LMSW Exam 2019 Questions and Correct Answers,
With Complete Solution. Updated 2024. 317 Questions
and Correct Answers.
AASPIRINS
A: acknowledge & assess
S: start where the client is
P: protect Life (preventing danger to self and others)
I: informed Consent
R: rule out medical conditions, send to Dr. if medical
I: intoxication (don't treat if intoxicated)
N: non-judgmental
S: support self-determination
For "Best"/"Worst" or "MOST reasonable" questions
AREAFI
What to do "FIRST" or "NEXT":
A: Acknowledge/Assess feelings
R: Refer
E: Educate
A: Advocate
F: Facilitate
I: Intervene
Levels of cognition
knowledge (teaching facts, theories, etc)
comprehension
application
analysis
synthesis (creating something new)
evaluation (judging quality)
Maslow's Hierarchy of Needs
Physiological
Safety
Love/belonging
Esteem
Self-actualization
Types of groups
Shared problem, Counseling, Activity
self help, natural group, closed group, open group, structured, reference, crisis
Individual self-actualization occurs through...
- release of feelings that block social performance
- support from others
- orientation to reality and check out own reality with others
- reappraisal of self
,Bowenian Family Therapy
change through understanding multigenerational dynamics
-driven to achieve balance of internal and external differentiation
Logotherapy
change through finding meaning in life, understanding purpose
Problem solving therapy (aka Task Centered)
change through supporting client to take actions to address problems; client defined
problems
-Short term
-Good for lower functioning, schizophrenia, homeless
Dialectical Behavior theory
Aims to change behavioral, emotional, and thinking patterns associated with dysfunction
-teaches mindfulness, suicidal behavior, emotional regulation, interpersonal
effectiveness
• Good for Borderline Personality Disorder
Narrative therapy
Change occurs by externalizing problem and creating a new narrative or story, which
emphasizes the client's competencies and strengths.
-Problem separate of client, externalize the problem
Feminist Therapy
Change through recognizing disempowering social forces and empowering client.
-Good for eating disorders.
Emotional Triangulation
Network of relationship between 3 people. Stable until anxiety starts between dyad,
then 3rd party is used to reduce anxiety.
structual family therapy
SW engages family in restructuring; boundaries are determined with Interpersonal,
boundaries w/ outside world, hierarchal organization of the family
Interpersonal family structure
Family is defined. Promoted differentiation and autonomy
Boundaries of the outside world (Structural family therapy)
Defines family. Must be permeable enough to maintain well functioning open system
hierarchal organization (Structural family therapy)
in all families and cultures. Maintained generationally; parent-child roles, rights,
obligations, etc.
Strategic Family Therapy
- Pretend technique
-1st order changes (superficial behavior changes)
-2nd order changes (systematic interaction patterns)
-Family homeostasis (preserve family organization and communication)
-Relabeling (change label attached to problem or person)
-Paradoxical directive (prescribe symptomatic behavior so client realize it can be
controlled)
Suprasystem (systems theory)
An entity that is served by a number of component systems organized in interacting
relationships
, Throughput (system theory term)
Energy that is integrated into the system so it can be used by the system to accomplish
its goals
Subsystem (systems theory)
A major component of a system made up of 2+ independent components that interact in
order to attain their own purpose(s) and the purpose(s) of the system in which they are
embedded
SOAP format (Assessment)
Subjective: How are they doing since last visit
Objective: Vitals, physical exam, lab results
Assessment: Tasks S & O into short assessment
Plan: Done after assessment; treatment plan
Mental Status Exam (MSE)
Appearance
Orientation (Time place events)
Speech (Slurred, pressed, slow)
Affect/Mood
Impulsivity (Potential of harm)
Judgement/Insight (Predict consequences)
Thought process (reality, thinking style)
Intellectual function/memory
Suicide Assessment (Danger to self)
- Hx of attempt/family hx
- Lives alone, no social support
- Psych disorders (depression, anxiety)
- Substance use/abuse
- Media & peer exposure
- Losses
- Firearms or lethal weapons
Suicide Protective Factors
- Social support, family connectedness
- Coping skills
-Access to clinical care/Treatment
- Religion & participation in religious activities
- Limited access to lethal methods
Risk Assessment (Suicide/Violence)
- Frequency, intensity & duration of suicidal or violent thoughts
- Access to available methods
- Availability/inability to control suicidal/violent thoughts
- Ability to not act on thoughts
- Factors making client feel better/worse
-Consequences of actions
- Deterrents to action
- Using drugs/alcohol
- Measures client uses to remain safe
Community Strength & Challenges
With Complete Solution. Updated 2024. 317 Questions
and Correct Answers.
