Clinical Examination Sample
"Questions and Answers"
Q. The director of a large Mental Health Center is in need of information regarding specialized services needed by elderly in the community. You have been asked to develop a survey and collect data which captures demographic data on the elderly in the community. The best method for collecting the data is:
A. to mail survey to a randomly selected sample of elderly within the community.
B. to use phone for data collection from a randomly selected sample of elderly within the community.
C. to completed the survey when elderly clients are admitted for services.
D. to contact community programs known to be used the elderly population.
A. Key is B.
The best method is the phone. This will assure that a larger number of surveys will be completed. The use of mail for carrying out a survey project is good, but the return rate is low. Surveying only the elderly clients admitted for services limits the type and amount of information collected because data will be specific to the elderly who are seeking services from the Center. "Community programs" is a good options, but it limits responses only to those who participate in community programs.
Q. The Clinical Social Worker discovers that her client has money that he wishes to invest. The client would like to contribute to the Social Worker's plans to develop a neighborhood center. Perhaps his funds could supplement the Social Worker's salary or pay her insurance costs. The Social Work should:
A. accept the insurance support only.
B. accept both the salary supplement and the insurance support.
C. refer the client to a colleague and accept the insurance support.
D. explain to the client that it would be conflict of interest to accept the offer.
A. Key is D.
Business fraud is a growing area of concern. Fraud is wrong.
Q. Students of the human life cycle believe that:
A. most significant change has taken place by age 55.
B. periods of change are followed by periods of stability throughout life.
C. social roles have little impact on the aging process.
D. no matter what our age cohort, we experience issues of adult development at the same age.
A Key is B.
Most writers in this field see periods of change followed by static period when the change is incorporated into the personality.
Q. Which of the following statement is [MOST] correct?
A. The Hispanic community is homogenous.
B. The Hispanic community is heterogeneous.
C. The Hispanic community speaks only Spanish.
D. The Hispanic community in this country is primarily Cuban.
A. Key is B.
Cultural competence is an important issue. This is a straightforward question to see what you know about Hispanics. They are a varied group.
Q. Mr. J, is referred to the Social Worker after he is released from his first psychiatric hospitalization. His hospital admission occurred sometime after his return from a trip to Rome, where he had gone to give advice to the Pope. His family knew nothing of the trip until the bills arrived. A salesperson, Mr J. had called strangers in the early morning hours seeking sales. He was described as euphoric in mood, but his family reported that be became irrational when his wishes were thwarted. Mr. J. experienced a reduced need for sleep and was described as talking non-stop for long period of time. Based on the above information, which of the following DSMIV TR diagnoses seems most probable?
A. Major Depressive Disorder
B. Bipolar I Disorder, Most Recent Episode Mixed
C. Bipolar I Disorder, Single Manic Episode
D. Brief Psychotic Disorder
A. Key is C.
There are lots of clues for Bipolar Disorder, and it is clearly a manic episode. He is feeling great, but what about the people around him?
Q. A child, age 4, is brought to the community mental health clinic by her Foster Care Social Worker. The Foster Care Worker describes her former situation as being characterized by persistent disregard of the child's emotional needs for comfort, stimulation and affection. Her current behavior demonstrates indiscriminate sociability with marked inability to exhibit appropriate selective relationships. She is excessively familiar with relative strangers. Based on the above information which of the following DSMIV TR diagnoses seems most appropriate?
A. Separation Anxiety Disorder
B. Reaction Attachment Disorder, Inhibited type
C. Reaction Attachment Disorder, Disinhabited type
D. Attention-Deficit/Hyperactivity Disorder
A Key is C.
This child had problems with attachment related to her home situation (neglect of all sorts), and it is clear from her behavior that she is disinhibited (the excessive familiarity with strangers).
Q. The most stringent research design which controls for extraneous variables is
A. action research.
B. experimental research.
C. longitudinal research.
D. demographic research.
A Key is B.
Experimental research is designed to control variables which may influence the study's outcome. Social Worker researchers are aware of need to control experimental settings and implement a research methodology sensitive to the effects of the independent variable on the dependent variable.
Q. Attention Deficit/Hyperactivity Disorder is associated with
A. brain stem dysfunction.
B. hyperactivity in the frontal lobe.
C. central brain dysfunction.
D. hypoactivity in the frontal lobe.
A Key is D.
People not familiar with this disorder might select B because they associate the hyperactivity with the disorder and think that means that the brain is hyperactive. Wrong!
Q .The drug Depokate is often used to:
A. treat neurosis.
B. aid in sleeping.
C. treat mania.
D. treat learning disorders.
A. Key is C.
You have to know your medications, at least the major ones.
Q. Ms. H. has had a diagnosis of Dissociative Identity Disorder. Which of the following (brief) treatment plans would be [MOST] appropriate for her:
A. Goal- regain full memory;
Interventions- arrange for a medication, assist client in acceptance of connection between personalities and avoidance of facing emotional conflicts/issues, and develop and implement a reparative process for the client.
B. Goal - Alleviate mood and return to previous level of functioning;
Interventions - assess need for medication, monitor medication compliance, encourage insight into cause for feelings.
C. Goal- Resolve core conflict that is course of distressed feelings;
Intervention - retrain in adaptive cognitions, refer for medication consultation, utilize biofeedback and guided imagery.
D. Goal - Feel refreshed and energetic during working hours;
Interventions- probe fears relating to letting go of control, explore possible abuse that has not been revealed, assess role of depression.
A. Key is A.
A treatment plan that includes medication and regaining of Memory speaks to the Dissociative diagnosis.