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Professionalism
Covers professionalism relates to the LMSW Exam.
| Term | Definition |
|---|---|
| Motivational Interviewing | A patient-centered counseling approach used to increase a patient's motivation to change among patients not ready to change. |
| Open ended questions Affirmations Reflective Listening Summaries | These are four important pieces to communication used in motivational interviewing. (Hint: OARS) |
| Open ended questions | In this type of questioning the client is invited to go beyond one-word answers and be actively engaged in the therapeutic process. |
| Summaries | This is a form of reflective listening that allows for feedback of a bigger picture of the client situation as it is understood by the practitioner in a session, giving space for the client to further clarify and gain insights. |
| Non Voluntary | The following are ways to engage what type of clients? First, name the circumstance under which the meeting occurs. Second, validate legitimate concerns. Third, identify the non-negotiable portions of the intervention. Fourth, identify what is and is |
| Precontemplation Stage | This is the first stage of change and it is marked by the individual not even considering a change in their situation. At this time they often deny they have a problem or may have had multiple unsuccessful attempts in the past leading them to give up furt |
| Contemplation | This is the second stage of change and it is marked by ambivalence toward change. At this time, the individual is considering costs and barriers to change. |
| Preparation | This is the third stage of change and it is marked by a time in which the individual is experimenting with small changes, considering what it will be like when full change occurs. |
| Action | This is the fourth stage of change and it is marked by the person taking definitive steps to alter the behavior. |
| Maintenance | This is the last stage of change and it is marked by the individual working to maintain the new behaviors over the long-term, preventing a return to using substances and embracing new and healthy habits. |
| Close Ended Questions | These types of questions are those in which the responder is asked for specific, discrete information, such as identifying information or in which the responder is asked to select from among a select group of answers, such as identifying race. |
| Scaling Questions | These types of questions are used to track differences and progress in the client. |
| Interview Stages | The following collectively make up what? 1. Accentuate the positive (but be aware of the negative) 2. Be careful of only seeking war stories 3. Be careful of rescuing (not letting the client "feel bad") 4. If the therapist avoids hard issues, so will |
| Attending | Paying attention to someone's words well enough to understand what that person is trying to communicate. |
| Paraphrasing | Putting into words the ideas or feelings you have perceived from the message so the client sees that you are in fact listening and trying to comprehend what they are saying. |
| Reflecting | This involves restating the effective section of the client's message with the goal being to demonstrate emotional awareness of the content so that the client feels understood by the counselor. |
| Clarifying | Active listening technique of asking questions that invite the speaker to offer more specific information about statements being made, examples to illustrate the intended meaning, or definitions of terms and ideas. |
| Leading | A response method used by counselors whereby the counselor encourages the client to discuss a specific aspect of himself/herself or an experience by directly or indirectly inviting a verbal response. |
| Summarizing | Effective method for responding to a client by connecting several topics and feelings that should center on the themes that the client mentions more than once, connecting several components of a message or calling attention to a familiar theme from multip |
| Supporting | This is used to demonstrate that the counselor has listened to what the client has said and does not believe the thoughts, feelings or behaviors to be odd. |
| Confronting | A conflict-resolution technique that is also known as problem solving. This is the best way to resolve conflicts and involves fact finding to bear out the solution. It reveals discrepancies in a client's message. |
| Interpreting | This deals with the implicit components of a client's statement by seeking to describe what you think the client means. |
| Instructing | This is designed to enable the client to identify behaviors suitable for certain circumstances. Useful for situations when a client is striving to meet a goal or when a client needs to learn an adaptive reaction, which can sometimes be effectively achieve |
| Contracting | The giving of assigned tasks to the client that have been practiced in the sessions to increase follow through outside of the sessions. |
| Defense Mechanism | This is an unconscious effort or strategy to alter conditions perceived as painful. |
| Denial | Defense mechanism by which people refuse to accept reality. |
| Distortion | Defense mechanism by which people alter the perception of upsetting reality to be more acceptable. |
| Delusional Projection | Defense mechanism by which people have delusions about external reality, usually of persecutory nature. |
