Deck 2: Assessment

Question 1

An unstable family relationship has caused Linda to have feelings of low self-esteem. The client feels that coping with problems and managing stress requires her to take control of something. With this in mind, Linda places a focus on her body. She feels to master her emotions and find happiness, she must achieve the ideal thinness. What kind of disorder would an assessment identify?

A)Genetic predisposition disorder
B)Family dynamic disorder
C)Chronic fatigue syndrome
D)Eating disorder

Answer 1

Eating disorder

Question 2

Chronic fatigue syndrome is a complicated disorder that doctors have just recently characterized as a psychological problem. The symptoms interfere with job-related functions, socialization, and family life. It appears to worsen with physical or mental activity and most times will not improve with rest. What signs would an assessment identify?

A)Swollen lymph nodes
B)Swollen toes
C)Back aches
D)None of the above

Answer 2

Swollen lymph nodes

Question 3

Oppositional defiant disorder is an ongoing pattern of uncooperative, hostile, and defiant behavior towards authority figures. The symptoms are mostly noticed at home and school, with 16% of students suffering from this disorder. Talking back, questioning rules, and resentment are just a few of the demonstrated signs. What would be the first thing a social worker may do to start an assessment of a disruptive 8-year-old?

A)Contact the child's teacher
B)Contact a friend of the child
C)See if he has a police record
D)Rule out ADHD

Answer 3

Contact the child's teacher

Question 4

Oppositional defiant disorder affects 16% of school-aged children and adolescents. There are no known causes for ODD, but parents report their child with this problem being more demanding as a youngster. What symptoms should appear before a social worker completes a full assessment?

A)Excessive arguing
B)Active defiance with adult requests
C)Both A and B
D)None of the above

Question 5

Once an assessment has been completed, there are psychotherapeutic approaches aimed at solving problems concerning dysfunctional emotions. These may include post traumatic stress disorder, obsessive compulsive disorder, and clinical depression. Technique-driven and direct treatments are given for specific psychological disorders. Therapy can be given individually or in a group setting with self-help methods. What is this treatment program called?

A)Evidence-based treatment
B)Exposure therapy
C)Cognitive restructuring treatment
D)Cognitive behavioral therapy

Question 6

Melody's mother has never had a great memory when it comes to intricate details, but lately she is noticing more of a loss. Five years ago, her mother was diagnosed with a slight case of dementia. Lately, she is demonstrating confusion and other major changes in her way of thinking. Testing from the mother's doctor confirms that brain cells are failing and an assessment by a clinical social worker clarifies what disorder?

A)Cognitive delay syndrome
B)Autism syndrome
C)Social identity disorder
D)Alzheimer's disease

Question 7

Stephanie has always been an active child, but prefers to play by herself. She enjoys taking things apart and putting them back together. She lacks social and emotional reciprocity that causes a failure in peer relationship development. There is a noticeable delay in spoken language and Stephanie would rather point or mime. With these symptoms in mind, what probable diagnosis would Stephanie more than likely be given?

A)Autism disorder
B)Tourette syndrome
C)Social conduct disorder
D)Narcissistic disorder

Question 8

Autism is a spectrum disorder defined by a certain set of behaviors that children and adults exhibit in varying ways. The main symptom of autism is the abnormal or impaired development of communication and social interaction. Two people with the same diagnosis may display any combination of behaviors in any degree of severity. What criteria are needed on an assessment for an autism diagnosis?

A)Failure to develop peer relationships
B)Delay in the spoken language
C)Lack of social or emotional reciprocity
D)All of the above

Question 9

Calvin is an 8-year-old who has difficulty with involuntary movements and vocalizations. He will stamp his feet while echoing what others say. Calvin has very little control over his behaviors and symptoms appear to be increasing with age. The child needs to complete a series of foot stampings before he seems to calm down and relax. These symptoms mimic what kind of disorder?

A)Narcissistic disorder
B)Anti-social disorder
C)Obsessive compulsive disorder
D)Tourette syndrome

Question 10

One of the key factors in achieving safety, permanence, and the well-being of a child is the creation of an effective assessment. This should engage the family and child as partners in planning. Face-to-face family team meetings are useful for assessing needs and recognizing strengths. Community and informal support systems may also be involved. What type of assessment is being described?

