Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
62 Cards in this Set
- Front
- Back
1) A woman who was referred to a community mental health agency by the local hospital is tested twice for AIDS. Though test results are negative, she requests another test. The social worker should assess
1) The reason for her concern 2) Her current mental health diagnosis 3) Her knowledge about AIDS 4) Her AIDS rish behavior |
The reason for her concern
|
|
2) DSM-IV describes a group of symptom patterns limited to a specific ethnic or national group as
1) A cultural syndrome 2) A standard DSM-IV diagnosis 3) A nonstandard diagnosis 4) A culture-bound syndrome |
A culture-bound syndrome
|
|
3) After an incident in which a neighbor’s dog attacked and bit her, the child refuses to be near dogs, has frequent nightmares and seems to “replay” the event. The likely diagnosis is
1) Separation anxiety 2) Childhood Adjustment Disorder 3) Reaction Formation 4) Post-Traumatic Stress Disorder |
Post-Traumatic Stress Disorder
|
|
4) A social worker at a suicide hotline receives a call at 2:00am from someone who says he is depressed and contemplating suicide. The social worker should
1) Keep talking to him on the phone until a specific arrangement can be made with a therapist later in the morning 2) Send a crisis worker immediately or convince him to go to the hospital emergency room 3) Tell him no one is available and to call back in a few hours 4) Tell him to go to a mental health agency in the morning |
2) Send a crisis worker immediately or convince him to go to the hospital emergency room
|
|
5) The difference(s) between social casework and psychoanalytic psychotherapy is (are) that
1) Social casework focuses on conscious and preconscious material; psychotherapy focuses on unconscious material. 2) Social casework avoids overcoming repression; psychotherapy tries to break though repression 3) Social casework involves only concrete services psychotherapy involves work with emotional and behavioral problems |
Social casework avoids overcoming repression; psychotherapy tries to break though repression
|
|
6) In assessing personality functioning, the worker would not include
1) Object relations 2) Ego functioning 3) Symptomatology 4) degree of narcissism |
degree of narcissism
|
|
7) The diagnostic category that does not mean the same as the other is
1) Character neurosis 2) Character Disorder 3) Personality Disorder 4) Psychoneurosis |
Psychoneurosis
|
|
8) The most important consideration in choosing a goal with a client is
1) What the client wants 2) What the agency wants 3) What the worker wants 4) What the client’s parents want |
What the client wants
|
|
9) A client’s capacity to enter a social work relationship cannot usually be determined by
1) Emotional and personality make up 2) Age 3) Judgment 4) intelligence |
Age
|
|
10) A criterion that is not a measure of a client’s motivation is
1) The level of discomfort 2) The level of hope 3) Ego strength 4) The ability to see himself or herself as able to change |
Ego Strength
|
|
11) A “Professional Relationship” between the social worker and the client would not include
1) A controlled relationship where the helping process is directed only to the client’s needs, without the intrusion of the worker’s personality or need 2) A testing found for the client to learn how to relate through contact with the worker 3) A structured situation in which the client may borrow strength from the worker 4) An arena for a transference relationship in which the worker encourages the client to explore early libidinal fears with the aim of reenacting them in the worker client relationship |
An arena for a transference relationship in which the worker encourages the client to explore early libidinal fears with the aim of reenacting them in the worker client relationship
|
|
12) In the initial phase of treatment, the primary task of a social worker is to
1) Establish a relationship with the client 2) Understand why the client is seeking help 3) Engage the client in treatment 4) Gather information for a psychosocial diagnosis |
Understand why the client is seeking help
|
|
13) To diminish a client’s resistance the worker would
1) Acknowledge the client’s ambivalence about accepting help 2) Increase the client’s anxiety to increase his or her motivation 3) Be firm with the client and insist on an answer to all questions 4) Remind the client of the reason for seeking assistance and stress the importance of cooperation |
Acknowledge the client’s ambivalence about accepting help
|
|
14) The most appropriate technique to use with a new client who is decompensating is
1) Confrontation 2) Ego Support 3) Ventilation 4) Operant conditioning |
Ego Support
|
|
15) Assertive casework is a technique in which
