational reports
B. Periodic Case review conferences
*because multiple services and disciplines are involved with the
child and family, case review conferences are the best way to
evaluate the child's progress
What is the BEST definition of informed consent?
A. An opportunity for the client to express expectations
B. A client's decision at the beginning of the intervention process
C. Decisions made by the client after receiving all relevant inforC. Decisions made by the client after receiving all relevant information
mation
D. A consensus process regarding information exchange and
treatment
A family member of a 54-year-old client tells the social worker that
she is concerned about the client's behavior. The family member describes the client as having greater difficulty in managing
activities of daily living and demonstrating a decline in memory
D. Mild Neurocognitive disorder
and thought processing. What condition should the social worker
* Difficulty in managing activities of daily living, memory decline,
assess the client for FIRST?
and impaired thought processing are most closely linked with mild
neurocognitive disorder
A. Schizophrenia
B. Alcohol use disorder
C. Anxiety disorder
D. Mild neurocognitive disorder
Family members of a client impaired by alcohol use find many
reasons to deny and minimize the client's behavior and support
false explanations of absences from work and frequent aggressiveness. What behavior are the family members demonstrating?
A. Depersonalization
B. Sublimation
C. Avoidance
D. Enabling
D. Enabling
*Knowledge of enabling behaviors
A social worker in a family counseling agency has been asked to
use a single-subject design with several clients to monitor their
progress on treatment goals. The social worker is frustrated about
the time required to update behavioral tallies and assessment
instruments each week. Providing feedback to clients has been
much slower. What is the social worker's BEST approach to resolve this problem?
A. Ask the supervisor to assign fewer clients
B. Change to a program evaluation of assessment
C. Refuse to use session time for behavioral tallies
D. Explore having clients document self-reported behaviors
D. Explore having clients document self-reported behaviors
*exploring the possibility of clients documenting self-reported behaviors focuses on engaging them in their treatment while also
meeting the agency's expectations in using research method
During a regular weekly session with a client in recovery from
chemical dependency, a social worker notes that the client appears irritated when asked the standard questions about the
progress of recovery during the past week. After several minutes
the social worker says, " you have been telling me that you still
want to work on recovery issues, but today you are not participating in the process. What has changed?" What technique is the
social worker using to encourage feedback from the client?
A. Confrontation
B. Reflection
A. confrontation
*Recall of techniques and their uses; confrontation is a technique
that points out a discrepancy between the client's earlier statement and current behavior
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C. Interpretation
D. Clarification
A school social worker believes the actions of administrators at
the school are harmful to students. What should the social worker
do FIRST?
A. Discuss the concerns with the administrators
A. Discuss the concerns with the administrators
*The social work code of ethics suggests that discussing concerns
B. Prepare a report for the school board
with administrators in the FIRST action to take.
C. Educate the parents on advocacy skills
D. Empower the students to advocate to administrators
A new social worker is working at a community mental health
center with adult sex offenders. The social worker is assigned
to a client who disgusts and repels him. When meeting with the
client, the social worker finds himself unable to be sympathetic
or empathetic. The social worker realizes that his intense feelings
are not changing. After a month of discussion on this issue in
supervision, there is still not improvement. What action should the D. Ask to have the client transferred to another social worker
social worker take NEXT?
* After a month of supervision on this issue, the social worker may
be harming the client by continuing to provide services.
A. Discuss the feelings with a colleague without providing identifying details
B. Explore whether this area of practice is appropriate for the
social worker
C. Pursue this issue in his own therapeutic treatment
D. Ask to have the client transferred to another therapist
A 21-year-old patient is approaching discharge from the hospital
following a serious suicide attempt. The social worker meets with
him before discharge to assess his emotional state. He will not
answer any specific questions. The patient tells the social worker
that he just needs to get home. What should the social worker do B. Contact the appropriate staff to explore involuntary commitment
NEXT?
*Keeping in mind the protection and safety of the patient, exploring
A. Provide the patient with a suicide hotline and mental health
involuntary commitment.
resources
B. Contact the appropriate staff to explore involuntary commitment
C. Chart the conversation before approving the discharge plan
D. Explain to the patient the seriousness of the suicide attempt
A social work agency director hosts a luncheon to meet with
leaders of other community social services agencies. The goal of
the director is to increase knowledge about community resources
available to clients. What does this method exemplify?
A. networking
B. planning
C. Coordination
D. Consultation
A. Networking
*Because the director's goal is to increase knowledge about available services and not to take further action, networking is the
proper term.
