ANSWERS |ALREADY GRADED A+
A social worker is employed at a health clinic in a neighborhood where the residents are primarily
members of ethnic minority groups. The social worker frequently encounters women who will not
agree to health screening tests. They tell the social workers that the tests will not prevent disease or
sickness. What should the social worker do FIRST?
A. Acknowledge the women's cultural beliefs
B. Provide information on preventive medicine
C. Encourage the women to talk with their physicians
D. Offer incentives to participate in screenings Correct answer-A. The social worker must begin
where the clients, are which necessitates FIRST acknowledging their cultural beliefs (A) Providing
information (B) and encourage more dialogue with physicians (C) may follow but only after the
clients/ beliefs have been recognized. Offering incentives (D) is unrealistic and unlikely to be
successful.
What type of hallucination is MOST prevalent for individuals diagnosed with schizophrenia?
A. Auditory
B. Tactile
C. Visual
D. Olfactory Correct answer-A. While it is possible for a person with schizophrenia to have any of
these hallucinations, auditory hallucinations (A) are MOST common.
Family members express concerns about their aging parent to a social worker who is a geriatric case
manager. The parent is increasingly frail but cognitively competent. The family would like the social
worker to persuade the parent to move to an assisted living facility, but the parent has refused the
suggestion. What should the social worker do?
A. Arrange a meeting with the entire family to negotiate a solution
B. consult with the assisted living administrator
C. Respect the parent's choice and reluctance to move
D. Encourage the family to rpesent a united front in making a decision for the parent. Correct
answer-C. There is nothing in this item to suggest that the parent is not competent, so the social
worker must uphold the parent's right to self-determination and respect the decision to refuse the
move to an assisted living facility (C). While a family meeting may be useful in helping the family
accept the parent's decision, this meeting should not be an attempt to negotiate a solution (A).
Suggesting that the family members be unified in their decision (D) disregards the parent's self-
determination. Consulting with the faculty administrator (B) does not address the issue.
What assessment tool is the MOST effective in obtaining family history information?
A. Person-in-Environment (PIE) System
B. Social network mapping
C. Genogram
D. Ecomap Correct answer-C. A genogram (C) is a social work tool that maps family relationships.
The PIE system (A) may include explanations about the family and supports, but it is not an effective
way to gather family history. Options B and D both identify client support systems.
, A social worker in a senior center has become aware of an elderly couple's inabiliy to maintain
themselves. They live in a rural area without any nearby family members and are unwilling to
consider alternative living arrangements. What should the social worker do FIRST?
A. Try to persuade the couple to go to a nursing home.
B. Discuss referral for supportive services
C. Inform family members of the situation
D. Arrange for a mental status exam to be completed. Correct answer-B. The social worker will
support self-determination by using the least restrictive and controlling option FIRST (B). Option C is
a violation of confidentiality unless there is real endangerment issue. Attempting to persuade the
couple to go into a nursing home (A) does not support client self-determination and arranging for a
mental status exam (D) would not be done FIRST.
A 75-year-old resident of a nursing home informs her social worker that she frequently wakes up at
night. The resident reports that she has been a sound sleeper but now awakens at the slightest
noise. What should the social worker do FIRST?
A. Suggest to the staff physician that a sleeping medication may be indicated
B. Ask the resident if she would like her room changed to a different location.
C. Discuss the impact of the disturbed sleep pattern with the resident
D. Arrange more physical activities for the resident throughout the day. Correct answer-C. Before
taking any action on the client's comments, the social worker needs to have a better understanding
of how the changed sleep patterns are affecting the client. options A and B change.
A social worker plans to meet with a client for an intake interview. Referral information indicates that
the client is hard of hearing. What should the client do FIRST?
A. Determine the client's preference for communicating
B. Arrange for an interpreter for the client during the interview
C. Ask the client to bring a family member to the interview.
D. Review literature on deaf culture Correct answer-A. This item requires the test-taker to
understand culturally competent practice, which in this scenario requires the social worker to FIRST
learn the client's communication preferences (A). Arranging for an interpreter (B) assumes that
preference, and asking a family member to attend the interview (C) is inappropriate. While it may be
useful for the social worker to review literature on the deaf and hard of hearing culture (D), this does
not address immediate need.
During an initial interview with a social worker, a client reports feeling depressed for the past six
months. Recently, the client started drinking alcohol daily and says that this has been helpful in
decreasing the depressed feelings. What is the BEST description of the behavior?
A. Suicide ideation
B. Self-medication
C. Compulsion
D. Addiction Correct answer-B. The BEST description of the client's behavior is self-medication (B)
because the client is using alcohol to mitigate feelings of depression. Indicators are not strong
enough to point to addiction (D) and the behaviors described are not compulsive (C). The client has
not demonstrated suicidal ideation (A).
A court mandated client meets with a social worker for the first time. The client denies needing
services. After acknowledging the client's feelings, what should the social worker do NEXT?