Texas A&M University (TAMU) Commerce Social Work (SW) Comprehensive Clinical Practice Test

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• A case manager working with clients who have Asperger's, schizophrenia, or mood disorders with psychotic features focuses on preventing further decompensation. This treatment is known as what?
• What is a key ethical consideration when conducting collateral interviews?
• A ward meeting on an inpatient unit has become dominated by nurses due to reimbursement rates. This illustrates:
• Which statement reflects ethical concerns in client recordkeeping?
• Initially, treatment with Mrs. Taylor would involve which of the following?
• Conscious and unconscious attempts by the client to thwart the therapeutic process are considered what?
• A client complains that if the social worker cared for him like his mother, he would not be charged for treatment. This is an example of which phenomenon?
• With a married woman whose husband is a compulsive gambler and who describes her husband's behavior in a way that centers the discussion on him, the social worker should...
• A 38-year-old with chronic alcoholism develops short-term memory loss, invents stories, and seems confused and disoriented. The most likely diagnosis is:
• In dealing with the client's guilt about placing her husband in a nursing home due to Alzheimer's progression, what would the worker do first?
• Mrs. Taylor read passages to her husband describing which topics?
• In balancing empathic response with exploring another person's perspective, which combination is most helpful for a client with narcissistic traits?
• Assertive casework is a technique in which?
• In comparing models of social work clinical practice, the most significant difference tends to be related to...
• When a patient who was readmitted complains that his doctors have never understood him, the social worker should which of the following?
• What is the chief difference between schizophrenia and schizoaffective disorder?
• William was adopted from an orphanage at 18 months and shows clinging behavior and insomnia at age five. His likely diagnosis is what?
• Being an 'active' listener means the social worker should primarily?
• Positive regard and nonpossessive warmth, as outlined by Rogers, refer to an attitude of:
• In a cultural humility framework, which steps help ensure culturally responsive assessment and intervention?
• In approaching the client, the social worker should?
• What is the role of risk assessment in social work practice, and what tools can be used to support it?
• Which statement is clearly not a purpose of an initial interview?
• Which is a key component of culturally responsive intake with immigrant clients?
• In a session to evaluate the feasibility of treating a couple conjointly, the primary focus of the social worker should be on?
• What is the recommended stance when working with a student who is uncertain about leaving school?
• In assessing a personality disorder, which item would not be included?
• In an enmeshed family, which intervention best promotes autonomy?
• Why did Susan shift topics away from Carly's discussion of her return home and daily management?
• How would you integrate evidence-based practices for trauma in treating a client with PTSD?
• The Susie case identifies the student as how old?
• After a neighbor's dog attacked and bit her, a child now avoids dogs, has nightmares, and seems to 'replay' the event. The most likely diagnosis is which?
• What is the recommended approach when a client has both substance use disorder and depression?
• A male client with major depressive disorder improves on an SSRI but stops the medication, not reporting reasons. Which SSRI side effect could account for this decision?
• For a patient with bipolar disorder who shows signs of suicidal intent, the best intervention is to:
• Which statement best reflects being an 'active' listener?
• Which therapy is recommended as an evidence-based practice for PTSD in children and adolescents?
• Which statement accurately reflects the DSM-5-TR criteria for PTSD, including symptom clusters and duration?
• In a scenario where a client repeatedly requests an additional AIDS test despite negative results, the social worker should assess which of the following?
• Which statement best describes the role of case management in social work?
• Which statement accurately describes DSM-5-TR criteria for Major Depressive Disorder?
• In formulating a client assessment, which item would a social worker not include?
• Which intervention would be least appropriate for paranoid ideation?
• In the case of color-meaning delusions, the symptom is best categorized as which type of symptom?
• Which statement best represents SMART goals in treatment planning?
• Which symptom is not described as part of the Korsakoff case in the provided material?
• The most appropriate technique to use with a new client who is decompensating is?
• In a biopsychosocial assessment, housing status would most likely be categorized under which domain?
• What is the role of collateral information in a biopsychosocial assessment?
• What information does a genogram provide in clinical assessment?
• In rational behavior therapy, the difference between the 'normal' adolescent and the adolescent who acts out is that the latter:
• In ego psychology, persistent lateness for appointments is interpreted as which signal?
• Which statement about tardive dyskinesia is false?
• Which technique is more successful in changing personality in children than in adults?
• A hospital case manager is responsible for discharge planning for an 83-year-old man after surgery. Had she confronted the systemic problem, it would illustrate the case management role of?
• In trauma treatment, what helps prevent re-traumatization and supports safety?
• Which term best describes the social worker's initial approach that communicates interest, understanding, a desire to help, and reassurance?
• Which combination best captures the Korsakoff syndrome features described in the case?
