Interventions With Clients/Client Systems Assessment and Intervention Planning Professional Relationships, Values, and Ethics Human Development, Diversity, and Behavior Kayla's Fav
What is1. Which of the following is NOT true about motivation to change?
Motivation fluctuates from one time to another.
Motivation can be increased by working to remove barriers to change.
Motivation is driven by hope or the belief that life can be different.
Motivation that is imposed by external forces is more salient than that
which is intrinsic.
D - Motivation is a state of readiness or eagerness to change, which fluctuates
from one time to another. The role of the social worker is to create an
atmosphere that is conducive to change and to increase a client’s intrinsic
motivation, so that change arises from within rather than being imposed from
without. If a client is driven to change internally, it is much more likely that
the change effort will be sustained. A technique to increase motivation is to
work to remove barriers and instill hope or the belief that life can be different.
5. A young boy is stopped by a police officer and claims that he is a member
of the armed forces, though it is obvious that he is not. This assertion by
the boy is MOST likely a:
Comorbid thought
Folie à deux
D - A delusion is a false, fixed belief despite evidence to the contrary (i.e.,
believing something that is not true).
Comorbid means existing at the same time. Dissociation is a change
in memory, perception, or consciousness. Folie à deux is a shared
A social work administrator is having trouble finding a group home
manager for a new program scheduled to open in 2 weeks. Further
delays in locating staff will delay clients from moving into the program.
The administrator temporarily hires her niece, who just graduated with a
social work degree, for this position. This action is:
A. Ethical because the niece is clearly qualified for the position
B. Unethical because this is a conflict of interest
C. Ethical because the position is temporary and ensures clients get the
services needed
D. Unethical because clients will experience staff turnover when a new
manager is hired
B - Social workers should avoid situations interfering with impartial
judgment. Hiring a family member creates a dual relationship and should
be avoided.
An 11-year-old child would like to start helping around the house
with chores. She approaches her mother many times, but is told she
cannot assist because “she won’t do it right.” During several attempts
to do things on her own, she is scolded. According to psychosocial
development theory, she may experience doubts in her abilities due to
a crisis in which of the following stages?
Industry versus inferiority
Initiative versus guilt
Autonomy versus shame/doubt
Generativity versus stagnation
A - Industry versus inferiority—From age 6 to puberty, children begin
to develop a sense of pride in their accomplishments. If children
are encouraged and reinforced for their initiative, they begin to feel
industrious and feel confident in their ability to achieve goals. If this
initiative is not encouraged and is restricted, children begin to feel
inferior, doubting their abilities.
A social worker is charged with creating a behavioral objective to assist
her client, John, in his educational setting. Which of the following
statements is the BEST example of this type of objective?
A. John will make eye contact during conversations in practical arts class
at least 75% of the time.
B. John will be motivated to complete his homework daily in order to
achieve a grade of a B or better.
C. The teacher will praise John during class at least 10 times per hour.
D. John will sit in his chair at least 80% of the time.
A -
A behavioral objective should be client-oriented and emphasize what
a client needs to do. C is excluded as it focuses on the teacher’s actions.
An important element of behavioral objectives is that they are observable.
Motivation is not easily observed. The conditions under which the
behavior will be performed should also be included. D does not indicate
if the expectation regarding sitting is to take place during class or all of
the time. A has all of the elements—it specifies the target behavior, the
conditions under which the behavior will be performed, and the criteria
for determining when the acceptable performance of the behavior occurs.
What is2. Evidence-based social work practice can BEST be defined as:
A. Interventions that a social worker has gained training and experience
in delivering
B. Treatment that yields the most cost-effective outcomes according to a
cost–benefit analysis
C. Decision making based on the conscientious, explicit, and judicious
use of research knowledge, clinical expertise, social work values, and
client wishes
D. Practice evaluations that adhere to scientific principles
C- Evidence-based practice (EBP) combines well-researched interventions
with clinical experience and ethics, as well as client preferences and
culture, to guide and inform the delivery of treatments and services.
Social workers, clients, and others must work together in order to identify
what works, for whom, and under what conditions. This approach
ensures that the treatments and services, when used as intended, will
have the most effective outcomes as demonstrated by the research.
During an intake interview, a client reports that she is extremely
depressed and has self-destructive thoughts. She has had prior suicide
attempts, but tells the social worker not to worry as she won’t “do it
again.” The social worker should FIRST:
Tell the client that her decision not to harm herself is a good one
Explore with the client what is causing her depression
Conduct a safety assessment
Refer the client to a psychiatrist for a medication evaluation
C- Despite the client’s report that she will not act on her thoughts, she is at
risk because she has had these feelings and has acted on them in the past.
The case vignette does not describe the social worker taking any action
yet. A safety assessment will determine the severity of the depression and
whether the client is at risk for a suicide attempt. It must be done FIRST
before any other action is taken.
