Transcript the full PowerPoint - National Association of Social

AATBS
Association for Advanced Training
in the Behavioral Sciences
TEACHING
TEST TAKING STRATEGIES
NATIONAL SOCIAL WORK EXAM
Questions and strategies created by Kaynor Heineck, MS
AATBS Educational Consultant
Workshop Presenter: Alice Scesny Palmer
To download this FULL PowerPoint:
naswoh.org/reviewcourse
NASW Licensure Resource Page
Objectives
• To establish a plan/process to prepare for your
licensing exam
• To gain an understanding of key factors that lead
to passing the licensure exam.
• To provide you a tool kit
• To gain an understanding of how to utilize the
tools presented as well as those you will be taking
with you.
• To provide you a face to face forum to ask
questions, gain clarification, practice strategies as
part of a group.
Agenda
9:30 – 10:00
•
•
•
•
•
•
10:00 – 10:30
• Preparation Strategy
Introductions and Expectations
Overview
Function of licensure
Acronyms (ASWB, CSWMFT, NASW)
Steps to Licensure (booklet)
The Exam
Agenda
10:30 – 11:00
11:00 – 11:15
11:15 – 12:00
Positive Visualization and Anchoring
Break
Test taking Strategy; Small group – two
questions…Review answers
12:00 – 12:30
Introduce strategies
12:30 – 1:00
Work through 2 questions - eat lunch
1:00 – 4:00
Review answers, introduction of skills,
more questions, review, etc….
4:00 – 4:30
Study Plan
6 Hour workshop
• Daily study habits
• Effective utilization of Study materials
• Practice test taking
• Practice relaxation techniques
Here’s what you bought…
AATBS
The Independent Study Program
TestMASTER
Content Review Study Volumes
Audio CDs
Expert Phone Consultation
Additional Support
Flashcards
Theory Chart
Test Success Workbook
Online Workshops
Additional supports with…
Online Workshops
for the
National Social Work Exams
Content Review and Strategy Workshops (10 hours)
Small Group Coaching Workshops
(Series A and B – 5 hours each)
Theories of Psychotherapy (5 hours)
For more information about Online Workshops, visit www.aatbs.com
National Association of Social
Work Boards
www.aswb.org
Counselor, Social Work, Marriage and Family
Therapist Board (CSWMFT)
www.cswmft.ohio.gov
National Association of Social Workers
www.socialworkers.org
Licensure is a process with
a set of requirements.
When should I
take my exam?
The Exam
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170 four-option multiple choice questions.
150 of the 170 items are scored.
Four hours to complete the examination.
Able to change answers, flag questions, skip
questions, and review unanswered questions.
Brief 20 minute tutorial.
White board and marker provided.
No scheduled breaks.
Personvue.com
Why Students Fail their Exams
Failure to study
Failure to study properly
Anxiety
Lack of test taking strategy
Not understanding the question
Changing answers
Overgeneralization
Over-analysis
Detail blindness
Leaving questions blank
Time management issues
Exhaustion
Anxiety
Overcoming Test Anxiety
• Assess your study skills
– Studying effectively
– Establish a consistent pre-test routine
• Mind Body Techniques
– Exercise (in preparation and during test)
– Breathing
– Progressive Relaxation
– Visualization and Anchoring
• Face your Fears!
Let’s practice….
Reaching your goal takes a
plan of Action!
A plan you thoughtfully
create,
A plan you commit to
through implementation.
There are no short cuts!
Your Study Plan
• Set dates and times around specific tasks
• Study mode
– Review and study sequentially
– Use 3x5 cards for missed questions
• Exam mode in TestMASTER
– prepare for the “real” test taking experience
Content Volumes
TestMASTER will guide what areas need to be
studied in depth in the Content Volumes
Content Volumes can be used
as Reference material
Clinical Exam
Professional Ethics and Values, 18%
Psychotherapy, Clinical Interventions
and Case Management, 25%
Assessment, Diagnosis and
Treatment Planning, 26%
Human Development, Diversity and
Behavior in the Evironment, 31%
0
5
10
15
20
25
30
35
Advanced Generalist Exam
Professional Values and Ethics, 24%
Macro Practice, 18%
Micro Practice and Social Work
Relationships, 18%
Micro Assessment and Planning,
22%
Human Developmet, Diversity and
behavior in the Environment, 18%
0
5
10
15
20
25
30
Characteristics of the
Successful Examinee
Common Sense
Content Knowledge
Social Work Experience
Test Taking Strategy
LOTS of Practice with Test Type Questions
The Two Tasks of Test Taking Strategy
Understand the question (every question has a point)
Answer the questions
• Eliminate bad answers
• Figure out what’s different about the best answers
• Pick the answer that BEST answers the question
Reading the
Question Stem First
tells you:
HOW to read the case
WHAT to look for in the case
WHY you are reading the case
Joe and Sally come in for counseling because their relationship has “been in
trouble” for quite some time. Joe admits that he had an affair two years ago
but that he ended it when Sally found out. He states that Sally is “difficult to
get along with” because of her drinking. Sally hotly denies that she has a
problem with drinking, and says that, “It’s all because Joe is a lousy husband.”
What are the Social Worker’s initial goals for Sally?
Initial = Early Stage
Early Stage of Therapy = RIMS
R Rapport
build a Rapport with the client
I Information
gather Information and assess
M Management
attend to the Management issues (setting the fee,
frequency/time of sessions, getting releases, etc.)
S Safety/Stabalize
Stabilize the client and/or attend to any Safety
issues (crisis, medical, etc.)
Middle Stage = Creating Lasting Change
Late Phase = Consolidation and Transitioning Out
Joe and Sally come in for counseling because their relationship has “been in
trouble” for quite some time. Joe admits that he had an affair two years ago but
that he ended it when Sally found out. He states that Sally is “difficult to get along
with” because of her drinking. Sally hotly denies that she has a problem with
drinking, and says that, “It’s all because Joe is a lousy husband.” What are the
Social Worker’s initial goals for Sally?
Initial = Early Stage, RIMS
Goals = Things we want to accomplish
Goals versus Interventions
Goal: Something we want to accomplish (for example,
“Improve the client’s relationships”).
Intervention: Something we DO (for example, “Teach
communication skills”).
QUESTION 1
Jimmy is referred to the Social Worker by the school counselor
because he has been having problems dealing with other students. He
gets into fights with other boys his age, and picks on the girls
“relentlessly.” The counselor tells you in the referral that Jimmy comes
from an alcoholic home, and was once removed to foster care, but now
lives with his mother and two sisters. What developmental
stage would the Social Worker assume Jimmy to
be in?
Read question stem first.
In respect to the information, what information in
the question has little relevancy?
How old do you think he is?
Joe and Sally come in for counseling because their relationship has “been in
trouble” for quite some time. Joe admits that he had an affair two years ago
but that he ended it when Sally found out. He states that Sally is “difficult to
get along with” because of her drinking. Sally hotly denies that she has a
problem with drinking, and says that, “It’s all because Joe is a lousy
husband.” What are the Social Worker’s initial goals for Sally?
Initial = Early Stage, RIMS
Goals = Things we want to accomplish
For Sally = For Sally (not for Joe)
Therefore, the Question Stem tells you that the best answer is looking
for:
Things we want to accomplish in the first couple of sessions with Sally,
(probably about forming a rapport and gathering information, especially
about her drinking).
QUESTION 1
Jimmy is referred to the Social Worker by the school counselor because he
has been having problems dealing with other students. He gets into fights
with other boys his age, and picks on the girls “relentlessly.” The counselor
tells you in the referral that Jimmy comes from an alcoholic home, and was
once removed to foster care, but now lives with his mother and two sisters.
What developmental stage would the Social Worker assume Jimmy to
be in?
A. Intimacy
B. Launching
C. Post-latency
D. Inferiority
STRATEGY: Eliminate Bad Answers, Theory
Human Development Theories
Age
Freud
Erickson
0 -1
Piaget
Birth – 2
Sensorimotor
1st
Oral
2nd
Anal
Trust vs.
Mistrust
3rd – 5th
Phallic
Autonomy vs.
