Questionz Medz DSM-5 Ethicz & Law More Questionz
100
B. Provide psychoeducation regarding the cycle of violence and offer resources for victims of domestic violence.

The correct answer to this LCSW practice question is B. It is clear that domestic violence exists-the woman was hospitalized following the most recent incident and indicates similar instances in the past. The client appears to be unaware of the cycle of violence. It would be important to shed light on this dynamic so the client has an awareness of the likelihood of future violence and how to identify when it is more likely to occur. In addition, providing resources to the client would allow her to access support on her own terms. Answer A pushes the therapist’s agenda, as the client has not indicated a desire to locate alternative living arrangements. Answer C is incorrect because the focus should be on the client, not her boyfriend. Finally, the actions described in answer D could be done after B, but the priority is helping the client understand the cycle she is engaged in with her boyfriend and providing resources.
A hospital-based social worker meets with a new client who was admitted following a domestic assault perpetrated by her boyfriend, whom she lives, was upset because she was texting with a male coworker and went out for drinks with him after work. She shares that her boyfriend is very insecure and she should have known how this would affect him due to similar instances in the past. She tells the therapist that her boyfriend felt terrible about the incident, brought her flowers while she was in the hospital, and promised never to hurt her again. What should the social worker do FIRST?

A. Assist client in identifying alternative living arrangements due to risk of additional violence.
B. Provide psychoeducation regarding the cycle of violence and offer resources for victims of domestic violence.
C. Provide client with referral to anger management classes for her boyfriend.
D. Assess the client’s relationship history with boyfriend.
100
Many kinds of anxiety disorders, including panic disorder, generalized anxiety disorder, and social anxiety disorder.
Benzodiazepines help treat _____
100
A. Bipolar disorder I
A social worker in an outpatient setting in completing an intake assessment with a 35 year old man who reports feeling like his friends are out to get him. The man reports that he has not been sleeping well for the past 8 days and that it feels like his mind will not shut off. The man reported spending money that he does not have, and that he feels pressured to engage in conversation with everyone he meets. Client reports having a history of hospitalizations and that he has been arrested for getting into fights with people. What is the BEST diagnosis to describe the client's symptoms?

A. Bipolar I disorder
B. Bipolar II disorder
C. Schizoaffective Disorder
D. Brief Psychotic disorder
100
C. Directly observe the social workers service delivery
A social work supervisor wants to ensure that a social worker is practicing at or above agency standards. What is the BEST method to assess this?

A. Ask the social worker to rate his or her own performance
B. Ask clients for feedback regarding satisfaction with services
C. Directly observe the social workers service delivery
D. Interview peers who work directly with the social worker
100
C. Set appropriate boundaries for the therapeutic relationship at the next session.
At the end of the second session, a new client diagnosed as having borderline personality disorder hugs the social worker before leaving the office. What should the social worker do?

A. Tell the client that due to ethical concerns, such demonstrative displays are inappropriate
B. Recognize the need for this type of positive affirmation to establish trust with this type of client.
C. Set appropriate boundaries for the therapeutic relationship at the next session.
D. Interpret the hug as an indication of the client's commitment to the therapeutic alliance
200
(D) Assess the woman for domestic violence and help her create a safety plan
A woman is referred to a social worker by her EAP. The referral indicates that the woman is frequently absent from work and has difficulty completing projects. During the initial assessment, the woman avoids answering questions about her relationship with her spouse. The woman becomes tearful when asked about her family and social supports. The woman shares that her husband does not “allow” her to go out in the evening or on weekends. She goes on to tell the social worker that she is pregnant, but has not told her husband about the baby. What should the social worker do NEXT?