A social worker receives a court order to provide records of a former
client. In this instance, the social worker should submit the records:
A. And try to contact the client to inform her about the disclosure
B. With the contact information of the client so the court can contact her
about the release
C. But not contact the client as court orders are not to be discussed by
anyone other than judges and attorneys
D. And write to the judge to see if he or she wants the client to know
about the court order
A - Social workers should inform clients, to the extent possible, about the
disclosure of confidential information and the potential consequences,
when feasible, before any disclosure is made. This applies whether
social workers disclose confidential information on the basis of a legal
requirement or client consent.
Which of the following is an example of role discomplementarity?
A. A husband complains that his wife does not take responsibility for
keeping the house clean and a wife is upset that her husband does
not financially provide for the family.
B. A woman states that she does not like working and wants to quit her job.
C. A young child wants to play in the neighborhood unsupervised.
D. A man struggles to fit in time at home with his family due to his
hectic work schedule.
Role discomplementarity results when roles conflict or when the role
expectations of others differ from one’s own. In this situation, the
husband and wife do not have the same expectations with regard to the
tasks for which each other should be responsible.
A new client enters the office walking slowly, using a cane, and has
difficulty picking up objects, swallowing, and speaking as a result of a
stroke. The BEST diagnosis for this client is:
B - Ataxia describes a lack of muscle control during voluntary
movements, such as walking or picking up objects. A sign of an
underlying condition, ataxia can affect movement, speech, eye movement,
and swallowing.Persistent ataxia usually results from damage to the cerebellum—the
part of the brain that controls muscle coordination. Many conditions can
cause ataxia, including alcohol abuse, stroke, tumor, cerebral palsy, and
multiple sclerosis.
An inability to recognize familiar objects is agnosia, and an inability to
recognize familiar faces is prosopagnosia. Acalculia is the inability to do
simple arithmetic.
What is3. What are the stages of change in sequential order?
A. Precontemplation, preparation, contemplation, action, maintenance,
and relapse
B. Preparation, action, precontemplation, contemplation, maintenance,
and relapse
C. Preparation, precontemplation, contemplation, action, maintenance,
and relapse
D. Precontemplatio
D - Precontemplation is denial or ignorance of the problem. It is followed
by contemplation in which there is ambivalence about making change.
Then comes preparation or experimenting with small changes. Action
moves toward achieving a goal, whereas maintenance sustains a new
behavior and avoids relapse, which can lead to feelings of frustration
and failure.
client with a Social Anxiety Disorder will MOST likely be prescribed
which of the following medications to take on an ongoing basis?
Zoloft (sertraline)
Mellaril (thioridazine)
Thorazine (chlorpromazine)
Valium (diazepam)
A - The primary medications used to treat social anxiety disorder are selective
serotonin reuptake inhibitors (SSRIs), which were first developed to treat
depression. They have been found to be effective in the treatment of a
wider range of disorders. Zoloft (sertraline) is an SSRI.
Benzodiazepines, such as Valium (diazepam), reduce levels of anxiety.
However, they are habit-forming and sedating, so they are typically
prescribed for only short-term use.
Mellaril (thioridazine) and Thorazine (chlorpromazine) are
antipsychotic medications for the treatment of psychosis.
A social worker is leaving one agency to work at another. In order to
address this situation ethically, the social worker should:
A. Not inform clients in order to avoid causing them undue stress and
B. Advise clients that it would be best for them to transfer services
to the social worker’s new agency to avoid any interruptions in
C. Inform clients of appropriate options for the continuation of services
and the benefits and risks of the options
D. Discontinue services to clients immediately
C - Social workers who are leaving an employment setting should inform
clients of appropriate options for the continuation of services and of the
benefits and risks of the options.
Which of the following is NOT one of six levels of cognition?
C -
The six levels of cognition are, in sequential order—knowledge,
comprehension, application, analysis, synthesis, and evaluation.Answers
Teaching techniques should match the cognitive objective, such as
knowing specific facts, theories, or information (knowledge) or creating
something new/integrating it into a solution (synthesis). Learning aimed
at judging the quality of something is known as evaluation
Echolalia is BEST defined as:
Mimicking another’s speech
Spontaneous movement
Repetitive movements
Odd mannerisms or actions
A - Echolalia is repeating noises and phrases. It is sometimes associated with
Catatonia, Autism Spectrum Disorder, Schizophrenia, and other disorders.
