Therapist Development Center Practice Exam 1
A hospital emergency room social worker meets with a 45-year-old man who recently
immigrated from Mexico and has been experiencing severe panic attacks and anxiety.
When the social worker approaches him, he says that he does not need any mental
health treatment and that she can leave. The MOST likely explanation for his behavior
is:
A. His preference for seeking treatment from a curandero.
B. His denial that he has a mental health problem.
C. The negative cultural response associated with mental health treatment.
D. A miscommunication due to a language barrier.
Rationale: C is the best answer because many cultures associate stigma with mental
health treatment. A is not the best answer because it makes an assumption that is not
indicated by the information in the stem. B may be true, but is not as likely as C. D is not
the best answer since the stem gives no indication that there is a language barrier
between the client and social worker.
A group of adolescents with behavioral problems has been court-ordered to attend a
group treatment with a social worker. One of the adolescents has taken over the group
and tries to intimidate the other members. He often talks about various crimes he has
committed and says that his older brother, who is in prison, would be proud. What
should the social worker do?
A. Encourage group members to share their feelings about the member's comment
B. Confront the informal leader about his behavior and challenge him to find
alternatives.
C. Allow the group to proceed without intervening.
D. Model an accepting stance to the group members.
Rationale: A is the best answer because it utilizes an intervention that both empowers
group members to express their feelings and communicates the social worker's
professional leadership. B is not the best answer because it focuses on an individual
and not group process. C is not the best answer because it avoids all intervention; D is
not the best answer because it allows the group member to continue in an inappropriate
leadership role.
A social worker is assessing a 2-year-old foster child. The social worker notes that the
child cries when the caregiver leaves the room and upon the caregiver's return the child
is unable to be soothed. What theory is guiding the social worker's assessment?
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