1) The worker encourages the client to be more assertive in his interpersonal relationship 2) The worker is insistent that the client answer all questions to see how he or she functions under stress 3) Within a very short time limit, the caseworker asks probing questions and provides direct interventions 4) The worker allows the client to tell the story in piecemeal fashion, allowing time to develop a relationship and increase his or her strength. |
Within a very short time limit, the caseworker asks probing questions and provides direct interventions
|
|
16) A key element of Freud’s work that is the basis of social casework is the idea of
1) Transference 2) Social History 3) Interpretation and clarification 4) Defense mechanism |
Transference
|
|
17) Using the technique of “modifying the environment” helps to diminish
1) Superego anxiety 2) Objective anxiety 3) Instinct anxiety 4) Anticipatory anxiety |
Objective anxiety
|
|
18) In the social work relationship, the social worker should be careful not to act on
1) A transference reaction 2) A worker-client relationship 3) A countertransference reaction 4) The client’s desire to change the contract and add new goals |
A countertransference reaction
|
|
19) A social worker would interpret preconscious material to a client
1) Only when the new insight will help him or her 2) If he or she understands the client’s behavior thoroughly 3) When the client is ready to accept it and not see it as criticism 4) Only in the most unusual circumstances, or not at all. |
When the client is ready to accept it and not see it as criticism
|
|
20) According to Ego Psychology, a client often invokes feelings in the social worker that the client is trying to repress. This allows the client to
1) Relieve himself of any responsibility for his own feelings 2) Discharge pent-up feelings by satisfying them vicariously through the social worker 3) Help the worker understand how he or she feels unconsciously 4) Get the mothering and nurturance that he or she did not receive as a child |
Discharge pent-up feelings by satisfying them vicariously through the social worker
|
|
21) On an unconscious level, according to Ego Psychology, a client seeks help for motives that differ from those on the conscious level. These unconscious motives include
1) Mothering 2) Reassuring unconscious desires from consciousness 3) Keeping unconscious desires from consciousness 4) Fear of intimacy |
Keeping unconscious desires from consciousness
|
|
22) Supportive therapy would not be used if the client is
1) Diagnosed as psychotic 2) Seeking self-awareness 3) Able to solve problems not adversely affected by the unconscious 4) Diagnosed as a schizophrenic |
Seeking self-awareness
|
|
23) In working with a client who has paranoid ideation, the social worker would not use
1) A corrective relationship 2) Ventilation 3) Selected interpretations 4) Confrontation |
Controntation
|
|
24) In Rational Behavior Therapy, the difference between the “normal” adolescent and the adolescent who acts out is that the latter
1) Is less intelligent and more aggressive 2) Needs less structure and more interpretation 3) Have more anxiety and an unloving family 4) Needs more structure and resolves conflict with activity as opposed to thinking |
Needs more structure and resolves conflict with activity as opposed to thinking
|
|
25) Mr. & Mrs. Beech continuously argue and bicker, though they agree in one area: Mr. Beech’s beginning career as a college teacher. Both are pleased with his choice of the profession, the salary, and the university that hired Mr. Beech. Mr. Beech is on the verge of an emotional collapse, however, due to his dears of starting a career and the stress involved in completing his dissertation and his work as an instructor. Mrs. Beech demands constant attention and interferes with his work and his work as an instructor. The social worker’s primary focus in treatment would be to
1) Modify the attitudes that created the material crisis 2) Give support to Mr. Beech and help him work through the stresses involved in pursuing his academic career 3) Examine and interpret the underlying causes of their martial conflict 4) Help Mrs. Beech minimize her destructive attacks on her husband |
Give support to Mr. Beech and help him work through the stresses involved in pursuing his academic career
|
|
26) In treating a client diagnosed as schizophrenic, the caseworker’s most important task is to
1) Examine the client’s negative experiences with his or her parents 2) Listen sympathetically, but at the first opportunity, shift to reality matters 3) Establish affective contact with the client 4) Separate fantasy from reality for the client |
Establish affective contact with the client
|
|
27) The process of termination does not involve working through the client’s feelings of
1) Abandonment 2) Loss 3) Relief 4) Anger |
Relief
|
|
28) “Positive Regard” and “non- possessive warmth” as outlined by Rogers refer to an attitude of