Shame, Doubt
2-7
Preoperational
6th –
Latency
puberty Period
Industry vs.
inferiority
7 – 11
Concrete
Operational
Adol.
Identity vs. Role
confusion
Over 11 – Formal
Operational
Genital
Family Life Span
Independence
Coupling or marriage
Parenting
Launching adult
children
Retirement or senior
years
QUESTION 1
What developmental stage would the Social Worker
assume Jimmy to be in?
D. Inferiority
QUESTION 2
Luanne comes to see the Social Worker after being recommended by a
former client, who attends the same church group. She lost her husband two
years ago, and tells you, “I’ve never been the same since.” Her two children
are grown and had moved out of the home before her husband died, and
“aren’t much help at all.” She complains of somatic symptoms including
chronic pain and sleep disturbances, which in the absence of cognitiveaffective symptoms are MOST suggestive of a clinical diagnosis of:
A. Masked Depression
B. Alcohol Dependence
C. Dyspareunia
D. Body Dysmorphic Disorder
STRATEGY: Translation, Eliminate Bad Answers, Know your DSM-IV
She complains of somatic symptoms including chronic pain and sleep
disturbances, which in the absence of cognitive-affective symptoms are
MOST suggestive of a clinical diagnosis of:
This question stem tells us…
SHE HAS:
Chronic Pain
Sleep Problems
She complains of somatic symptoms including chronic pain and sleep
disturbances, which in the absence of cognitive-affective symptoms are
MOST suggestive of a clinical diagnosis of:
This question stem tells us…
SHE HAS:
Chronic Pain
Sleep Problems
SHE DOES NOT HAVE:
Thought Disorder Symptoms
Mood Problems
QUESTION 2
Luanne comes to see the Social Worker after being recommended by a
former client, who attends the same church group. She lost her husband two
years ago, and tells you, “I’ve never been the same since.” Her two children
are grown and had moved out of the home before her husband died, and
“aren’t much help at all.” She complains of somatic symptoms including
chronic pain and sleep disturbances, which in the absence of cognitiveaffective symptoms are MOST suggestive of a clinical diagnosis of:
A. Masked Depression
B. Alcohol Dependence
C. Dyspareunia
D. Body Dysmorphic Disorder
STRATEGY: Translation, Eliminate Bad Answers, Know your DSM-IV
QUESTION 2
She complains of somatic symptoms including chronic pain and sleep
disturbances, which in the absence of cognitive-affective symptoms are
MOST suggestive of a clinical diagnosis of:
X
X
B
Masked depression refers to depression that is
manifested primarily as somatic symptoms without
obvious cognitive-affective problems
There is no sign of alcohol dependence.
C
Dyspareunia means female pain during intercourse.
X
D
Body Dysorphic Disorder – a distressing or impairing
preoccupation with an imagined defect or an excessive
concern about an existing physical anomaly.
A
Clinical Exam – know your DSM!!!
Rephrase the Question in
Your Own Words/Translation
QUESTION 3
The Social Worker has two families in her practice that at first, he thought
had very similar world views. One family immigrated from Asia five years
ago and the other family is 3rd generation Asian-American. The difference
that the Social Worker sees is that the former:
A. Tend to prefer a less directive approach
B. Are grounded more in the here-and-now than in the past or the future
C. Respond better when goal setting is delayed until after the client has
had a chance to become familiar with the therapist and the therapy
process
D. Are more likely to view emotional problems as influenced by somatic
factors
STRATEGY: Rephrase the Question, Diversity
QUESTION 3
The Social Worker has two families in her practice that at first, he
thought had very similar world views. One family immigrated from Asia
five years ago and the other family is 3rd generation Asian-American.
The difference that the Social Worker sees is that the former:
This Question can be Rephrased as:
What is true of the 5 year immigrants? or Would the more recent
immigrants…
or
What is not likely to be true of the 3rd generation immigrants?
Would the more recent immigrants:
N
A.
Tend to prefer a less directive approach
B.
Are grounded more in the here-and-now than in the past or the future N
C. Respond better when goal setting is delayed until after the client has
had a chance to become familiar with the therapist and the therapy
process
N
D.
Are more likely to view emotional problems as influenced by somatic
Y
factors
QUESTION 3
The difference that the Social Worker sees is that the former:
D.
Are more likely to view emotional problems as influenced by
somatic factors
QUESTION 4
A 67-year-old accountant exhibits impairments in memory and other
cognitive functions and a depressed mood. Which of the following
would be MOST suggestive that his symptoms are due to
"pseudodementia" rather than to Dementia?
A. The onset of symptoms was insidious
B. The man exaggerates his cognitive deficits
C. The man's memory symptoms worsen over the course of the day
D. The man exhibits a greater impairment in declarative memories
than in procedural memories
STRATEGY: Translation, Eliminate Bad Answers
Which of the following would be MOST suggestive that his
symptoms are due to "pseudodementia" rather than to
Dementia?
Can be Translated as:
Would you find this symptom in a real Dementia patient
or a pretend Dementia patient? (We’re looking for the
pretend one.)
Would you find this symptom in a real Dementia patient or a pretend Dementia
patient (we’re looking for the pretend one)?
A. The onset of symptoms was insidious
REAL
B. The man exaggerates his cognitive deficits
PRETEND
C. The man's memory symptoms worsen over the course of the day
REAL
D. The man exhibits a greater impairment in declarative memories than in
procedural memories
REAL/BOTH?
QUESTION 4
A 67-year-old accountant exhibits impairments in memory and other
cognitive functions and a depressed mood. Which of the following would
be MOST suggestive that his symptoms are due to "pseudodementia"
rather than to Dementia?
A
An insidious onset is more suggestive of Dementia.
B
People with pseudodementia are likely to exaggerate
their cognitive problems, while those with Dementia
tend to deny or minimize them.
X
C
X
D
A worsening of cognitive symptoms in the evening is
more characteristic of Dementia.
People with pseudodementia are more likely to exhibit
problems with procedural memory.
X
Note: Dementia and pseudodemential (depression) are often
difficult to distinguish when the depression involves prominent
cognitive symptoms.
QUESTION 5
As far as frequency and intensity of relapse symptoms,
tapering off treatment tends to:
A.
increase the frequency and decrease the intensity
B.
diminish the frequency but increase the intensity
C. decrease the frequency and diminish the intensity
D. increase the frequency and increase the intensity
STRATEGY: Translation, Quick Rating
QUESTION 5
As far as frequency and intensity of relapse symptoms, tapering off
treatment tends to:
Relapse symptoms means:
Having the symptom again
Frequency means:
How often
Intensity means:
How bad
Taper off treatment means:
Gradually reducing sessions (as contrasted with ending sessions
abruptly)
Rephrased Question: If you taper treatment off gradually (rather than end
abruptly), do relapse symptoms tend to:
A.
Increase in frequency (occur more often)
NO
and decrease in intensity (be not so bad)
YES
B.
Diminish in frequency (occur less often)
YES
but increase in intensity (get worse)
NO
C.
decrease in frequency (occur less often)
YES
and diminish in intensity (be not so bad)
YES
D.
Increase in frequency (occur more often)
NO
and increase in intensity (get worse)
NO
QUESTION 5
As far as frequency and intensity of relapse symptoms,
tapering off treatment tends to:
C. decrease the frequency and diminish the intensity
QUESTION 6
The Social Worker has been seeing an elderly man who has schizophrenia
for supportive psychotherapy. He has been taking neuroleptics prescribed
by a psychiatrist. What should the Social Worker be MOST aware of?
A.
Neuroleptics have limited effectiveness on negative symptoms of
schizophrenia
B.
Neuroleptics work equally well for positive and negative symptoms of
schizophrenia
C.
Extrapyramidal effects can increase the impact of neuroleptics on the
management of debilitating symptoms of schizophrenia
D.
Neuroleptics increase the incidence of extrapyramidal effects while
decreasing the incidence of positive symptoms of schizophrenia
STRATEGY: Translation, Eliminate Bad Answers
Neuroleptics
Neuro means:
Having to do with brain or nerves
Leptics means:
Who knows?
Extrapyramidal
Extra means:
Additional
Pyramidal means:
Piling on top of one another?
