Which of the following is the most common medication used for bipolar I disorder?

A: Lithium

B. Ritalin

C: Zoloft

D: Prozac

The answer is A: Lithium

Ritalin is a common medication used for ADHD, and Zoloft and Prozac are medications commonly used with depression

Which of the following stages coincides with Erikson's stage of autonomy vs. shame?

A: Rapprochment

B: Formal

C. Individuation

D. Anal

The answer is D: Anal

The first five Erikson's psychosocial stages coincide with Freud's stages of psychosexual development. Autonomy vs. shame is the second of Erikson's stages and anal is the second of Freud's.

The human development literature has related borderline personality disorder to the following theorist:

A: Mahler

B: Erikson

C: Bowlby

D: Freud

The answer is A: Mahler

The development of borderline personality disorder has been linked in the developmental literature with a failure to negotiate the Rapprochment Phase of Mahler's Separation-Individuation Phase

Fixation at what developmental stage is associated with cigarette smoking?

A: Latency

B: Oral

C: Anal

D: Phallic

THe answer is B: Oral

Frued believed that smoking represents fixation at the oral stage. He would say that the oral needs of these individuals were not adequately met

Agoraphobia is associated with

A: Fear of snakes

B: Fear of open spaces

C: Fear of heights

D: Fear of closed places

The answer is B: Fear of open spaces

This is an information question

Kubler-Ross's stages of dying include all of the following except

A: Anger

B: Peace

C: Denial

D: Acceptance

The answer is B: Peace

This in an information question

The defense mechanism that is used at the youngest age is

A: Splitting

B: Projection

C: Sublimation

D: Rationalization

The answer is A: Splitting

Psychoanalytically-oriented theorists believe that this defense mechanism is the most primitive or, in other words, earliest occuring of the defense mechanisms listed

An example of the defense mechanism of undoing is

A: Forgetting

B: Counting

C: Rituals

D: Blocking of external events

The answer is B: Couting

The defense mechanism of undoing refers to engaging in some type of retetive ritual in an effort to reverse an action previously taken. Counting is often used in this way.

The theory of autonomous Ego functions was developed by

A: Mahler

B: Piaget

C: Hartmann

D: Erikson

The ansewr is C: Hartmann

This is an information question

The family theory that focuses on separation from family of origin is

A: Structural

B: Bowen

C: Experiential

D: Strategic

The answer is B: Bowen

This in an information question

People in crisi typically experience all of the following stages except

A: Increased tension

B: Reintegration

C: Reflective

D: Precipitating event

The answer is C: Reflective

This is the only response option that has not been identified by crisis theorists as a stage people in crisis typically go through, and the question asks which is not a stage of the crisis model

Validity is

A: Extent to which a procedure is able to measure what it is intended to measure

B: Extent to which a procedure is able to get the same results with repeated measures

C: Extent to which a measure is able to achieve statistical significance

D: Extent to which a measure looks like it measures what it is intended to measure

The answer is A: Extent to which a procedure is able to measure what it is intended to measure

"B" is the definition of reliability; "C" is a throw-away response; and "D" defines a specific type of validity - face validity - rather than the more the general concept of validity

Coprolalia refers to

A: Impulsive stealing

B: Impulsive crying

C: Impulsive use of obscene language

D: Fear of birds

The correct answer is C: Impulsive use of obscene language

This symptom is sometimes observed in individuals with Tourette's disoder

Bowlby was known for his work with

A: The elderly

B: Native Americans

C: Children

D: The mentally ill

The correct answer is C: Children.

The primary focus of John Bowlby's work was attachment behavior in children

Johari Windows are

A: Graphic models of interpersonal behavior

B: Two-way mirrors

C: Internal processes

D: Graphic ways of understanding

The correct answer is A: Graphic models of interpersonal behavior

Although it is true that they are all graphic ways of understanding, inasmuch as they are specifically designed to reflect interpersonal behaviors, "A" is the better answer

Yalom believes that the use of individual therapy with group therapy

A: Brings about changes sooner

B: Works together for more significant change

C: Is not effective

D: Can be effective if the therapist is the same for both

The correct answer is C: Is not effective

Some group theorists do indeed believe that a combination of individual and group therapy can be effective if the therapist is the same for both, but this is not representative of Yalom's thinking on the subject

A group worker who attempts to organize members so everyone has an opportunity to participate is probably in a ________ group

A: Participatory

B: Task

C: Therapeutic

D: Reciprocal

The correct answer is B: Task group

Although member participation is sough in all group models, the facilitator of a task group consciously organizes members so that all have the opportunity to contribute to the attainment of group goals

Community organization is a method that does all of the following except

A: Works with communities

B: Works with mental health

C: Works with groups

D: Works with neighborhoods

The correct answer is B: Works with mental health

The focus of community organization is groups, neighborhoods, and communities; not providing mental health services to individuals. The answer is "B" since the question asks which option is not descriptive of the work of community organization

Who believed libido was general psychic energy?

