Please read the question and response options.
Please read the question and response options.
Question 1
You are working on the Out of Hours team, and you receive a call from Lucille. She has never contacted mental health services before but is feeling low in mood, and reports her husband is at work and she has no other family. She talks of feeling anxious and depressed. You dont believe her to be at risk of self-harm.
Which of the following would you be most and least likely to do?Please choose one option for each.
1.Tell her to go back to bed, try and get some restand call back in a few days if still feeling low.
2.Mention that you can contact her husband and ask him to come home.
3.Make a judgement that its not high-risk and ask her to call back in the morning if she is not feeling better.
4.Take the time to find out more about her and explain that she can call back any time.
Which of these are youmostlikely to do?
1,2,3,4
Which of these are youleastlikely to do?
1,2,3.4,
Question 2
You have been assigned Robert, who is well-known to services. Some of your colleagues have spoken in the past about how uncooperative he can be and that he is sometimes argumentative about the quality of care he receives. You are aware of situations in the past when he has reacted badly to people within the team who have visited him and he is particularly distrustful of doctors. You are hoping that you can support him effectively now that you are going to be his social worker. You are in the process of planning your first meeting and .Which of the following would you be most and least likely to do?Please choose one option for each.
1.Not look into his past notes on patient database as you want to take a fresh look at the situation and Roberts current health.
2.Arrange to meet Robert somewhere different to the team building to avoid negative experiences.
3.Get a colleague who knew him previously to accompany you on the visit so that he has a familiar face.
4.Take some time to review the records, to understand historical engagement with the mental health team.
Which of these are youmostlikely to do?
1,2,3,4
Which of these are youleastlikely to do?
1,2,3,4
Question 3
It is Friday and the end of a busy week. Your team has not yet completed a number of essential administrative tasks related to service user data. You do not think you will have time to finish all of the assigned tasks before the end of the day. You also feel that the other members of your team have not contributed as much as you to some of the tasks.
Which of the following would you be most and least likely to do?Please choose one option for each.
1.Continue to work until you have finished, even though you will need to spend your evening and weekend working.
2.Convene a meeting with your team to discuss priorities and reassign tasks.
3.E-mail your supervisor to explain the situation and ask for advice.
4.Complete as much as you can and leave the rest to pick up on Monday.
Which of these are youmostlikely to do?
1,2,3,4
Which of these are youleastlikely to do?
1,2,3,4
Question 4
You have worked with Kyle, who has had a psychotic illness for over a year, and you have a very good working relationship with him. In your most recent visit to his house, he says something unusual he asks if he can tell you a secret but that it must remain between the two of you. You have no idea what this information might be and don't want to make assumptions but are aware that it is your duty to share any information that may pose a risk to Kyle or others safety.
Which of the following would you be most and least likely to do?Please choose one option for each.
1.Explain to Kyle that you do not want to breakhis trust so you would ratherhe did not tell you.
2.AdviseKyle that the information is confidential within the care team unless there is risk of harm.
3.Agree to keep it a secret as you dont want to endanger the relationship.
4.Ask questions to try and ascertain the nature of the information in this secret prior to offering confidentiality.
Which of these are youmostlikely to do?
1,2,3,4
Which of these are youleastlikely to do?
1,2,3,4
Question 5
Its Friday and you have been the on-call duty social worker for the day. At the end of the day, Patrick arrives at the office seeking support. You are about to leave for the weekend and only have access to out-of-hours services who are available in crisis situations. Patrick has been living temporarily in a bed and breakfast and has been going through a difficult time, upset with the services offered to him. When he arrives, he is clearly under the influence of alcohol. At one point he bangs the table in frustration, but he is not in any way aggressive towards you.
Which of the following would you be most and least likely to do?Please choose one option for each.
1.Refer Patrick to the out of hours team who are to be contacted if someone is at high-risk.
2.Make him aware of the out of hours number and make a note to follow up with the duty officer on Monday to check on him.
3.Explain that there arent any support services available over the weekend and politely ask him to return home.
4.Remain calm, allow him to vent his frustration and promise to check up on him over the weekend.
Which of these are youmostlikely to do?
1,2,3,4
Which of these are youleastlikely to do?
1,2,3,4
Question 6
You are in a meeting to discuss the hospital admission of a service user with two of your colleagues Sandra, who has not met the patient and Niraj, the psychiatrist, who knows this patient and their psychosis condition well. Niraj believes that more serious action is necessary than what you are proposing. However, you witnessed the incident that has caused this situation and deem it to be less serious. The discussion becomes rather heated as you debate the decision that should be made with the team.
Which of the following would you be most and least likely to do?Please choose one option for each.
1.Due to the seriousness of the case, clearly explain your reasoning for your argument and persevere with this.
2.As Niraj says he knows the service user better than you, accept his suggested course of action.
3.Try to get Sandra to align herself with your analysis to give your argument more weight.
4.Find another colleague who knows the service user to provide a further perspective.
Which of these are youmostlikely to do?