Negative symptoms of schizophrenia
Negative means:
Something is not there (affect, ability to feel pleasure, to
relate, etc.)
Positive symptoms of schizophrenia
Positive means:
It doesn’t mean good!
Active (hallucinations, delusions, thought disorder, etc.)
What should the Social Worker be MOST aware of?
A.
Neuroleptics have limited effectiveness on negative symptoms of
schizophrenia
Brain medications don’t help much with the negative symptoms of
schizophrenia like anhedonia, flat affect, etc. (TRUE)
B.
Neuroleptics work equally well for positive and negative symptoms of
schizophrenia
Brain medications help with the negative symptoms of schizophrenia
like anhedonia, flat affect, as well as the active symptoms (FALSE)
C.
Extrapyramidal effects can increase the impact of neuroleptics on the
management of debilitating symptoms of schizophrenia
Side effects increase the good impact of medications (FALSE)
D.
Neuroleptics increase the incidence of extrapyramidal effects while
decreasing the incidence of positive symptoms of schizophrenia
Medications increase the chance of side effects (TRUE)
while decreasing the active symptoms of schizophrenia (TRUE)
QUESTION 6
What should the Social Worker be MOST aware of?
D. Neuroleptics increase the incidence of
extrapyramidal effects while decreasing the
incidence of positive symptoms of schizophrenia
Neuroleptics (antipsychotic drugs), decrease the positive
symptoms (delusions, hallucinations, agitation, thought
disorders) of schizophrenia but have limited impact on the
negative symptoms of (anhedonia, social withdrawal, etc.).
Neuroleptic drugs bring with them the risk of extrapyramidal
side effects, such as tardive dyskinesia, with long term use.
Imagine the Client
(i.e., imagine what you would do if the client
was real sitting, standing in front of you)
QUESTION 7
A young African American woman and her boyfriend come to see the Social Worker
referred by the local clinic. The girl tells the Social Worker that her boyfriend beat her
up and broke her nose and that the nurse at the clinic thought some counseling might
be helpful. He admits that he, “got mad” and tells the Social Worker that he is “really,
really sorry.” They both admit that this kind of thing has happened “a lot.” The Social
Worker notices that she jumps at noises coming in off the street, and seems edgy
and withdrawn. He looks sad and appears contrite. The Social Worker is a Strategic
therapist and works primarily on communication and resolving power differentials.
What intervention would the Social Worker be likely to do once the assessment
process is complete?
A. Give the couple a paradoxical homework assignment to argue more in order to
create a double bind situation
B. Assign both of them to record their thoughts and feelings when they get angry
with each other, and to track their communication style
C. See the girl alone and work on self-esteem and communication issues
D. Point out to them that there is a mismatch between their communication styles
that places him in the power position
STRATEGY: Rephrase the Question, Stage of Therapy, Imagine the Client,
Eliminate Bad Answers
once the assessment process is complete
means
Middle Stage (about creating lasting change)
or
Treatment Planning (which occurs at the end of the Early
Stage and before the beginning of the Middle Stage)
Imagine the clients as if they were in the room with you
What would you do in real life?
QUESTION 7
A young African American woman and her boyfriend come to see the Social Worker
referred by the local clinic. The girl tells the Social Worker that her boyfriend beat
her up and broke her nose and that the nurse at the clinic thought some counseling
might be helpful. He admits that he, “got mad” and tells the Social Worker that he is
“really, really sorry.” They both admit that this kind of thing has happened “a lot.”
The Social Worker notices that she jumps at noises coming in off the street, and
seems edgy and withdrawn. He looks sad and appears contrite. The Social Worker
is a Strategic therapist and works primarily on communication and resolving power
differentials. What intervention would the Social Worker be likely to do once
the assessment process is complete?
SAFETY First
A. Give the couple a paradoxical homework assignment to argue more in order to
create a double bind situation.
UNSAFE
B. Assign both of them to record their thoughts and feelings when they get angry
with each other, and to track their communication style
C. See the girl alone and work on self-esteem and communication issues
D. Point out to them that there is a mismatch between their communication styles
that places him in the power position
Question 7. What intervention would the Social Worker do in the middle stage
(treatment planning or for creating lasting change?
A
Ruled out because of safety issues
B
Assign both of them to record their thoughts and feelings when they
get angry with each other, and to track their communication style
Cognitive behavioral approach, maybe helpful but not strategic, seeing
them together in couples therapy has the risk of increasing violence.
See the girl alone and work on self-esteem &communication issues
C
This implies recognizing danger, separating the couple in therapy, may
send boyfriend to batterer’s group or individual therapy. Generally – bad
idea to see an actively violent couple in couples therapy!
D
Point out to them that there is a mismatch between their communication
styles that pleases him in the power position.
Sounds like social worker is seeing them together, does not seem helpful.
Note Key, Qualifier Words
First (safety?)
Most
Least
Risk
Most Important
Duty
Etc.
Do the Math
Often
Never
Frequently
Always
45
7
Etc.
QUESTION 8
A couple comes for counseling regarding their inability to have a child. She is
African American, and he grew up in Croatia. His sperm count is low, and she is
infertile due to having had ovarian cancer five years ago when she was 37. He is
30 and believes that he was exposed to chemicals growing up. When the Social
Worker asks them how they have managed this issue so far, she bursts into tears
and says that the one thing she always wanted was to be a mother. What are the
important diversity issues?
A. Croatian immigrant, cancer survivor, infertility, seven year age difference
B. Cancer survivor, mixed race couple, infertility, twelve year age difference
C. Infertility, cancer survivor, seven year age difference, mixed race couple
D. Infertility, cancer survivor, mixed race couple, twelve year age difference
STRATEGY: Chunking, Do the Math, Eliminate Bad Answers,
What’s Different, Ordering
The Chunks we want in our answer are:
Important
Diversity issues
Present in this case
Step 1: Eliminate any answer that is FALSE or does
not apply to the case (HINT: Do the Math)
What are the important diversity issues?
A. Croatian immigrant, cancer survivor, infertility, seven year age difference
B. Cancer survivor, mixed race couple, infertility, twelve year age difference
C. Infertility, cancer survivor, seven year age difference, mixed race couple
D. Infertility, cancer survivor, mixed race couple, twelve year age difference
Step 2: Eliminate any Element that is not a “diversity issue” (there are
none)
Step 3: Use “What’s Different?” (Set aside what is the same and then
compare differences)
Step 4: Order the Elements since there IS no difference in the Elements
– therefore Ordering (by importance of the Element to the client) is the
final Strategy to apply
QUESTION 8
What are the important diversity issues?
D. Infertility, cancer survivor, mixed race couple, twelve year
age difference
Ordering is very rarely a factor, only if:
1) The question asks you for an order (“in what priority
would you….”) or
2) The only difference is the order (there are NO different
Elements).
If you are going to use Ordering you MUST
Eliminate Bad Answers FIRST!
Multiple Element Answer Strategy
Step 1: Eliminate Bad Elements First
Step 2: Quick Rating
Step 3: Pair and Compare
QUESTION 9
George, a 66-year-old man is referred by his minister. He lost his wife, only
daughter, and son-in-law in an auto accident three months ago. He suffered a
concussion. He has the two grandchildren living with him now, ages 8 and 10. He
wonders if he should get another job to help support the grandchildren. His sonin-law's parents offered to take the children and raise them. He is tearful and says
he isn’t sleeping at all. He states that he and his wife had made so many plans
together for when they grew old and now everything has change and that he
worries “constantly.” What diagnoses would the Social Worker consider in
this case?
A. Bereavement, Major Depressive Disorder, Adjustment Disorder with
Depressed Mood, Phase of Life Problem
B. Bereavement, Acute Stress Disorder, Histrionic Personality Disorder,
Adjustment Disorder with Depressed Mood
C.
Major Depressive Disorder, Malingering, Primary Insomnia, Dysthymic
Disorder
D. Adjustment Disorder with Anxious Mood, Bereavement, PTSD, Major
Depressive Disorder
STRATEGY: Key Words, Multiple Element Answer Strategy,
Bad Answers, Quick Rating, Pair and Compare
Quick Rating
A. y n m
B. y y m
C. n n y
D. n m y
QUESTION 9
What diagnoses would the Social Worker consider in this case?
