Exam Prep 4 Answers
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School
Grand Canyon University *
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Course
531
Subject
Communications
Date
Jan 9, 2024
Type
docx
Pages
14
Uploaded by Adriene42
Exam Prep 4 Answers
1. Correct Answer: A
Language is a system of using words to communicate. It has two parts: using words and gestures to say what is meant (expressive communication) and understanding what others say (receptive communication). Receptive communication develops earlier than does expressive communication. Infants start learning in the womb, where they hear and respond to familiar
voices.
2 Correct Answer: A
DSM-IV created separate diagnoses for “abuse” and “dependence” although substance-related problems occur on a continuum. The DSM-5 uses “Substance Use Disorders” as the diagnosis for people with such problems.
“Recurrent legal problems” was deleted as a criterion for Substance Use Disorders and “craving or a strong desire or urge to use a substance” was added to the criteria.
3. Correct Answer: A
The vignette states that the client is not a danger to himself or others, so he cannot be involuntarily committed. The social worker should not contact the hospital because the client is not agreeable to admission. Using a family member or others to convince him is not appropriate. The client is in crisis, so community resources aimed at meeting his immediate needs are the priority.
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4. Correct Answer: D
Using DSM-IV, clients could be diagnosed with four separate disorders: Autistic Disorder, Asperger’s Disorder, Childhood Disintegrative Disorder, or Pervasive Developmental Disorder Not Otherwise Specified. These separate diagnoses were not consistently applied across practitioners and settings. They now fall under Autism Spectrum Disorder.
Mental Retardation has a new name, “Intellectual Disability (Intellectual Developmental Disorder).”
5. Correct Answer: A
There are many features of Narcissistic Personality Disorder described, including not voluntarily coming into treatment, blaming others, having an exaggerated sense of self-importance, being absorbed by fantasies of unlimited success, constantly seeking attention, monopolizing the conversation, and bragging.
6. Correct Answer: D
A sign of a possible suicide attempt is a recent improvement in depressive symptoms. A client is also at greater risk after being discharged from the hospital or after being started on antidepressants because he or
she may now have the energy to implement a suicide plan. The social worker should assess the client for suicide risk immediately.
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7. Correct Answer: C
Duty to warn has become an important mandate in social work. Generally, a social worker has to believe that a client is a danger to an identifiable third party and
that the client is able to act on this danger in order for it to be considered necessary to warn and/or protect the intended victim. For example, if a client states that he or she is going to kill “women,” a social worker may consider this client a danger to others and take appropriate action. However, there is not an obligation to notify intended victim(s) because the threat is too broad and does not require notification to women in general. In addition, if a client who is incarcerated and not going to be released makes a threat against someone outside the prison to whom he or she does not have access, there is no imminent threat. A history of violence is not required for a social worker’s duty to warn obligation.
8. Correct Answer: B
Precontemplation is the first step in the change process. In precontemplation, a client is unaware, unable, and/or unwilling to change. This stage is characterized by a client arguing, interrupting, ignoring the problem, and/or avoiding talking or thinking about it.
A social worker should establish a rapport, acknowledge resistance or ambivalence, try to engage a client, and recognize his or her thoughts, feelings, fears, and concerns.
9. Correct Answer: D
Trichotillomania is a hairpulling disorder that was classified in the DSM-IV-TR as an Impulse Control Disorder (Not Elsewhere Classified). In the DSM-5, it is listed under Obsessive-Compulsive and Related Disorders.
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10. Correct Answer: D
The Wechsler Intelligence Scale is designed as a measure of a child’s intellectual and cognitive ability.
The Minnesota Multiphasic Personality Inventory is a personality test for the assessment of psychopathology.
The Myers-Briggs Type Indicator attempts to classify individuals along four theoretically independent dimensions that describe personality features. The Thematic Apperception Test provides information on a client’s perceptions and imagination, for use in the understanding of the subject’s current needs, motives, emotions, and conflicts, both conscious and unconscious.
11. Correct Answer: D
Collateral information is often used when the credibility and validity of information obtained from a client or others is questionable. For example, child custody cases are inherently characterized by biased data within an adversarial process. Social workers should use data from neutral parties, such as the school, because this information has higher integrity.
12. Correct Answer: C
This situation does not fall under duty to warn. The allowance to breach confidentiality if a client poses an imminent risk to an identifiable party has not generally been applied to HIV-positive clients who are engaging in unprotected sexual activity. It is the responsibility of all sexually active adults to use “safe sex” procedures or use proper protective measures to reduce the risk of sexually transmitted conditions. Thus, if this client’s girlfriend were using such measures, there would be no
risk to her.
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13. Correct Answer: D
Histrionic Personality Disorder is a pervasive pattern of excessive emotionality and attention seeking. A client with this disorder interacts with others using inappropriate sexually seductive or provocative behavior, consistently uses physical appearance to draw attention to himself or herself, is highly suggestible or easily influenced by others or circumstances, and considers relationships to be more intimate than they actually are in real life.
Clients with this disorder may have difficulty achieving emotional intimacy in romantic relationships, as well as impaired relationships with friends, because of their sexually provocative behavior or their demands for constant attention.
14. Correct Answer: C
Despite the client’s report that she will not act on her thoughts, she is at risk because she has had these feelings and has acted on them in the past. The vignette does not describe the social worker taking any action yet. A safety assessment will determine the severity of the depression and whether the client is at risk for a suicide attempt. It must be done FIRST before
any other action is taken.