FREE ASWB Licensed Clinical Social Worker Question and Answers
You are working with Timmy, a lady who has recently been the victim of sexual assault and displacement, in a women's shelter. Timmy is not a threat to herself or others, and you have been able to build rapport with her and occasionally even get a smile out of her.
What should you DO NEXT to assist Teddi in getting over her crisis?
Once trust and rapport have been built, the task of determining the most pressing issues that need to be addressed can be started.
Even while you shouldn't prevent people from exploring their feelings and emotions, you should wait until you've determined the actual (or perceived) causes of the client's difficulties before encouraging this. Implementing an action plan and finding alternatives will both happen later on in the process, along with learning coping mechanisms.
You are seeing Olivia for individual therapy because she is exhibiting signs of a psychotic condition. She claims that although her psychiatrist recently gave her a prescription for Haldol, Olivia is really reluctant to take it.
Which action should you take first?
Clients with mental diseases frequently express reluctance to take psychotropic drugs, especially if they have never done so. The best course of action in this situation is for you to acknowledge Olivia's feelings about taking the medication, take a sympathetic but firm posture to build rapport, and inquire as to why she is reluctant.
Informing Olivia's psychiatrist about her non-compliance can lead to conflict between you two and shatter any existing trust or rapport. You could tell her about the advantages and disadvantages of Haldol, but wait to do so until you have acknowledged Ivy's feelings first. Olivia can feel defensive if you tell her that she must adhere to all mental health treatments in order to continue receiving services, which would undermine the trust and rapport you have already built.
Jessica acknowledges that she dislikes being touched and becomes quite tense if it seems like someone is going to touch her. Jessica is most likely impacted by:
Haphephobia, according to the DSM-5, is the dread of being touched.
Agoraphobia is a fear of pain, acrophobia is a fear of heights, and agoraphobia is a dread of leaving one's home or visiting strange places.
A case worker has over ten years of experience in the social work field. The case worker has enjoyed his employment during those years, but he is emotionally spent and has started to feel unsatisfied with helping clients with their difficulties. The caseworker is probably going through
A state of physical, emotional, psychological, and/or spiritual fatigue is known as "burnout." It may take the form of cynicism or a lack of joy in helping clients address their difficulties.
The emotional exposure that counselors and therapists have when working with clients as they hear about their horrific experiences and become witnesses to the suffering, anxiety, and horror that trauma survivors have experienced is known as "vicarious trauma" (also known as secondary trauma). Burnout and secondary trauma symptoms are combined to form the illness known as "compassion fatigue." It typically depicts the total mental and physical exhaustion that social workers can feel as a result of frequently using empathy when assisting clients who are distressed and going through emotional suffering.
You are told at a client's initial consultation that the client has previously received care from other social workers. When you inquire about the client's prior therapies, he says they were in the past and he'd like to move on, adding that he would prefer that the records of those therapies not be made public.
You ought to FIRST:
Recognizing the client's right to confidentiality and self-determination should be your initial response.
The other choices, such as examining the client's reasons for not wanting his prior therapy explored or informing the client that treatment will only focus on present themes, which may lessen some of the client's worry regarding past treatment, may only be pursued after this recognition. However, you must first acknowledge the client's right to decline consent.
You learn that Derek, a male client with a sexual addiction, fondled his nephew, who is seven years old, while he was taking care of him during a session. Derek agrees to report this incident to the proper authorities after the session when you tell him that he must do so.
What should you DO NEXT when the session is over?
It is your duty under the law, morally right, and professionally to inform the proper authorities when abuse occurs.
Contacting the victim's parents would be against social worker-client confidentiality, and it would not address the assault that occurred if you followed up with the client at his subsequent appointment.
You run into Helen in the grocery store; she was a client you terminated effectively a year ago. You hook up with her and discover that she has opened her own pool cleaning company. Since you need someone to clean your pool for the summer, you pay her to do so.
How would YOU BEST describe this circumstance?
As a social worker, you must keep in mind that a client is a customer for life, and the relationship should never be one of equality. As a result, the question's description of the scenario is best characterized as an unacceptable dual relationship.
