A hospital emergency room social worker meets with a 45-year-old man who recently immigrated from Mexico and has been experiencing severe panic attacks and anxiety. When the social worker approaches him, he says that he does not need any mental health treatment and that she can leave. The MOST like...
LCSW Practice exam 2023/2024 with
100% correct answers
A hospital emergency room social worker meets with a 45-year-old man who recently immigrated from
Mexico and has been experiencing severe panic attacks and anxiety. When the social worker approaches
him, he says that he does not need any mental health treatment and that she can leave. The MOST likely
explanation for his behavior is:
A. His preference for seeking treatment from a curandero.
B. His denial that he has a mental health problem.
C. The negative cultural response associated with mental health treatment.
D. A miscommunication due to a language barrier. - correct answer C. The negative cultural response
associated with mental health treatment.
Rationale: C is the best answer because many cultures associate stigma with mental health treatment. A
is not the best answer because it makes an assumption that is not indicated by the information in the
stem. B may be true, but is not as likely as C. D is not the best answer since the stem gives no indication
that there is a language barrier between the client and social worker.
A mother meets with a social worker due to concerns with her seven-year-old son. The mother reports
that her family recently survived an earthquake that destroyed their house and the surrounding area.
She is worried about her son because any time he hears a loud noise he starts to cry inconsolably and
won't leave her side. In behavioral therapy, what is this an example of?
A. Extinction
B. Negative reinforcement
,C. Operant conditioning
D. Classical conditioning - correct answer D. Classical conditioning
Rationale: This is a recall question: the stem describes an example of classical conditioning in which the
client develops a conditioned response (crying and clinging to mom) when exposed to stimuli (loud
noises) that represent a previously experienced event (the earthquake). A, B, and C would all be
described differently.
A young adult client has been meeting with a social worker due to a diagnosis of major depression.
When discussing his childhood, the client reports that he was often bullied and humiliated by peers at
school. The client reports this with a flat affect and a sense of detachment. The social worker should
respond by:
A. Sharing a personal experience of being teased as a child.
B. Assist the client in developing awareness around his feeling related to being bullied.
C. Confront the client's denial.
D. Provide the client with psychoeducation on the relationship between bullying and depression. -
correct answer B. Assist the client in developing awareness around his feeling related to being bullied.
Rationale: B is the best answer because awareness is the first step in helping the client integrate and
process his feelings. A is inappropriate; C is inappropriate and may cause the client harm. D is less
therapeutic than B and may not be helpful for the client.
A client who is diagnosed with trichotillomania meets with a social worker after being referred by her
primary care physician. The client says she feels guilty and ashamed, but is having difficulty stopping the
behavior. She says that she doesn't even know why she started the behavior in the first place. What
should the social worker do FIRST?
A. Explore the feelings behind the behavior.
, B. Have the client wear a wig until she can stop the behavior.
C. Reinforce that hair-pulling will likely lead to complete baldness.
D. Teach the client thought stopping strategies. - correct answer A. Explore the feelings behind the
behavior.
Rationale: A is the best answer because understanding the psychological purpose of the behavior will
best help the client understand and change the behavior. B, C, and D might all be part of the complete
intervention strategy, but A is the best place to start in terms of addressing the behavior.
A social worker is meeting with a recently retired woman who is seeking counseling due to feelings of
irritability and poor frustration tolerance. The client reports that she was looking forward to retirement
so that she could do the things she enjoyed and see more of her spouse after a demanding career in the
health care industry. The client says that instead she's been having trouble sleeping and just wants to be
alone. She says that she doesn't enjoy the things that she used to and is confused. The social worker
should FIRST inquire about:
A. Any dysfunctional changes in the marital relationship.
B. The impact of losing status in the community.
C. Other symptoms that might indicate depression.
D. Volunteer opportunities that might help the client feel useful again. - correct answer C. Other
symptoms that might indicate depression.
Rationale: C is the best answer because the client has indicated several symptoms of depression and the
therapist should start by asking more about symptoms in this category. A, B, and D would likely all be
part of the assessment and intervention plan, but only after a provisional diagnosis has been reached.
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