A: Freud

B: Jung

C: Rogers

D: Beck

The correct answer is B: Jung

Libido is not an important concept in Rogers' or Beck's theories (humanism and cognitive-behavioral, respectively). Freud saw libido as sexual energy rather than general psychic energy

Freud's oral stage coincides with which of Erikson's stages?

A: Trust vs. mistrust

B: Autonomy vs. shame

C: Initiative vs. guild

D: Intimacy vs. isolation

The correct answer is A: Trust vs. mistrust

The oral stage is the first of Freud's psychosexual stages and trust vs. mistrust is the first of Erkison's psychosocial stages

Flooding is a method of behavior therapy which

A: Involves psoitive reinforcement

B: Involves overstimulation

C: Involves token reinforcement

D: Involves intensive therapy

The correct answer is B: Involves overstimulation

In flooding, an individual is bombarded with a stimulas that is anxiety-provoking

Isolation of Affect is

A: Compartmentalization of emotions

B: Spliting

C: A therapeutic technique

D: A schizophrenic symptom

The correct answer is A: Compartmentalization of emotions

This is an information questions

The most commonly used psychotropic medication for depression is

A: Prolixin

B: Nardil

C: Prozac

D: Ibuprofen

The correct answer is C: Prozac

Nardil is a less commonly used antidepressant; Prolixin is an antipsychotic; and Ibuprofen is an over-the-counter pain reliever

Learning is the core concept in which of the following?

A: Behavior therapy

B: Gestalt

C: Psychoanalytic

D: Transactional analysis

The correct answer is A: Behavior therapy

Behaviorists believe that all behavior is learned. Therapy consists of teaching the client more adaptive behavior

An infant displaying a small skull and protruding tongue generally has

A: Down syndrome

B: Fetal alcohol syndrome

C: Spina bifida

D: PKU

The correct answer is A: Down syndrome

This is an information question

A social worker who works with adolescents from a behavioral approach is least likely to utilize

A: Contract

B: Relationship

C: Token

D: Positive Reinforcement

The correct answer is B: Relationship

While the therapeutic relationship has been proven to be an important factor in therapy regardless of the therapeutic approach used, it is not a defining characteristic of Behavioral Therapy. Behaviorists often use contracts, tokens, and positive reinforcement.

Abreaction is another word for

A: A reflection

B: Catharsis

C: Free association

D: Sublimation

The correct answer is B: Catharsis

This is an information question

Which of the following does the problem-solving model utilize in decision-making?

A: Contracts

B: Preplanning obstacle hurdles

C: Goals

D: Evaluation

The correct answer is B: Preplanning obstacle hurdles.

This in an information question

Priviledged communication is the same as

A: Confidentiality

B: Hierarchical supervision term

C: Legal term of communication

D: Communicating with lawyers

The correct answer is C: legal term of communication

This differs from confidentiality, whcih refers to the therapist's ethical responsibility not to disclose to others information shared with him by the client

The form of organization most characteristic of this society is

A: Grassroots

B: Hierarchical

C: Capitalist

D: Corporate

The correct answer is B: Hierarchical

This is an information question

Zero-based budgeting is

A: Budgeting based on a zero budget

B: Budgeting based on carry-overs from the previous year

C: Budgeting focused on bottom line funding

D: Budgeting with a zero percent

The correct answer is A: Budgeting based on a zero budget

This is an information question

The most important skill for the therapist to have is

A: Listening

B: evaluation skills

C: Warmth and empathy

D: Problem-solving

The correct answer is C: Warmth and empathy.

Research has consistently identified this as a more important skill than the ability to listen, evaluate, or problem-solve

Sublimation can be seen in

A: Cooking

B: Woodworking

C: Football

D: All of the above

The correct answer is D: All of the above

Sublimation is a higher level defense mechanism involving the focuisng of libidinal energy into creative and contructive activities. All of the listed activiti8es qualify.

Assimilation is the same as

A: Accomodation

B: Being

C: Becoming part of

D: Similarity

The correct answer is C: Becoming part of

This is an information question

Prototaxic mode occurs during the

A: First few months

B: 0-12 years

C: Adolescence

D: Sixties

The correct answer is A: First few months

THis is one of three modes of cognitive experience posited by Harry Stack Sullivan

Transactional analysis entails

A: Scripts

B: Assertiveness

C: Relaxation training

D: Role playing

The correct answer is A: Scripts

In transactional analysis, the scripts of the interacting parties that give rise to the crucial transactions between the Ego states of two individuals are examined to increase understanding of the dynamics of the relationship.

During the initial family therapy session, the parents of a 17-year-old boy complain about the activities he engages in without their permission. h activities include failing to maintain curfew hours, engaging in smoking and drinking, and telling his parents to "stuff it." The parents are concerned about this behavior, and the father keeps referring to his own such "thoughtlessness" at the same age when his father was angry with him. The family therapist would describe this as

A: Delinquent behaviors

B: Scapegoating

C: Family of origin issues

D: Potential signs of deviant behavior

The correct answer is C: Family of origin issues

The father is responding to his son's behavior from the context of his own experience as a child in his parents' home.

