SCFHS Social Service Specialist exam questions
Medical social work: patient and family problems, family violence, mental health, addiction and ethics.
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The Social Service Specialist exam at a glance
SCFHS (Saudi Arabia) publishes a Social Service Specialist exam of 150 MCQs in 180 minutes with a 60% pass mark. DHA does not license it. DOH, MOHAP, SHA, QCHP, NHRA, OMSB, Kuwait MOH publish no exam for this title.
- SCFHS · Saudi Arabia
- Saudi Classification Examination - Social Service Specialist
- 150 MCQs in 180 minutes · pass mark 60% · checked October 2026
From each regulator's own exam documents. Every other regulator is in the full GCC table.
Try two questions from this bank
Original questions from the bank - pick an answer to see the rationale and reference.
A 15-year-old with newly diagnosed diabetes refuses insulin at school because he wants to look the same as his friends. Which developmental task best explains this?
Choose an answer to see the rationale.
A father's employer introduces a night-shift rule that leaves him little time with his young son. The boy never goes to the workplace. Which ecological system does the rule belong to?
Choose an answer to see the rationale.
Not sure where you stand? Sit 25 of these questions free, timed at real exam pace, and see which domains you are weakest in.
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- ✓A real guideline or textbook reference
- ✓Every sub-topic in the published blueprint
- ✓Researched by Neelim's exam research team
The Social Service Specialist exam in every GCC country
| Regulator | Exam | Format | Pass mark | Fee per attempt |
|---|---|---|---|---|
Saudi Classification Examination - Social Service Specialist | 150 MCQs in 180 minutes | 60% | Not published | |
No exam published for this title DOH publishes no exam for this title that we could find; check with DOH | Not published | Not published | Not published | |
No exam published for this title MOHAP publishes no exam for this title that we could find; check with MOHAP | Not published | Not published | Not published | |
No exam published for this title SHA publishes no exam for this title that we could find; check with SHA | Not published | Not published | Not published | |
No exam published for this title No DHP Qatar exam blueprint published for this title; check with DHP | Not published | Not published | Not published | |
No exam published for this title NHRA publishes no exam for this title that we could find; check with NHRA | Not published | Not published | Not published | |
No exam published for this title No OMSB exam published for this title; check with OMSB | Not published | Not published | Not published | |
No exam published for this title Kuwait MOH publishes no exam for this title; check with the MOH | Not published | Not published | Not published | |
DHA Dubai | Not licensed Dubai social workers are licensed by the Community Development Authority, not DHA | - | - | - |
Highlighted rows publish figures for this exact Social Service Specialist exam; the others show the regulator's general rules.
From each regulator's own exam pages; anything a regulator does not publish says so. Assessment mode also depends on your licence title, so confirm your route on your eligibility notice.
Try 15 free Social Service Specialist questions with answersDifferent from the samples on this page - each with a full explanationStart →What the Social Service Specialist exam covers
The published blueprint for this exam breaks into 8 domains and 55 testable sub-topics. Our bank covers every one of them - here is the full map, so you can see exactly what you are expected to know.