A)Behavior analysis assessment
B)Oppositional defiant assessment
C)Functional assessment
D)Behavior management assessment

Question 11

Benjamin has had difficulty managing aggressive behaviors his whole life. He has been married three times and has two children who do not want to see him. Benjamin spent two years in jail for critically injuring a neighbor after their dog would not stop barking. What assessment would a social worker give this client?

A)Affect regulation
B)Judgment
C)Impulse control
D)Defensive functioning

Question 12

Roger plays football on the varsity team of his high school. He has always thought very highly of his coach and respects his input on various topics. When Roger's grades start slipping and a mid-term demonstrates an "F" in one of his classes, the coach suspends him for two games. Although Roger really likes his coach, he will not speak with him and has negative feelings towards their relationship. When assessing this problem, a social worker may recognize signs of what?

A)Synthesis
B)Object relations
C)Thought processes
D)Defensive functioning

Question 13

In direct practice, social workers may utilize cognitive therapy to help a client overcome difficulty by identifying and changing emotional responses, behaviors, and dysfunctional thinking. When these thoughts are questioned, one's feelings about the subject matter are apt to what?

A)Diminish
B)Change
C)Become stronger
D)Get aggressive

Question 14

Cognitive therapy involves helping clients develop skills for modifying beliefs, relating to others in different ways, identifying distorted thinking, and changing behaviors. If a client escapes the negative thought patterns and dysfunctional behaviors, the feelings may be relieved over time. Success is derived by developing more flexible ways to think and respond. An assessment would look at ways to reduce what?

A)Avoiding passive behaviors
B)Avoiding conflict
C)Avoiding others beliefs
D)Avoidance of activities

Question 15

Disqualifying the positive is a pattern recognized in cognitive therapy that treats positive events like they do not really count. All-or-nothing thinking fails to recognize there may be a middle ground. Characteristics include terms like always, forever, and never. Clients who take an isolated case and assume that all others are the same may be what?

A)Manic depressive
B)Over generalizing
C)Distinguishing the positives
D)Making assumptions

Question 16

Direct practice often utilizes behavior therapy to treat depression, ADHD, addiction, insomnia, chronic fatigue, and phobias. Treatments may include assertiveness training, desensitization, and relaxation training. The length of therapeutic treatment varies with each individual client. What is the first thing a therapist must do when assessing the problem?

A)Modify the environment
B)Estimate the client's quality of life
C)Analyze the behaviors
D)Remove undesirable behaviors

Question 17

Systematic desensitization teaches an individual to overcome an avoidance pattern by gradually exposing them to the object in question until it can be tolerated. There are steps within the hierarchy that will lead to this outcome. What is the first thing a social worker should assess?

A)Stress levels
B)Phobia or anxiety
C)Mental processing
D)Mental development

Question 18

Operant behavior therapy looks at the antecedent and consequence that causes a negative behavior. Reinforcement and punishment are the core tools that are either positive or negative. During the assessment, a therapist would need to determine what?

A)Modifications
B)Positive reinforcement
C)Negative reinforcement
D)Punishment

Question 19

Operant behavior functions on the environment and is maintained by its consequences, while classical conditioning deals with the conditioning of reflexive behaviors which are elicited by antecedent conditions. Operant conditioning is distinguished from classical conditioning in that it deals with the modification of voluntary behaviors. When making an assessment, which of the following is not a basic consequence of operant conditioning?

A)Reinforcement
B)Punishment
C)Conditioning
D)Reward

Question 20

A behavior or response that is followed by a negative stimulus will often decrease the frequency of that behavior. A young boy will not do his homework. When the homework is not completed, he loses his video game system for the night. What consequence of operant conditioning does this describe?

A)Aversive stimulus
B)Negative reinforcement
C)Positive punishment
D)Punishment

Question 21

Covert conditioning is often seen with self-help methods and has not reached the popularity of other therapies. Some clinicians report a mind has the ability to spontaneously generate imagery that can provide intuitive solutions or even improve an individual's typical reaction to situations. Assessing this condition, what kind of reward would be most beneficial?

