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A white social worker receives a referral from a school
counselor for a 5 year-old black male. The counselor
reports that the child refuses to stay in his seat, is
disruptive to his peers and is oppositional with the teacher.
When the social worker meets with the boy's parents, they
offer one-word answers to questions and the father sits
with his arms folded across his chest. He states, "You
people are always targeting us. I bet you don't see any
white kids getting referred!" What should the social worker
do FIRST?


A. Refer the parents to a black social worker.


B. Suggest behavioral modification techniques to address
the behaviors.


C. Clarify the parents' understanding of the reasons for the
referral.

,2|Page


D. Explore the parents' perceptions of their child's
behavior. - Answer-C. Clarify the parents' understanding of
the reasons for the referral.




RATIONALE: When clients are referred by a 3rd party and
appear hostile or resistant in the initial session, it is
important to make sure they know WHY they have been
referred. A is premature; B and D may both be
appropriate, but not before a relationship is established.


A social worker in community agency has been working
with a client with Borderline Personality Disorder for 2
years; the social worker has begun to feel that the client
needs involvement in a Dialectical Behavioral Treatment
(DBT) program in order to improve. The client is
hospitalized for a suicide attempt before the social worker
can discuss this treatment option. The social worker
should:


A. Suggest that the hospital refer the client to a local DBT
program.

,3|Page


B. Contact the DBT program and refer the client upon
discharge.


C. Call the client in the hospital to discuss termination and
referral.


D. Resume work with the client after discharge. - Answer-
D. Resume work with the client after discharge.


RATIONALE: It would be inappropriate for the social
worker to attempt to terminate and refer the client when
the client is in the midst of a crisis, making A, B and C all
poor choices. In order to avoid client abandonment, the
therapist should resume work with the client after
discharge to assure that the client is stable and would then
begin
discussing termination and referral.


A social worker is treating a court-mandated client with a
substance abuse problem. The social worker has decided
to utilize motivational interviewing for the treatment of his
substance abuse. Which of the following techniques are
NOT considered part of motivational interviewing?

, 4|Page




A. Open-ended questions
B. Confrontation
C. Reflective listening
D. Summaries - Answer-B. Confrontation


RATIONALE: B is the best answer because motivational
interviewing is a modality that uses the client's own
ambivalence to address their substance abuse patterns; it
is non-confrontational and semi-directive.


A social worker is facilitating a group for teen mothers. The
group's overall goal is to improve client independence and
decision- making skills. Many of the group members
express being overwhelmed by the combination of
parenting duties, school, and relationships with their
babies' fathers. In order to support the teens, the social
worker should focus interventions on:


A. Helping the mother's partialize and prioritize their goals


B. Highlighting ways clients have successfully made
decisions in the past

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