1) Respect for client autonomy 2) Support for a client 3) Acceptance 4) Permissiveness |
Acceptance
|
|
29) In social work the function of the contract is to
1) Hold the worker accountable 2) Hold the client accountable 3) Confirm the reciprocal role expectations and tasks to be achieved 4) Hold the agency accountable |
Confirm the reciprocal role expectations and tasks to be achieved
|
|
30) A major difference between clinical social work and psychiatry is
1) The use of verbal techniques 2) The use of nonverbal techniques 3) The ability to prescribe medications 4) A focus on intrapsychic issues |
The ability to prescribe medications
|
|
31) A major distinction between gestalt therapy & psychoanalytic treatment modes centers around their
1) Focus on the client’s problem 2) Emphasis on biological 3) Emphasis on the here and now, as opposed to past experiences 4) Goals |
Focus on the client’s problem
|
|
32) A client diagnosed as schizophrenic begins to hallucinate. The social worker would
1) Engage the hallucinate to diminish anxiety 2) Continue to provide ego support 3) Refer the patient to a psychiatrist for medication 4) Offer insight |
Continue to provide ego support
|
|
33) A social worker sees a client whose problems involve symbiosis. In determining the preference for individual, rather than group or family treatment, the social worker’s decision would most take into account
1) The social worker’s professional experience 2) An assessment of the client’s location on the developmental ladder: the greater the level of symbiosis, the more a one-to-one relationship will be preferred 3) The client’s manifestation of problems reflecting later phases of psychosexual development 4) The need to increase census figures as necessary in individual, group, or family therapy |
An assessment of the client’s location on the developmental ladder: the greater the level of symbiosis, the more a one-to-one relationship will be preferred
|
|
34) A client lives with her husband and two children two blocks from her parents. She sees her parents often and talks to them on the phone. She seems helpless and dependent. In a clinical relationship, the worker would most likely focus on
1) The impact of her behavior on the family 2) Her understanding of infantilization 3) A poor self-image created in the past, which is being reenacted in the present 4) The cues received from her parents to continue to play a helpless and dependent role. |
The cues received from her parents to continue to play a helpless and dependent role.
|
|
35) In working with a newly married couple in which the husband has been previously hospitalized for schizophrenic episodes, the social worker would
1) Help increase the husband’s awareness of how his actions affect his wife 2) Support the couple’s relationship, help the wife understand her husband, and provide opportunities for both to express their feelings 3) Assist with concrete issues that can ease the stresses they experience 4) Refer them for individual treatment and the wife to a support group |
Support the couple’s relationship, help the wife understand her husband, and provide opportunities for both to express their feelings
|
|
36) Mrs. K. has been in treatment for the past three months. She says she feels inferior and worthless with family and friends. She avoids closeness and fears dependence. She feels that others are more in control and “happy about their lives.” Preoccupied and anxious about her failures and worries about the future, she constantly complains about chest and back pains that keep her awake at night Medical evaluations are negative. She also experiences sudden modd shifts in which she appreciates her achievements, feels good, and sees others as the problem. Mrs. K’s condition could be diagnosed as
1) Overanxious reaction to adulthood 2) Borderline Personality Disorder 3) Narcissistic Personality Disorder 4) Reactive depression |
Borderline Personality Disorder
|
|
37) To treat a person with a borderline condition it is generally recommended that social worker
1) Urge the client to accept group treatment, preferably the Gestalt approach 2) Allow the client to feel in control of the session 3) Focus on the issue of dependency and the client’s inability to choose life goals 4) Confront the client on his or her use of diminishing defenses. |
Allow the client to feel in control of the session
|
|
38) In treating a client with a narcissistic personality disorder, the social worker most frequently becomes
1) The object of the client’s libidinal impulses 2) An object of the client’s anger 3) Idealized by the client to fulfill functions that have remained unfulfilled by the client’s parents. 4) Angered by the client’s projection |
Idealized by the client to fulfill functions that have remained unfulfilled by the client’s parents.