What is4. Which of the following is NOT an essential step in ethical problem
Identifying the ethical standards that may be compromised
Determining whether there is an ethical dilemma
Weighing ethical issues in light of social work values and principles
Asking a supervisor to monitor practice to identify new ethical issues
or dilemmas
D - A social worker, not his or her supervisor, should monitor practice to
identify whether new issues or dilemmas arise.
social worker is appointed by the court to conduct a child custody
evaluation for a couple that is divorcing. The mother reports that her
husband is verbally abusive, controlling, and neglects the children when
they are in his care. She reports that the children have missed a lot of
school when staying with their father because he does not assist with
getting them ready for school or doing their homework. The father states
that his wife is lazy, irresponsible, and cannot meet the children’s basic
needs. He reports that the school frequently has to provide lunch for
the children because the mother does not supply it when they are in her
care. In order to BEST evaluate the legitimacy of the information, the
social worker should:
A. Ask the husband and wife to put their allegations in writing and sign
them, attesting to their accuracy
B. Determine whether the husband or wife have had any past instances
with being untruthful
C. Always speak to the husband and wife together so that they are more
likely to be honest
D. Obtain information from school personnel and records after
obtaining parental consent
D - Collateral information is often used when the credibility and validity
of information obtained from a client or others is questionable. For
example, child custody cases are inherently characterized by biased
data within an adversarial process. Social workers should use data from
neutral parties, such as the school, because this information has higher
Which of the following inhibits the establishment of a therapeutic
A. A universalism approach or the acceptance of a standard set of norms
or standards
B. A pluralistic approach that values cultural pluralism
C. Clients examined as being influenced by their environment with
problems being seen as resulting from role ambiguity rather than
individual deficits
D. Flexible treatment approaches that take into account the subjective
realities of clients
A - Universalism is based on one acceptable norm or standard for everyone
versus many valid standards that have been developed by clients that
they have determined to be most useful to them.
Which of the following is an example of role reversal?
A. A mother who shares her 11-year-old daughter’s clothes and collects
stuffed animals
B. A mother expecting her 11-year-old daughter to stay at home
C. A mother with relationship problems who is repeatedly emotionally
comforted by her 11-year-old daughter
D. A mother who arranges a date for her 11-year-old daughter
C - A role reversal is when two people switch or reverse roles. In this answer,
the mother is emotionally dependent and the child is the comforter.
These behaviors are usually reversed in a parent–child relationship.
The other response choices may relate to roles, but are not reversals.
A man who is having problems at work finds that he is yelling at his
children more and has begun to have marital issues with his wife.
The husband is MOST likely using the defense mechanism of:
Reaction formation
D - Displacement is directing an impulse, wish, or feeling toward another
person or situation that is less threatening. The man unconsciously
realizes that he cannot express his anger on the job or it may have
negative consequences, so he goes home and yells at his wife and
7. A social worker is interested in seeing the extent to which current clients
are satisfied with a new relapse prevention program. The social worker
distributes a client satisfaction survey to those in the program. The
social worker then collects the surveys and analyzes the results that are
presented to a management team in the agency. The social worker is
conducting which type of evaluation?
D - Formative evaluations examine the process of delivering services,
whereas summative evaluations examine the outcomes. Formative
evaluations are ongoing processes that allow for feedback to be
implemented during service delivery. These types of evaluations allow
social workers to make changes as needed to help achieve program
goals. Summative evaluations occur at the end of services and provide an
overall description of their effectiveness. Summative evaluation examines
outcomes to determine whether objectives were met.
The design described is not experimental—which requires a control
group and randomization of assignment—or quasi-experimental,
which does not require randomization, but has more support for causal
inferences than does preexperimental designs.
A social worker employed in a hospital is asked to use a SOAP format in
a client’s record. In this format, the “A” stands for:
Action plan
Active treatment
Adjustments to services needed
B SOAP stands for Subjective, Objective, Assessment, and Plan. In the
Assessment portion, a social worker pulls together objective and
subjective findings and consolidates them into a short assessment.
Which of the following theories is used to explain why clients in
battering relationships will not leave until the benefits exceed the risks?
Problem solving
Social exchange
D - Social exchange theory is based on the idea of totaling potential benefits
and losses to determine behavior. A client will leave a battering
relationship when the alternative is seen as better than the current
situation (rewards outweigh costs).
A social worker receives a subpoena from the courts in the mail for a
former client’s records. In this situation, a social worker should:
Immediately send in the original records to the courts
Prepare a summary of the records to send in immediately
Claim privilege to protect the confidentiality of the client
Ignore the subpoena because it relates to a former client and is
not relevant
C -
A subpoena is not a court order and no documents should be sent unless
ordered by the court. However, a social worker does have to respond
and should not send in the records when receiving a subpoena unless the
client has provided a written release.
Upon admission, a client reports that he has always feared disapproval
and rejection from others in his life. Several weeks later, the client
appears anxious and worried. When asked about his behavior, he
states that he feels judged by the social worker and that the social
worker is being critical of him when he sees her. The client’s feelings are
an example of:
D- Transference refers to redirection of a client’s feelings for a significant
person to a social worker. Transference is often manifested as an erotic
attraction toward a social worker, but can be seen in many other forms
such as rage, hatred, mistrust, parentification, extreme dependence, or
even placing a social worker in an esteemed status.

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