A.
Bereavement
Major Depressive Disorder
Adjustment Disorder with Depressed Mood
Phase of Life Problem
Y
Y
Y
Y
N
N
N
N
M
M
M
M
B.
Bereavement
Acute Stress Disorder
Histrionic Personality Disorder
Adjustment Disorder with Depressed Mood
Y
Y
Y
Y
N
N
N
N
M
M
M
M
C.
Major Depressive Disorder
Malingering
Primary Insomnia
Dysthymic Disorder
Y
Y
Y
Y
N
N
N
N
M
M
M
M
D.
Adjustment Disorder with Anxious Mood
Bereavement
PTSD
Major Depressive Disorder
Y
Y
Y
Y
N
N
N
N
M
M
M
M
Step 1: Eliminate Bad Elements first
Step 2: Quick Rate the remaining Elements
Pair and Compare
Step 1: Set aside the EXACT PAIRS
Step 2: Compare any LIKE PAIRS
Step 3: Compare any UNLIKE PAIRS
What diagnoses would the Social Worker consider in this case?
A. Bereavement
Major Depressive Disorder
Adjustment Disorder with Depressed Mood
Phase of Life Problem
Y
Y
Y
Y
N
N
N
N
M
M
M
M
D. Adjustment Disorder with Anxious Mood
Bereavement
PTSD
Major Depressive Disorder
Y
Y
Y
Y
N
N
N
N
M
M
M
M
QUESTION 9
What diagnoses would the Social Worker consider in
this case?
D. Adjustment Disorder with Anxious Mood,
Bereavement, PTSD, Major Depressive Disorder
QUESTION 10
The Social Worker is working with an elderly man who is going blind from
cataracts. She has informed him that he is eligible for surgery to correct this
situation, and has urged him to see his doctor about this. The man refuses to
go in to see the doctor, saying that, “I’m old and I’m probably going to die pretty
soon anyway - why put myself through all of that.” What steps should the
Social Worker take in addressing this situation?
A.
Explore and challenge the man’s logic, assess for depression, look for a
positive motivator, discuss the situation with the man’s doctor
B.
Do a suicide assessment, discuss with the man’s doctor, speak to the
man’s family, do a mental status evaluation
C.
Explore history and attitudes towards disability, look for a positive motivator,
assess for possible substance abuse, explore fears
D.
Explore fears of surgery, assess for possible substance abuse, look for a
motivator, talk with his family
STRATEGY: Multiple Element Answer Strategy,
Eliminate Bad Answers, Pair and Compare
Step 1: Set aside Bad Answers, or things that don’t apply to the case
QUESTION 10
The Social Worker is working with an elderly man who is going blind from
cataracts. She has informed him that he is eligible for surgery to correct this
situation, and has urged him to see his doctor about this. The man refuses to
go in to see the doctor, saying that, “I’m old and I’m probably going to die pretty
soon anyway - why put myself through all of that.” What steps should the Social
Worker take in addressing this situation?
A.
Explore and challenge the man’s logic, assess for depression, look for a
positive motivator, discuss the situation with the man’s doctor
B.
Do a suicide assessment, discuss with the man’s doctor, speak to the
man’s family, do a mental status evaluation
C.
Explore history and attitudes towards disability, look for a positive
motivator, assess for possible substance abuse, explore fears
D.
Explore fears of surgery, assess for possible substance abuse, look for
a motivator, talk with his family
Step 2: Pair and Compare:
1) Set aside EXACT PAIRS
A. Explore and challenge the man’s logic, assess for
depression, look for a positive motivator, discuss the
situation with the man’s doctor
B. Do a suicide assessment, discuss with the man’s doctor,
speak to the man’s family, do a mental status evaluation
Step 2: Pair and Compare:
1) Set aside EXACT PAIRS
2) Compare LIKE PAIRS
A. Explore and challenge the man’s logic, assess for
depression, look for a positive motivator, discuss the situation
with the man’s doctor
B. Do a suicide assessment, discuss with the man’s doctor,
speak to the man’s family, do a mental status evaluation
Step 2: Pair and Compare:
1) Set aside EXACT PAIRS
2) Compare LIKE PAIRS
3) Compare UNLIKE PAIRS
A. Explore and challenge the man’s logic, assess for
depression, look for a positive motivator, discuss the
situation with the man’s doctor
B. Do a suicide assessment, discuss with the man’s doctor, speak
to the man’s family, do a mental status evaluation
Step 2: Pair and Compare:
1) Set aside EXACT PAIRS
2) Compare LIKE PAIRS
3) Compare UNLIKE PAIRS
COMPARISON OF LIKE AN UNLIKE PAIRS
A
Like Pairs Assess for Depression
Unlike
Pairs
B
Suicide Assessment
Look for a positive
motivator
Speak to the man’s family
Explore and challenge
the man’s logic
Do a mental status
evaluation
Depression assessment includes a suicide assessment
B does not move beyond assessing the situation.
QUESTION 10
What steps should the Social Worker take in
addressing this situation?
A. Explore and challenge the man’s logic, assess for
depression, look for a positive motivator, discuss
the situation with the man’s doctor
Chunking
QUESTION 12
Sally and Larry come to you for help with their 10 month old adopted daughter
Setsuko. Setsuko is having sleep problems, and wakes up crying in the middle of
the night. Sally states that she and Larry had some problems in their marriage
that they thought would be made better by becoming a family, but now “it’s even
worse.” What would the Social Worker be hoping to accomplish after the
initial stage of working with this family?
A.
Help the couple express how they are feeling about the new structure of the
family
B.
Do communication exercises and teach relationship skills
C.
Help Sally and Larry feel more united as a couple
D.
Gather more information about their history as a couple, and Setsuko’s
background
STRATEGY: Chunking, Eliminate Bad Answers,
Goals vs Interventions, Stage of Therapy
Chunks we want in our answer:
Goals – something we want to accomplish
Middle Stage – about lasting change
About the Case, fits
Chunks we don’t want in our answer:
Interventions – things that we do, activities
Wrong Stage – Early or Late Stages
Inappropriate for the Case, not the real issue
A. Help the couple express how they are feeling about
the new structure of the family
Not the real problem
D. Gather more information about their history as a
couple, and Setsuko’s background
Early stage, not your ultimate goal
B. Do communication exercises and teach
relationship skills
Good, middle stage interventions
C. Help Sally and Larry feel more united as a
couple
Your ultimate goal in the case
QUESTION 12
What would the Social Worker be hoping to accomplish
after the initial stage of working with this family?
C. Help Sally and Larry feel more united as a couple
Redundant Answers
versus Varied Answers
QUESTION 13
What are good reasons to make a referral to another provider?
A. When the client needs it, the client is ready for adjunctive services, or
the client can clearly benefit from alternative services
B. The client asks for a referral, or there is a conflict of interest, or at
termination
C. The client is not progressing according to plan, the Social Worker is
unqualified, the Social Worker feels uncomfortable providing services
D. The Social Worker is not qualified to treat the client’s needs, the client
would benefit from adjunctive resources, or the client is not benefiting
from the therapy
STRATEGY: Eliminate Bad Answers, Redundancy
Step 1: Eliminate Bad Answers
QUESTION 13
What are good reasons to make a referral to another provider?
A. When the client needs it, the client is ready for adjunctive services, or
the client can clearly benefit from alternative services
B. The client asks for a referral, or there is a conflict of interest, or at
termination
C. The client is not progressing according to plan, the Social Worker
is unqualified, the Social Worker feels uncomfortable providing
services
D. The Social Worker is not qualified to treat the client’s needs, the client
would benefit from adjunctive resources, or the client is not benefiting
from the therapy
Step 2: Notice Redundancy
QUESTION 13
What are good reasons to make a referral to another provider?
A. When the client needs it, the client is ready for adjunctive
services, or the client can clearly benefit from alternative services
B. The client asks for a referral, or there is a conflict of interest, or at
termination
C. The client is not progressing according to plan, the Social Worker is
unqualified, the Social Worker feels uncomfortable providing services
D. The Social Worker is not qualified to treat the client’s needs, the client
would benefit from adjunctive resources, or the client is not benefiting
from the therapy
QUESTION 13
What are good reasons to make a referral to another
provider?
