LMSW EXAM QUESTIONS AND ANSWERS

A 16 year old girl and her parents are referred to a social worker by the child's pediatrician for concerns around social anxiety and depression. The family resides in a state where parental consent is required for anyone under the age of 18. What is the BEST practice for the social worker during initial session with the girl and her parents? A. Obtain written consent from the parent and discuss with the daughter how confidentiality will be maintained B. Obtain written consent from parents, Verbal consent from the daughter and discuss confidentiality considerations with both C. Obtain written consent from parents, Verbal consent from the daughter and discuss with parents how confidentiality will be maintained due to the daughters age D.Obtain written consent from daughter, Verbal consent from the daughter and discuss confidentiality with both the parents and the daughter - Answer- B. Obtain written consent from parents, Verbal consent from the daughter and discuss confidentiality considerations with both -both parties have right to have SOME information - Written consent must be given by adults if under age of consent -Parents have rights to information about progress in therapy -it is best practice to also gain verbal consent from minor What is the 'mature minor exception" - Answer- The mature minor doctrine is a rule of law found in the United States and Canada accepting that an unemancipated minor patient may possess the maturity to choose or reject a particular health care treatment, sometimes without the knowledge or agreement of parents, and should be permitted to do so. *This law is not applicable in all states. A woman is referred to a social worker by her EAP the referral reports that the woman is frequently absent from work and has difficulty completing projects. during the assessment she avoids answering questions about her relationship with her spouse. She becomes tearful when asked about her family and social supports. The woman shares that her husband does not "allow" her to go out in the evening or on weekends. She goes on to tell the social worker she is pregnant, but has not told her husband. What should the social worker do NEXT? A. refer the ct to a doctor for prenatal care B. suggest couples treatment and address the issue of stress C. suggest the client back to issues of absence and and incomplete performance D. assess the woman for domestic violence and create a safety plan - Answer- D. assess the woman for domestic violence and create a safety plan -must rule out DV before proceeding