Clinical Practice SWES Practice Exam

In working with patients with schizophrenia, which of the following is NOT a concern for the social worker?

1. Reorienting patients to present reality

2. Resolving internal psychological conflicts

3. Maintaining present levels of functioning

4. Modifying adaptive behavior

The correct answer is: Resolving internal psychological conflicts

In the context of working with patients who have schizophrenia, the primary concerns for social workers typically involve addressing aspects that directly impact the patients' day-to-day functioning and their ability to interact with reality. One of the main roles of a social worker in this scenario is to reorient patients to present reality, assisting them in understanding and navigating their environment more effectively. Maintaining present levels of functioning is also crucial. Social workers aim to support patients in sustaining their independence and managing daily activities despite the challenges posed by their condition. Modifying adaptive behaviors focuses on helping patients develop and implement strategies for better functioning in social contexts, which can be essential for improving their quality of life. However, resolving internal psychological conflicts is generally more aligned with the role of a psychologist or psychiatrist. This type of concern delves into deeper therapeutic techniques aimed at understanding and addressing the underlying psychological issues that may not be directly observable or manageable in a more practical, social work context. Social workers usually focus on more immediate social and environmental factors rather than engaging in in-depth psychological conflict resolution. Therefore, this option represents a concern that falls outside the primary scope of social work interventions in the treatment of schizophrenia.