During a group session with local residents from a mainly Hispanic community, the social worker is confronted angrily with her whiteness and inability to understand issues. The social worker should

A: Allow members to express their anger

B: Allow members to express their anger and share her views and values

C: Share the Code of Ethics with a group

D: Suggest the members seek out a therapist who is Hispanic

The correct answer is B: Allow members to express their anger and share her views and values

This type of situation can often be diffused by an open, two-way sharing of perspectives

A 20-year-old woman seeks out mental health services because she has been experiencing depressive symptoms. There appears to be no critical incident. The woman informs the therapist that her parents died in a car accident when she was a young child. The woman is most likely suffering from

A: Clinical depression

B: Anaclitic depression

C: Bipolar disorder

D: Situational depression

The correct answer is B: Anaclitic depression

This type of depression was identified by Rene Spitz, who observed that children who had initially had a nurturing caretaker and later lost that caretaker responded similarly to adults who suffer a significant loss

A man arrives at your office for an initial appointment. He informs you that he has been seeing another therapist but does not believe that this therapist was helpful, which is why he made this appointment with you. Your professional response should be to

A: Contact the other therapist

B: Ask the client to contact his previous therapist to help him

C: Reassure the client of your ability

D: Tell the client that he has done the right thing

The correct answer is B: Ask the client to contact his previous therapist

The NASW Code of Ethics states that a social worker should not agree to provide services to an individual who is seeing another therapist until the client's needs and the nature of his/her relationship with the current therapist have been carefully examined. The client should be encouraged to discuss his/her concerns about therapy with the current therapist

When selecting group members for a therapeutic group, according to Yalom, they need to be heterogeneous in terms of

A: Defense mechanisms

B: Diagnosis

C: Socialization skills

D: Conflict areas

The correct answer is D: Conflict areas

This is an information question

In the final phase of critical incident stress debriefing, a social worker would be seeking to help through

A: Teaching

B: Catharsis

C: Reentry

D: Socialization

The correct answer is C: Reentry

This is an information question

A young woman has been diagnosed with borderline personality disorder. You can expect that she will display

A: Gradiose behavior

B: Excessive scrupulousness

C: Splitting

D: Lack of intimate relationships

The correct answer is C: Splitting

Neither grandiose behavior nor excessive scrupulousness is characteristic of borderline personality disorder. Although it is often true that individuals with this diagnosis have problems in their intimate relationships, this doesn't mean that they do not have intimate relationships

In a crisis group, the members who did not experience a particular crisis would be encouraged to

A: See how their crisis situations are similar

B: Advise the group member about how best to handle the situation

C: Be quiet while the therapist and client discuss the crisis

D: Flood the member with their perceptions of what she is doing wrong

The correct answer is A: See how their crisis situations are similar

Identifying commonalities in experience is a critical component of group work

At the end of an initial group session with and AIDS patient, one patient attempts to hug you goodbye. Your agency's policy is not to hug patients because of relationship boundaries. In this case you would

A: Give the person a hug so s/he knows you are not concerned about contracting the disease

B: Explain the policy to the patient

C: Shake the patient's hand

D: Suggest the patient needs to examine his need to be liked

The correct answer is B: Explain the policy to the patient

Workers are responsible to abide by the policies of the agencies in which they work

A 42-year-old man arrives at a community mental health center with the following symptoms: pressured speech, racing throughts, and grandiose ideas. Which of the following is most apt to be causing the symptoms?

A: Alcohol use

B: Mania

C: Major depression

D: Somatization

The correct answer is B: Mania

These are common symptoms of a manic episode

With borderline personality disorder, it is most likly that the individual has a problem with which of the following defense mechanisms?

A: Denial

B: Sublimation

C: Undoing

D: Isolation of affect

The correct answer is D: Isolation of affect

Individuals with this diagnosis often defend by compartmentalizing their emotions

A young woman in a corrections center is meeting for the first time with a social worker. She is discussing her release and is talking about some of the decisions she made before her incarceration. She describes herself as sometimes having a lot of fun and sometimes feeling very depressed. She states that she engaged in sexual relationships quite frequently, drank a little too much, and wrote bad checks, which is what caused her incarceration.

As her social worker, you would most likely suggest

A: A psychological assessment

B: Assertiveness training

C: AA

D: Behavior modification

The correct answser is A: A psychological assessment

This would be suggested to assist you in making a differential diagnosis

A young woman in a corrections center is meeting for the first time with a social worker. She is discussing her release and is talking about some of the decisions she made before her incarceration. She describes herself as sometimes having a lot of fun and sometimes feeling very depressed. She states that she engaged in sexual relationships quite frequently, drank a little too much, and wrote bad checks, which is what caused her incarceration.