• In schizophrenia treatment when families are available, a key aim is to help families respond to the patient and to help the family and client use available community resources.
• What are the mandated reporting obligations for social workers in Texas regarding child abuse/neglect?
• Mrs. K's presentation most closely aligns with which personality disorder?
• Which statement best differentiates a diagnostic assessment from a treatment plan?
• In the early phase of work with an acutely depressed client, the social worker's primary stance is best described as:
• In the stages of change model, which description best contrasts precontemplation and preparation?
• In diagnosing personality disorders, which symptom is not typically included?
• What is the primary distinction between confidentiality and privileged communication in social work, and when might disclosure be ethically required?
• The onset of schizophrenia is most commonly observed in which life stage?
• The prognosis for clients with schizophrenia is best when the person is which of the following?
• Which scenario best illustrates the role of advocacy when systemic pressures threaten patient care?
• Using the technique of 'modifying the environment' helps to diminish?
• Which statement best describes transference in social work?
• In which scenario is disclosure of confidential information ethically required, considering legal obligations?
• What is the primary purpose of case formulation in guiding intervention?
• Which components are typically integrated into a DSM-5-TR diagnostic formulation?
• Which statement best describes how clinicians apply evidence-based practice and best practice in treatment planning?
• A client's capacity to enter a social work relationship cannot usually be determined by which factor?
• What does 'contracting' typically establish in a clinical social work engagement?
• The Ralph vignette (an eight-year-old malnourished and neglected child with family scapegoating) is an example of which of the following?
• A child displaying tense and hostile behavior in an open-classroom setting is moved to a structured classroom. This change is an example of what?
• Common consequences of parents discouraging expressions of feeling in young children include which of the following?
• In a crisis where a client presents with suicidal ideation and a plan, what is the appropriate sequence of steps a clinical social worker should take?
• In supervision, what should a supervisee expect during the meeting?
• A client with a personality disorder recognizes certain maladaptive behaviors are no longer acceptable, then experiences depression, loss of appetite, and sleep trouble. How would a social worker interpret these symptoms?
• Which statement reflects a professional boundary in relation to countertransference?
• Which statement about determining a client's capacity to form a social work relationship is most accurate?
• Culture-bound syndrome refers to symptom patterns limited to a specific ethnic or national group. Which statement best reflects this concept?
• Which statement best describes confidentiality during a malpractice defense?
• In violence risk assessment for a client with paranoia or psychosis, which approach is correct?
• In treating personality disorders, a goal involves transforming ego-syntonic traits into ego-alien traits. Which option reflects this aim?
• Which statement reflects the management when working with narcissistic PD?
• A suicide hotline receives a 2:00am call from someone depressed and contemplating suicide. The appropriate action is to:
• Which description best captures the idea behind 'working through' in clinical practice?
• Describe the steps for conducting a cultural formulation interview and how to use it to inform treatment planning.
• A client with narcissistic personality disorder feels that her advice is extraordinarily helpful to others in making major life decisions. She tells her therapist that she was very hurt recently when her son's fiancé said that the client should mind her own business and not try to guide her about her career and how their getting married could hurt her professional future. To be most helpful to the client, the therapist must achieve a balance between:
• Which components are part of OARS in motivational interviewing?
• What is the preferred order of steps in a micro- to macro-level intervention plan under generalist practice?
• In family systems theory, a greater level of symbiosis typically leads to a preference for which type of treatment approach?
• Interventions designed to draw out descriptive and explanatory materials are known as which combination?
• As the clinical relationship develops, the social worker can?
• In case management, which activity is essential to linking clients to services?
• Before referral, Mrs. Taylor believed there was no reason to see a social worker because she had which prior actions?
• Which defense mechanism pair is most commonly observed in couples with marital problems?
• Which best describes the goal of strengthening the intergenerational boundary in a structural family therapy context?
• In the cultural formulation interview, which aspect is assessed to inform treatment planning?
• In conjoint therapy for a couple with marital difficulties, the social worker would not seek to focus on which of the following?
• Which statement best describes the distinction between a DSM-5 diagnosis and a symptom-based formulation?
• Which approach best supports a client who is ambivalent about change but wants to explore options?
• In Susie’s case, a 15-year-old with academic and behavioral problems and resistance to treatment, the social worker is most likely to recommend:
• A college student considering a leave of absence meets with a social worker in the college counseling office for help in deciding what to do. The student presents her ambivalence about school, her other options and her parents' disapproval of her not graduating 'on time'. The social worker's professional behavior toward the client should incorporate?
• In settings emphasizing brief treatment models, when should the social worker's professional opinion about the nature of a client's problem be formed?
• What is an ethical decision-making framework, and how is it applied in ambiguous dilemmas?
• How can a clinician incorporate family involvement in treatment for adult clients?
• Which of the following best describes the Korsakoff case’s memory symptom profile?