(A) Refer the client to a doctor for prenatal care
(B) Suggest couples treatment to address issues of stress around the move
(C) Redirect the client back to issues of absence and incomplete job performance
(D) Assess the woman for domestic violence and help her create a safety plan
200
(1) Zoloft
(2) Traditionally treats depression but also treats OCD, panic disorder, PTSD or PMDD
(1) What is the brand name of Sertraline and, (2) What does this medication treat?
(1) Zoloft
(2) Traditionally treats depression but also treats OCD, panic disorder, PTSD or PMDD
200
C. Schizophreniform
A 21 year old client has been working with a social worker at a community mental health clinic for the past 5 months. The client reports hearing voices that tell him to hurt his parents, and that they have caused him to isolate from social situations. The client reports finding it difficult to sleep, and that he feels like someone from his dream is going to hurt him. The client denies being hospitalized, and that he can keep his symptoms under control. What would be MOST likely diagnosis for this client?

A. Bipolar disorder with psychotic features
B. Brief psychotic disorder
C. Schizophreniform
D. Schizophrenia
200
(C) Strategize with the committee about the ways to effectively address the issue.
A hospital social worker participates in a multidisciplinary committee. The committee has concerns about using a new statistical recording package to measure treatment success on the basis of time efficiency. The social worker suggests sharing the committee's concern with the hospital. Many committee members believe that this would be a futile effort and too political. What should the social worker do?

(A) Review the goals and purpose of the multidisciplinary committee.
(B) Send a personal letter to the hospital administrator about the issue.
(C) Strategize with the committee about the ways to effectively address the issue.
(D) Abide by the consensus of the committee to drop the issue.
200
D. Determine the therapeutic issues in responding to the invitation
A social worker is invited to attend the wedding of a client's daughter. What should the social worker do FIRST?

A. Accept the invitation
B. Decline the invitation
C. Explore the client's relationship with the daughter
D. Determine the therapeutic issues in responding to the invitation
300
D. Allow the client to speak freely for a few minutes.
A social worker is interviewing a new client in a mental health clinic. During the interview, what is the BEST way for the social worker to evaluate the client for a psychotic disorder?

A. Use mostly closed-ended questions.
B. Ask the client about psychiatric hospitalizations
C. Interview other household members with the client.
D. Allow the client to speak freely for a few minutes.
300
(1) Celexa, it is an SSRI
(2) Depression
(1) What is the brand name of Citalopram and, (2) What does this medication treat?
300
B. Narcissistic Personality Disorder
A 45 year old client is referred to a social worker in a outpatient clinic by their employer, due to having an erratic behavior while at work. The client reports feeling like he is not valued at work and without him there; the company would go out of business. The client reports getting into frequent arguments with his boss and that he feels like he knows more than his boss does, so he does not listen to him. The client begins discussing how he plans to open his own business and the amount money he will have. What is the BEST describes the symptoms the client exhibiting?

A. Borderline Personality Disorder
B. Narcissistic Personality Disorder
C. Bipolar Disorder
D. Obsessive - Compulsive personality disorder
300
D. Presentation of agency's philosophy and values
A social work director is revising the process of orienting new staff to the agency. The revised process includes a day of training. The training will include time to tour the agency and review agency policies and procedures. To be MOST effective in helping new staff to succeed, what should the training program include?

A. Time to meet with a board member
B. Group discussion about treatment methods
C. A session on clinical documentation requirements
D. Presentation of agency's philosophy and values
300
B. Conduct a family assessment
A social worker meets with the parents of a three-year-old. The parents describe the child as often fighting with other children, biting, and having numerous temper tantrums. What should the social worker do FIRST?

A. Refer the child to a social skills group.
B. Conduct a family assessment
C. Explain that the behavior is age appropriate
D. Suggest that the child have a medication evaluation
400
B. Inquire about previous relationships that each of the men have been in
A social worker at an outpatient clinic is working with a 45- year old male and a 50-year old husband around issues that they have been having in their marriage. The 45- year old man reported that he feelings like his husband tried to dominate the relationship and that it makes him feel inadequate. The 45-year-old man reports that he would like to improve their relationship. The 50 year old man states that he does not mean to hurt his husband, but that he is just trying to prevent bad things from happening. The 50 year old man is open and willing to work on the relationship in therapy. What should the social worker do FIRST to best help the couple?