The social worker's first recommendation for this client upon release would be to:

A: Seek support services

B: Find employment

C: Start medication

D: Continue treatment

The correct answer is D: Continue treatment

If this woman is to maintain any gains she has made in treatment with you, it is important that she continue to deal with the issues that led to her incarceration. The outpatient therapist can assist her in securin gneeded services in the community, including employment services, and can arrange for her to be evaluated by a psychiatrist if necessary

A young woman in a corrections center is meeting for the first time with a social worker. She is discussing her release and is talking about some of the decisions she made before her incarceration. She describes herself as sometimes having a lot of fun and sometimes feeling very depressed. She states that she engaged in sexual relationships quite frequently, drank a little too much, and wrote bad checks, which is what caused her incarceration.

Which of the following approaches would be best for this client in an outpatient setting?

A: Behavior modification

B: Gestalt

C: Psychodynamic

D: Transactional analysis

The correct answer is A: Behavior modification

This approach is associated with the best outcomes when specific concrete behaviors need to be targeted

At a restaurant, a woman begins to experience a feeling of foreboding, followed by heart palpitations and trouble breathing. Most likely, the client is suffering from

A: Anxiety

B: Agoraphobia

C: Dissociation

D: Depression

The correct answer is A: Anxiety

The symptoms listed are commonly experienced by individuals who have panic or anxiety attacks

A young woman has been hospitalized for gall bladder surgery. When the hospital social worker stops by to visit, she notices that there are strands of hair on the woman's pillow and noticeable balding spots. When asked, the woman replies that she has been having a difficult time not pulling strands of her hair out since the death of her father three months ago. She states that she feels it relieves her stress. Most likely the woman is suffering from

A: Anxiety

B: Obsessive-compulsive disorder

C: Trichotillomania

D: Depression

The correct answser is C: Trichotillomania

The symptoms described are characteristic of an individual suffering specifically from this disorder

A 9-year-old girl has been removed from her parents' home following a pattern of physical and verbal abuse. The family has not followed through on any contracts set up with the Division of Child and Family Services. The girl has remained in care for almost 16 months and is being considered for permanency planning outside the home. All of the following would be appropriate for the social worker to do except

A: Deal with non-reunification issues

B: Play therapy

C: Supportive services

D: Family therapy for abuse issues

The correct answer is D: Family therapy for abuse issues

Family therapy would not be appropriate because reunification is no longer part of the girl's permanency plan

A 19 year old man is referred to a private practitioner by his parents for difficulties maintaining a job. His parents have threatened to throw him out of the house. He passively resists doing what is requested of him. When the social worker asks him about having issues with authority, he remains silent and makes no acknowledgement. The social worker should

A: Identify this pattern and help the client explore his behavior

B: Set up a family therapy session

C: Send him to vocational rehabilitation

D: Provide him with a referral to a career counselor

The correct answer is A: Identify this pattern and help the client explore his behavior

If he was a child, a family therapy session could be a better way of dealing with his problems. It is premature to refer the client to vocational rehabilitation or to a career counselor. At this point, he would unlikely be able to benefit from these services

"Folie a deux" is best described as

A: A pattern of interaction

B: An experimental design

C: Two people sharing the same delusion

D: An unusual sexual perpetrator

The correct answer is C: Two people sharing the same delusion

DSM-IV refers to this as "shared delusional disorder."

A client displays emotional and mood instability. Over the last four weeks, the client's attitude toward you has changed from idealizing you to being critical of your skills. The client also displays impulsive behavior. The best step in working with this client would be to

A: Discuss transference issues

B: Start a behavioral program

C: Provide a stable environment and deal with the client's behavior toward you

D: Provide techniques that are Ego modifying

The correct answer is C: Provide a stable environment and deal with the client's behavior toward you

This is the best answer becuase it identifies two critical elements of working with an individual with emotional and mood instbaility and who uses the defense mechanism of splitting: the providion of stable, predicatable envorinment and dealing witht he client's behavior in the here-and-now.

In a group situation, the members focus their discussion on their anxiety in their place of employment. The therapist refocuses the discussion on the ways in which the members' anxieties affect them in other situations. This is called

A: Confronting

B: Empowering

C: Redirecting

D: Reframing

The correct answer is C: Redirecting

This is an information question

Which of the following measurement levels would be the best choice for studying the percentage of time men and women spend doing housework?

A: Ordinal

B: Ratio

C: Nominal

D: Intermittent

The correct answer is B: Ratio

A ratio lvel measurement involves a zero point and equidistance between points on the scale. The amount of time an individual spends on housework can range from 0% to 100%

Which of the following is more commonly diagnosed with African Americans than with other racial groups?

A: Somnia disorder

B: Character disorder

C: Schizophrenia

D: Somatization disorder

The correct answer is C: Schizophrenia

This is an information question

A social worker with good training but little experience decided to encourage a 15-year-old pregnant adolescent to seek independent living and have her place the child for adoption even though the adolescent has stated she wishes to keep the child. The social worker had put her own child up for adoption at the age of 18. The social worker is experiencing

A: Judgmental attitude

B: Personal bias

C: Counter-transference

D: Transference

The correct answer is C: Counter-transference

The therapist's unfinished issues of the past are impacting her work in the present with this client

In the administration of a new experimental treatment to a control group, the practioner-researcher discovers a mistake she made in implementing the treatment. For the sake of the research, the worker should

A: Stop the research

B: Continue the research

C: Inform members of the control group

D: This would not happen

The correct answer is D: This would not happen

The experimental treatment is not administered to the control group

Triangulation is a central concept for which theorist?