C. The Social Worker is not qualified to treat the client’s
needs, the client would benefit from adjunctive
resources, or the client is not benefiting from the
therapy
Unique Elements
QUESTION 14
The Social Worker has been hired to be a case manager at an agency that
services chronically mentally ill clients. Her client load to begin with is 16
clients. She should know that case management is characterized by:
A.
Coordination, service facilitation and resource management
B.
Communication, linkage and service facilitation
C.
Service facilitation, collaboration and therapeutic approach
D.
Advocacy, coordination and education
STRATEGY: Multiple Element Answer Strategy, Redundancy, Unique Items
Step 1: Eliminate any Element that does not characterize case
management
QUESTION 14
The Social Worker has been hired to be a case manager at an agency that
services chronically mentally ill clients. Her client load to begin with is 16
clients. She should know that case management is characterized by:
A.
Coordination, service facilitation and resource management
B.
Communication, linkage and service facilitation
C.
Service facilitation, collaboration and therapeutic approach
D.
Advocacy, coordination and education
Step 2: Find the Redundant Elements
QUESTION 14
The Social Worker has been hired to be a case manager at an agency that
services chronically mentally ill clients. Her client load to begin with is 16
clients. She should know that case management is characterized by:
A.
Coordination, service facilitation and resource management
B.
Communication, linkage and service facilitation
C.
Service facilitation, collaboration and therapeutic approach
D.
Advocacy, coordination and education
Step 3: Notice the Unique Elements
QUESTION 14
The Social Worker has been hired to be a case manager at an agency that
services chronically mentally ill clients. Her client load to begin with is 16
clients. She should know that case management is characterized by:
A.
Coordination, service facilitation and resource management
B.
Communication, linkage and service facilitation
C.
Service facilitation, collaboration and therapeutic approach
D.
Advocacy, coordination and education
QUESTION 14
The Social Worker has been hired to be a case manager at an agency that
services chronically mentally ill clients. Her client load to begin with is 16
clients. She should know that case management is characterized by:
D.
Advocacy, coordination and education
First/Second/Later/Not At All
QUESTION 18
A Social Worker has been hired to create outreach services for a clinic that
specializes in treating veterans. The clinic has drug and alcohol treatment
services, individual and group counseling, and anger management courses.
What is the FIRST step the Social Worker should take in order to create
the desired services?
n
A. Survey the target population
B.
Analyze relationships with referral sources
C.
Study the structure and functioning of the clinic services
D.
Meet with the employees of the agency and gather their input
STRATEGY: First/Second/Later/Not at All
What is the first step?
4
3
1
A
B
C
Survey the target population
Analyze relationships with referral sources
2
D
Meet with the employees of the agency and
gather their input
Study the structure and functioning of the
clinic services
Call police and inform management
Call social services and 911
What’s Different?
Step 1: Set aside what is the Same
What’s Different?
Call police and inform management
Call social services and 911
What’s Different?
Step 1: Set aside what is the Same
Step 2: Compare What’s Different
Call police and inform management
Call social services and 911
QUESTION 20
A lesbian couple is referred for counseling by the pastor after seeking
advice about how to deal with relationship issues. The Social Worker has
had no experience working with gay or lesbian couples. She should:
A.
Refer the couple to a therapist experienced in working with gay and
lesbian issues
B.
Refer the couple to a lesbian therapist
C.
See the couple for counseling
D.
Seek consultation as needed
STRATEGY: Eliminate Bad Answers, What’s Different?
Step 1: Eliminate Bad Answers
QUESTION 20
A lesbian couple is referred for counseling by the pastor after seeking advice
about how to deal with relationship issues. The Social Worker has had no
experience working with gay or lesbian couples. She should:
A.
Refer the couple to a therapist experienced in working with gay
and lesbian issues
B.
Refer the couple to a lesbian therapist
C.
See the couple for counseling
D.
Seek consultation as needed
and see the couple
Step 2: What’s Different?
1) Set aside what is the Same
2) Look at what is Different
QUESTION 20
A lesbian couple is referred for counseling by the pastor after seeking advice
about how to deal with relationship issues. The Social Worker has had no
experience working with gay or lesbian couples. She should:
D.
Seek consultation as needed
Broad versus Specific
Broad Answers
Are more inclusive (more information is often covered)
Can sometimes be too generic
Specific Answers
Fit the case or the situation
Must be precise
QUESTION 21
The Social Worker is working with a client who lost her job, lost custody of her
children, served time in jail, and who is on probation for possession of
methamphetamine. The court has ordered the client to undergo various
rehabilitation programs, and the Social Worker must determine which programs
or services are best for this particular client. The Social Worker chooses to
refer the client to:
A.
Narcotics Anonymous, parenting class, employment counseling and
mentoring
B.
Parenting class, a 12 step program, job counseling and mentoring
C.
Legal advocates, drug rehab, domestic violence counseling and parent
education
D.
Individual therapy, supervised visitation services, mentoring and parenting
education
STRATEGY: Rephrase the Question, Multiple Element Answer Strategy, What’s
Different? Broad versus Specific
QUESTION 21
The Social Worker is working with a client who lost her job, lost custody of her
children, served time in jail, and who is on probation for possession of
methamphetamine. The court has ordered the client to undergo various
rehabilitation programs, and the Social Worker must determine which
programs or services are best for this particular client. The Social Worker
chooses to refer the client to:
Rehabilitation means: a service that improves client functioning
Step 1: Eliminate Elements that are false or do not apply to the case
QUESTION 21
The Social Worker is working with a client who lost her job, lost custody of her
children, served time in jail, and who is on probation for possession of
methamphetamine. The court has ordered the client to undergo various
rehabilitation programs, and the Social Worker must determine which programs
or services are best for this particular client. The Social Worker chooses to refer
the client to:
A.
Narcotics Anonymous, parenting class, employment counseling and
mentoring
B.
Parenting class, a 12 step program, job counseling and mentoring
C.
Legal advocates, drug rehab, domestic violence counseling and parent
education
D.
Individual therapy, supervised visitation services, mentoring and parenting
education
Step 2: Eliminate Elements that do not increase client functioning
(non-rehab)
QUESTION 21
The Social Worker is working with a client who lost her job, lost custody of her
children, served time in jail, and who is on probation for possession of
methamphetamine. The court has ordered the client to undergo various
rehabilitation programs, and the Social Worker must determine which programs
or services are best for this particular client. The Social Worker chooses to refer
the client to:
A.
Narcotics Anonymous, parenting class, employment counseling and
mentoring
B.
Parenting class, a 12 step program, job counseling and mentoring
C.
Legal advocates, drug rehab, domestic violence counseling and parent
education
D.
Individual therapy, supervised visitation services, mentoring and
parenting education
Step 3: Pair and Compare
A
B
Narcotics Anonymous
Parenting Class
Parenting Class
12 Step program
Employment Counseling
Job Counseling
Mentoring
Mentoring
Pair and Compare
1) Set aside EXACT PAIRS
A
B
Narcotics Anonymous
Parenting Class
Parenting Class
12 Step program
Employment Counseling
Job Counseling
Mentoring
Mentoring
Pair and Compare
1) Set aside EXACT PAIRS
2) Compare LIKE PAIRS
A
B
Narcotics Anonymous
Parenting Class
Parenting Class
12 Step program
Employment Counseling
Job Counseling
Mentoring
Mentoring
Pair and Compare
1) Set aside EXACT PAIRS
2) Compare LIKE PAIRS
3) Compare remaining LIKE PAIR using Broad versus
Specific
A
B
Narcotics Anonymous
Parenting Class
Parenting Class
12 Step program
Employment Counseling
Job Counseling
Mentoring
Mentoring
Narcotics Anonymous is Specific
12 Step Program is Broad
QUESTION 21
The Social Worker chooses to refer the client to:
A.
Narcotics Anonymous, parenting class, employment counseling and
mentoring
Ordering is very rarely a factor, only if:
1) The question asks you for an order (“in what priority would you….”)
or
2) The only difference is the order (there are NO different Elements).