A. Provide information to the couple on healthy relationship dynamics
B. Inquire about previous relationships that each of the men have been in.
C. Work with the men to identify strengths and weakness in the relationship.
D. Connect the men to a relationship building group at the agency.
400
(1) Effexor (SSNRI)
(2) Depression, and anxiety
(1) What is the brand name of Venlafaxine and, (2) What does this medication treat?
400
(B) Generalized Anxiety Disorder
A social working in a private practice is completing an intake assessment with a 16 year old boy. The boy reports feeling on edge and that something awful is going to happen, which has caused him to avoid social interaction with his friends. The boy reports that no one believes him when he talks about his worry, which has caused him to be more irritable. The client states that he finds it difficult to sleep at night, since it feels like his "mind won't shut off." The boy reports that he has been feeling this way for 6 months and that he hopes will be able to help him. What diagnosis BEST describes the client's symptoms?

A. Social Anxiety Disorder
B. Generalized Anxiety Disorder
C. Separation Anxiety Disorder
D. Acure stress disorder
400
C. Affirm the family's right to make the decision
A doctor is required to obtain written permission to perform an autopsy on a deceased patient. The doctor asks the social worker to obtain the family's consent. The family refuses and is upset about the request. What should the social worker do NEXT?

A. Help the family deal with their reactions to the loss
B. Ask if the family's cultural beliefs prohibit an autopsy
C. Affirm the family's right to make the decision
D. Explore how the social worker can provide help
400
C. Role ambiguity in the family
A couple enter treatment because of frequent arguments about household rules and decision-making. The social worker learns that the problems began when the husband returned home after six months of military service. The wife was responsible for family management issues while the husband was away. Since his return, the wife resents her perceived displacement and the husband is angry about his diminished authority in the family. What is the MOST likely explanation for this problem?

A. Ineffective conflict resolution skills
B. Unrealistic beliefs about family relationships
C. Role ambiguity in the family
D. The dynamics of loss, separation and grief.
500
B. Utilize circular questioning to further explore the family's perspective.
A social worker in a family agency is meeting with a couple and their 15 year old son. The mother reports that her son will not listen to him and that he does not see any issues. The boy reports that his mother is "overreacting and that she needs to come here not all of us." What should the social worker do FIRST in this situation?

A. Provide information on effective communication to the family to allow for them to prepare for therapy.
B. Utilize circular questioning to further explore the family's perspective.
C. Gather information regarding why the further and son do not feel they need to come.
D. Identify what the family would like to work on while meeting with the social worker.
500
alprazolam (Xanax)
chlordiazepoxide (Librium)
clonazepam (Klonopin)
Name the (3) brand and generic names of medications that treat anxiety
500
A clinical social worker is evaluating a 31 year old client who reports having difficulty focusing on their responsibilities. The client reports that 2 weeks ago he experienced increased heart rate, excessive sweating, difficulty breathing, and he felt he was outside of his body. He reports that he is not entirely sure what makes him feel this way, but he is in consistent fear of it happening again. What is MOST likely diagnosis for this client?

A. Generalized Anxiety Disorder
B. Panic Disorder
C. Social Anxiety Disorder
D. Brief Stress Disorder
B. Panic Disorder
500
A. Refer the client to another social worker
A social worker in a rural setting frequently encounters clients at community events. With every new client, the social worker discusses the problems of managing boundary issues in a rural setting. A new client recently joined a recreational ball team that the social worker has been on for several years. The client asks the social worker for a transfer to another social worker so that they can both participate on the team. What should the social worker do?

A. Refer the client to another social worker
B. Ask the client to join a different team
C. Interact with the client in the same manner as other teammates
D. Resign from the team
500
C. The possibility of child neglect
A school principal refers a child with behavior problems to the school social worker. The principal reports that all the other children in the family have been identified as learning disabled. The school records indicate that the parents have substance abuse and financial problems. What should the social worker assess FIRST?

A. The family's involvement with social services agencies
B. The parents' educational background
C. The possibility of child neglect
D. The presence of a learning disability






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