A)Tangible
B)Imaginary
C)Money
D)None of the above

Question 22

Effective conditioning is said to rely upon careful application of behavioral treatment principles such as a thorough behavioral analysis. Clinical studies continue to find imagery to be effective with some generalization. As part of a behavior modification package, conditioning has been shown to be effective with sex offenders. When assessing the situation, what conditioning approach will be utilized?

A)Cognitive
B)Behavior
C)Covert
D)Individual

Question 23

Person-centered therapy should take place in a supportive environment created by a close personal relationship between therapist and client. The general direction of the therapy is determined by the client, while the therapist seeks to increase the client's insight and self-understanding through what?

A)Positive reaction
B)Coerciveness
C)Compliments
D)Informal questions

Question 24

Structural family therapy views the family unit as a system that lives and functions within a larger system such as the community, organizations, and culture. Through its transactions, a family establishes a set of rules for its daily functioning and these rules form its structure. When assessing the situation, a social worker must first focus on the family's what?

A)Interactions
B)Relationship
C)Dysfunction
D)Income

Question 25

Traditional therapy has not been effective due to only focusing on the cause of the problem. This places the client in a passive and helpless role. A better approach is solution focused therapy where clients move from what's wrong to what's right. After assessing the problem, what should be the therapist's first goal?

A)Solution building
B)Happiness
C)Appropriate family structure
D)Positive attitude

Question 26

Humanistic Therapy overlaps considerably with existential approaches and emphasizes the growth and fulfillment of the self through self-mastery, self-examination, and creative expression. Although the influences of the unconscious and society are taken into account, when making an assessment, what is at the core of humanistic therapy?

A)Freedom of choice
B)Self-perception
C)Behavior
D)Trust

Question 27

Social workers attempt to help clients focus on freedom of choice in shaping their lives. The method of existential therapy operates on the belief that inner conflict within a person is due to that individual's confrontation with existence. The therapist tries to help the client see they are free to choose the possibilities for their own what?

A)Existence
B)Attitude
C)Future
D)None of the above

Question 28

The main goal of Gestalt therapy is the integration of behavior, feelings, and thinking. The therapist may use confrontation, dream analysis, dialogue with polarities, or role playing. Clients are viewed as having the ability to recognize how earlier influences may have changed their lives. A social worker making an assessment may seek treatment that includes:

A)Crisis intervention
B)Childhood behaviors
C)Psychosomatic disorders
D)All of the above

Question 29

Direct practice promotes professionalism with a diverse community. This practice by social workers is very common. Once an assessment is made, therapy sessions may involve cognitive therapy, multicultural perspectives and what else?

A)Positive reinforcement
B)Ego psychology
C)Professionalism
D)Diversity

Question 30

Ego functions include judgment, object relations, thought processes, defensive functioning, reality testing, impulse control, affect regulation, and synthesis. Proponents of this practice focus on the ego's normal and pathological development, management of aggressive impulses and its adaptation to reality. It is part of what school?

A)Gestalt therapy
B)Assessment
C)Reality therapy
D)Psychoanalysis

Question 31

Fred is a 16-year-old who has been in a lot of trouble. He is currently on juvenile probation for stealing property from neighbors. The adolescent will pick fights with other kids at school and within the community. Fred shows disregard for his safety and demonstrates violent behaviors. What disorder appropriately defines this teen?

A)Anti-social personality disorder
B)Manic depressive disorder
C)ADHD
D)Compulsive behavior disorder

Question 32

The Atkinson family's children have been displaying difficulty at school recently. Both parents were in a vehicle accident that has left them temporarily disabled. Bills are piling up and sometimes the children only eat meals at school. When assessing this situation, what support is most beneficial at this time?

A)Tangible support
B)Informational support
C)Emotional support
D)All of the above

Question 33

There are several theories on the aging process of older adults. Interaction with other people largely depends upon their health and mobility. What was once a large network of social circles slowly dwindles down to a few precious relatives. What process should be considered within an assessment that views this withdrawal as beneficial to the aging individual and their community?

