1. A social worker is conducting an initial assessment with a client who is experiencing severe anxiety. What is the FIRST step the social worker should take?
A) Develop a treatment plan
B) Establish a strong therapeutic relationship
C) Explore the client’s childhood experiences
D) Recommend medication management
Correct Answer: B) Establish a strong therapeutic relationship
Rationale: The first step in social work practice is to build rapport and establish trust with the client. A strong therapeutic relationship is essential for effective assessment and intervention.
2. A client discloses experiencing domestic violence but is afraid to report it due to fear of retaliation. What should the social worker do FIRST?
A) Convince the client to leave the relationship immediately
B) Conduct a risk assessment to determine the level of danger
C) Report the abuse to law enforcement without informing the client
D) Advise the client to seek counseling for emotional support
Correct Answer: B) Conduct a risk assessment to determine the level of danger
Rationale: The first step is to assess the level of risk and safety of the client before taking further action. Immediate intervention may be necessary if there is imminent danger.
3. A social worker is using cognitive-behavioral therapy (CBT) to help a client manage depression. Which of the following techniques is MOST commonly used in CBT?
A) Free association
B) Thought recording and restructuring
C) Dream analysis
D) Medication adherence monitoring
Correct Answer: B) Thought recording and restructuring
Rationale: Cognitive-behavioral therapy (CBT) focuses on identifying and changing negative thought patterns. Thought recording and cognitive restructuring help clients challenge irrational beliefs and replace them with healthier thoughts.
4. A social worker is meeting with a family that recently immigrated and is experiencing cultural adjustment difficulties. Which intervention is MOST appropriate?
A) Encouraging the family to assimilate quickly
B) Referring them to legal services only
C) Exploring their strengths and support systems
D) Advising them to maintain their original cultural practices exclusively
Correct Answer: C) Exploring their strengths and support systems
Rationale: Social workers use a strengths-based approach to help clients adapt to challenges by identifying internal and external resources that can support their adjustment process.
5. Which ethical principle requires social workers to protect clients’ private information and only disclose when legally or ethically necessary?
A) Competence
B) Informed consent
C) Confidentiality
D) Beneficence
Correct Answer: C) Confidentiality
Rationale: Social workers must maintain confidentiality and protect clients’ private information unless disclosure is required by law (e.g., risk of harm to self/others, child abuse).
6. A social worker is working with a client diagnosed with schizophrenia who refuses to take medication. What is the BEST approach?
A) Force the client to take medication
B) Explain the benefits and consequences of taking or not taking the medication
C) Call law enforcement to ensure medication compliance
D) Terminate services due to noncompliance
Correct Answer: B) Explain the benefits and consequences of taking or not taking the medication
Rationale: Clients have the right to self-determination, but social workers should educate them on the benefits and risks of treatment. Providing psychoeducation can help clients make informed choices.
7. Which of the following is the MOST effective way to address burnout among social workers?
A) Avoid emotional involvement with clients
B) Work longer hours to increase productivity
C) Engage in self-care activities and seek supervision
D) Ignore stress and focus on work responsibilities
Correct Answer: C) Engage in self-care activities and seek supervision
Rationale: Burnout prevention requires self-care, setting professional boundaries, and seeking supervision for emotional support and guidance.
8. A school social worker is concerned about a child showing signs of neglect (e.g., malnutrition, poor hygiene, and frequent absenteeism). What is the FIRST action the social worker should take?
A) Report the case to child protective services
B) Confront the parents and demand an explanation
C) Ignore the signs unless the child reports abuse
D) Ask the school nurse to examine the child
Correct Answer: A) Report the case to child protective services
Rationale: Social workers are mandated reporters and must report suspected child neglect or abuse to child protective services for investigation.
9. A social worker is conducting group therapy for individuals recovering from substance use disorders. Which of the following is a key advantage of group therapy?
A) It reduces the need for individual therapy
B) It allows participants to develop a sense of shared experiences and support
C) It focuses only on professional advice rather than peer interaction
D) It is more effective than all other forms of therapy
Correct Answer: B) It allows participants to develop a sense of shared experiences and support
Rationale: Group therapy provides a supportive environment where individuals can share experiences, learn coping strategies, and build social support networks.
10. A social worker is assisting a client who has been recently diagnosed with terminal cancer and is struggling with feelings of fear and grief. What is the MOST appropriate intervention?
A) Encourage the client to ignore negative emotions
B) Provide emotional support and discuss end-of-life planning
C) Suggest the client avoid discussing death with family members
D) Recommend avoiding medical treatment and focusing only on emotional well-being
Correct Answer: B) Provide emotional support and discuss end-of-life planning
Rationale: Supporting clients through grief and discussing end-of-life options ensures they feel empowered and emotionally prepared.
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