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A
A client is referred for services due to exhibiting some erratic behaviors
in the community. The client is from another country and English is his
second language. During the assessment, the social worker is uncertain
if the client is struggling to answer some of the questions due to some
cognitive or mental health issues or due to his difficulty interpreting the
English language. What should the social worker do? Ans✓✓✓Set up
another appointment and provide the client with an interpreter.
A social worker's clients are adoptive parents who are concerned about
the behaviors of their seven-year-old daughter, whom they adopted at
age five. The girl has a history of neglect followed by several disrupted
foster placements. The parents report that her behaviors were initially
not troublesome. However, in the past few months, she has become
oppositional, argumentative, and disrespectful. The parents are ashamed
of their daughter's increasingly bad behavior and feel they must be doing
something wrong. What would be an important first step in treatment?
Ans✓✓✓Provide the parents with information on attachment theory and
how to best improve their attachment to their daughter.
A 16-year-old female has been seeing an outpatient social worker to
address conflict with her parents. She reports her parents are strict and
have very high expectations of her. She discloses that she is considering
becoming sexually active with her boyfriend and her parents would
never approve. How should the social worker respond?
Ans✓✓✓Discuss a referral to Family Planning so she can discuss birth
control and STD prevention.
,A female client seeks social work services at the recommendation of
child protective services. Her children have been removed from her due
to allegations of physical abuse. As part of informed consent, what
information should the social worker tell the client? Ans✓✓✓That the
client does not have to attend services, but there may be consequences
from child protective services if she chooses not to continue.
A social worker is meeting with a client who at times seems to be
confused about answering questions. At other times, the client seems to
struggle with reality. What is the best question the social worker could
ask to gain information on the client's insight? Ans✓✓✓"Do you think
that you need treatment?"
A social worker in private practice in a small community receives a
referral for a child with autism. The social worker has little experience
with children and has never treated a child with autism. The social
worker is interested in gaining as many clients as possible to continue to
grow her practice. How should the social worker proceed?
Ans✓✓✓Collaborate with the client's mother and the referral source to
discuss the social worker's lack of expertise and whether or not a more
qualified clinician is available.
A 27-year-old man is referred to an outpatient social worker after being
diagnosed with bipolar disorder by a psychiatrist. The client states that
he thinks he is only depressed as he associates bipolar disorder with
"being crazy." He asks the social worker what sort of prognosis he will
likely have if it is true that he actually has bipolar disorder. How should
the social worker respond? Ans✓✓✓Tell him that bipolar disorder is
,treatable and many people experience recovery, but that people with
bipolar do sometimes experience relapse.
During an initial visit with a social worker in private practice, a client
says that she has no insurance and cannot afford the social worker's fees.
Instead, she offers to clean the social worker's office in exchange for
therapy. What should the social worker do? Ans✓✓✓Decline the offer
and help the client explore resources for more affordable therapy
A client is seeking treatment for depression. He states that he is feeling
hopeless and helpless and has felt depressed for at least two years. He
asks whether or not treatment is likely to help him at this point. How
should the social worker respond? Ans✓✓✓Tell the client that
treatment is not an exact science; she cannot guarantee results, but that
she will do her best to help him.
A mother brings her six-year-old son to see a social worker due to what
she describes as non-compliant, aggressive, and argumentative behavior.
She says that she has tried everything but nothing seems to work. She
states that she now spanks him as sending him to his room is less
effective. The mother says she wants help getting her son to behave.
How can the social worker intervene? Ans✓✓✓Discourage the mother
from spanking as it likely increases her child's aggression.
A woman is referred to an outpatient social worker by the local
hospital's emergency room. The woman had gone to the ER after
experiencing rapid heartbeat, dizziness, trouble swallowing, chest pain,
and sweating. She states that she thought she was having a heart attack
, but doctors ruled out any physical health problems. What was the
woman most likely experiencing? Ans✓✓✓A panic attack.
A 16-year-old male is referred to an outpatient social worker due to his
guidance counselor's concern about possible depression. The teenager
discloses that he thinks he is a "female trapped in a male body." He tries
to hide this from everyone, including his family, and he thinks this is
causing him to feel depressed. How can the social worker help?
Ans✓✓✓Assist him in locating resources to help him learn more about
being transgender and discuss strategies for overcoming obstacles he
may face as a result.
A 16-year-old client reports he is often bored and states he has difficulty
concentrating at school. He states that he does not feel like spending
time with friends lately but continues to participate in sports and most of
his social activities. He denies any difficulty sleeping or changes to his
appetite. His mother describes him as increasingly irritable and states his
grades have declined over the past few years since his symptoms began.
What is the most likely diagnosis for this client? Ans✓✓✓Persistent
depressive disorder
A female client is interested in working on issues related to her history
of abuse. As she describes being sexually abused by a neighbor during
childhood, the social worker realizes he grimaced while the client was
talking. How should the social worker proceed? Ans✓✓✓Explain to the
client he is reacting to the client's story, not judging her.