INFECTION PREVENTION
CERTIFICATION CERTIFICATION
SCRIPT 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◍ A social worker is working with a young child who is a victim of sexual
abuse. The social worker has been using play therapy techniques for several
sessions, but the child is becoming more aggressive and continue to exhibit
disturbing behaviors such as bed-wetting and masturbation. The child's
foster parents feel that the child is not making progress in therapy and have
asked the foster care worker to assign a new social worker. What should the
social worker do FIRST?
A. Tell the foster care worker that the child is making progress as quickly as
can be expected
B. Transfer the child to someone who specialized in child
cognitive-behavioral therapy.
C. Encourage the child to talk freely about feelings and the details of the
sexual abuse.
D. Educate the foster parents about the effects of child sexual abuse..
Answer: Rationale: The social worker should FIRST help the foster parents
understand the long-term impacts of childhood sexual abuse and the
unpredictable treatment progress (D). Option (A) does not provide enough
meaningful information to the foster care worker. There is no need to
transfer the child (B) because play therapy is indicated for this age group.
Encourage a young child to talk to about the abuse (C) is often
counterproductive and contraindicated.
◍ A social worker meets with a 75-year old client whose wife died six months
ago. In the Intake interview, the client reports losing weight, having very
, little energy, and having difficulty getting motivated to do things. What
should the social worker do FIRST?
A. Complete a suicide risk assessment of the client.
B. Explore available family and community resources
C. Suggest that the client schedule an appointment with a doctor.
D. Refer the client to a local bereavement group..
Answer: Rationale: The client's self-report describes depression and suicide
risk that warrant further assessment (Key A). Option (B), (C), and (D) are
all plausible but not the FIRST action the social worker should take.
◍ 1. Which of the following is NOT true about motivation to change?
A. Motivation fluctuates from one time to another.
B. Motivation can be increased by working to remove barriers to change.
C. Motivation is driven by hope or the belief that life can be different.
D. Motivation that is imposed by external forces is more salient than that
which is intrinsic..
Answer: 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.
◍ 2. 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.
, Answer: 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.
◍ A social worker meets with a 35-year-old American man who is anxious
because his wife is pressuring him to move his mother into a nursing home.
He prefers that she live with them. The social worker asks the man if he has
any siblings and what his birth order is. This information is important to the
social worker's understanding of the man's:
A. cultural perspective
B. support system
C. financial options
D. family dynamics.
Answer: Rationale: It is always important for a social worker to understand
the cultural context of client situations. Information about siblings and birth
order can reveal much about the impact of culture on a client from the
broadest perspective (keyA). This information is less likely to provide an
understanding of a client's support system (B), financial options (C), or
family dynamics (D).
◍ A social worker who leads a therapy group plans to begin an extended leave.
What should the social worker discuss with the group FIRST?
A. Arrangements for continuity of the group.
B. The group's progress to date
C. Options for transferring to other groups
D. Detailed reasons for the leave.
Answer: This is an unscored item. The absence of the regular group lead,
even if temporary, can be a highly disruptive event for a therapy group,
making it imperative that the leader focus on ensuring continuity by
discussing how the group will continue during the absence (key A). It would
, be inappropriate to discuss detailed reasons for the absence (D). Options (B)
and (C) may be possible topics of discussion, but not what the social worker
should discuss FIRST.
◍ A woman is bedridden in a nursing care facility because of complications
from morbid obesity. The social worker is contacted after the woman
deliberately twists an aides finger while receiving a bed bath. The woman
reports that she was hurt during the bath and that her requests for the aide to
stop were ignored. She also frequently hears unkind comments made about
her weight by staff members. What should the social worker do FIRST?
A. Have the woman transferred to another nursing care facility
B. Provide ongoing staff training to deal with the diverse needs of residents.
C. Begin individual therapy to address the woman's anger
D. Meet with staff membersD.
Answer: Rationale: Initially, the social worker should attempt to mediate
between the staff and the woman as the most straightforward approach (Key
D). Transferring the woman (A) is not warranted and defers the problem. It
is not clear from the information that staff training (B) is needed. It is also
unclear at this time how individual therapy (C) might address this problem.
◍ During the assessment process, a social worker learns that a client's
self-reporting is incomplete. What approach would MOST likely improve
self-reporting?
A. Guided imagery
B. Role Play
C. Journaling
D. Family input.
Answer: Rationale: Journaling helps the client document and remember
pertinent information between sessions (C). Guided imagery (AI) and role
play (B) are both interventions that are potentially not relevant to the
self-reporting problem. Family input (D) is incorrect because it is collateral
reporting and the goal is to improve client self-reporting.