AASPIRINS
A: acknowledge & assess
S: start where the client is
P: protect Life (preventing danger to self and others)
I: informed Consent
R: rule out medical conditions, send to Dr. if medical
I: intoxication (don't treat if intoxicated)
N: non-judgmental
S: support self-determination
For "Best"/"Worst" or "MOST reasonable" questions
AREAFI
What to do "FIRST" or "NEXT":
A: Acknowledge/Assess feelings
R: Refer
E: Educate
A: Advocate
F: Facilitate
I: Intervene
Levels of cognition
knowledge (teaching facts, theories, etc)
comprehension
application
analysis
synthesis (creating something new)
evaluation (judging quality)
Maslow's Hierarchy of Needs
Physiological
Safety
Love/belonging
Esteem
Self-actualization
Types of groups
Shared problem, Counseling, Activity
self help, natural group, closed group, open group, structured, reference, crisis
Individual self-actualization occurs through...
- release of feelings that block social performance
- support from others
- orientation to reality and check out own reality with others
- reappraisal of self
,Bowenian Family Therapy
change through understanding multigenerational dynamics
-driven to achieve balance of internal and external differentiation
Logotherapy
change through finding meaning in life, understanding purpose
Problem solving therapy (aka Task Centered)
change through supporting client to take actions to address problems; client defined
problems
-Short term
-Good for lower functioning, schizophrenia, homeless
Dialectical Behavior theory
Aims to change behavioral, emotional, and thinking patterns associated with dysfunction
-teaches mindfulness, suicidal behavior, emotional regulation, interpersonal
effectiveness
• Good for Borderline Personality Disorder
Narrative therapy
Change occurs by externalizing problem and creating a new narrative or story, which
emphasizes the client's competencies and strengths.
-Problem separate of client, externalize the problem
Feminist Therapy
Change through recognizing disempowering social forces and empowering client.
-Good for eating disorders.
Emotional Triangulation
Network of relationship between 3 people. Stable until anxiety starts between dyad,
then 3rd party is used to reduce anxiety.
structual family therapy
SW engages family in restructuring; boundaries are determined with Interpersonal,
boundaries w/ outside world, hierarchal organization of the family
Interpersonal family structure
Family is defined. Promoted differentiation and autonomy
Boundaries of the outside world (Structural family therapy)
Defines family. Must be permeable enough to maintain well functioning open system
hierarchal organization (Structural family therapy)
in all families and cultures. Maintained generationally; parent-child roles, rights,
obligations, etc.
Strategic Family Therapy
- Pretend technique
-1st order changes (superficial behavior changes)
-2nd order changes (systematic interaction patterns)
-Family homeostasis (preserve family organization and communication)
-Relabeling (change label attached to problem or person)
-Paradoxical directive (prescribe symptomatic behavior so client realize it can be
controlled)
Suprasystem (systems theory)
An entity that is served by a number of component systems organized in interacting
relationships
, Throughput (system theory term)
Energy that is integrated into the system so it can be used by the system to accomplish
its goals
Subsystem (systems theory)
A major component of a system made up of 2+ independent components that interact in
order to attain their own purpose(s) and the purpose(s) of the system in which they are
embedded
SOAP format (Assessment)
Subjective: How are they doing since last visit
Objective: Vitals, physical exam, lab results
Assessment: Tasks S & O into short assessment
Plan: Done after assessment; treatment plan
Mental Status Exam (MSE)
Appearance
Orientation (Time place events)
Speech (Slurred, pressed, slow)
Affect/Mood
Impulsivity (Potential of harm)
Judgement/Insight (Predict consequences)
Thought process (reality, thinking style)
Intellectual function/memory
Suicide Assessment (Danger to self)
- Hx of attempt/family hx
- Lives alone, no social support
- Psych disorders (depression, anxiety)
- Substance use/abuse
- Media & peer exposure
- Losses
- Firearms or lethal weapons
Suicide Protective Factors
- Social support, family connectedness
- Coping skills
-Access to clinical care/Treatment
- Religion & participation in religious activities
- Limited access to lethal methods
Risk Assessment (Suicide/Violence)
- Frequency, intensity & duration of suicidal or violent thoughts
- Access to available methods
- Availability/inability to control suicidal/violent thoughts
- Ability to not act on thoughts
- Factors making client feel better/worse
-Consequences of actions
- Deterrents to action
- Using drugs/alcohol
- Measures client uses to remain safe
Community Strength & Challenges
