Wednesday, November 14, 2018

Quick Quiz: Ethics Fill-in-the-Blanks III

Next up in our tour through quizzified sections of the NASW Code of Ethics, 1.03, Informed Consent. Your task: summon, through memory and common sense deduction, the missing phrases from each paragraph. Aka, fill in the blank!

(a) Social workers should provide services to clients only in the context of a professional relationship based, when appropriate, on valid informed consent. Social workers should use clear and understandable language to inform clients of the___________ of the services, ___________related to the services, limits to services because of the requirements of a third-party payer, relevant costs, reasonable alternatives, clients' right to refuse or withdraw consent, and the time frame covered by the consent. Social workers should provide clients with an opportunity to ask questions. 

(b) In instances when clients are not literate or have difficulty understanding the primary language used in the practice setting, social workers should take steps to _____________________. This may include providing clients with a detailed verbal explanation or arranging for a qualified interpreter or translator whenever possible. 

(c) In instances when clients lack the capacity to provide informed consent, social workers should protect clients' interests by ________________________________________, informing clients consistent with the clients' level of understanding. In such instances social workers should seek to ensure that the third party acts in a manner consistent with clients' wishes and interests. Social workers should take reasonable steps to enhance such clients' ability to give informed consent. 

(d) In instances when clients are receiving services involuntarily, social workers should provide information about the nature and extent of services and about the extent of clients' right to _______________. 

This is not easy. Don't beat yourself up for not getting these. Instead, give yourself a pat on the back for attempting them. You've just reviewed the first part of the Informed Consent section of the Code of Ethics, material that is very likely to show up somewhere in the 170 questions on your social work licensing exam. Nice work!

For the answers, scroll down...………….

a1) purpose
a2) risks
b) ensure clients' comprehension
c) seeking permission from an appropriate third party
d) refuse service

Monday, October 8, 2018

Quick Quiz: Ethics Fill-in-the-Blanks II

How well do you know the NASW Code of Ethics? Let's test your knowledge.

Here's the bulk of section 1.09, Sexual Relationships. Minus the blanks. Your task: fill them.

(a) Social workers should ___________________ [when] engage in sexual activities, inappropriate sexual communications through the use of technology or in person, or sexual contact with current clients, whether such contact is consensual or forced.

(b) Social workers should not engage in sexual activities or sexual contact with clients' relatives or other individuals with whom clients maintain a close personal relationship when there is a risk of __________________________ [consequence]. 

(c) Social workers should not engage in ________________________ [behavior] with former clients because of the potential for harm to the client. If social workers engage in conduct contrary to this prohibition or claim that an exception to this prohibition is warranted because of extraordinary circumstances, it is social workers--not their clients--who assume the full burden of demonstrating that the former client has not been exploited, coerced, or manipulated, intentionally or unintentionally.

(d) Social workers should not provide ______________ to individuals with whom they have had a prior sexual relationship. Providing _______________ to a former sexual partner has the potential to be harmful to the individual and is likely to make it difficult for the social worker and individual to maintain appropriate professional boundaries.

What do you think?

It's not really your job to have every line of the Code of Ethics memorized. The idea here is to get you to think that little bit extra about what's in the Code and be that much more ready to pass the ASWB exam because of it. Done!

Scroll down for answers....

A. under no circumstances

B. exploitation or potential harm to the client

C. sexual activities or sexual contact

D. clinical services

Wednesday, October 3, 2018

Quick Quiz: Code of Ethics Fill-in-the-Blank

Here are the first four paragraphs of the Privacy and Confidentiality section of the NASW Code of Ethics, but with some crucial parts excised. Your task: Fill in the blanks. Don't expect to get exact phrasing--only those with photographic memories would come close. Just aim for the basic gist of each missing phrase.

(a) Social workers should respect clients' right to privacy. Social workers should not solicit private information from or about clients except for ________________________. Once private information is shared, standards of confidentiality apply.

(b) Social workers may disclose confidential information when appropriate with valid consent from ____________________________________________________________.

(c) Social workers should protect the confidentiality of all information obtained in the course of professional service, except for compelling professional reasons. The general expectation that social workers will keep information confidential does not apply when disclosure is necessary to prevent _______________________________________. In all instances, social workers should disclose the _______ amount of confidential information necessary to achieve the desired purpose; only information that is directly relevant to the purpose for which the disclosure is made should be revealed.

(d) Social workers should inform clients, to the extent possible, about the disclosure of confidential information and the potential consequences, when feasible _________ [time frame] the disclosure is made. This applies whether social workers disclose confidential information on the basis of a legal requirement or client consent.

How'd you do?

Find out by scrolling down for answers...

Will this be on the exam? The material, yes. But not in this form. Expect vignette questions that draw on crucial areas throughout the NASW Code of Ethics.

a) compelling professional reasons

b) a client or a person legally authorized to consent on behalf of a client

c1) serious, foreseeable, and imminent harm to a client or others

c2) least

d) before

Monday, October 1, 2018

Quick Quiz: Name That Diagnosis IV

Let's dig back into the DSM and get quizzing. All in the name of ASWB exam preparation. Your job: Name that diagnosis!

1. Intrusion symptoms, avoidance, and cognitive alterations following exposure to actual or threatened death, serious injury, or sexual violence.

2. In children, a consistent pattern of inhibited, emotionally withdrawn behavior, emotional and social disturbance following extremes of insufficient care.

3. Disruption of identity characterized by two or more distinct personality states with recurrent gaps in the recall of everyday events.

