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100 Questions with Rationales
Correct answers are indicated in bold.
1. A social worker is meeting with a client for the first time. The client appears withdrawn and
speaks very little. Which of the following is the MOST appropriate initial response?
A. Ask the client directly why they are not talking
B. Sit quietly and allow the client to speak when ready
C. End the session and reschedule for when the client is more willing
D. Immediately refer the client to a psychiatrist
Rationale: Building rapport and trust at the outset of a helping relationship is foundational in social work practice.
Allowing the client to speak at their own pace communicates respect, patience, and empathy. Pressing the client
with direct questions can increase anxiety and damage the therapeutic alliance. Ending the session prematurely
or making an immediate psychiatric referral is premature and not clinically indicated without further assessment.
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2. A 16-year-old discloses to her school social worker that her stepfather has been sexually
abusing her for two years. What is the social worker's FIRST priority?
A. Contact the mother to inform her of the disclosure
B. File a mandatory report with child protective services
C. Encourage the client to confront the stepfather
D. Assess whether the client is telling the truth
Rationale: Social workers are mandated reporters and are legally and ethically obligated to report suspected
child abuse or neglect immediately upon disclosure. The first priority is to file a report with child protective
services. Informing the mother may be appropriate later but is not the first step, as the mother may be a risk
factor. Encouraging confrontation endangers the client, and questioning the client's truthfulness is harmful and not
clinically sound.
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3. According to Erikson's theory of psychosocial development, an adult in their 40s who feels
they are not contributing meaningfully to society would MOST likely be experiencing which
crisis?
A. Identity vs. role confusion
B. Intimacy vs. isolation
C. Generativity vs. stagnation
D. Integrity vs. despair
Rationale: Erikson's stage of Generativity vs. Stagnation occurs in middle adulthood (approximately ages 40–65).
Generativity refers to the concern for establishing and guiding the next generation and contributing to society.
When this is not achieved, a sense of stagnation results. Identity vs. role confusion occurs in adolescence;
intimacy vs. isolation in young adulthood; and integrity vs. despair in late adulthood.
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4. A social worker is providing services to a refugee family. The family's cultural practices differ
significantly from the social worker's own. The social worker should FIRST:
A. Consult a supervisor about whether to transfer the case
B. Educate the family about dominant cultural norms
C. Seek information and training on the family's cultural background
D. Provide services without acknowledging cultural differences
Rationale: Cultural competence requires that social workers actively seek to understand clients' cultural
backgrounds, beliefs, and values. When significant cultural differences exist, the social worker should take steps
to become more informed to provide effective, respectful services. Educating the family on dominant norms is
ethnocentric and harmful. Ignoring cultural differences undermines the therapeutic alliance. Transferring the case
is not warranted and would deprive the family of services.
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5. When conducting a biopsychosocial assessment, which of the following domains should the
social worker assess?
A. Physical health, mental health, and environmental factors
B. Income, housing, and insurance status only
C. Diagnosis, medication, and treatment history only
D. Presenting problem, referral source, and insurance
Rationale: A biopsychosocial assessment examines all dimensions of a person's functioning: biological (physical
health, genetics, medical history), psychological (mental health, emotional functioning, cognitive processes), and
social (family relationships, community supports, environmental factors). This holistic framework reflects the
person-in-environment perspective central to social work practice. The other options focus narrowly on limited
aspects of a comprehensive assessment.
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6. A client tells a social worker, 'I have been drinking a bottle of wine every night to help me
sleep.' The social worker's BEST response is to:
A. Tell the client that drinking is harmful and they should stop immediately
B. Reflect the client's statement and explore further without judgment
C. Refer the client directly to a residential alcohol treatment program
D. Document the behavior and take no further action
Rationale: Using a non-judgmental, reflective approach encourages clients to explore their behavior without
feeling shamed or defensive, which is essential to establishing trust and motivating change. A directive approach
like telling someone to stop can provoke resistance. A referral to residential treatment is premature without further
assessment. Documenting and taking no further action represents a failure to engage the client therapeutically.
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7. Which of the following best describes the concept of self-determination in social work
practice?
A. The social worker sets goals for the client based on their professional expertise
B. The client has the right to make their own choices and decisions
C. The social worker determines the most efficient treatment plan
D. The client agrees to follow the social worker's recommendations
Rationale: Self-determination is a core social work value that asserts every person has the right to make their
own decisions about their life, even when those decisions may not align with what the social worker believes is
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, best. Social workers may inform, support, and empower clients, but ultimately respect the client's autonomy. This
value is rooted in respect for human dignity and individual rights as articulated in the NASW Code of Ethics.
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8. A social worker is facilitating a group therapy session when two members begin arguing
aggressively. The MOST appropriate immediate action is to:
A. Allow the argument to continue so members can resolve it themselves
B. Immediately end the group session
C. Intervene calmly to de-escalate the conflict and refocus the group
D. Remove both members from the group permanently
Rationale: Group leaders are responsible for maintaining a safe and therapeutic environment. Calm, skilled
intervention is necessary to de-escalate conflicts, protect the emotional safety of all members, and restore the
group's therapeutic focus. Allowing the argument to continue may be harmful, immediately ending the session is
overly disruptive, and permanent removal is a drastic measure that is not warranted at this point.
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9. Which theory emphasizes the importance of early childhood attachment relationships in
shaping later emotional and social development?
A. Cognitive-behavioral theory
B. Attachment theory
C. Systems theory
D. Strengths-based theory
Rationale: Attachment theory, originally developed by John Bowlby, emphasizes that early bonds formed
between children and their caregivers are critical to emotional and social development. Secure attachment
provides the foundation for healthy relationships throughout life, while insecure attachment patterns are
associated with a range of psychological difficulties. Cognitive-behavioral theory focuses on thought-behavior
links, systems theory on interactions between systems, and strengths-based theory on client capabilities.
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10. A social worker discovers during a home visit that an elderly client is living in unsafe
conditions with inadequate food, heat, and hygiene. The client states, 'I am fine and don't need
any help.' The social worker should FIRST:
A. Respect the client's wishes and leave without intervening
B. Conduct a safety and capacity assessment
C. Immediately remove the client from the home
D. Contact the client's family to take over care
Rationale: When a client appears to be at risk but declines services, the social worker must assess the client's
capacity to make informed decisions and the level of risk present. A safety and capacity assessment informs next
steps and balances client self-determination with duty to protect. Immediate removal is an extreme measure
requiring legal authority. Contacting family without consent may violate confidentiality. Leaving without
assessment could result in harm.
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11. A social worker notices that a colleague is consistently arriving late, appears disheveled,
and smells of alcohol. According to the NASW Code of Ethics, the social worker should FIRST:
A. Report the colleague to the state licensing board immediately
B. Discuss concerns with the colleague directly and informally
C. Document observations and do nothing further
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