A: Erikson

B: Bowen

C: Satir

D: Haley

The correct answer is B: Bowen

Although triangulation is a recognized phonomenon in the theorizing of some other family theorists, it is central to Bowen's model

During a session with a family of two parents and five children, the youngest child spends a lot of time trying to get the mother's attention. The mother tends to get distracted when the therapist asks her questions about her relationship with her husband. The young child in this family plays which of the following roles?

A: Scapegoat

B: Distractor

C: Support

D: Surrogate Partner

The correct answer is B: Distractor

The youngest child's persistent efforts to get the mother's attention would be construed as a distraction strategy. If the parents saw this child as the source of the family's problems, he or she would be in the role of scapegoat. "Support" isn't a designated role in the family. If a parent were responding to the child as if he or she were the spouse or partner (e.g., confiding in the child about personal issues), the child would be playing the role of the surrogate partner.

During an hour of observation of an adolescent group, you notice several different small groups talking between themselves and laughing. At a very serious time when one member is trying to speak, another member distracts the group with a story about his latest drug experience. Most likely this group is in the

A: Preaffiliation stage

B: Power and control stage

C: Termination stage

D: Intimacy stage

The correct answer is A: Preaffiliation stage

At this stage in the development of a group, members haven't developed a sense of group identity

A client tells you during your first session that she is really glad she has come to you since her last therapist was not very good. When questioned about how she and her last therapist terminated their relationship, she states that she had a blow-up with the therapist. The first thing you should do is

A: Refuse to see the client

B: Discuss the client's perception

C: Have the client contact the therapist

D: Contact the therapist

The correct answer is B: Discuss the client's perception

Although you may end up suggesting that the client contact the therapist, the question asks you to identify the first thing you should do after the client reveals that she terminated her relationship with her previous therapist after a blow-up.

A new client informs you at the beginning of the first session that she had sex with her former therapist. You know who this therapist is and have always thought very highly of him. Your next step should be to

A: Call NASW

B: Give the client opportunity to talk about the situation further

C: Contact the therapist

D: File a report

The correct answer is B: Give the client opportunity to talk about the situation further

The question asks you to identify your next step after the client informs you that she had a sexual relationship with her previous therapist

In a therapeutic session, the client starts speaking to an empty chair as if someone is sitting there. This is most likely occuring in

A: Problem solving

B: Transactional analysis

C: Gestalt therapy

D: Rebirthing

The correct answer is C: Gestalt therapy

The empty chair is an experiential therapeutic technique that was developed by Fritz Perls, the founder of Gestalt therapy

In a therapuetic session, the client starts speaking to an empty chair as if someone is sitting there. This technique is congruent with several different therapies that fall under which of the following models?

A: Existential model

B: Cognitive model

C: Family therapy model

D: Solution focused model

The correct answer is A: Existential model

Gestalt therapy is one of several existential models of therapy

A client arrives at your office with an appointment to discuss her break-up with her boyfriend. During the first several minutes, you notice that the client uses the phrase "broke my heart" about 10 times. When asked what this feels like, the client begins to describe a surgery she had in which her heart was replaced by a Glad trash bag and that she doesn't think it's strong enough.

Most likely, this client is experiencing a

A: Delusion

B: Fantasy

C: Hallucination

D: Flashback

The correct answer is A: Delusion

A delusion is a false, rigidly held belief. In this case, the client's delusion is that she had a surgery that involved having her heart replaced by a Glad trash bag.

A client arrives at your office with an appointment to discuss her break-up with her boyfriend. During the first several minutes, you notice that the client uses the phrase "broke my heart" about 10 times. When asked what this feels like, the client begins to describe a surgery she had in which her heart was replaced by a Glad trash bag and that she doesn't think it's strong enough.

Your first step should be

A: Call security

B: Call the emergency room

C: Seek psychological testing

D: Perform a reality test

The correct answer is C: Seek psychological testing

This will assist you in more fully understanidng the nature of the client's problems

A client arrives at your office with an appointment to discuss her break-up with her boyfriend. During the first several minutes, you notice that the client uses the phrase "broke my heart" about 10 times. When asked what this feels like, the client begins to describe a surgery she had in which her heart was replaced by a Glad trash bag and that she doesn't think it's strong enough.

Upon checking the records at your agency, you find the client had been admitted to the inpatient hospital three months before and had been placed on Navane. This medication is typically used in the treatment of

A: Mood

B: Personality disorder

C: Psychosis

D: Anxiety

The correct answer is C: Psychosis

This is an information question.

A client arrives at your office with an appointment to discuss her break-up with her boyfriend. During the first several minutes, you notice that the client uses the phrase "broke my heart" about 10 times. When asked what this feels like, the client begins to describe a surgery she had in which her heart was replaced by a Glad trash bag and that she doesn't think it's strong enough.