A)The activity theory
B)Life review
C)Disengagement theory
D)Ego integrity theory

Question 34

Basic needs for love and esteem that are given on a consistent basis nourish a happy child. When these needs are not met, children suffer emotionally. Maslow's hierarchy of needs states children's needs consist of: 1) self-actualization, 2) esteem, 3) love and belonging, 4) safety, and 5) physiological growth. A social worker making an assessment of a child may consider this hierarchy better known as:

A)Psychological
B)Emotional dependency
C)Hierarchy of needs
D)External need fulfillment

Question 35

When a child is able to get away with anything, their impulses increase to an uncontrollable problem. They will seek out attention on purpose, hoping someone will take notice. An assessment of the behavior may demonstrate what disorder?

A)Only-child syndrome
B)Abuse and neglect
C)Attention deficit disorder
D)Spoiled-child syndrome

Question 36

Polarization is the conscious want of something one is incapable of having. An example may be an individual who does not have the ability to express love. He or she will seek out someone that can compensate in this area for them. This is a sign of disowning parts of neural networks, causing internal conflicts between what?

A)Temperament and personality
B)Consciousness and unconsciousness
C)Love and hate
D)Separation and relationship

Question 37

Externalizers tend to have problems with anger, self-centeredness, intrusiveness, and being blameless. This is overcompensation for fear of the opposite and may also result in shameless behavior such as physical, sexual, and emotional abuse. All of these traits tend to submerge from the subconscious defense mechanism known as what?

A)Reaction formation
B)Self-centered thinking
C)Passive aggressive behaviors
D)Phobias

Question 38

Social cognitive theory believes that behavior is affected by personal factors, environmental influences, and attributes of the behavior itself. What is the most important concept within this theory a social worker should know when determining a person's behavior change?

A)Alter-ego
B)Self-efficacy
C)Nurture vs. Nature
D)Emotional dependence

Question 39

Children can learn to diminish negative behaviors by rewarding them for positive ones. Jenny steals other children's toys at her play group. When she shares appropriately, the care provider awards her with extra time to feed this fish. Lately, behaviors have improved. This type of conditioning occurs through interaction with the environment. When assessing this situation, what theory is being utilized?

A)Anti-social theory
B)Communication theory
C)Comprehension theory
D)Behaviorism theory

Question 40

The base for a child to explore and feel safe begins with the caregiver who has a huge impact that continues throughout life. Mothers who are responsive to their infant's needs establish a sense of security and the baby knows the parent is dependable. An assessment of a mother and child would look at what theory?

A)Infant bonding theory
B)Nature vs. nurture theory
C)Attachment theory
D)Survival theory

Question 41

The belief in one's capabilities to organize and put into action prospective situations plays a role in how goals are approached. Bandura described these ideas as determinants of how people behave, feel, and think. What condition is being described?

A)Organizational thinking
B)Role playing
C)Self-challenging
D)Self-efficacy

Question 42

The theory developed by Karen Horney states basic anxiety can be classified into three categories. The first refers to needs that move you towards others, causing you to seek affirmation and acceptance. The second category addresses needs that move you away from others, creating hostility and anti-social behavior. Lastly, needs that move you against others cause individuals to control other people in a domineering manner. What theory is being described?

A)Neurosis
B)Needs
C)Abandonment
D)Cognition

Question 43

Maxine lives by herself in a quiet housing development. She avoids contact with all her neighbors and will only leave the house when no one is outside. If Maxine happens to see someone out and about, she will lower her eyes and go another direction. When assessing the client, what kind of personality disorder is she most likely displaying?

A)Anti-social Personality Disorder
B)Avoidant Personality Disorder
C)Depressive Disorder
D)Bi-Polar Disorder

Question 44

Bandura conducted research on specific theory and found it to be quite successful. His premise determined if you could get someone with a psychological disorder to observe another individual dealing with the same problem in an effective manner, the first person will learn through duplicating the second. What theory did Bandura make famous?

A)Copycat therapy
B)Disassociation therapy
C)Avoidance therapy
D)Modeling therapy

Question 45

A fairly common problem among society is characterized by two or more distinct identities that each have their own age, sex, and race. Symptoms include depression, suicidal tendencies, sleep disorders, compulsions, mood swings, phobias, and anxiety. Assessment for which disorder would include collecting data back to a person's childhood?