4. Falsification of physical or psychological signs or symptoms associated with identified deception.

5. Self-reported excessive sleepiness including lapses into sleep during the day, more than hours of nonrestorative sleep, or difficulty being awake after abrupt awakening.

Have answers for all of them?

The social work licensing exam, as we've stated before, doesn't generally include questions that are direct as these quiz questions. Expect vignettes more like the ones you see on practice tests (like the ones at SWTP). Still, it's great to know as much of the fact-based info that may appear on the exam as you can. That way, you'll be able to speed more quickly through any more simple questions and hopefully give yourself a little room to answer a lower percentage of the tricky, close-call vignette questions correctly. 

Good luck!

Answers below. Scroll down...……

1. Posttraumatic Stress Disorder

2. Reactive Attachment Disorder

3. Dissociative Identity Disorder

4. Factitious Disorder Imposed on Self  (Note: When symptoms are presented in another--by proxy--the diagnosis is Factitious Disorder Imposed on Another)

5. Hypersomnolence Disorder

Wednesday, September 12, 2018

Quick Quiz: Name That Diagnosis III

The biggest gimmes on the ASWB exam--quick, easy items that take no real though--are questions, increasingly rare, that lean on facts alone and not on synthesizing all parts of your social work knowledge. If you know your stuff, a simple DSM question is as easy as answering 1+1. This symptom for that length of time? Got it. 

So here's a quick quiz to help build your gimme muscles. Your job: Name That Diagnosis. Knock it out of the park!

1. Repeated voiding of urine into bed or clothes, whether voluntary or intentional after age five.

2. Fear or anxiety about social situations in which the individual is exposed to scrutiny by others.

3. Repeated regurgitating of food for at least one month. 

4. Excessive anxiety and worry about a number of events or activities.

5. Mood swings, irritability, depressed mood, and/or anxiety along with anhedonia, lethargy, concentration difficulties, appetite change, sleep problems, a sense of being overwhelmed, and/or physical symptoms in the final weeks before the onset of menses. 

What do you think? 

If you come across a question that reads something direct like, "A client describes excessive anxiety and worry about a number of events or activities. What is the BEST diagnosis for this client?" count yourself lucky, mark your answer, and move along. Most exam questions are as straightforward as that. Instead expect more difficulty--curveballs, sliders, and change-ups (for baseball fans). Baseball fan or not, to get better prepared for the licensing exam, get exposed to lots and lots of realistic practice questions like the ones at SWTP. You'll be glad you did come exam day.

Ready for the answers? Scroll down....

1. Enuresis 

2. Social Anxiety Disorder

3. Rumination Disorder

4. Generalized Anxiety Disorder

5. Premenstrual Dysphoric Disorder

Friday, August 24, 2018

Quick Quiz: Name That Diagnosis II

Back by popular demand, quick quiz help for your ASWB exam prep. Like electronic flash cards or a unusual game show. Below find a set of partial diagnostic criteria from throughout the DSM. Your task, should you accept it: Name That Diagnosis.

1. Low or absent desire for sex for six months or more, in men.

2. Intrusion symptoms, negative mood, dissociative, avoidance, or arousal symptoms between three days and one month after exposure to trauma.

3. A combination of depressed mood, anhedonia, appetite, sleep, and focus problems, restlessness, fatigue, and/or feelings of worthlessness almost every day for at least two weeks.

4. Frequent angry, unplanned, and outsized outbursts after age six.

5. High level of stress in connection with physical symptoms which have no apparent medical explanation.

What do you think?

This set is a little easier than the ones from Name That Diagnosis I, but you still need to have a good handle on the DSM to people answer these without some wild guesses. If the ASWB exam were made up of questions like these, it'd be pretty easy to prepare for. You'd just memorize and ton of content and you'd be set. The actual exam contains vignette questions which combine memorizable content with close-call, real-world social work situations. Prepping for those is trickier. For most, taking lots and lots of practice tests is the best way to prepare. But as you're doing those, come back here. This kind of mental weightlifting is helpful too.

Good luck on the exam!

Scroll down for answers...

1. Male Hypoactive Sexual Desire Disorder

2. Acute Stress Disorder

3. Major Depressive Disorder

4. Intermittent Explosive Disorder

5. Somatic Symptom Disorder

Friday, August 3, 2018

Quick Quiz: Name That Diagnosis

Today, we're sort of a set of electronic flash cards--some more help passing the ASWB exam. Here are several sets of partial diagnostic criteria from throughout the DSM. Your job: Name That Diagnosis.

1. Pattern of behavior in which a child actively approaches and interacts with unfamiliar adults.

2. A repetitive and persistent pattern of violating the rights of others and societal norms, possibly including aggression, destruction of property, deceitfulness or theft, or the serious violation of rules.

3. Preoccupation with having or acquiring a serious illness without the presence of major somatic symptoms.

4. Pervasive pattern of grandiosity, need for admiration, and lack of empathy.

5. Numerous periods of hypomanic symptoms that do not meet criteria for a hypomanic episode and numerous periods with depressive symptoms that do not meet criteria for MDD.

What do you say?

These aren't easy. You may or may not encounter questions on the social work licensing exam covering non-routine DSM diagnoses. Even if you do, they aren't likely to be quite as simple as symptom, symptom, that diagnosis. You're far more likely to see questions that synthesize knowledge from various content areas--practice, theory, ethics, etc. Practice tests are the best way to get acclimated to those questions. And come back here for more of these!

The answers? They're just below--scroll down...

1. Disinhibited Social Engagement Disorder

2. Conduct Disorder

3. Illness Anxiety Disorder

4. Narcissistic Personality Disorder

5. Cyclothymic Disorder