The best treatment approach with this client would be

A: Cognitive

B: Task centered

C: Psychodynamic

D: Psychotropic medication

The correct answer is D: Psychotropic medication

Medication is the most effective treatment with psychotic disorders

A client arrives at your office with an appointment to discuss her break-up with her boyfriend. During the first several minutes, you notice that the client uses the phrase "broke my heart" about 10 times. When asked what this feels like, the client begins to describe a surgery she had in which her heart was replaced by a Glad trash bag and that she doesn't think it's strong enough.

The doctor who saw the client during her inpatient stay noted that getting in touch with the client was difficult because she was homeless. As a social worker in the hospital, it would be your responsibility to

A: Seek other resources for the client

B: Do discharge planning

C: Refer the client

D: Contact a homeless shelter

The correct answer is A: Seek other resources for the client

These resources will likely include housing in addition to other resources

A new client tells you during her first visit that she wants you to help her find a walthy husband. You should

A: Point out her misperception

B: Ask why that seems to be what she wants

C: Refer her elsewhere

D: Refuse

The correct answer is B: Ask why that seems to be what she wants.

IT is important to seek to understand the client's perspective

A fellow therapist and friend shares with you that he has  a drinking problem and it is affecting his practice clients. You urge him to seek help but he refuses to do so. You should

A: Seek help

B: Ignore it

C: Contact the licensing board

D: Do an intensive intervention

The correct answer is C: Contact the licensing board

Since your friend confided that he has a drinking problem that is having a negative impact on his work with clients and he is unwilling to get help, you have a responsibility to make the situation known to the licesning board so that they can take action to ensure that he does not cause harm to clients.

A 13-year-old boy is referred to you for aggressive behavior at school. There has been no history of problems before, however, the young man has started three fights in the last three weeks. Your first assumption would be

A: Antisocial personality disorder

B: Conduct Disorder

C: Adjustment disorder

D: Depression

The correct answer is C: Adjustment disorder

When an adolescent's behavior suddenly and dramatically changes, it is frequently the case that the individual is having difficulty coping with some change in his or her life circumstances. This is the basis of an adjustment disorder.

A therapeutic group in an inpatient setting of an adult psychiatric hospital is designed to provide feedback and therapeutic care to patients while in residence. The average stay of a hospital patient is two weeks. The patients range in age from 18 to 65 and have a variety of problems. A patient who is psychotic and can't seem to get under control has been disruptive in the group.

This would be considered a(n)

A: Educational group

B: Closed group

C: Model group

D: Open group

The correct answer is D: Open group

"Model group" is not a term used to describe a type of group. The objectives of the group, according to the description, are to provide feedback and therapeutic care, which eliminates "educational group" as the correct response. Inpatient mental health facilities that provide short-term services to patients such as the one described use an open group model to accommodate patients who are constantly coming and going

A therapeutic group in an inpatient setting of an adult psychiatric hospital is designed to provide feedback and therapeutic care to patients while in residence. The average stay of a hospital patient is two weeks. The patients range in age from 18 to 65 and have a variety of problems. A patient who is psychotic and can't seem to get under control has been disruptive in the group.

Which model of therapy would be best utilized in this setting?

A: Rogerian

B: Task-oriented

C: Solution-focused

D: Cognitive

The correct answer is D: Cognitive

There is much evidence that the cognitive model of therapy is effective with a wide range of problems in short-term settings

A therapeutic group in an inpatient setting of an adult psychiatric hospital is designed to provide feedback and therapeutic care to patients while in residence. The average stay of a hospital patient is two weeks. The patients range in age from 18 to 65 and have a variety of problems. A patient who is psychotic and can't seem to get under control has been disruptive in the group.

In handling the situation with the psychotic client, the therapist should

A: Refuse to allow the client to attend

B: Support the client while he is being stabilized

C: See the client individually until he is stabilized

D: Work with the client to find another doctor

The correct answer is B: Support the client while he is being stabilized

The purpose of the group described is to provide the care the patient needs until he can be stabilized and released for treatment in a less restrictive environment

A therapeutic group in an inpatient setting of an adult psychiatric hospital is designed to provide feedback and therapeutic care to patients while in residence. The average stay of a hospital patient is two weeks. The patients range in age from 18 to 65 and have a variety of problems. A patient who is psychotic and can't seem to get under control has been disruptive in the group.

The therapist can best use the group for the benefit of the client who is exhibiting psychotic symptoms by

A: Helping group members provide the individual with needed support

B: Asking group members if they have ever experienced a similar situation

C: Telling group members how lucky they are their symptoms aren't as serious

D: Answering all questions the group members have about the client

The correct answer is A: Helping group member provide the individual with needed support

This is one of the primary benefits of treatment in the group setting

All of the following are circular models of causality to Satir except

A: Blaming and criticizing

B: Mind reading

C: Overgeneralizing

D: Scapegoating

The correct answer is D: Scapegoating

This is an information question

Communication can be either symmetrical or

A: Complementary

B: Linear

C: Circular

D: Intermittent

The correct answer is A: Complementary

This is an information question

Transference would be the term used for

A: A client interacting with her husband as if her were her parent

B: A therapist interacting with a client as if he were his or her parent

C: A client interacting with the therapist as if she were his or her parent

D: A client interacting with the therapist on a personal basis

The correct answer is C: A client interacting with the therapist as if she were his or her parent

This is an information question

The supervision of workers is important in helping develop professional social workers. The supervisor's first responsibility is to the

A: Worker

B: Agency

C: Client

D: Family

The correct answer is B: Agency

This is an information question

An administrator in a social service agency decides to consult with front-line social workers regarding a policy change the Board of Directors is making. Which style of leadership is this administrator using?