A)Alter-Ego Disorder
B)Post Traumatic Stress Syndrome
C)Bi-Polar Disorder
D)Dissociative Identity Disorder

Question 46

Mania describes an increasingly restless, energetic, powerful period in one's mental state. These characteristics often cause lavish spending sprees or impulsive sex. This high-flying mood can spiral into irritation, confusion, or the feeling of being trapped. An assessment with these findings would diagnose an individual with what disorder?

A)Aggressive behavior disorder
B)Manic depressive disorder
C)Bipolar disorder
D)ADHD

Question 47

Some individuals suffer with restless, talkative, euphoric periods that change to sadness, crying, and a sense of worthlessness. This is a serious disorder that can lead to risky behavior if not treated. What used to be known as a manic depressive state is now called:

A)Post Traumatic Stress Disorder
B)Bi-Polar Disorder
C)Dissociative Identity Disorder
D)ADHD

Question 48

Over a third of people in various countries meet criteria for major categories of this disorder at some point in their life. Psychotherapy and psychiatric medication are two major treatment options. It is defined as a psychological or behavioral pattern related to disability or distress occurring within an individual and is not a part of their normal development. Which disorder is being described?

A)Psychosis
B)Psychotic disorder
C)Mental disorder
D)Schizophrenia

Question 49

This disorder typically occurs in young adulthood and is accompanied by significant occupational or social dysfunction. There are no medical tests to validate the existence of this disorder. The diagnosis is based on self-reported experiences and observed behaviors. What disorder is being described?

A)Schizophrenia
B)Bi-polar
C)Obsessive compulsive
D)Delusional

Question 50

Schizophrenia tends to cause other conditions such as anxiety disorders and major depression. Substance abuse is at 40% with social problems that lead to poverty, unemployment, and homelessness. The average life expectancy of individuals with schizophrenia is 10 to 12 years less than those without the disorder. When assessing a client for this disorder, what symptoms will you look for?

A)Auditory hallucinations
B)Bizarre delusions
C)Paranoia
D)All of the above

Question 51

Toby has suffered from depression his whole life. He has seen many doctors and tried several medications. The recommendation for Toby is to attend therapy that will promote positive reinforcement, social skills training, and modeling. The idea is to analyze the information gathered from the patient and make temporary changes in his daily activities. What kind of therapy should he attend?

A)Cognitive therapy
B)Addictions therapy
C)Behavior therapy
D)Anxiety therapy

Question 52

3% to 5% of children are diagnosed with this disorder throughout the world. 2% to 16% of these are school-aged children. It is characterized by the co-existence of hyperactivity and attention problems. Management normally requires a combination of medication with behavior modifications, counseling, and lifestyle modifications. When assessing a child with these symptoms, what kind of diagnosis seems appropriate?

A)Bi-polar disorder
B)Anti-social disorder
C)Oppositional defiance
D)ADHD

Question 53

Nathaniel's mother keeps getting notes from her son's teacher. The educator is concerned about specific behaviors the child is exhibiting. Nathaniel does not appear to focus well and cannot remember to bring his books to class. He does not listen when spoken to, becomes bored with a task after just a few minutes, and cannot complete homework assignments. The teacher stresses that his behaviors are becoming a handicap in the classroom and refers him for what kind of diagnosis assessment?

A)Attention Deficit Hyperactivity Disorder
B)Dissociative Behavior Disorder
C)Oppositional Defiant Disorder
D)Developmental Disorder

Question 54

Madeline has felt sad and low many times for brief periods of time, becoming a part of life for her. Lately, intense feelings of helplessness, hopelessness, and worthlessness have been lasting for weeks. Experiencing symptoms such as feelings of guilt, persistent sadness, and poor memory may assess Madeline as what?

A)Insomnia
B)Bi-polar disorder
C)Major depression
D)Post traumatic stress disorder

Question 55

Anxiety disorders develop when we have a high response to minor or common problems. Individuals who suffer with this problem feel like the anxiety never ends and it interferes with problem-solving. Medication can help treat this disorder, but psychotherapy is also required. When does anxiety reach a severe problem?

