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LMSW Practice Exam 1 Questions and Answers Fully Solved
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LMSW Practice Exam 1 Questions and Answers Fully Solved A social worker meets with a new client who is diagnosed with depression. The social worker observes that the client is ambivalent, non-trusting, and passive. What should the social worker do NEXT? A. Focus on directly engaging the client B...

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  • August 13, 2024
  • 38
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • lmsw practice exam 1 questions and answers fully s
  • a social worker meets with a new client who is dia
  • a client meets with a social worker at a crisis ce
  • a social worker is asked to analyze new social

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  • LMSW - Licensed Master Social Worker
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LMSW Practice Exam 1 Questions and
Answers Fully Solved

A social worker meets with a new client who is diagnosed with depression. The social
worker observes that the client is ambivalent, non-trusting, and passive. What should
the social worker do NEXT?
A. Focus on directly engaging the client
B. Suggest a task to improve the client's mood
C. Encourage the client to recall better times
D. Provide information about depression - answerA - The only option that helps build
rapport and supports client's self-determination

A client meets with a social worker at a crisis center. The client is living with a sibling
and shares that the sibling's boyfriend is threatening to force the client out of the home.
The client does not feel safe. What should the social worker do FIRST?
A. Call the police for the client
B. Develop a safety plan
C. Try to locate housing for the client
D. Determine the nature of the danger - answerD - Before taking any action, the social
worker should assess the situation FIRST

A social worker is asked to analyze new social welfare policies that will affect the
community. What should the social worker do FIRST?
A. Examine the likely impact of the policies on the community
B. Research the historical problems that led to the policies
C. Organize a grassroot coalition to discuss reaction to the policies
D. Look into legal precedents that could potentially nullify the policies - answerB - The
social worker must FIRST understand the historical background of the policy before
moving on

A client who is trying to become pregnant uses cocaine consistently and has questions
about the effects on the fetus. The social worker tells the client that cocaine use could
harm the fetus. What should the social worker do NEXT?
A. Offer substance abuse treatment options to the client
B. Refer the case for possible criminal prosecution
C. Inform the client that the drug use will be reported to CPS
D. Ask the client's health care provider to drug test the client - answerA - Offering
options to the client supports client self-determination and choice

,A social worker begins a job at a psychiatric hospital and is assigned a caseload. One
of the clients is a former intimate partner. The social worker and client have no had any
contact for several years. What should the social worker do?
A. Process the issue with the client
B. Deny the relationship occurred
C. Transfer the client to a colleague
D. Request a transfer to a different department - answerC - To avoid the ethical
dilemma of dual relationship, the social worker should transfer the client

A school social worker meets with the parents of a child who has recently completed
treatment for cancer. The child's physician is recommending that the child return to
school as soon as possible, but the parents believe that more time at home would be
beneficial. What should the social worker do NEXT?
A. Advocate for the parents to keep the child at home
B. Explore the reasons for the parents' belief
C. Obtain the child's perspective on the situation
D. Refer the parents and child for family therapy - answerB - Before taking action, the
social worker should acknowledge and validate the parents' concern and explore the
events and emotions that have led to this concern (UNSCORED)

A 13-year-old adolescent meets with a social worker because of poor hygiene, sleeping
in class, and stealing food
from the cafeteria. What should the social worker assess for FIRST?
A. A conduct disorder
B. Child neglect
C. Substance abuse
D. Adolescent rebellion - answerB - The social worker should understand that the
behaviors are indicators of neglect. The social worker should assess if the adolescent's
basic needs are being met FIRST.

A nine-month-old child is neglected and lacks a secure attachment to a caretaker. What
long-term effect should the
social worker be MOST concerned about as the child gets older?
A. Posttraumatic stress disorder
B. Social anxiety in middle age
C. High blood pressure
D. Negative social interactions with peers - answerD - The MOST strongly linked long-
term effect of insecure attachment is future
negative social interactions with peers (UNSCORED)

At what age does normal separation anxiety typically begin?