• Discharge planning in hospital social work primarily involves which responsibility?
• When evaluating whether to use conjoint therapy, the clinician should primarily assess how the partners interact rather than their individual histories.
• A client wishes to pay for clinical social work services with her managed care health insurance. According to ethical standards of informed consent, the social worker?
• Which statement best distinguishes life-span developmental theory from Freud, Erikson, and Piaget's stage-based theories?
• In Texas, when pharmacotherapy might help a client but you cannot prescribe, which professional should you refer to?
• In social work, the function of the contract is to:
• When assessing suicidality in a client from a collectivist background, which approach aligns with culturally informed practice?
• In working with a client who demonstrates paranoid ideation, the social worker would NOT use:
• What is trauma-informed supervision, and why is it important for clinicians working with trauma clients?
• In establishing a professional relationship, a social worker must convey which attitude?
• In developing a contract with clients who have negative feelings about the agency, the social worker should?
• When working with a newly married couple in which the husband has a history of schizophrenia, the social worker would primarily...
• The process of termination in social work does not involve working through the client's feelings of:
• When treating co-occurring substance use disorder and depression, which practice is essential?
• Which statement best describes primary, secondary, and tertiary prevention in clinical social work?
• When delivering services via telehealth, which action helps ensure safety if technology fails?
• From a structural family systems perspective, a client who lives near her parents and shows helplessness would most likely have the clinician focus on...
• In family systems theory, enmeshment is best described as
• What term describes the behavior of creating stories to fill memory gaps, as seen in the Korsakoff case?
• In ego psychology, a major feature that distinguishes a person diagnosed as schizophrenic in dealing with separation-individuation is that the person has a fear of?
• In treating a person diagnosed with a personality disorder, what is described as a goal?
• Which statement about tardive dyskinesia is UNTRUE?
• Mrs. Taylor was referred to a social worker after what event?
• Which population shows greater responsiveness to environment manipulation as a means of personality change?
• In working with a client who has a narcissistic personality disorder, the social worker most often does NOT become which of the following?
• In ego psychology, unconscious motives for seeking help are described as including keeping unconscious desires from consciousness. This best demonstrates which concept?
• Which step is part of planning termination with a client?
• Which set of factors contributed to Ralph's aggressive behavior in the vignette?
• As a client presents material, a social worker should?
• Mrs. Taylor's major defense mechanisms are which?
• Explain ethical considerations regarding multiple relationships and boundary management in clinical practice.
• A professional relationship between the social worker and the client would NOT include?
• Which intervention category is described as drawing out descriptive and explanatory materials, including exploration, description, and ventilation?
• A case manager at a day program for chronically mentally ill clients who live in group homes often is late in picking up clients. When his supervisor questions lateness, he says it is good for clients to be more 'laid back' and learn to deal with frustration. According to Social-learning theory, this pattern would teach clients that:
• How do CBT and DBT differ in treatment aims and core techniques?
• Which criterion is not a measure of a client's motivation?
• In defending against malpractice when sued by a former client, which statement best reflects confidentiality?
• How do you assess service needs and link clients to resources in case management?
• Explain the concept of the therapeutic alliance and its impact on treatment outcomes.
• When would you use motivational interviewing and what are its core spirit and techniques?
• In establishing a working alliance, the social worker should?
• Schizophrenic episodes most frequently occur for the first time during which life stage?
• Which description best defines case formulation in clinical social work?
• In educational settings, moving a student from an open-classroom to a structured classroom is an example of which type of change?
• Which factor in the inpatient ward scenario demonstrates the financial influence on team leadership?
• According to ego psychology, unconscious motives for seeking help include which of the following?
• What is the recommended approach when a boundary crossing is necessary in practice?
• Which of the following is a guiding principle of trauma-informed care?
• The contemporary focus of treatment in schizophrenia in patients who have families available to them is?
• Communication with individuals with Asperger's disorder should be characterized by which approach?
• Which of the following is NOT a purpose of collateral interviews?
• The two most common defense mechanisms employed by couples with marital problems are?
• When contracting with a client who expresses negative feelings about the agency, what is an appropriate social work response?
• In encouraging the client to bring forth material the social worker should?
• Which statement best captures the concept of 'ego support' in social work intervention with a client in crisis?
• What are essential considerations when conducting a culturally responsive intake interview with an immigrant client?
• Which practice supports ethical client records?
• Which statement accurately reflects DSM-5-TR criteria for Generalized Anxiety Disorder?
• A treatment plan typically includes which elements?
• In the social work relationship, the social worker should be careful not to act on?
• Supportive therapy would be inappropriate when the client is:
• Which modality emphasizes skills in mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness?
• In the bipolar case, the recommended practice regarding suicidal thoughts is:
• The most important contraindication for marital therapy is?