| Fantasy | Defense mechanism by which one turns to one's imagination or dream life to solve internal and external conflicts. |
| Projection | Defense mechanism by which people attribute their own undesirable traits to others. |
| Hypochondriasis | Defense mechanism by which people repeatedly ask for help regarding a complaint but refuse the help offered. |
| Passive Aggression | Defense mechanism by which people use an indirect expression of aggression that is delivered in a way that allows the sender to maintain a façade of kindness. |
| Acting Out | Defense mechanism by which the individual copes with stress by engaging in actions rather than reflecting upon internal feelings. |
| Intellectualization | Defense mechanism by which people objectify ideas from the accompanying emotions. |
| Repression | Defense mechanism by which anxiety-provoking thoughts and feelings are forced to the unconscious. |
| Reaction Formation | Defense mechanism by which people behave in a way opposite to what their true but anxiety-provoking feelings would dictate. |
| Displacement | Defense mechanism by which people divert sexual or aggressive feelings for one person onto another person. |
| Dissociation | Defense mechanism by which people step out of one's self in a deeply emotional or traumatic situation to avoid the intensity of the present. |
| Sublimation | Defense mechanism by which people redirect socially unacceptable impulses toward acceptable goals. |
| Altruism | Defense mechanism by which people show a display of genuine and unselfish concern for the welfare of others |
| Suppression | Defense mechanism by which people voluntarily deny unpleasant thoughts and feelings |
| Anticipation | Defense mechanism by which people make realistic plans for meeting future needs. |
| Humor | Defense mechanism by which people call attention to iconic elements of an otherwise difficult situation. |
| Professionalism | This is a commitment on the part of the professional social worker who builds a career in the field. |
| Ethics | Social work licensure requires different numbers of hours in each state and per type of license, but all have some form of _____________ requirements. |
| True | True or false? It is ethically acceptable to use a phone for crisis situations. |
| Computer | The following are ways to keep which electronic device secure?Do not permit unauthorized access to patient information Retain a record of communications to and from the system Prevent alterations in or loss of data entered Wire your system with back up |
| Confidentiality | This is a significant ongoing ethical issue that derives from ethical principles of autonomy. |
| Consult someone more experienced | A therapist who cannot decide whether or not a specific instance requires a breach in confidentiality should........ |
| Involving Family Welfare of the Client | When minors are involved, two different ethics must be weighed in the decision making process. What are they? |
| At the Beginning | When should clients be given information on confidentiality and the instances when it must be breached? |
| Exceptions to Confidentiality | Clients should be informed this in writing and to their level of understanding. |
| Disclose Information | The following are examples of when it is permissible to do what? Suicidality Homicidality Suspected harm to children Subpoenas Decompensation Intent to infect another person with AIDS without the other knowing of the infection |
| Breach confidentiality Refuse to testify in court | The following are examples of when it is permissible to do what 2 things? Child abuse reporting Duty to warn Privilege Appropriate standard of care Dual relationship Secret policies (contracts on sharing information) |
| Tarasoff V The Regents of the University of California | This case set in motion "duty to warn" and is mandated by law when a person has informed a professional of the intent to harm another person. |
| Outcomes Management | This is an effective method of controlling costs and improving patient outcomes. |
| Variance Tracking | This is the comparison of the care delivered with the expected plan and the identification of reasons why the care differed. |
| Public Agencies | These types of agencies are mandated by law to provide income maintenance or other tangible goods and services. |
| Non Profit Agencies | These types of agencies are non-governmental, operating under specific legal guidelines regarding financial issues. |
| Proprietary Agencies | These types of agencies are non-governmental, providing social services with profit motive (commonly called for-profit agencies). |
| Self Help Agencies | These types of agencies are voluntary or mutual aid groups. |
| Service Delivery Models | The following are all __________ ___________ ___________. Social Competency Social Change Medical/Clinical Educational Ecological |
| Engagement Assessment Planning Implementation Evaluation | Name the 5 steps of service delivery. |
| Methods of advocacy | The following are __________ ____ ______________. Policy Development Group Advocacy Individual and Family Advocacy Message-Based Relationship-Based Media-Based |
| Advocacy | This is the heart of social work practice. |
| Political Advocacy | This type of advocacy works to set a specific agenda in a target political system. |
| Mass Advocacy | This type of advocacy involves the organization of large groups into actions through the use of mechanisms such as petitions, rallies or organized demonstrations. |