The other answers are untrue, and since Hilda did not offer to clear your pool for free or in exchange for care, this is not a bartering situation.
The multiaxial system was removed from the DSM version after that in an effort to present a more straightforward strategy:
The DSM-5 does away with the multiaxial approach that earlier versions of the DSM employed for diagnostic and therapeutic reasons in an effort to streamline paperwork.
Which of the following best describes a social worker's key principles?
A set of guiding principles serves as the foundation for the profession of social work. The fundamental principles are integrity, competence, social justice, human relationships, service, and worth of the individual.
A social worker is piecing together the client's presenting behaviors during an interview with a client to develop a fresh picture of the challenges the client is facing. What method of interviewing is the social worker employing?
A social worker might use a variety of strategies when conducting an interview with a client. Based on what the client is presenting, a social worker may employ "interpretation" by putting together behavioral patterns to arrive at a new understanding.
The generalization or normalcy of the client's presenting behavior is known as universalization. To ensure that the client and social worker are on the same page, clarification involves the social worker rephrasing the issue in the client's own words. The social worker may phrase a problem differently to help the client see potential solutions by reframing and relabeling it.
A social worker who uses the family systems model to provide family therapy would not agree with the following:
Family systems theory makes the broad claim that any change in one part of a system will cause a change in all other sections, but this does not entail helping the patient at all costs the entire family. Theorists of family systems place a greater emphasis on the family as a whole than just the individual.
All family members are usually encouraged by family systems therapists to define and understand their responsibilities and expectations as well as to gain awareness of how their own boundaries may be affecting other family members.
A client in a therapy session feels uneasy around a case worker because the latter makes him think of his father, who was extremely organized. What actions is the client taking?
Throughout this conversation with his social worker, the client is displaying "transference." Transference is the act of directing a client's affections toward a special someone toward a social worker. Sigmund Freud originally identified transference and recognized its significance for a deeper comprehension of a client's emotions. Contrarily, "countertransference" describes the shifting of a social worker's emotions in the direction of a client, or more broadly, a social worker's emotional involvement with a client. Projecting one's disowned attitudes, desires, and feelings onto an outside object or person is a rudimentary form of self-defense.
What did the local government get if the state government granted them $50,000 to fix a particular state route?
Grants of aid are sums of money given to the states by the federal government for a specific objective. There are primarily two categories of grants in aid:
A block grant is a financial gift from the federal government that a state or local government may use whatever they see right.
A federal grant known as a category grant gives money to a state or local government to be used for a defined purpose.
It is not a block grant, according to the facts provided in the inquiry, as the funds were intended for "one specified state route," not anything that the state or local government decided upon. Revenue sharing is a bad choice since it dates back to the Nixon Administration's 1972 initiative when the federal government began giving money to the states with no conditions whatsoever.
The following factors have the MOST bearing on whether professional burnout occurs frequently and severely in the practice of social work:
While many people who experience burnout may blame themselves or attribute their own burnout to personal failings, most studies actually show that non-individual factors like organizational culture, clarity of policies, quality of organizational communication, and organizations' provision of a wide variety of available burnout prevention resources are what make a difference in the success or failure of burnout prevention.
Which of the following factors is LEAST likely to play a role in the development or diagnosis of autism spectrum disorder in children?
Autism has been linked to genetic issues, possibly involving numerous genetic variables that could influence susceptibility to brain development and symptom severity. The number of cases caused by any genetic issue may be minor, but the aggregate impact of genes is probably substantial. It has been discovered that families with one autistic child are more likely to have further children get the illness. Parents or other family members of autistic children frequently struggle with social or communication skills or exhibit autistic traits. According to a 2010 study, parental age has an impact on a child's likelihood of developing autism, with dads over 40 having the biggest impact.
No connection between vaccines and autism has been discovered, despite extensive media coverage.
Which medication will a client named Carol most likely begin taking if she is given a diagnosis of anxiety?
Alprazolam is a drug that is used to alleviate anxiety.
Social workers should be educated about the many drug classes that their patients may be taking as well as any potential treatment requirements. A combination of atorvastatin and the antipsychotic haloperidol is used to treat cholesterol.