Human Development, Diversity and Behaviour in the Environment15% (SCFHS blueprint, Arabic PDF, 2024; section share of 150 items)23 topics
- Erikson, Piaget and Kohlberg across the lifespan
- Attachment and Bowlby
- Systems and ecological perspectives
- Maslow and human needs
- Ageing theories, loss and grief
- Culture, diversity and explanatory models of illness
- Poverty and social structure
- Adolescence, identity and peer influence
- +15 more in the bank
Professional Relationship, Values and Ethics15% (SCFHS blueprint, Arabic PDF, 2024; section share of 150 items)22 topics
- Self-determination, dignity and worth of the person
- Confidentiality and its limits
- Informed consent and capacity
- Dual relationships, boundaries and gifts
- Ethical decision making and value conflicts
- Reporting colleague misconduct and professional integrity
- Supervision and professional accountability
- +15 more in the bank
Family Violence10% (SCFHS blueprint, Arabic PDF, 2024; section share of 150 items)15 topics
- Screening and safe interviewing
- Cycle of violence and risk assessment
- Child abuse and mandatory reporting
- Safety planning and protection services
- Elder abuse
- Child neglect and indicators of abuse
- +9 more in the bank
Patient and Family Problems15% (SCFHS blueprint, Arabic PDF, 2024; section share of 150 items)23 topics
- Discharge planning and case management
- Reactions to diagnosis, illness and loss
- Caregiver burden
- Barriers to treatment and adherence
- Family conflict around information and care decisions
- Palliative and end-of-life family support
- Referral to community and financial resources
- Adjustment to disability and chronic illness
- +15 more in the bank
Mental Health and Addiction15% (SCFHS blueprint, Arabic PDF, 2024; section share of 150 items)22 topics
- Suicide risk assessment
- Stages of change and motivational interviewing
- Schizophrenia, expressed emotion and family psychoeducation
- Substance withdrawal and relapse
- Involuntary treatment safeguards under the Mental Health Care Law
- Depression and anxiety in medical settings
- Trauma and acute stress reactions
- +15 more in the bank
Marital and Family Therapy10% (SCFHS blueprint, Arabic PDF, 2024; section share of 150 items)15 topics
- Genograms and ecomaps
- Structural family therapy: boundaries and enmeshment
- Bowen systems: triangulation and differentiation
- Solution-focused and narrative approaches
- Couple communication and conflict
- Family life cycle stages
- Family roles, rules and communication patterns
- +8 more in the bank
12 worked Social Service Specialist practice questions
Original exam-style questions from the bank, spread across the blueprint domains. They are not real or recalled exam questions. Try each one, then open the answer for the rationale and reference. None of them appear in the free mock exam, so reading them will not spoil it.
Question 1 · Family Violence
A woman discloses ongoing violence at home, and her husband asks for a joint session to resolve it. What is the best response?
- AMediate between them so that each can state their side
- BDecline joint sessions, focus on her safety plan and offer protective resources
- COffer joint counselling first, as it addresses the root cause
- DAdvise her to avoid provoking him in the future
Show answer and explanation
Correct answer: B. Decline joint sessions, focus on her safety plan and offer protective resources
Joint sessions or mediation are unsafe while violence continues, as they can provoke retaliation and pressure her. Safety planning comes first. Telling her to avoid provoking him places blame on her.
Reference: WHO, Responding to intimate partner violence and sexual violence against women: WHO clinical and policy guidelines (2013)
Question 2 · Human Development, Diversity and Behaviour in the Environment
A 4-year-old on a paediatric ward tells the social worker that she is ill because she was naughty last week. Which stage of thinking does this show?
- ASensorimotor thinking, with growing object permanence
- BConcrete operational thinking, with logical rules about real events
- CPreoperational thinking, with magical ideas about cause
- DFormal operational thinking, with abstract ideas
Show answer and explanation
Correct answer: C. Preoperational thinking, with magical ideas about cause
Piaget described children of about 2 to 7 years as preoperational: egocentric and linking events through magical causes such as punishment. Concrete operational thinking uses logic about real events, formal operational thinking uses abstract reasoning, and the sensorimotor stage covers infancy.
Reference: Zastrow CH, Kirst-Ashman KK, Understanding Human Behavior and the Social Environment, 10th ed. (2016)
Question 3 · Marital and Family Therapy
A family therapist draws a diagram of three generations showing marriages, deaths and illnesses. What is this tool called?
- AA genogram
- BAn ecomap, showing links with outside systems
- CA sociogram, showing choices within a group
- DA case timeline, ordering events by date
Show answer and explanation
Correct answer: A. A genogram
A genogram maps multigenerational family relationships and patterns. An ecomap shows relations with outside systems, a sociogram shows group choices, and a timeline orders events.
Reference: Goldenberg H, Stanton M, Goldenberg I, Family Therapy: An Overview, 9th ed. (2017)
Question 4 · Mental Health and Addiction
A man who drinks heavily every day is admitted. On day two he has tremor, sweating and new confusion. What is the correct action?
