MSW Comprehensive Exam Question With 100% Correct Accurate Answers.

-summarized broad ethical standards -is the moral compass for social work professions -holds the social work profession accountable - correct answer The NASW Code of Ethics service, social justice, dignity and worth of the person, importance of human relationships, integrity, competence - correct answer Social Work Values - correct answer Ethical principles associated with each social work value Ethical fading, self deception and awareness - correct answer Professional values vs Personal values -3 categories of responsibilities -Key responsibilities of the social worker -Application of standards to scenarios - correct answer Practicing ethical standards -Commitment to clients -Self-determination -Informed consent -Competence -Cultural competence and social diversity -Conflicts of interest -Privacy and confidentiality -Limitations of client confidentiality -Duty to warn (Tarasoff) - correct answer Social workers' ethical responsibilities to clients -Respect -Confidentiality -Sexual relationships and harassment -Impairment, incompetence, or unethical behavior of colleagues - correct answer Social Workers' Ethical Responsibilities to Colleagues -Competence -Discrimination - correct answer Social Workers' Ethical Responsibilities as Professionals -Protection of human subjects -Voluntary participation -Informed consent -Confidentiality -Protection of vulnerable/at-risk populations, etc. - correct answer Ethical Responsibility in Research and Program Evaluation -Supporting thorough and accurate assessment and treatment planning -Providing competent service delivery -Supporting continuity and coordination of services among settings and care providers -Documenting supervisory activities to show contacts/content in case of challenge, personnel problems, or litigation -Providing data for program evaluation activities -Allowing for accountability- information for 3rd party payers, regulatory bodies, etc. - correct answer Functions of Documentation -Calls for accurate documentation and protection of privacy of all involved parties noted in the client record -Gives clients the right to access own records (if this occurs there is a duty to protect privacy of others noted in the record) -Electronic records also have to have safeguards in place to protect confidentiality and privacy -Storage of records needs to protect privacy and confidentiality -Records need to be kept for at least several years after termination in a secure, private location. - correct answer Code of Ethics & Documentation -Be thorough but don't overdo it. Think about what you have to document to demonstrate activities and facilitate services as well as protecting and serving all parties involved (assessment and treatment planning, informed consent, actual contact information (including cancelled and failed appointments)termination activities, supervisors should document both supervision actions and consults.) -Too little vs. too much: document enough information when handling a crisis to show your assessment, thought process, decision. Don't document a lot when you are documenting things like a client's fantasy (this could be used against him/her) -Document enough to fulfill the function of the note and the job. In a crisis, document smarter vs. longer. Personal notes and emails should also be written as if they are public: they can be subpoenaed. -Families and couples: may want to have one common file and separate files in which priv - correct answer Content of Documentation -Choose words carefully and support your conclusions; avoid defamatory language. Write remembering there is an audience. -Be clear and specific; be careful with abbreviations and do not use ones that are not approved or will be misunderstood -Qualify your statements- "appears to be", "seems to be" -Avoid libelous writing - correct answer Language and Terminology -Records need to be thorough and timely; record AFTER you have delivered the service not before. -Document in the required window (during the contact, immediately after, within 24 hours)- delayed documentation can be used against you. -Use proper grammar so you can maintain credibility -Acknowledge errors: either write a new note with correct information or strike out error, insert correct information. Date and initial change. - correct answer Credibility -There is no such thing as complete confidentiality: always assume records will be seen -Subpoenas: know the difference for one requesting records vs. one requesting a personal appearance (some organizations send the person responsible for maintaining the record- i.e., medical records) -If you receive a subpoena you can try to have it withdrawn or the information requested narrowed -Do not release information without a court order or a consent - correct answer Access to Records and Documents -Be sure you are familiar with all records that pertain to your practice (HIPAA, FERPA, JCAHO, etc) -Work in compliance with these expectations - correct answer Regulations Inform the client about the limits of confidentiality. - correct answer A social worker is meeting with her client for a first therapy session. What is the first ethical responsibility she is obligated to meet in this session? Conflict of interest. - correct answer A social worker employed by a community-based organization finds her professional decision-making to be influenced by elements other than concern about the client. What ethical issue is this social worker facing? Dignity and worth of a person - correct answer What core value of the social work profession is violated when a client is coerced into consenting to treatment? Duty to warn per the Taras off decision and confidentiality. - correct answer During a counseling session at a mental health center, a social worker is told by their client that the client intends to shoot a specific relative after leaving the session. What professional duties are in conflict in this situation? Talk to the client about whether they want any information disclosed and the possible implications of disclosure. - correct answer A 16 year old has become a client of an outpatient clinical social worker after surviving a sexual assault by the sibling of a classmate at her school. The client's parents have signed a release of information allowing the social worker to communicate directly with school staff. The social worker is contacted by one of the teachers who is concerned that the client's school work has declined drastically. The teacher wants to know if something has happened to the client. What should the social worker do in this situation? Assess the situation for risk of potential harm or exploitation of the client. - correct answer Adele, a social worker employed by a program serving at-risk youth at a local YMCA in an urban community, lives in an apartment complex within walking distance of her work. An avid reader, she frequently visits the local library and has joined a monthly reading group. At her most recent visit, the group welcomed a new member who happens to be the mother of one of the youths in her program. To determine how to respond to this situation, what should Adele do first? Report the situation to your supervisor. - correct answer During a counseling session, a client with a history of relationship problems shares a text she received from one of your co-workers inviting her to a social event as their date. Your co-worker is part of the treatment team that regularly reviews client cases (including your client) and evaluates their progress. The client is seeking your advice about whether to accept the date and attend the event. What should you do? The participant must be compensated