A. 24 months
B. 18 months
C. 12 months

,D. 3 months - answerC - This item requires basic recall that separation anxiety normally
occurs at the age of 12 months

A social worker employed by a retirement home is approached by a client for help in
establishing a recycling program in the facility. The social worker decides to cohost a
meeting with the client to discuss the idea with other residents. What is the MOST likely
reason for this approach?

A. Antagonizing administration could be dangerous.
B. Legitimizing the residents' concerns may be helpful.
C. Helping residents start new relationships is important.
D. Sharing leadership is very effective with groups. - answerD - By sharing leadership
with the resident, the social worker is supporting the resident's skill
development as well as promoting positive group dynamics.

A weekly meeting is held at a family services agency to determine if referred families
meet the criteria for services. Staff members are frustrated because the meetings have
become characterized by unrelated discussion and have begun to last several hours.
What should the social worker do to facilitate the meeting?
A. Limit the number of cases presented
B. Redirect staff members who do not stay on topic
C. Schedule individual meetings with problem staff members
D. Set time limits for the meeting - answerB - One of the key roles of group facilitators is
to keep participants focused on the meeting

A new social worker receives a court order to disclose client records. The social worker
notes that there are grammatical problems and minor errors regarding dates and event
in the recordings. What should the social worker do FIRST?

A. Make corrections as needed
B. Claim record confidentiality
C. Send the records
D. Meet with a supervisor - answerD - When a court order is received to disclose client
records, supervision should be obtained

A social worker at an adoption agency receives a subpoena for the records of an adult
client who recently met with a social worker about the client's adoption many years ago.
In the process of responding to the subpoena, what should the social worker do FIRST?
A. Submit the client's records as requested by the subpoena
B. Discuss the subpoena with the agency's legal counsel
C. Discuss the subpoena with a friend
D. Ask for approval from the client to respond to the subpoena - answerB - Once the
subpoena is received, the social work should FIRST discuss with legal counsel

A social worker is provided marital therapy to a couple. What goal statement is MOST
likely to enhance a couple's motivation?

, A. Increase by 1/4 the frequency of positive statements
B. Reduce by 1/3 the angry exchanges
C. Eliminate all physical altercates
D. Reduce by 1/2 the amount of shouting - answerA - The use of positive
reinforcements is MOST likely to enhance motivation levels.

Parents of a 24-month-old child report their only concern is that their child plays
alongside of, but not with, other children. What should the social worker do?

A. Assess for symptoms of developmental delays
B. Observe the child's play in a group setting
C. Suggest that the parents report their concern at a doctor visit
D. Reassure the parents that parallel play is typical at this age - answerD - The role of
the social worker is to educate the child's parents about typical development behavior

During a therapy session, a client reveals to the social worker that she has difficulties
managing her three-year-old child. The client reports that her child ran into traffic and
was nearly hit by a car. What should the social worker do FIRST?
A. Report possible neglect to CPS
B. Work with the client to develop a safety plan
C. Consult with the social worker supervisor
D. Refer the client to parenting class - answerB - Developing a safety plan is the FIRST
action that a social worker would take upon learning of the client's concerns

A client who is depressed mentions plans for suicide to a social worker. Privacy and
confidentiality had been discussed early in the treatment process. The social worker
believes that the threat is serious. What should the social worker do NEXT?
A. Respect the client's right to confidentiality
B. Consult with an agency supervisor
C. Develop a safety contract with the client
D. Discuss the need for hospitalization with the client - answerD - Discussing
hospitalization is the NEXT step after the social worker has determined the existence of
a serious threat.

A social worker is contacted by a client whose initial compliant is depression. The client
reports symptoms of insomnia, headache, inability to eat, vomiting and neck aches.
What should the social worker do FIRST?
A. Obtain a detailed social history on the client
B. Probe for a substance abuse problem
C. Engage the client in establishing goals
D. Ask the client to obtain medical records - answerD - The described symptoms
suggest a potential medical issue. The FIRST action is to obtain medical consultation.

Which client factor MOST likely determines the scope and focus of an assessment?
A. Needs of a client
B. Motivation of the client

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