◍ A social worker is facilitating a new group for teenage fathers. The goal of
CERTIFICATION CERTIFICATION
SCRIPT 2026 QUESTIONS WITH
SOLUTIONS GRADED A+
◍ A social worker is working with a young child who is a victim of sexual
abuse. The social worker has been using play therapy techniques for several
sessions, but the child is becoming more aggressive and continue to exhibit
disturbing behaviors such as bed-wetting and masturbation. The child's
foster parents feel that the child is not making progress in therapy and have
asked the foster care worker to assign a new social worker. What should the
social worker do FIRST?
A. Tell the foster care worker that the child is making progress as quickly as
can be expected
B. Transfer the child to someone who specialized in child
cognitive-behavioral therapy.
C. Encourage the child to talk freely about feelings and the details of the
sexual abuse.
D. Educate the foster parents about the effects of child sexual abuse..
Answer: Rationale: The social worker should FIRST help the foster parents
understand the long-term impacts of childhood sexual abuse and the
unpredictable treatment progress (D). Option (A) does not provide enough
meaningful information to the foster care worker. There is no need to
transfer the child (B) because play therapy is indicated for this age group.
Encourage a young child to talk to about the abuse (C) is often
counterproductive and contraindicated.
◍ A social worker meets with a 75-year old client whose wife died six months
ago. In the Intake interview, the client reports losing weight, having very
, little energy, and having difficulty getting motivated to do things. What
should the social worker do FIRST?
A. Complete a suicide risk assessment of the client.
B. Explore available family and community resources
C. Suggest that the client schedule an appointment with a doctor.
D. Refer the client to a local bereavement group..
Answer: Rationale: The client's self-report describes depression and suicide
risk that warrant further assessment (Key A). Option (B), (C), and (D) are
all plausible but not the FIRST action the social worker should take.
◍ 1. Which of the following is NOT true about motivation to change?
A. Motivation fluctuates from one time to another.
B. Motivation can be increased by working to remove barriers to change.
C. Motivation is driven by hope or the belief that life can be different.
D. Motivation that is imposed by external forces is more salient than that
which is intrinsic..
Answer: 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.
◍ 2. 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.
, Answer: 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.
◍ A social worker meets with a 35-year-old American man who is anxious
because his wife is pressuring him to move his mother into a nursing home.
He prefers that she live with them. The social worker asks the man if he has
any siblings and what his birth order is. This information is important to the
social worker's understanding of the man's:
A. cultural perspective
B. support system
C. financial options
D. family dynamics.
Answer: Rationale: It is always important for a social worker to understand
the cultural context of client situations. Information about siblings and birth
order can reveal much about the impact of culture on a client from the
broadest perspective (keyA). This information is less likely to provide an
understanding of a client's support system (B), financial options (C), or
family dynamics (D).
◍ A social worker who leads a therapy group plans to begin an extended leave.
What should the social worker discuss with the group FIRST?
A. Arrangements for continuity of the group.
B. The group's progress to date
C. Options for transferring to other groups
D. Detailed reasons for the leave.
Answer: This is an unscored item. The absence of the regular group lead,
even if temporary, can be a highly disruptive event for a therapy group,
making it imperative that the leader focus on ensuring continuity by
discussing how the group will continue during the absence (key A). It would
, be inappropriate to discuss detailed reasons for the absence (D). Options (B)
and (C) may be possible topics of discussion, but not what the social worker
should discuss FIRST.
◍ A woman is bedridden in a nursing care facility because of complications
from morbid obesity. The social worker is contacted after the woman
deliberately twists an aides finger while receiving a bed bath. The woman
reports that she was hurt during the bath and that her requests for the aide to
stop were ignored. She also frequently hears unkind comments made about
her weight by staff members. What should the social worker do FIRST?
A. Have the woman transferred to another nursing care facility
B. Provide ongoing staff training to deal with the diverse needs of residents.
C. Begin individual therapy to address the woman's anger
D. Meet with staff membersD.
Answer: Rationale: Initially, the social worker should attempt to mediate
between the staff and the woman as the most straightforward approach (Key
D). Transferring the woman (A) is not warranted and defers the problem. It
is not clear from the information that staff training (B) is needed. It is also
unclear at this time how individual therapy (C) might address this problem.
◍ During the assessment process, a social worker learns that a client's
self-reporting is incomplete. What approach would MOST likely improve
self-reporting?
A. Guided imagery
B. Role Play
C. Journaling
D. Family input.
Answer: Rationale: Journaling helps the client document and remember
pertinent information between sessions (C). Guided imagery (AI) and role
play (B) are both interventions that are potentially not relevant to the
self-reporting problem. Family input (D) is incorrect because it is collateral
reporting and the goal is to improve client self-reporting.
◍ A social worker is facilitating a new group for teenage fathers. The goal of