For example if the Elements are exactly the same, then the only
DIFFERENCE would be the Order:
A.
Narcotics Anonymous, Parenting Class and Mentoring
B.
Mentoring, Parenting Class and Narcotics Anonymous
Remember: When Ordering, eliminate Bad Elements FIRST!
Use Common Sense!
Would this actually help the client?
Avoid answers that are only “by the book”
Use common sense
Ask yourself, “What would I do in real life?”
Don’t be afraid to be eclectic
The Poorly Wrapped Gift
and Trigger Words
Good answers may be poorly worded
Bad answers may be nicely worded
Watch for “Trigger Words” – words that create an emotional
reaction: “confront,” “challenge,” “insist,” etc.
Use common sense and look for the real
meaning of an answer
QUESTION 24
The Social Worker is seeing a small child for counseling following an incident of
sexual abuse. How would the Social Worker introduce the child to the
playroom?
A. Sit quietly in a corner so as not to be intrusive and to allow the child to explore
the room
B. Tell her the rules and sit on the floor and be unobtrusively non-invasive
C. Tell the child that she must ask permission to play with the toys and then sit
quietly
D. Tell the child that she may do anything she likes in the playroom, since this is
her space so as to facilitate freedom of expression
STRATEGY: Eliminate Bad Answers, The Poorly Wrapped Gift
(Trigger Words) What’s Different?
Step 1) Eliminate Bad Answers
QUESTION 24
The Social Worker is seeing a small child for counseling following an
incident of sexual abuse. How would the Social Worker introduce the child
to the playroom?
A. Sit quietly in a corner so as not to be intrusive and to allow the child to
explore the room
B. Tell her the rules and sit on the floor and be unobtrusively non-invasive
C. Tell the child that she must ask permission to play with the toys
and then sit quietly
D. Tell the child that she may do anything she likes in the playroom,
since this is her space so as to facilitate freedom of expression
Step 2) What’s Different?
1) Set aside what is the Same
QUESTION 24
The Social Worker is seeing a small child for counseling following an
incident of sexual abuse. How would the Social Worker introduce the
child to the playroom?
A. Sit quietly in a corner so as not to be intrusive and to allow the
child to explore the room
B. Tell her the rules and sit on the floor and be unobtrusively noninvasive
Step 2) What’s Different?
1) Set aside what is the Same
2) Compare what’s Different
QUESTION 24
The Social Worker is seeing a small child for counseling following an
incident of sexual abuse. How would the Social Worker introduce the
child to the playroom?
A. Sit quietly in a corner so as not to be intrusive and to allow the child
to explore the room
B. Tell her the rules and sit on the floor and be unobtrusively noninvasive
Step 2) What’s Different?
1) Set aside what is the Same
2) Compare what’s Different
Warning: Watch out for the Trigger Word!
QUESTION 24
How would the Social Worker introduce the child to the playroom?
B. Tell her the rules and sit on the floor and be unobtrusively non-invasive
Flip the Question
(working with negative questions)
QUESTION 25
The Social Worker is employed by an Employee Assistance Program that
allows clients to be seen 10 times without incurring any fees. The Social
Worker employs a Solution Focused approach to working with clients so
that therapy can be completed within the time limit. Which intervention
would the Social Worker be LEAST likely to use?
A.
Use multiple choice questions
B.
Asking the client to envision a future where the problem is no longer a
problem
C.
Assigning the client to make a list of problems and solutions and bring
it into therapy
D.
Refer an indicated client for a medication evaluation
STRATEGY: Flip the Question
Flip the Question
How to work with “Negative Questions,” i.e.,
questions that ask what would you NOT do
Step 1: Change the Question into its opposite
Step 2: Answer: Yes, No, Maybe
Step 3: Pick the NO answer
Step 1: Change the Question into its opposite
QUESTION 27
Which situation does NOT represent an exception to privilege?
A.
The Social Worker is court appointed to evaluate a defendant
B.
The client is pretending to have a stress disorder in order to collect
disability insurance
C.
The client needs to be hospitalized because of a mental disorder
D.
The Social Worker is providing therapy by order of the court
STRATEGY: Translation, Flip the Question
The Question: “Which situation does NOT represent an exception to
privilege?” must be both Translated and Flipped
Exception means:
A time when something does not apply
Privilege means:
Confidentiality
Therefore “Exception to Privilege” means”:
A time when confidentiality is not as strong or doesn’t apply like it
usually does
The Flipped question (with the NOT taken out) would be:
Is this a situation when confidentiality doesn’t apply as much?
QUESTION 27
Which situation does NOT represent an exception to privilege?
Flipped Question: Is this a situation when confidentiality doesn’t apply as
much?
A.
The Social Worker is court appointed to evaluate a defendant
Y
B.
The client is pretending to have a stress disorder in order to collect
disability insurance
Y
C.
The client needs to be hospitalized because of a mental disorder
Y
D.
The Social Worker is providing therapy by order of the court
N
STRATEGY: Translation, Flip the Question
Remember to answer with a Yes, No or Maybe and Pick the NO Answer!
QUESTION 27
Which situation does NOT represent an exception to privilege?
D.
The Social Worker is providing therapy by order of the court
The Least Worst Answer
QUESTION 31
A woman comes to see the Social Worker with her 14-year-old daughter. The
mother reports that the girl is “unmanageable” and that she has “had it” with
her. The daughter has been suspended from school three times in the past
year for vandalism. She exclaims in exasperation, "I swear that she is going
to drive me crazy!" Under these circumstances, what provisional
diagnosis best fits the mother?
A. Psychotic Disorder NOS
B. Dysthymic disorder
C. Conduct disorder
D. Major depressive disorder
STRATEGY: Eliminate Bad Answers
QUESTION 31
Under these circumstances, what provisional diagnosis best fits the mother?
B. Dysthymic disorder
QUESTION 34
A Social Worker needs to consult with a client’s teacher in order to
coordinate treatment of a child with ADHD. He must:
A.
Receive a waiver of privilege from one or both of the minor’s parents
B.
Receive permission from the child’s parents to speak to the teacher
C.
Document the reason for the consultation with the teacher
D.
Have one parent sign a release of confidentiality
STRATEGY: Theme, What’s Different?
Notice the Themes
QUESTION 34
A Social Worker needs to consult with a client’s teacher in order to
coordinate treatment of a child with ADHD. He must:
A.
Receive a waiver of privilege from one or both of the minor’s parents
B.
Receive permission from the child’s parents to speak to the teacher
C.
Document the reason for the consultation with the teacher
D.
Have one parent sign a release of confidentiality
Theme 1: Permission to breach confidentiality
What’s Different?
QUESTION 34
A Social Worker needs to consult with a client’s teacher in order to
coordinate treatment of a child with ADHD. He must:
A.
Receive a waiver of privilege from one or both of the minor’s parents
B.
Receive permission from the child’s parents to speak to the teacher
C.
Document the reason for the consultation with the teacher
D.
Have one parent sign a release of confidentiality
We usually call this a “Release of Confidentiality” (not a Waiver of
Privilege) and in B, there is NO WRITTEN permission mentioned
QUESTION 34
A Social Worker needs to consult with a client’s teacher in order to
coordinate treatment of a child with ADHD. He must:
A.
Receive a waiver of privilege from one or both of the minor’s
parents
B.
Receive permission from the child’s parents to speak to the teacher
C.
Document the reason for the consultation with the teacher
D.
Have one parent sign a release of confidentiality
Theme 2: How many parents need to consent?
What’s Different?
QUESTION 34
A Social Worker needs to consult with a client’s teacher in order to
coordinate treatment of a child with ADHD. He must:
A.
Receive a waiver of privilege from one or both of the minor’s
parents
B.
Receive permission from the child’s parents to speak to the teacher
C.
Document the reason for the consultation with the teacher
D.
Have one parent sign a release of confidentiality
Only one parent technically has to consent to release information
(as long as that parent has legal custody)
QUESTION 34
A Social Worker needs to consult with a client’s teacher in order to coordinate
treatment of a child with ADHD. He must:
D.