- ASchedule a counselling session for later, once he has settled
- BTeach him relaxation techniques to calm him down
- CDischarge him to his family for supervision at home
- DAlert the medical team at once, as this may be alcohol withdrawal delirium
Show answer and explanation
Correct answer: D. Alert the medical team at once, as this may be alcohol withdrawal delirium
Tremor, sweating and confusion in alcohol withdrawal can progress to delirium tremens, a medical emergency. Counselling, relaxation and discharge are inappropriate.
Reference: WHO, mhGAP Intervention Guide, version 2.0 (2016)
Question 5 · Mental Health and Addiction
A family asks the social worker to arrange the admission of an adult relative with psychosis against his will. What is the correct approach?
- AAuthorise the admission herself, on the family's request
- BAsk the police to hold him until he agrees to treatment
- CArrange a psychiatric assessment of risk, with admission under legal safeguards
- DLet the family decide alone and take him in themselves
Show answer and explanation
Correct answer: C. Arrange a psychiatric assessment of risk, with admission under legal safeguards
The Mental Health Care Law allows involuntary admission only through assessment and legal safeguards, not on the social worker's or the family's say-so. Police detention without clinical assessment is not a substitute.
Reference: Mental Health Care Law (2014), principle of safeguarded involuntary admission
Question 6 · Patient and Family Problems
The family of a woman with terminal cancer begs staff not to tell her the diagnosis. What is the best approach?
- AExplore the family's fears and ask the patient how much she wants to know
- BTell the patient the full diagnosis at once, whatever the family wishes
- CFollow the family's request and withhold the diagnosis from her
- DSay nothing and leave it to the doctors without involvement
Show answer and explanation
Correct answer: A. Explore the family's fears and ask the patient how much she wants to know
The patient's own wishes about information guide the team, and the social worker explores family fears and culture. Blindly withholding denies her autonomy, forcing disclosure ignores her preference, and silence abandons the role.
Reference: NASW Code of Ethics (2021 revision), Standard 1.02
Question 7 · Professional Relationship, Values and Ethics
A patient with fluctuating confusion after surgery needs a decision about a care placement. What is the best step?
- ARecord her as permanently lacking capacity from now on
- BAsk the treating team to assess her capacity for this decision, and revisit it when she is clearer
- CAsk the family to decide, because she is confused
- DProceed with her stated choice without checking understanding
Show answer and explanation
Correct answer: B. Ask the treating team to assess her capacity for this decision, and revisit it when she is clearer
Capacity is specific to the decision and the time, and can change with delirium. Blanket loss of capacity, handing the decision to the family or ignoring her confusion are not appropriate.
Reference: NASW, Code of Ethics (2021 revision)
Question 8 · Family Violence
A mother brings her 3-year-old, who is unwashed with an untreated skin infection, and says she has no money or transport. Which approach is best?
- AAssess the cause, arrange support, and report if the child is at risk
- BTreat it as a deliberate act and remove the child from her care at once
- CGive her advice about hygiene and close the case after the visit
- DTell her the problem is her own responsibility to solve
Show answer and explanation
Correct answer: A. Assess the cause, arrange support, and report if the child is at risk
Neglect needs careful assessment of cause and risk, with services for a family in need, and reporting to the child protection authority when a child is at risk. Removal without assessment or no action misses either the family or the child.
Reference: Saudi Child Protection System, Royal Decree M/14 (1436H)
Question 9 · Mental Health and Addiction
A man with schizophrenia refuses medication. He has capacity and poses no risk to himself or others. What is the best approach?
- AArrange compulsory treatment because he has a diagnosis of schizophrenia
- BAsk his family to hide the tablets in his food and drink
- CRespect his refusal and explore his reasons with motivational methods
- DDischarge him from the service because he is non-adherent
Show answer and explanation
Correct answer: C. Respect his refusal and explore his reasons with motivational methods
Involuntary treatment needs a risk and the legal safeguards, and a diagnosis alone does not meet them. Covert dosing or discharge breaks trust and fails the person.
Reference: WHO, mhGAP Guideline for Mental, Neurological and Substance Use Disorders (2023)
Question 10 · Social Work Skills
As a long hospital relationship ends, a patient becomes anxious and says his old symptoms are returning. What is the best response?