A: Laissez-faire group

B: Authoritative

C: Democratic

D: Consultive

The correct answer is C: Democratic

This is an information question

During a third visit to an agency, the client reveals to the social worker the name of her husband from whom she is estranged. The social worker recognizes the name as someone she has previously dated. The social worker should

A: Inform the client

B: Contact the husband

C: Find the client a new therapist

D: Say nothing

The correct answer is A: Inform the client

The client can then decide what to do with the information. She may or may not feel that this could interfere with the therapist's ability to work with him or her

A client who has been dealing with a child sexual abuse issue tells you she went into a deserted area last night and drank from a baby bottle. She further states that she is feeling very anxious about going to see her mother in two weeks. The client is most likely experiencing

A: TSD

B: Regression

C: Anaclitic depression

D: Hallucinations

The correct answser is B: Regression

Regression is a defense mechanism that entails behaving in a way characteristic of an earlier stage of development

At a party in your neighborhood, a neighbor approaches you regarding trouble she is having with her son. The appropriate first step is to

A: Inform the neighbor that you cannot aid her because of professional boudaries

B: Listen to the neighbor's issue

C: Refer her to another therapist

D: Change the subject

The correct answer is B: Listen to the neighbor's issue

The question asks you to identify the appropriate first step. Neighbors frequently talk about family issues with each other. If it appears that she could benefit from formal counseling, you may later refer her for services.

A couple seeking mediation services from a social worker regarding custody of their children is mostly likly to respond to

A: Psychodynamic theory

B: Conflict resolution

C: Behavior therapy

D: Strategic therapy

The correct answer is B: Conflict resolution

This is the model characteristically used in mediation

A 12-year-old girl comes to your agency as a walk-in client. She asks you not to tell her parents but believes she is pregnant. Your first step is to

A: Receive permission from the parents to work with the child

B: Ask the child why she believes she is pregnant

C: Help the child obtain a pregnancy test

D: Contact the police

The correct answer is b: Ask the child why she believes she is pregnant

The child's belief that she is pregnant may be based on erroneous information. The question asks you to identify your first step, which would be to check out the child's reasons for believing this

A 40-year-old male client reports that he is seeking care because he is suffering from panic attacks. He notes that he gets chills, nausea, and dizziness and experiences fear about once a day. A social worker's first step with this client would be to

A: Teach relaxation therapy

B: Set goals for reduction of anxiety

C: Arrange for a doctor's appointment

D: Assess the client's current situation

The correct answer is D: Assess the client's current situation

The qeustion asks for the first step a social worker would take with this client. A careful asessment of the client's situation is needed as a basis for making treatment/referral decdisions.

A young woman comes to see you regarding her fear of relationships. Although she states she has a good job and some family relations, she has never had a close personal friend and does not go out of her apartment often. While her clothing appears clean, she does little to her hair and wears no makeup. Her nails are bitten down and her body odor is stron. A good first step in working with this client would be to

A: Seek a psychological evaluation

B: Assess the client's history

C: Set mutual goals

D: Build a therapeutic relationship

The correct answer is D: Build a therapeutic relationship

This is a critical first step in almost any counseling situation

In a family in which the 4-year-old is wetting the bed, the social worker suggests to the parents that they take shifts each night in which they wake the child up every 30 minutes to ensure that he does not need to go to the bathroom. The purpose in doing this is to decrease the parents' overanxiety about the bedwetting. This is called a

A: Directive

B: Teaming

C: Paradoxial directive

D: Behavioral technique

The correct answer is C: Paradoxical directive

A paradoxical directive is a technique in strategic family therapy whereby the therapist directs family members to continue their symptomatic behavior. Change occurs through defying the directive.

In doing research with children in a child abuse sheltor, the researcher decides to become a part of the child's play group. This is called

A: Therapy research

B: Play therapy

C: Building relationships

D: Participatory research

The correct answer is D: Participatory research

The primary characteristic of participatory research is that the researcher seeks to become a part of the group he or she is studying

Angel dust is another term for

A: Phencyclidine hydrochloride

B: Eximericydiam

C: Hydroclomidic

D: Fluexam

The correct answer is: Phencyclidine hydrochloride

This is an information question

A family with three children comes to speak with you about the acting out behavior of their youngest child. you observe the nature of the family interactions and provide the family with feedback regarding the relationship between their interaction patterns and the child's behavior. The type of model you are using would most often be associated with

A: Family therapy

B: Behavioral therapy

C: Solution focused therapy

D: Experiential therapy

The correct answer is A: Family therapy

In family therapy you are focused not on the child who is acting out but on family dynamics

During a family session, the husband begins to criticize the wife over her reluctance to exercise with him during the morning as she used to do. The youngest son begins to move his chair closer to the mother as this exchange occurs. You comment on the son's movement of the chair between the husband and wife and explain how the chair is like a fence.