|
|
39) A social worker in a community agency is treating a married woman. She complains that her husband is a compulsive gambler. He owes money to bookies and has received physical threats. Her discussions always emphasize her husband’s behavior. The social worker would
1) Call Gambler’s Anonymous 2) Ask that the husband come in to see the social worker 3) Refer the wise to a credit agency as a community agency 4) Determine with the woman whether both she and her husband are the clients |
Determine with the woman whether both she and her husband are the clients
|
|
40) In comparing models of social worker clinical practice, probably the most significant difference is related to
1) Contracting 2) Interpretation 3) Clarification 4) Confrontation |
Contracting
|
|
41) In dealing with a client’s guilt, the worker would
1) Accept and understand the client’s guilt, allowing him or her to ventilate 2) Always relieve the client’s guilt 3) Help the client see that guilt is very unhealthy and find ways to rid the client of guilt 4) Help the client see what he or she has done |
Accept and understand the client’s guilt, allowing him or her to ventilate
|
|
42) Mrs. Taylor was referred to the social worker after her alcoholic husband was hospitalized following an acute episode. She felt there was no reason to see a social worker as she had consulted with several doctors and read popular books on alcoholism. She offered him a psychology book to read that she thought would help him understand his behavior. Mrs. Taylor found pages from an abnormal psychology book that she thought described her husband. She read sections of the book to Mr. Taylor, especially charters describing personality disorders, egocentricity and dependency. Initially, treatment with Mrs. Taylor would involve
1) Telling her that her approach has merit and suggests sensitivity to her husband 2) Reflecting that her approach is overly intellectualized and futile 3) Exploring her feelings about her personal and family situation 4) Assuming that she is reluctant to be engaged and attempt to deal with resistance. |
Exploring her feelings about her personal and family situation
|
|
43) Mrs. Taylor was referred to the social worker after her alcoholic husband was hospitalized following an acute episode. She felt there was no reason to see a social worker as she had consulted with several doctors and read popular books on alcoholism. She offered him a psychology book to read that she thought would help him understand his behavior. Mrs. Taylor found pages from an abnormal psychology book that she thought described her husband. She read sections of the book to Mr. Taylor, especially charters describing personality disorders, egocentricity and dependency. Mrs. Taylor’s major defense mechanisms are
1) Reaction-formulation 2) Denial and intellectualization 3) Obsession and compulsions 4) Compensation and displacement |
Denial and intellectualization
|
|
44) A client who is unable to tolerate frustration and has a tendency to discharge tension by action is said to
1) Act-in 2) Act-out 3) Decompensate 4) Sublimate |
Act-out
|
|
45) The common consequences of parents discouraging expressions of feeling in young children are
1) Bulimia and other eating disorders 2) High anxiety levels 3) Psychomotor problems 4) Acting-out behavior, somatization, a sense of powerlessness |
Acting-out behavior, somatization, a sense of powerlessness
|
|
46) A client complains that if the social worker really cared about him like his mother does, then the social worker would not charge him for treatment. This is an example of a
1) Countertransference reaction 2) Sublimation experience 3) Transference reaction 4) Objective criticism |
Transference reaction
|
|
47) Conscious and unconscious attempts by the client to thwart the effectiveness of the therapeutic process, the expression of emotions, and emotionally charged material can be considered
1) Projective identification 2) Sublimation 3) Resistance 4) Countertransference |
Resistance
|
|
48) A key concept in the behavior medication approach when used in marital counseling is
1) Marital trust 2) Love between partners 3) Bargaining and negotiation 4) Total intimacy |
Bargaining and negotiation
|
|
49) According to Beck, the treatment modality that seems to be least used in treating clients diagnosed as schizophrenic is
1) Individual therapy 2) Group therapy 3) Milieu therapy 4) Community therapy |
Individual therapy
|
|
50) A patient who was readmitted to a psychiatric hospital complains to the social worker that his doctors have never understood him. In such a situation, the social worker should
1) Explore the client’s reason for this feeling, and offer to discuss them immediately with the doctor 2) Explore the reasons for this feeling and help the client discuss them directly with his doctor 3) Acknowledge that this is a common problem to minimize his hostility 4) Tell the doctor about the patient’s complaint so that the doctor can handle this with the patient directly |