A)When thoughts turn to self harm
B)When it interferes with problem solving
C)When it lasts for a short amount of time
D)When it alerts one to a problem

Question 56

Activation of the "fight or flight" response occurs when an individual is faced with a physical threat that can result in serious harm or death. One may become defensive or run away to escape injury. This same response is felt when problems complicate our lives, such as losing a home. The mind is motivated to resolve the problem and this assessment may diagnose what problem?

A)Schizophrenia
B)Hallucinatory reaction
C)Anxiety
D)Anti-social behavior

Question 57

Bethany is asked to speak before her alumni at a high school reunion. She has no problem talking with all her old friends, but fears having to speak on stage. When Bethany begins to walk up to the microphone, she has a panic attack and runs out of the room. A thorough assessment show Bethany is displaying signs of what problem?

A)Social anxiety
B)Anti-social behavior
C)Paranoia
D)Self-intimidation

Question 58

Social anxiety or social phobia causes one to be fearful of embarrassment and requires psychological treatment. Individuals with extreme cases develop panic attacks that put a strain on one's psychological stability. What are appropriate techniques offered through therapy?

A)Medication and group counseling
B)Being forced to talk with strangers
C)Avoiding all social situations
D)Cognitive therapy with behavioral interventions

Question 59

Samantha lives in a crowded apartment building. All the tenants attempt to stay away from her due to unusual behaviors. Neighbors describe her as playing the role of a prostitute. She has been found in the hallway on several occasions suffering from injuries she sustained by her own doing. What kind of disorder is Samantha suffering from?

A)Narcissistic personality disorder
B)Alter-ego disorder
C)Borderline personality disorder
D)Impulse control disorder

Question 60

Borderline personality disorder makes individuals feel uncertain about their self-image and identity. They view themselves as victims and take little responsibility for their problems. Many people with borderline personality disorder try frantically to avoid real or imaginary abandonment. What symptoms would a social worker look for in an assessment?

A)Feelings of emptiness
B)Intolerance of being alone
C)Self-injury
D)All of the above

Question 61

This disorder begins in late childhood and early adolescence, more common in boys than girls. Children with this problem do not get along well with others, are selfish, and lack a sense of guilt. Aggressive reactions are caused when the actions of others are seen as threatening. Repetitive behaviors violate age-appropriate social norms. What do these symptoms describe?

A)Tourette Syndrome
B)Oppositional defiant disorder
C)Conduct disorder
D)ADHD

Question 62

This disorder is more frequent in boys than girls, with males being more physically aggressive. Children with this problem demonstrate selfishness, lack appropriate guilt, and do not relate well to others. There are aggressive behaviors that result in violent fights and destruction of property. What disorder would appear most appropriate when making an assessment?

A)Conduct disorder
B)Autistic disorder
C)Obsessive compulsive disorder
D)Childhood depression

Question 63

An individual with this psychotic disorder will constantly think about one thing over and over. People who are depressed appear to be more likely to develop these intrusive thoughts. Persistent ideas, thoughts, or impulses can intrude on an individual's thoughts, causing significant distress. This disorder is resistant to treatment and will require therapy for a long length of time.

A)Social conduct disorder
B)Tourette syndrome
C)Oppositional defiant disorder
D)Obsessive compulsive disorder

Question 64

Valerie needs to complete a series of foot stampings when excited before she can calm down and relax. She has very little control over her behaviors and symptoms are increasing. There is difficulty with involuntary vocalizations and movement. These symptoms mimic what kind of disorder?

A)Narcissistic disorder
B)Anti-social disorder
C)Obsessive compulsive disorder
D)Tourette syndrome

Question 65

Autism manifestations vary according to developmental level and chronological age. Other names for this disorder include Early Infantile Autism, Childhood Autism, or Kanner's Autism. Approximately one-third of patients with an autism disorder have a normal IQ. What criteria are needed for an accurate autism assessment?

A)Failure to develop peer relationships
B)Delay in the spoken language
C)Lack of social or emotional reciprocity
D)All of the above

Question 66

Noah has impairment in social interaction and communication with restricted interest in most activities. Most children with this disorder have a problem in the use of multiple nonverbal behaviors such as facial expressions and body postures. He is an active child, but prefers to play by himself. What disorder is being described?

A)Autism disorder
B)Tourette syndrome
C)Social conduct disorder
D)Narcissistic disorder