1,2,3,4
Which of these are youleastlikely to do?
1,2,3,4
Question 7
Harry has been making excellent progress in the last few months, managing his bipolar affective disorder diagnosis. He is a wheelchair user and has been restricted in his mobility for a long time. Now that he is doing better, he is keen to move around outdoors independently and wishes to use the bus alone. Up until now, you have always accompanied him on these journeys. It is positive to see that he has made progress but his family are extremely reluctant and anxious about the potential risks of him travelling alone.
Which of the following would you be most and least likely to do?Please choose one option for each.
1.To avoid going against the family's wishes, agree to continue accompanying him for the time being.
2.Arrange for a family member to go with him instead on his journeys, for their peace of mind.
3.Meet Harry at either end of the bus journey initially to check that he is ok getting on and off the bus.
4.Support Harrys progress by allowing him to ride the bus alone Harry said he is happy to inform his family.
Which of these are youmostlikely to do?
1,2,3,4
Which of these are youleastlikely to do?
1,2,3,4
Question 8
Over the last six months you have been working with Ahmed to help him manage his personality disorder. He is making good progress and in your weekly meeting he begins to disclose details about his past. This includes some experiences of child abuse when younger and he begins to go into some detail about this. Unfortunately, due to a lack of time available, you return to the previous conversation, focusing on the positives of the progress Ahmed has made in the last six months.
Which of the following would you be most and least likely to do?Please choose one option for each.
1.Return to the house the following day to see if you can continue the conversation.
2.Call Ahmed and apologise for running out of time arrange a meeting for next week.
3.Discuss it with your supervisor and ask if they will come on the next visit with you to find out more details.
4.Document what happened in the notes and wait until Ahmed raises it again.
Which of these are youmostlikely to do?
1,2,3,4
Which of these are youleastlikely to do?
1,2,3,4
Question 9
Your supervisor has phoned you to say that they are ill and they have asked you to deliver an urgentpresentation on a new policy on their behalf at the team meeting this afternoon. You have not previously seen the presentation and your supervisor is unable to brief you. The head of social care for the Trust is attending the meeting. You want to make sure she has a positive impression of yourself and your team.
Which of the following would you be most and least likely to do?Please choose one option for each.
1.Clearly explain to your supervisor why the presentation should be postponed by a week.
2.Read the presentation carefully in advance before delivering it, but do not take questions.
3.Phone the department head, explain the situation to them and ask their advice.
4.Discuss with a more experienced colleague, and prepare to deliver the presentation with them.
Which of these are youmostlikely to do?
1,2,3,4
Which of these are youleastlikely to do?
1,2,3,4
Question 10
You are having a meeting with Callum regarding his finances and what you can do to support him. He suddenly begins to speak about some hallucinations that he has been having and becomes increasingly animated about this. He talks about seeing faces in strange places in his everyday life. After telling you about this Callum questions you Dont you believe me?
Which of the following would you be most and least likely to do?Please choose one option for each.
1.Say that you believe him and ask if he would like to talk any more about it.
2.Explore and discuss with him the effects that this presentation could have on his psychological wellbeing.
3.Seek to calm him down in a reassuring manner rather than answering his question directly.
4.Tell him that you will contact the psychiatrist who can speak to him further about this.
Which of these are youmostlikely to do?
1,2,3,4
Which of these are youleastlikely to do?
1,2,3,4
Question 11
Rosemary has been admitted to hospital for the fourth time in a three-month period. She has a chronic health problem exacerbated by her heavy smoking. She has some mental health issues which impact her ability to manage her self-care needs.
During her recent hospital stay it was discovered that Rosemary has handed responsibility for her finances to a neighbour, David. There are concerns that David is also giving Rosemary medication that she has not been prescribed, to help her sleep. Rosemary has admitted taking this medication and that she knows it was wrong to do so. Rosemary is adamant that David is helping her and is her friend.
Which of the following would you be most and least likely to do?Please choose one option for each.
1.Go and speak to David alone and instruct him not to give her medication.
2.Express your concerns to Rosemary and advise that she finds alternative support.
3.Speak with Rosemary and ask for her consent to speak with David about the support he offers the relationship.
4.Make a note of it on her file and monitor the situation for the next month.
Which of these are youmostlikely to do?
1,2,3,4
Which of these are youleastlikely to do?
1,2,3,4
Question 12
You're just about to head into an important meeting with a psychiatrist and a police officer to discuss a service user. As you enter the room, your phone rings. It's Hayley, another service user on your caseload who has been at high risk of self-harm recently.
Which of the following would you be most and least likely to do?Please choose one option for each.
1.Answer the phone and speak with her briefly, then direct her to somebody else.
2.Let the phone go to voicemail, then get the duty officer to call her immediately.
3.Text her to reassure her you'll be in touch as soon as you're out of the meeting.
4.Cancel the meeting and take the call for as long as she needs.
Which of these are youmostlikely to do?
1,2,3,4
Which of these are youleastlikely to do?
1,2,3,4