• Which treatment goal is least likely in clinical work with pedophiles?
• Which factor is associated with a better prognosis for schizophrenia?
• A client is very self-critical. A social worker should not say which of the following?
• Which option best describes the principle of goal setting with clients?
• Which statement about solution-focused therapy is accurate?
• After filing a mandated report, what should you do?
• Which practice demonstrates cultural humility in assessment and intervention?
• Which symptom is described as present in the Korsakoff case?
• Which action illustrates advocacy in case management?
• In the initial phase of treatment, the primary task of a social worker is to?
• A young man separates from his wife and returns to live with his parents, arguing with his mother and making many demands. The social worker would first meet with?
• Which statement best describes schizoaffective disorder in relation to schizophrenia?
• DSM-IV-TR describes a group of symptom patterns limited to a specific ethnic or national group as which of the following?
• In the Beech family case, the social worker's primary focus would be to:
• The Susie case illustrates that the social worker should primarily address which domain?
• Darlene is 16 and acts out when angry or depressed. This describes a client who discharges tension by action, called what?
• What is the DSM-IV-TR difference between acute stress disorder and post-traumatic stress disorder as described in the material?
• In the elder client case, the problem contributing to nursing home placement was the husband's which behaviors?
• Which therapy emphasizes changing thoughts and behaviors through structure and activity, especially for adolescents who act out?
• Which characteristic is most consistent with borderline personality disorder, as illustrated in clinical vignettes?
• A school social worker sees an adolescent who reports truancy and forged excuses. The appropriate initial response is to?
• A social worker begins an interview by showing interest and understanding, expressing a desire to help, and reassuring the client. This is known as what?
• When a client becomes upset while discussing past trauma, the intervention to shift topics illustrates which principle?
• What is a key concept in the behavior modification approach when used in marital counseling?
• What domains should be included in a biopsychosocial assessment?
• When a client believes colors have special meaning and uses colors to interpret others' emotions, this symptom is most consistent with?
• To foster growth in the client, the social worker should?
• What best describes solution-focused brief therapy and its core techniques?
• What constitutes informed consent in social work, and what elements must be documented?
• Which service helps address language barriers during assessment and treatment?
• Margot is a client with Histrionic Personality Disorder. After six months, Margot complains about a manager's evaluation and asks for sympathetic agreement. The clinician asks her to reflect on how her job performance may have contributed. Which rationale is NOT applicable to explain this intervention?
• In treating a client with narcissistic personality disorder, the clinician is frequently idealized by the client to fulfill functions unmet by the client's parents. This dynamic best describes the clinician's role as...
• To diminish a client's resistance the worker would?
• What information can a genogram reveal in a clinical assessment?
• In writing a diagnostic evaluation of an adult client, which item would not necessarily be included?
• Which elements are included in a biopsychosocial assessment for a client presenting with anxiety and relationship stress?
• Which statement best defines trauma-informed care?
• In working with patients with schizophrenia, the social worker is concerned with all but:
• A patient with depression shows signs of recovery after several weeks. The social worker's concern about the patient's suicide would:
• Which statement best captures the Rogers' concept of acceptance in client-centered therapy?
• In Susie's profile, which factor most directly signals a challenge to treatment?
• Which scenario constitutes a major contraindication for marital therapy?
• According to Beck, which treatment modality seems least used in treating clients diagnosed with schizophrenia?
• What is cultural humility?
• Clients with Asperger's disorder often require verbal communication that is what?
• A key element of Sigmund Freud's work that is the basis of social casework is the idea of?
• A social worker might determine not to significantly intervene in a client's regression when regression serves to help the client use feelings and ideas that contribute to the solution.
• A client with borderline personality disorder repeatedly ends sessions by declaring the therapist has been unhelpful, while at other times praising the therapist; this pattern exemplifies which defense mechanism?
• If a client presents with many classic depressive symptoms, what should the social worker focus questions on?
• The husband's behavior that led to nursing home placement included what?
• In Texas, can licensed master social workers prescribe medications, and what should you do if medication might help a client?
• When a client with schizophrenia begins to hallucinate, the social worker's most appropriate response is to...
• In the Ralph case, which family dynamic is illustrated by the claim that Ralph is seen as 'bad' and is scapegoated by his mother and sisters?
• How do you differentiate normal grief from complicated grief and when should you refer for specialized treatment?
• The technique used by social workers to increase a client's motivation to change is called?
• A major difference between clinical social work and psychiatry is:
• Which statement best describes how social workers address power, privilege, and oppression in clinical settings and promote social justice?
• Which statement describes common barriers to client engagement and a recommended set of strategies to address them?
• What is the most important consideration in choosing a goal with a client?
• A common sexual side effect of SSRIs that can lead to discontinuation is?