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Social Work Licensing Clinical Practice Test, 2nd Ed. questions and answers 2025.
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Social Work Licensing Clinical Practice Test, 2nd Ed. questions and answers 2025.
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Social Work Licensing ClinicalPractice Test, 2nd Ed.
questions and answers 2025
When clients have co-occurring mental health and Substance Use
Disorders, which statement best describes the appropriateness of taking
psychotropic medications?
A) Psychotropic medications should never be taken for co-occurring
disorders as they are contraindicated.
B) Psychotropic medications can only be prescribed if clients understand
the side effects.
C) Psychotropic medications are part of accepted treatment protocols for
co-occurring disorders.
D) Psychotropic medications have not been adequately studied in clients
with co-occurring disorders, making their appropriateness questionable. -
answer Correct Answer: C
Rationale
Clients with mental health disorders are more likely than clients without
mental health disorders to experience an alcohol or substance use
disorder. Co-occurring disorders can be difficult to diagnose due to the
complexity of symptoms, as both may vary in severity. In many cases,
clients may receive treatment for one disorder while the other disorder
remains untreated. This may occur because both mental and Substance
Use Disorders can have biological, psychological, and social components.
Other reasons may be inadequate training or screening by service
providers, an overlap of symptoms, or that other health issues need to be
addressed first. In any case, the consequences of undiagnosed, untreated,
or undertreated co-occurring disorders can lead to a higher likelihood of
experiencing homelessness, incarceration, medical illnesses, suicide, or
even early death.
,Clients with co-occurring disorders are best served through integrated
treatment. With integrated treatment, social workers can address mental
and Substance Use Disorders at the same time, often lowering costs and
creating better outcomes. Increasing awareness and building capacity in
service systems are important in helping identify and treat co-occurring
disorders. Early detection and treatment can improve treatment outcomes
and the quality of life for those who need these services.
Prescribed medications play a key role in the treatment of co-occurring
disorders. They can reduce symptoms and prevent relapses of a
psychiatric disorder. Medications can also help clients minimize cravings
and maintain abstinence from addictive substances.
In order to get the most out of medication, clients must make an informed
choice about taking medications and understand the potential benefits
and costs associated with medication use. In additi
During an assessment, a social worker learns that a couple spends little
time apart despite having problems which have caused them to seek
treatment. The wife feels lonely when her husband travels for work as she
has few friends outside the marriage. The husband states that he is
"smothered," but gets jealous easily, causing him to contact his wife
frequently throughout the day. The husband reports that he is often
unhappy as his wife seems miserable, while the wife states that she is
frustrated as she is just trying to find ways to make her husband more
content. In order to address the problem, treatment should focus on:
A) Assisting the wife to develop a stronger sense of self-worth in the
marriage
B) Finding out more about past intimate relationships of both the husband
and wife
C) Helping the husband and wife to better understand each other's
feelings
D) Differentiating roles and boundaries for the husband an - answer
Correct Answer: D
,Rationale
Clients engaged in enmeshed interpersonal relationships are nearly
always the last to know. Often social workers work with adult children who
are recovering from the pain and confusion caused by enmeshed
relationships with parents.
There are many signs of enmeshed relationships including:
Neglecting other relationships because of an obsession or concern about
one relationship Happiness contingent upon a relationship Self-esteem
contingent upon a relationship
Excessive anxiety, fear, or a compulsion to fix the problem whenever there
is a disagreement in a relationship
Feeling of loneliness that overwhelms when not with the other person—
often creating irrational desires to reconnect
Symbiotic emotional connections which result in an individual becoming
angry, upset, or depressed when another person is angry, upset, or
depressed Strong desire to fix another person's situation and change
his/her state of mind
When relationships are enmeshed, they are no longer able to grow. Social
workers must work to establish healthy boundaries and respect for
autonomous choices. This process can be painful for clients.
Test-Taking Strategies Applied
In order to select the correct answer, social workers must first diagnose
the problem. The feelings and behaviors of the couple are indicative of
enmeshment. Once the cause of the problem is known, the question can
be simplified to picking out the treatment focus when working with
enmeshed relationships. The wife is not the client as the couple sought
treatment, so focusing on the wife's self-worth will not address the
problem. Finding out more about past intimate relationships is an
assessment—not a treatment—task. Understanding each other's feelings
will not help each person develop boundaries and differentiate from one
another, which is the root of the issue
When is family therapy best introduced in the treatment of clients with
Substance Use Disorders?
, A)Concurrently with clients' acknowledgements that substance use
problems exist
B) When there is a recognition by clients that there is family dysfunction
C) Immediately after clients complete detoxification
D) Once clients are stable in their new patterns of behavior - answer
Correct Answer: D
Rationale
Family therapy is based on the idea that a family is a system of different
parts. A change in any part of the system will trigger changes in all the
other parts, so when one member of a family is affected by a Substance
Use Disorder, everyone is affected. As a result, family dynamics can
change in unhealthy ways. Some family members may take on too much
responsibility, other family members may act out, and some may just shut
down. Often a family remains stuck in unhealthy patterns even after the
family member with the behavioral health disorder moves into recovery.
Even in the best circumstances, families can find it hard to adjust to the
person in their midst who is recovering, who is behaving differently than
before, and who needs support. Family therapy can help the family as a
whole recover and heal. Family therapy is typically introduced after the
individual in treatment for addiction has made progress in recovery. This
could be a few months after treatment starts, or a year or more later.
Timing is important because people new to recovery have a lot to do. They
are working to remain stable in their new patterns of behavior and ways of
thinking. They are just beginning to face the many changes they must
make to stay mentally healthy, as well as remain clean or sober. They are
learning such things as how to deal with urges to fall into old patterns,
how to resist triggers and cravings, and how to avoid temptations to
rationalize and make excuses. For them to explore family issues at the
same time can be too much. It can potentially contribute to relapse.
Family therapy tends to be most helpful once the person in treatment is
fully committed to the recovery process and is ready to make more
changes.
Test-Taking Strategies Applied
Social workers must understand family roles in addiction
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