| Legislative Advocacy | This type of advocacy is a push toward using governmental mechanisms on the state and federal levels to set policy and create changes from a centralist perspective. |
| Media Advocacy | This type of advocacy is the targeted use of media resources (television, print, internet, radio) to advance a policy agenda or strategy. |
| Budgetary Advocacy | This type of advocacy is the use of the budgeting process to ensure effective participation of society and government in attaining cultural, social and economic rights for citizens, promoting good governance. |
| Action Plan | This will involve significant planning around gathering data and developing a campaign for disseminating the information in a way that is effective and impacts the community so the community desires to be involved. |
| Inner Circle | This is a group from which decisions are made and the direction of the movement is decided. |
| Outer Circle | This is the target group that is being engaged. |
| Middle Circle | This is a group of volunteers that are recruited, often called "converts," who may already be involved in some way or whose values are closely aligned. |
| Radical Advocacy | This type of advocacy includes violent acts and threats. |
| Non Profit Agencies | These types of entities must compete for funds from individuals, businesses, grants and other private or public funding streams, under fierce competition with entitles who have full choice in terms of where their dollars are placed. |
| For Profit Agencies | These types of entities can rely on issuance of stocks and bonds. |
| Non Profit Agencies | The key aspect of these types of entities is that managers must work to justify the organization's existence. |
| Non Profit Agencies | The following are characteristics of what type of agency? Lower labor cost Tax exemption Lower postal rates Lower debt costs Grants & Charitable giving Donated equipment |
| Program Budget | This type of budget involves division of total fiscal year costs by the number of outcomes, giving a cost per outcome. |
| Line Item Budget | This type of budget is simple in form and easy to view overall expenses and income. The difficulty is there is no distinction between expenses and income as related to specific programs or how the programs are progressing toward their goals and objectives |
| Support Service Budget | This type of budget includes expenditures that must be present to administer the organization's services or those activities involved in raising funds for the organization. |
| Operating Budget | This type of budget includes both cost per outcomes by program and administrative costs. |
| Performance Budget | This type of budget demonstrates the relationship between agency expenses and units of service within programs and offers information on productivity and level of efficiency, useful to both funders and administrators. |
| Zero based Budget | This type of budget works from the basis that each program begins and ends each year with no dollars for each item. This perspective requires administrators and managers to determine theu sefulness and relevance of each activity and unit of service. Each |
| Theory X | Also referred to as authoritarian management, the assumptions of this theory center on the belief that the average individual has a fundamental distaste for work and will do anything to avoid it if possible. It supposes that the average individual prefers |
| Theory Y | Also referred to as a participative management, this theory centers on the assumption that physical and mental efforts in the workplace come as naturally to an individual as play or rest. The individual is believed to have an increased commitment to the o |
| Motivation Hygiene Theory | Herzberg's Two factor theory based on the idea that satisfaction and dissatisfaction are caused by separate sets of factors. It believes that people are typically satisfied with their work if they believe they are making an important difference, are respe |
| Adjunct services | If the LMSW exam presents a client who does not need therapy, that client will need........ |
| Adjunct Services | The following are all examples of ___________ _________. Self-development Personal growth Peer support Living accommodations Medical and psychological services Other health-related services Organizations for socialization Other professional servic |
| Adjunct Services | If Axis IV indicates the client has a need for services to aid function and reduce psychosocial stressors, then ____________ ____________ are key. |
| CHAMPUS | This is a type of insurance used for military personnel. |
| Medicare | This is health insurance for the aged and disabled and is administered by the Center for Medicare Services (CMS). |
| Prospective Basis | (Title IX 9 of the Social Security Act, Balanced Budget Act) which changed Medicare to a ____________________ _________. |
| Hospital insurance | Part A of Medicare is characterized by what type of insurance? |
| Medicaid | This was brought into effect by Title XIX 19 of the Social Security Act, provides medical assistance for uninsured children, low-income population members, the disabled and the elderly, as well as a large portion of long-term nursing-home care recipients. |
| Federal and State | Medicaid is funded by what two entities? |
| Medicare | This does NOT provide for long term custodial care. |
| Medicaid | This does provide for long term custodial care. |
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