- AExtend the work indefinitely to prevent the symptoms returning
- BEnd the contact quickly to avoid creating dependency
- CTreat it as a sign that the earlier work has failed
- DTreat it as a common reaction to ending, and plan follow-up
Show answer and explanation
Correct answer: D. Treat it as a common reaction to ending, and plan follow-up
Anxiety or a return of symptoms at termination is common, so the worker names it as a normal reaction, reviews progress and sets up follow-up. Prolonging the work, ending abruptly and self-blame do not help.
Reference: Hepworth et al., Direct Social Work Practice: Theory and Skills, 10th ed. (2017)
Question 11 · Patient and Family Problems
The wife of a man with advanced motor neurone disease already grieves and withdraws, although he is alive. How should the social worker understand this?
- AAs anticipatory grief, which is a normal reaction and needs support
- BAs a sign that she has abandoned him
- CAs pathological grief needing hospital admission
- DAs denial that will pass without help
Show answer and explanation
Correct answer: A. As anticipatory grief, which is a normal reaction and needs support
Anticipatory grief is mourning before an expected death and is common in families of those who are dying. Calling it abandonment, a disorder or simple denial misreads a normal process.
Reference: Zastrow and Kirst-Ashman, Understanding Human Behavior and the Social Environment, 10th ed. (2016)
Question 12 · Human Development, Diversity and Behaviour in the Environment
A social worker explains a family's repeated debts and ill health by low wages, poor housing and few jobs, not by the parents' character. Which perspective is this?
- AThe psychodynamic perspective, focused on inner conflict
- BThe structural perspective on social problems
- CThe behavioural perspective, focused on learned responses
- DThe strengths perspective, focused on the family's assets
Show answer and explanation
Correct answer: B. The structural perspective on social problems
The structural perspective locates problems in social conditions such as income, housing and employment. The other perspectives focus on inner conflict, learned behaviour or the person's assets.
Reference: Zastrow and Kirst-Ashman, Understanding Human Behavior and the Social Environment, 10th ed. (2016)
Social Service Specialist reference books and guidelines
Every question in this bank names the textbook or guideline its answer rests on. These are the sources our Social Service Specialist questions cite most often - the reading list to revise from alongside the bank.
Textbooks
14- 1
Hepworth DH et al, Direct Social Work Practice: Theory and Skills
10th edition2017 - 2
Zastrow, Kirst-Ashman KK, Understanding Human Behavior and the Social Environment
10th edition2016 - 3
Reamer, Social Work Values and Ethics
5th edition2018 - 4
Walker, The Battered Woman Syndrome
3rd edition2009 - 5
Bowen, Family Therapy in Clinical Practice
1978 - 6
Kubler-Ross E, On Death and Dying
1969 - 7
Kuipers, Bebbington P, Expressed emotion research in schizophrenia
1988 - 8
Rubin, Babbie E, Research Methods for Social Work
9th edition2017 - 9
Prochaska, DiClemente CC, Transtheoretical model of change
1983 - 10
Miller, Rollnick S, Motivational Interviewing
3rd edition2013 - 11
Moreno, Who Shall Survive?, rev. ed
1953 - 12
Goldenberg, Stanton M, Goldenberg I, Family Therapy: An Overview
9th edition2017 - 13
de Shazer S, Keys to Solution in Brief Therapy
1985 - 14
Minuchin, Families and Family Therapy
1974
Guidelines and standards
5- 1
NASW Code of Ethics ( revision)
2021 - 2
WHO, Responding to intimate partner violence and sexual violence against women: WHO clinical and policy guidelines
2013 - 3
WHO, mhGAP Intervention Guide, version 2.0
2016 - 4
Mental Health Care Law
2014 - 5
Child Protection System (Royal Decree M/14, 1436H)
Where your regulator publishes a reading list, use the editions it names. Exam questions are not taken from any one book.
Last reviewed September 2026
About these questions: every question is original, researched by Neelim's exam research team, written to the published blueprint, with a rationale and a reference. No recalled or leaked exam content is used. How we write our questions.
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