When beginning family therapy, what should the social worker do
FIRST?
A. Establish rapport
B. Identify needs and wants
C. Highlight family problems
D. Communicate hope
A. Establish rapport
* The social worker's FIRST task with any client is to establish
rapport
A social worker meets with a client for a termination session. The
client has frequently expressed gratitude for the social worker's
assistance during past sessions. During this session, the client
presents the social worker with an expensive gift basket. After
expressing gratitude, what should the social worker do NEXT?
A. Accept the gift basket as a token of the client's appreciation
B. Explain why the gift basket cannot be accepted
C. Request that the gift be donated to another agency
D. Make a gift of the basket to a client in need of the items
B. Explain why the gift basket cannot be accepted
*The social worker code of ethics indicates that social workers
should avoid accepting gifts and services from clients. Offering
an explanation of why it cannot be accepted is respectful of the
client's expression of gratitude
A social worker is a member if an advisory committee that is
studying racially biased practices of the local police department.
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To raise community awareness of the issues, the committee has
decided to sponsor a forum. Persons who have experienced
problems will provide testimony. From an ethics perspective, what
should the social worker do?
A. Insist the committee members remain anonymous
B. Invite the public to the forum
C. Speak at the hearings about the committee's recommendations
D. Ask speakers not to disclose confidential information in the
hearings
D. Ask speakers not to disclose confidential information in the
hearings
*Reminding speakers at the forum to maintain confidential information is an ethically based response.
A social worker provides mental health services to a client who
is elderly and gradually driving less because of health problems.
What concern is the client MOST likely to experience because of
this change?
A. Decreased social contacts
*Diving less will MOST likely result in fewer socialization opportuA. Decreased social contacts
nities.
B. Functional decline
C. Impaired memory
D. Medication noncompliance
A social worker is invited to a client's birthday celebration. In contemplating the invitation, what concept should the social worker
consider?
B. Dual relationships
A. Enmeshed relationships
*The concept of dual relationships, as stated in the professional
B. Dual relationships
code of ethics, should be considered
C. Codependent relationships
D. Triangulated relationships
A hospital social worker investigates why a patient with home
health services was admitted with a severe would infection and
malnutrition. The social worker calls the home health agency and
talks with the person who ensures that the agency's obligations
and ethical duties are being fulfilled and its rules are followed.
What is this person's role in the agency?
A. Paraprofessional
B. Care Planner
C. Social activist
D. Ombudsperson
D. Ombudsperson
*term recollection
A social worker meets with a client who is a single parent of two
young children. The client feels isolated and overwhelmed in the
role of a parent. The social worker believes the client could benefit
from a referral to a parent support group. In exploring this option,
what should the social worker do FIRST?
A. Arrange an appointment for the client with the group leader
B. Consult with the client about whether additional services are
desired
C. Send the client's treatment summary to the group leader
D. Contact the agency to explore the appropriateness of a referral
B. Consult with the client about whether additional services are
desired
*Consulting with the client is the only option that supports client
self-determination and engagement.
A social worker is working with a parent who ahs admitted to
yelling at a child when feeling overwhelmed by the demands of
parenting. The social worker teaches the parent coping skills bit
the behavior toward the child does not improve. The social worker B. Assessing other stressors affecting the parent
should FIRST consider?
*It is important to FIRST assess why the parent's behavior toward
A. That the parent lacks adequate motivation for change
the child has not improved.
B. Assessing other stressors affecting the parent
C. focusing the change effort on the child's behavior
D. Using cognitive-behavioral strategies with the parent
When a social worker discovers that a client has been lying, what
is the MOST helpful course of action?
A. Determining what is motivating the client's dishonesty
B. Confronting the client immediately with evidence of the dishonesty
A. determining what is motivating the client's dishonesty
*Understanding the motivation of the client will assist with treatment.
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C. Ignoring the behavior for the present and focusing on where the
client is
D. Interpreting for the client the underlying meaning of the lie
A 17-month-old child is placed in temporary foster care. Initially,
the child cries vigorously, struggles in the arms of the foster
parent, and will not be comforted. After a day or two, the child
becomes increasingly quiet, withdrawn, and sad looking. This is
followed by an increase in activity, a decrease in crying, but little
show of affect. The child's behavior can BEST be understood in
terms of which of the following theories?
A. Interpersonal
B. Attachment
C. Rational-emotive
D. Ego Development
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B. Attachment
*Attachment theory