Have one parent sign a release of confidentiality
QUESTION 35
Lillian is a 19-year-old pharmacology student who was referred to you by her
mother. She appears very thin and states she has been using “stuff” to help her
study. She states she is “tired of everyone telling me what to do all of the time,”
and says her mother nags her constantly. She wishes everyone would just “leave
me alone.” She says that sometimes she doesn't feel like getting up in the morning
to go to school. She tearfully says, “I'm just tired of everything. I don’t even know
if I really even want to be a pharmacist.” She wants to know how much of what
she tells you will be told to her mother who is paying for therapy. The Social
Worker is working with Lillian alone, using a primarily Cognitive-behavioral
approach. Which interventions would be MOST effective in the middle stage
of treatment?
A. Helping Lillian articulate her thoughts about school and identifying triggers for
relapse
B. Helping Lillian articulate her thoughts about her career choice and referring
her to a 12 step program
C. Developing a self-affirming inner dialogue and helping Lillian articulate her
thoughts about school
D. Rehearsing self-defining statements and developing a self-affirming inner
dialogue
STRATEGY: Chunking, Stage of Treatment, What’s Different?
QUESTION 35
Lillian is a 19-year-old pharmacology student who was referred to you by her
mother. She appears very thin and states she has been using “stuff” to help
her study. She states she is “tired of everyone telling me what to do all of the
time,” and says her mother nags her constantly. She wishes everyone would
just “leave me alone.” She says that sometimes she doesn't feel like getting
up in the morning to go to school. She tearfully says, “I'm just tired of
everything. I don’t even know if I really even want to be a pharmacist.” She
wants to know how much of what she tells you will be told to her mother who
is paying for therapy. The Social Worker is working with Lillian alone, using a
primarily Cognitive-behavioral approach. Which interventions would be MOST
effective in the middle stage of treatment?
The main issues for Lillian are:
Substance Abuse
Depression
Career issues
Possibly relationship with Mom
The chunks we want in our Answer are:
Interventions
Middle Stage (about creating lasting change)
Appropriate for Lillian, and most importantly, dealing with the
important issues
Which interventions would be MOST effective in the middle stage of treatment
(CBT)?
Rephrase as: What interventions would help Lillian create lasting change
around her substance abuse, depression and career issues (CBT preferred by
not necessary)?
A.
Helping Lillian articulate her thoughts about school and identifying triggers for
relapse
B.
Helping Lillian articulate her thoughts about her career choice and referring her
to a 12 step program
C.
Developing a self-affirming inner dialogue and helping Lillian articulate her
thoughts about school
D.
Rehearsing self-defining statements and developing a self-affirming inner
dialogue
All of the Elements are Interventions and nothing is inappropriate for
Lillian, so look for Elements that are not Middle Stage.
However, remember what is most important in this case.
What interventions would help Lillian create lasting change around her substance
abuse, depression and career issues (CBT preferred by not necessary)?
A.
Helping Lillian articulate her thoughts about school
and identifying triggers for relapse
Okay
Middle Stage
B.
Helping Lillian articulate her thoughts about her career choice
and referring her to a 12 step program
C.
Developing a self-affirming inner dialogue
and helping Lillian articulate her thoughts about school
D.
Okay
Early Stage
Does not deal with the
substance abuse
Rehearsing self-defining statements
and developing a self-affirming inner dialogue
Does not deal with the
substance abuse
QUESTION 35
Which interventions would be MOST effective in the middle stage of treatment?
A.
Helping Lillian articulate her thoughts about school and identifying triggers
for relapse
QUESTION 37
Leslie and JoAnne are working on their relationship in couple’s counseling. Leslie
states that she expects JoAnne to pay more attention to her when she is upset,
but JoAnne feels that Leslie acts “clingy” and feels that her requests are
“intrusive.” JoAnne describes Leslie as a “drama queen,” and wishes that she
was more self-reliant. JoAnne describes her relationship history as being one
that is “pretty happy,” and that she grew up in a home where her parents’
marriage was “pretty good.” She says that she doesn’t understand why things
have to be so difficult with Leslie. The underlying assumption of therapy with
this couple is:
A. They lack communication skills that are necessary to achieve true intimacy.
B. Societal pressures and prejudice influence their expectations and
experiences of intimacy which are being reflected in their relationship
difficulties at this level.
C. They are subject to enactment of parental introjects and are projecting their
expectations and outlooks onto each other.
D. As a lesbian couple, their experience of power sharing, communication and
compromise is influenced by unconscious gender role expectations.
STRATEGY: Translation, Rephrase the Question, Eliminate Bad Answers
Step 1: Rephrase the Question
The underlying assumption of therapy with this couple is:
Can be rephrased as:
What is a deeper explanation for the problem here?
Step 2: Eliminate Bad Answers
A.
B.
C.
D.
They lack communication skills that are necessary to achieve true intimacy.
Societal pressures and prejudice influence their expectations and
experiences of intimacy which are being reflected in their relationship
difficulties at this level.
They are subject to enactment of parental introjects and are projecting their
expectations and outlooks onto each other.
As a lesbian couple, their experience of power sharing, communication
and compromise is influenced by unconscious gender role
expectations.
Step 3: Compare the Answers
QUESTION 37
Leslie and JoAnne are working on their relationship in couple’s counseling. Leslie
states that she expects JoAnne to pay more attention to her when she is upset,
but JoAnne feels that Leslie acts “clingy” and feels that her requests are
“intrusive.” JoAnne describes Leslie as a “drama queen,” and wishes that she
was more self-reliant. JoAnne describes her relationship history as being one
that is “pretty happy,” and that she grew up in a home where her parents’
marriage was “pretty good.” She says that she doesn’t understand why things
have to be so difficult with Leslie. What is a deeper explanation for the
problem here?
A.
They lack communication skills that are necessary to achieve true
intimacy.
C.
They are subject to enactment of parental introjects and are projecting
QUESTION 37
The underlying assumption of therapy with this couple is:
C.
They are subject to enactment of parental introjects and are projecting their
expectations and outlooks onto each other.
QUESTION 38
A social work agency is tasked to provide services to a population within a
“catchment” area that encompasses two rural towns. The service to be provided
is to ensure that families are provided with supportive services such as parenting
aid, financial advice and services to reduce homelessness. If a bureaucratic
model of management is used, the agency will have:
A.
Clearly defined rules and a horizontal hierarchy of responsibility, power and
task specific division of labor.
B.
Clearly defined rules and a vertical hierarchy of responsibility and power
where jurisdictions are fixed.
C.
Maintenance of a central system of records.
D.
A “flat” administrative structure where employees have substantial authority
to create solutions and policies on an issue-by-issue basis.
STRATEGY: Eliminate Bad Answers, What’s Different?
Step 1: Eliminate Bad Answers
If a bureaucratic model of management is used, the agency will have:
A.
Clearly defined rules and a horizontal hierarchy of responsibility, power and
task specific division of labor.
B.
Clearly defined rules and a vertical hierarchy of responsibility and power
where jurisdictions are fixed.
C.
Maintenance of a central system of records.
D.
A “flat” administrative structure where employees have substantial
authority to create solutions and policies on an issue-by-issue basis.
Step 2: What’s Different?
1) Set aside what is the Same
If a bureaucratic model of management is used, the agency will have:
A.
Clearly defined rules and a horizontal hierarchy of responsibility, power
and task specific division of labor.
B.
Clearly defined rules and a vertical hierarchy of responsibility and
power where jurisdictions are fixed.
Step 2: What’s Different
1) Set aside what is the Same
2) Compare what is Different
If a bureaucratic model of management is used, the agency will have:
A.
Clearly defined rules and a horizontal hierarchy of responsibility, power
and task specific division of labor.
B.
Clearly defined rules and a vertical hierarchy of responsibility and power
where jurisdictions are fixed.
QUESTION 38
If a bureaucratic model of management is used, the agency will have:
B.
Clearly defined rules and a vertical hierarchy of responsibility and power
where jurisdictions are fixed.
QUESTION 39
Play therapy with sexually abused children has the goal of:
A.
Allow opportunity for normal free play and developmental expression
B.
