A social worker visits a home after a referral comes in about inappropriate disciplinary techniques being utilized by a mother of a nine-year-old boy. The child is described as out of control, and the parent spanks him five or six times a day. The mother has been heard screaming at the boy, and this has not helped the situation. Shortly into the initial assessment, it is discovered the child has been referred for ADHD testing by a counselor at school. The mother feels her son is simply defiant and angry because his father left the family two years ago. Should the social worker be concerned?
  1. Yes, the mother has unrealistic expectations of her child’s possible disability.
  2. No, the mother is handling the situation and understands her son’s emotional problems.
  3. Yes, the child should be referred to juvenile services for aggressive behaviors.
  4. No, the neighbors are just trying to start trouble for the family.
Explanation
Answer: A - There are issues of concern that should be further investigated by the social worker. The child is not receiving adequate care for his disability. A child with ADHD may demonstrate behaviors of defiance, aggressiveness and temper tantrums. The nine year-old may be displaying behaviors related to his disability and the mother has unrealistic expectations.
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