Structural family therapy is most likely the type of family therapy being used because

A: Structure was the focus of the intervention

B: It is the most empirically tested of the family therapies

C: The therapist shares his observations with the family

D: The therapist doesn't confront the husband about his criticism

The correct answer is A: Structure was the focus of the intervention

The therapist focused on the structural elements in the family, including interpersonal boundaries and alignments

During a family session, the husband begins to criticize the wife over her reluctance to exercise with him during the morning as she used to do. The youngest son begins to move his chair closer to the mother as this exchange occurs. You comment on the son's movement of the chair between the husband and wife and explain how the chair is like a fence.

Your first step in dealing with the issue raised in this scenario would be to

A: Explain the structural emphasis

B: Provide a directive

C: Place the son in another chair

D: Discuss the metaphor with the parents

The correct answer is C: Place the son in another chair

Structural therapists take action to modify the structure of the family.

During a family session, the husband begins to criticize the wife over her reluctance to exercise with him during the morning as she used to do. The youngest son begins to move his chair closer to the mother as this exchange occurs. You comment on the son's movement of the chair between the husband and wife and explain how the chair is like a fence.

The child's reaction may also reflect on the ____________ of the family.

A: Rules

B: Subsystems

C: Individuation

D: Secrets

The correct answer is B: Subsystems or segments of the family

In this case, the relevant subsystems would be husband-wife, father-son, and mother-son

A structural family therapist's initial action is to

A: Diagnose the family

B: Direct the family

C: Join with the family

D: Interpret the family issues

The correct answer is C: Join with the family

This is an information question

Structural family therapy is

A: Effective with all ethnic groups

B: Based on the work of Minuchin

C: Not effective with African Americans

D: Based on the work of Haley

The correct answer is B: Based on the work of Minuchin

This is an information question

A young man is referred to a mental health agency by his parents. The 20-year-old works as a night janitor and has never had any significant relationships. He seldom eats with the family, preferring to stay in his room. When asked about his relationship with his parents and about their concerns, he appears indifferent. He states that he spends most of his time at his home computer when not at work.

The most likely diagnosis is

A: Schizoid personality disorder

B: Borderline personality disorder

C: Schizophrenia

D: Depression

The correct answeris A: Schizoid personality disorder

Schizoid personality disorder is characterized by the absence of intimate relationships and no apparent desire for relationships

A young man is referred to a mental health agency by his parents. The 20-year-old works as a night janitor and has never had any significant relationships. He seldom eats with the family, preferring to stay in his room. When asked about his relationship with his parents and about their concerns, he appears indifferent. He states that he spends most of his time at his home computer when not at work.

A diagnosis often mistaken for this diagnosis is

A: Schizotypal personality disorder

B: Mania

C: Avoidant personality disorder

D: Agoraphobia

The correct answer is: Schizotypal personality disorder

These two disorders are often confused with each other because they share some similar symptoms, including decreased capacity for close relationships and restricted affect.

A young man is referred to a mental health agency by his parents. The 20-year-old works as a night janitor and has never had any significant relationships. He seldom eats with the family, preferring to stay in his room. When asked about his relationship with his parents and about their concerns, he appears indifferent. He states that he spends most of his time at his home computer when not at work.

Most of these individuals have difficulty with

A: Abstract thinking

B: Relationships

C: Mathematics

D: Grandiose thinking

The correction answer is B: Relationships

The chief characteristic of this disorder is the absence of intimate relationships

A 2-year-old child continually picks at and eats the paint from the window frame of his family's apartment. The most likely diagnosis is

A: Family problems

B: Medical Problem

C: Phobia

D: Pica

The correct answer is D: Pica

Pica is a disorder characterized by the eating of nonnutritive substances

A 20-year-old client informs you that she has been sexually abused. Your first response is to

A: Do nothing because of the woman's age

B: Call police if the abuser is alive and capable of harming others

C: Encourage the client to call the police

D: Call Child Welfare Services

The correct answer is C: Encourage the client to call the police

The question asks you to identify the first step. "Do nothing" is rarely, if ever, the correct way to respond ot a revelation by a client. Because the client is an adult, you would not call Child Welfare Services.

In handling a crisis situation, the first step is to

A: Intervene immediately to de-escalate the client

B: Explore the client's emotions

C: Problem-solve

D: Seek social support for client

The correct answe ris A: Intervene immediately to de-escalate the client

This is an information question

The person most likely to commit suicide has

A: Taken anti-depressants

B: Been in a blended family

C: Had recurring nightmares

D: Given a definite warning

The correct answer is D: Given a definite warning

This is one of the risk factors whereas the other response options are not