Explore the reasons for this feeling and help the client discuss them directly with his doctor
|
|
51) In establishing a professional relationship, a social worker must convey
1) A neutral attitude 2) A sense of objective observation 3) Healthy skepticism 4) Positive acceptance |
Positive acceptance
|
|
52) In approaching the client, a social worker should
1) Espouse moral responsibility 2) Be open and permissive 3) Accept the client unconditionally 4) Accept the client with positive though conditional regard |
Accept the client with positive though conditional regard
|
|
53) As a client is presenting material, a social worker should
1) Wait with a patient and encouraging attitude 2) Be gently teasing and provocative 3) Ask leading questions 4) Interpret nonverbal behavior |
Wait with a patient and encouraging attitude
|
|
54) In reacting to client material in a psychotherapeutic or clinical situation, the social worker should primarily
1) Deal solely with the concrete data presented 2) Expand the data by interpreting on a deeper level 3) Reflect back to the client using the same language and words where possible 4) Abstract the basic theme of the communication and reflect it in a broader perspective. |
Abstract the basic theme of the communication and reflect it in a broader perspective.
|
|
55) In establishing a working alliance, the social worker should
1) Establish the conditions for proceeding 2) Subtly try to encourage a positive relationship 3) Consider clinical objectives and get the client to agree to them 4) Allow for the client’s idea, understanding that conditions change as clinical work proceeds |
Allow for the client’s idea, understanding that conditions change as clinical work proceeds
|
|
56) In developing a contact with clients who have negative feelings about the agency, the social worker should
1) Support the client’s negative feelings about the agency, when agency policy is unreasonable 2) Express the agency viewpoint when hostile or negative attitudes are expressed by the client 3) Assume the client has problems with authority 4) Help the client assess the extent o which his or her reaction is emotionally appropriate |
Help the client assess the extent o which his or her reaction is emotionally appropriate
|
|
57) The social worker’s professional behavior toward the client should incorporate
1) Agreement with the client to build confidence 2) Remaining impassive to encourage the client to think for him or herself 3) Showing feelings freely to foster spontaneous interaction 4) Avoiding fixed positions and pre-established attitudes. |
Avoiding fixed positions and pre-established attitudes.
|
|
58) In encouraging the client to bring forth material the social worker should
1) Identify with the client 2) Ally with the client 3) Intervene on behalf of the client 4) Empathize with the client |
Empathize with the client
|
|
59) As the social worker develops an understanding of the basic behavior of the client, he should
1) Continue to observe the client, keeping this knowledge in mind 2) Share this information with the client 3) Direct the client toward awareness without interpretation 4) Gauge when the client is ready to both share and contribute to understanding his own behavior and then discuss it. |
Direct the client toward awareness without interpretation
|
|
60) Being an “active” listener means that the social worker should primarily
1) Convey involvement by occasional nonverbal cues 2) Make comments that keep the client directed toward meaningful material 3) Actively participate by verbal and nonverbal behavior, thus showing continued interest 4) Allow attention, concern, empathy, and compassion to be communicated through presence and manner |
Allow attention, concern, empathy, and compassion to be communicated through presence and manner
|
|
61) In listening and gather data, the social worker should keep in mind that to be helpful
1) Unconscious processes should be made conscious 2) Manifest content is less important than latent content 3) Symbol must be understood and interpreted 4) Effective and positive behavioral changes can occur without grasping the underlying process |
Effective and positive behavioral changes can occur without grasping the underlying process
|
|
62) To foster growth in the client, the social worker should
1) Reduce the client’s negative self-image by making positive comments about him or her 2) Carefully suppress negative feelings toward the client as inappropriate and non-therapeutic 3) Be mindful of positive regard as the primary element in healing 4) Consider than an aloof stance may lead to self-acceptance |
Be mindful of positive regard as the primary element in healing
|