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Fetal Alcohol Disorder Treatment for Social Workers

Prevention of Alcohol-Exposed Pregnancies Among Women of Childbearing Age

1. Although there is no known safe level of alcohol consumption during pregnancy, low levels of prenatal alcohol exposure have not been shown to negatively impact a fetus.

A. True

B. False


2. All of the following are personal / sexual / family risk factors for an AEP, except for:

A. Previous birth to a child with FASD.

B. Family background of alcohol use.

C. Partner substance use / abuse.

D. Lack of education, income, and/or access to care.


3. Brief interventions are associated with sustained reduction in alcohol consumption by women of childbearing age.

A. True

B. False


4. Which of the following is a basic strategy to discuss with a client?

A. What specific steps the client will take.

B. How drinking will be tracked.

C. How the patient will manage high-risk situations.

D. All of the above.


5. Selective and indicated prevention services should be delivered by someone with motivational interviewing skills if at all possible.

A. True

B. False


6. A patient saying, “I can’t change; I’ve tried.” is an example of:

A. Resistance

B. Reluctance

C. Resign

D. Rationalization


7. The target population for Project CHOICES are all of the following, except:

A. Women ages 18 to 44 years.

B. Women who are sexually active.

C. Women who are pregnant.

D. Women who drink alcohol at risk levels.


8. The Parent-Child Assistance Program model is based in:

A. Relational Theory

B. The Stages of Change

C. Harm reduction

D. All of the above


9. Case management is provided at least twice monthly for up to 1 year following initial entry into the Parent-Child Assistance Program.

A. True

B. False


10. Research has identified intergenerational FASD as a pattern.

A. True

B. False


Addressing FASD in Treatment

11. To effectively serve individuals who have or may have an FASD, what is needed most is a social worker who is:

A. Willing

B. Sensitive

C. Empathetic

D. Understanding


12. If there are indications of an FASD in the form of maladaptive behaviors, Step 1 represents a critical intermediate process:

A. Do a thorough assessment, either external or through an in-house assessment team.

B. Be willing to consider the root cause of the behavior rather than just responding to the behavior.

C. Work with the client’s family.

D. Help the client transition and connect to community supports.


13. When working with an individual who has an FASD, a social worker would be likely to observe problem indicators in which of the following functional domains?

A. Planning / temporal skills

B. Behavioral regulation / sensory motor integration

C. Abstract thinking / judgment

D. All of the above


14. It is critical for a social worker to take a no-fault, no-shame approach to the topic of FASD, continually reassuring the individual and the family that they are examining the possibility of an FASD only as a way to achieve the best possible treatment outcome.

A. True

B. False


15. Given the symptoms of individuals with an FASD, they may be described as meeting criteria for any of the following, except:

A. Schizophrenia

B. Attention Deficit Disorder

C. Oppositional Defiant Disorder

D. Bipolar disorder


16. A case coordinator would be responsible for all of the following, except for:

A. Reviewing history and current stability.

B. Assessing needs of the individual and caregiver.

C. Assessing basic and higher levels of brain function.

D. Post-diagnosis, connects the individual / family to positive supports.


17. Forms of re-testing and assessment include which of the following?

A. Being familiar with any medications the client is taking and observing any behaviors or physical symptoms that might indicate the need to reevaluate medication use or dosage.

B. Hearing and speech tests to identify any progress in communication or barriers that may affect the client’s treatment and ongoing recovery.

C. Occupational therapy and physical therapy evaluations to assess the client’s daily living skills and motor function, vocational skills, and preferences and possibilities.

D. All of the above.


18. A person with an FASD may not appear to plan or execute a suicide attempt effectively, which is indicative of the lack of seriousness of the intent.

A. True

B. False


19. Because persons with an FASD have problems learning from experience, they may repeat crimes and cycle through the legal system multiple times.

A. True

B. False


20. In many cases, short-term memory has been observed to function better than long-term memory for individuals with an FASD.

A. True

B. False


21. When modifying a treatment plan for an individual who has or may have an FASD, all of the following should be considered, except for:

A. Help the client adjust to a structured program or environment and develop trust in the staff.

B. Do not assume the presence of co-occurring issues.

C. Take a holistic approach.

D. Provide opportunities to role-play or otherwise practice appropriate social behaviors.


22. Which of the following approaches to learning should be avoided?

A. Hands-on practice

B. Role-playing

C. Written exercises

D. Audio- or video-recordings


23. A common theme that social workers need to be attentive to when working with those with an FASD is:

A. Powerlessness

B. A loss of the ability to be like everyone else

C. Communication problems

D. Unwillingness to change


24. A mentor can:

A. Assist with the development of concrete and consistent rules and goals that will guide behaviors in specific situations.

B. Improve comprehension in discussions with others.

C. Assist with the development of personal scenarios for the adult to work out responses and practice through role-play.

D. All of the above.


25. Extensive clinical observations reveal that individuals with an FASD may appear to understand when they actually do not understand.

A. True

B. False


26. It is generally believed that traditional forms of therapy, such as “talk therapy,” are the most effective choice when working with adolescents with an FASD.

A. True

B. False


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