Work through developmental blockages and modify maladaptive
coping mechanisms
C.
Allow a restorative relationship to occur with the therapist and work
through developmental blockages
D.
Process trauma and allow opportunity for normal free play
STRATEGY: Key Words, Multi-Element Answer Strategy,
Unique Items, What’s Different?
Step 1: Eliminate Bad Answers
QUESTION 39
Play therapy with sexually abused children has the goal of:
A.
Allow opportunity for normal free play and developmental
expression
B.
Work through developmental blockages and modify maladaptive
coping mechanisms
C.
Allow a restorative relationship to occur with the therapist and work
through developmental blockages
D.
Process trauma and allow opportunity for normal free play
Step 2: What’s Different
1) Set aside what is the Same
QUESTION 39
Play therapy with sexually abused children has the goal of:
A.
Allow opportunity for normal free play and developmental expression
B.
Work through developmental blockages and modify maladaptive
coping mechanisms
C.
Allow a restorative relationship to occur with the therapist and work
through developmental blockages
D.
Process trauma and allow opportunity for normal free play
Step 2: What’s Different
1) Set aside what is the Same
2) Compare what is Different
QUESTION 39
Play therapy with sexually abused children has the goal of:
A.
Allow opportunity for normal free play and developmental expression
B.
Work through developmental blockages and modify maladaptive
coping mechanisms
C.
Allow a restorative relationship to occur with the therapist and
work through developmental blockages
D.
Process trauma and allow opportunity for normal free play
Step 2: What’s Different
1) Set aside what is the Same
2) Compare what is Different
QUESTION 39
Play therapy with sexually abused children has the goal of:
B.
Work through developmental blockages and modify maladaptive coping
mechanisms
QUESTION 40
The Social Worker is working with a family with eight children that is
undergoing a divorce. She refers them to a divorce support group that
provides services to each parent (in separate groups) and has groups for the
children. This is an example of:
A.
Micro level service
B.
Macro level service
C.
Mezzo level service
D.
An indirect practice activity
STRATEGY: Eliminate Bad Answers
QUESTION 40
The Social Worker is working with a family with eight children that is
undergoing a divorce. She refers them to a divorce support group that
provides services to each parent (in separate groups) and has groups for the
children. This is an example of:
C.
Mezzo level service
QUESTION 41
A client has been working in individual therapy for several months on sexual
abuse issues, and has made a great deal of progress. What would be a
good NEXT step?
A.
Begin working toward termination
B.
Refer the client to a survivors group and continue individual work
C.
Refer the client to a survivors group that is led by an experienced
facilitator
D.
Teach thought stopping, relaxation and assertive communication skills
STRATEGY: Key Words, Eliminate Bad Answers, What’s Different?
Step 1: Eliminate Bad Answers
QUESTION 41
A client has been working in individual therapy for several months on sexual
abuse issues, and has made a great deal of progress. What would be a
good NEXT step?
A.
Begin working toward termination
B.
Refer the client to a survivors group and continue individual work
C.
Refer the client to a survivors group that is led by an experienced
facilitator
D.
Teach thought stopping, relaxation and assertive communication
skills
Step 2: What’s Different?
1) Set aside what is the Same
QUESTION 41
A client has been working in individual therapy for several months on sexual
abuse issues, and has made a great deal of progress. What would be a good
NEXT step?
A.
Begin working toward termination
B.
Refer the client to a survivors group and continue individual work
C.
Refer the client to a survivors group that is led by an experienced
facilitator
D.
Teach thought stopping, relaxation and assertive communication skills
Step 2: What’s Different?
1) Set aside what is the Same
2) Compare what is Different
QUESTION 41
A client has been working in individual therapy for several months on sexual
abuse issues, and has made a great deal of progress. What would be a good
NEXT step?
A.
Begin working toward termination
B.
Refer the client to a survivors group and continue individual work
C.
Refer the client to a survivors group that is led by an experienced
facilitator
D.
Teach thought stopping, relaxation and assertive communication skills
QUESTION 41
A client has been working in individual therapy for several months on sexual
abuse issues, and has made a great deal of progress. What would be a
good NEXT step?
B.
Refer the client to a survivors group and continue individual work
QUESTION 42
The Social Worker runs groups for children whose parents have been
divorced or are divorcing. Research has shown that divorce can have long
term damaging effects on children. What has the most potential for
damaging effects on the children?
A.
A boy whose father is intermittently absent before the divorce
B.
Parents fight over custody issues in front of children
C.
Mother leaves young children home alone frequently after the divorce
D.
Mother leaving the home after the divorce
STRATEGY: Safety First, Translation, Eliminate Bad Answers
QUESTION 42
What has the most potential for damaging effects on the children?
C.
Mother leaves young children home alone frequently after the divorce
QUESTION 43
An agency is recruiting social workers and other members of the helping
community for board positions. The social worker needs to know that the
primary difference between a private agency board of directors versus
a public agency board of directors is that:
A.
The private board has ultimate responsibility for the agency’s programs
and financial operations.
B.
In public agencies the board has purely an advisory role.
C.
In private agencies the board does not employ the executive director
and other top level administrators.
D.
In a public agency the board lends credibility to the agency in the public
eye.
STRATEGY: Eliminate Bad Answers
QUESTION 43
An agency is recruiting social workers and other members of the helping
community for board positions. The social worker needs to know that the
primary difference between a private agency board of directors versus
a public agency board of directors is that:
A.
The private board has ultimate responsibility for the agency’s programs
and financial operations.
True
B.
In public agencies the board has purely an advisory role.
C.
D.
False (too
extreme)
In private agencies the board does not employ the executive director
and other top level administrators.
False
In a public agency the board lends credibility to the agency in the public
eye.
True for
both
STRATEGY: Eliminate Bad Answers
QUESTION 43
An agency is recruiting social workers and other members of the helping
community for board positions. The social worker needs to know that the
primary difference between a private agency board of directors versus a
public agency board of directors is that:
A.
The private board has ultimate responsibility for the agency’s programs
and financial operations.
QUESTION 44
Means Testing” can best be defined as:
A.
A process used to evaluate a person’s eligibility to receive aid based
on their income and their expenses
B.
A process used to define the mean (average) on a given scale of test
C. A process used to evaluate a person’s eligibility to receive aid based
on their income, health, debts, dependents, etc.
D. A method to measure the central tendency in a distribution of scores
on a test where scores have been ordered from lowest to highest.
STRATEGY: Eliminate Bad Answers, What’s Different?
Step 1) Eliminate Bad Answers
QUESTION 44
Means Testing” can best be defined as:
A.
A process used to evaluate a person’s eligibility to receive aid based
on their income and their expenses
B.
A process used to define the mean (average) on a given scale of
test
C. A process used to evaluate a person’s eligibility to receive aid based
on their income, health, debts, dependents, etc.
D. A method to measure the central tendency in a distribution of
scores on a test where scores have been ordered from lowest to
highest.
Step 2) What’s Different?
1) Set aside what is the Same
QUESTION 44
Means Testing” can best be defined as:
A.
A process used to evaluate a person’s eligibility to receive aid
based on their income, and their expenses
B.
A process used to define the mean (average) on a given scale of test
C. A process used to evaluate a person’s eligibility to receive aid
based on their income, health, debts, dependents, etc.
D. A method to measure the central tendency in a distribution of scores
on a test where scores have been ordered from lowest to highest.
Step 2) What’s Different?
1) Set aside what is the Same
2) Focus on what is Different
QUESTION 44
Means Testing” can best be defined as:
A.
A process used to evaluate a person’s eligibility to receive aid based
on their income, and their expenses
B.
A process used to define the mean (average) on a given scale of test
C. A process used to evaluate a person’s eligibility to receive aid based
on their income, health, debts, dependents, etc.
D. A method to measure the central tendency in a distribution of scores
on a test where scores have been ordered from lowest to highest.
QUESTION 44
Means Testing” can best be defined as:
A.
A process used to evaluate a person’s eligibility to receive aid based
on their income, health, debts, dependents, etc.
Thank you for attending the
TEACHING
TEST TAKING STRATEGIES
Workshop!
AATBS
Association for Advanced Training
in the Behavioral Sciences