A 28-year-old man is brought to an outpatient clinic by his family, who report that for the past eight months he has been hearing voices, socially withdrawn, and unable to hold a job. A medical workup is negative. The most accurate DSM-5-TR diagnosis is:

During supervision, a supervisee who recently started working with a difficult, passive-aggressive client begins responding to the supervisor in the same passive-aggressive manner. This phenomenon is best described as:

A client who has been taking phenelzine (a MAOI) for three weeks calls the clinic reporting a pounding headache, stiff neck, and extremely high blood pressure after eating at a restaurant. The social worker should recognize this as:

A 45-year-old client with Major Depressive Disorder abruptly stops taking their prescribed SSRI medication (Paroxetine) because they felt better. Two days later, they report ‘brain zaps,’ dizziness, lethargy, and nausea. This presentation is indicative of:

A clinical social worker is asked to provide therapy to a child involved in a contentious custody dispute. The mother’s attorney later subpoenas the social worker to testify as an expert witness regarding which parent should receive full custody. The social worker should:

A 10-year-old child frequently loses his temper, argues with adults, actively defies rules, and deliberately annoys others. He blames others for his mistakes but does not engage in physical cruelty to animals, destruction of property, or theft. The most appropriate diagnosis is:

In Bowenian Family Systems Therapy, when a two-person system experiences anxiety and draws in a third person to reduce the tension, this process is known as:

A social worker is conducting an assessment of a 6-year-old girl. Which of the following is considered a behavioral indicator of possible child sexual abuse?

A client with Schizophrenia has been prescribed an atypical (second-generation) antipsychotic (e.g., Olanzapine). The clinical social worker should ensure the client is being monitored by their physician primarily for:

A 5-year-old boy shows deficits in social communication, fails to initiate or respond to social interactions, and has poor eye contact. He also insists on eating the exact same foods daily, lines up his toys precisely, and becomes highly distressed at minor changes in routine. The diagnosis is:

A social worker utilizing Narrative Therapy helps a client separate their identity from their problem by saying, ‘When does the Depression try to convince you that you are worthless?’ This technique is known as:

A client discloses to their clinical social worker that they recently committed an unsolved armed robbery. No one was physically injured during the robbery. According to the NASW Code of Ethics, the social worker should:

A client presents to the emergency room with severe abdominal pain. After extensive medical testing, no physiological cause is found. The treatment team discovers the client has been secretly ingesting a substance to induce the symptoms in order to receive medical attention and be admitted to the hospital, without any external financial or legal incentive. The diagnosis is:

An 80-year-old hospital patient with a history of mild cognitive impairment suddenly becomes highly disoriented, agitated, and experiences fluctuating levels of consciousness over the course of a few hours. The most likely diagnosis is:

In Dialectical Behavior Therapy (DBT), the concept of ‘Radical Acceptance’ means:

A social worker begins to feel intense frustration and anger toward a client who constantly complains but rejects all suggestions. The social worker realizes these feelings are identical to how she felt toward her critical mother. This is an example of:

Under the Tarasoff ruling (duty to warn/protect), which of the following scenarios REQUIRES the social worker to breach confidentiality?

A client who has been taking high doses of alprazolam (Xanax) daily for three years abruptly stops taking the medication. The social worker should be immediately concerned about the risk of:

A 30-year-old client has a history of Major Depressive episodes. However, for the past two months, they have experienced auditory hallucinations and severe paranoia. These psychotic symptoms have persisted even during a recent three-week period when their mood was completely normal and not depressed. The most appropriate diagnosis is:

In Motivational Interviewing, when a client expresses ambivalence about changing a behavior (e.g., quitting smoking), the social worker’s primary role is to: