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LSW EXAM QUESTIONS AND ANSWERS
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LSW EXAM QUESTIONS AND ANSWERS
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LSW EXAM QUESTIONS AND ANSWERSWhat is the time-frame for achieving steady state on benzodiazepine
A. One day to 21 days.
B. Approximately two weeks.
C. Three to six weeks.
D. At least one month. - Answers -One day to 21 days....When a benzodiazepine is
taken daily, the amount of time it takes to achieve "steady state" ranges from one day to
about three weeks.
At the beginning of therapy, a client's motivation for change can be BEST assessed by
doing which of the following?
A. Exploring what led her to seek treatment.
B. Asking her how she normally copes with problems.
C. Attempting to establish a therapeutic contract.
D. Observing her body language. - Answers -Exploring what led her to seek
treatment....While all of these approaches could tell you something about a client's
motivation for change, only one of them explores the most telling factor. A client's level
of motivation for change is usually best assessed by determining her reason for coming
in. In general, voluntary clients are more motivated than involuntary clients. For
example, a client who comes in voluntarily because she is ready to change a behavior
will tend to be much more motivated than one who is in your office only because a
family member has insisted that she get help.
A social worker providing case management services is attempting to determine the
needs of a client who has been unemployed for more than a year. The client is married
and has two children. To gather information about the client's financial needs and need
for other social provisions, the social worker should rely the MOST on which of the
following sources?
A. The clients family members.
B. Records and other documents concerning the client.
C. The clients past employers.
D. The clients report. - Answers -The clients report...A case manager should rely
primarily on the client's own report to gather information about his/her needs. The other
sources listed are secondary (collateral) sources of information who could be contacted
or consulted, with permission from the client, to verify or supplement information the
client has provided.
A client reports that her elderly father has seemed rather confused lately. A physician
recently evaluated the man, and all neuropsychiatric tests for a neurocognitive disorder
have been negative. The physician found no major medical problems. The client says
,that she has decided to move her father (whose wife died 10 years ago) to an
independent living facility. What is the social worker's BEST course of action?
A. Review the doctors findings with the client and discourage her from taking rash
action concerning her father.
B. Find out why, given the medical findings, the client wants to place her father.
C. Seek permission from the client to conduct an in-home assessment of her father.
D. Begin helping the client locate an acceptable independent living facility - Answers -
Seek permission from the client to conduct an in-home assessment of her father.
.......You (the test-taker) don't know where the father is living (does he live alone?), and
the question suggests that, so far, you have met with only the daughter; in other words,
you haven't had an opportunity to observe or evaluate the client's father. "C" is the best
answer offered because you need more information about the father's functioning
before making any placement recommendations to the daughter or even forming an
opinion about whether relocation is indicated.
A 40-year-old man is referred for case management services. Six months ago, the client
was fired from a construction job he had held for many years due to poor performance
and frequent absences that started shortly after he was injured at work. He has been
unable to find new work and is in danger of losing his apartment. The client appears
distracted during the interview and answers many of the social worker's questions by
saying "I'm not sure," or "I don't remember." Given all of this information, what should
the social worker explore FIRST?
A. Whether the clients rights were violated when he was fired.
B. Whether the client has had access to medical care.
C. Whether the client needs financial benefits immediately.
D. How the client has gone about looking for work and what assistance he needs in this
area. - Answers -Whether the client has had access to medical care...As this client's
case manager, you will want to identify all of his unmet needs and what barriers he has
encountered in getting and using needed resources and services. However, the
question suggests the possibility that the client has an organically based problem,
perhaps due to the injury he suffered at work. You should find out immediately what
medical care the client received after the injury and arrange for him to undergo current
medical (including neurological) evaluations
The client is a 41-year-old married man who reports feeling tired a lot of the time and
having tremendous difficulty concentrating at his job. He no longer enjoys his work and
finds that he is easily annoyed by his family and friends. He adds that he thinks he's
depressed but doesn't know what to do to "pick himself up." In an effort to understand
the client's needs, the social worker assesses him for suicidal risk; gathers information
about his health history, medication use, and health and lifestyle behaviors; and
performs a mental status exam to assess his psychological status. What should the
social worker do NEXT?
Select one:
,A. Use the mental status exam findings to formulate an accurate diagnosis of the clients
mental health condition.
B. Identify the extent to which medical factors are affecting the clients psychological
functioning and vice versa.
C. Gather information on the clients cultural background, soc - Answers -Gather
information on the clients cultural background, social relations, and environmental
connections.....The question describes two of the three components of a comprehensive
biopsychosocial-cultural assessment - "bio" and "psycho." "C" describes the third
component. To complete your assessment of this client, you must gather information
about his sociocultural experiences.
A 10-year-old boy reports that, lately, he's been smelling unusual odors, like burnt flesh
and rotten food, but that none of those things are around him when this happens. He is
also having difficulty keeping up in his classes. In assessing this boy, what should the
social worker do FIRST?
Select one:
A. Refer him to a neurologist.
B. Refer him to a psychiatrist.
C. Arrange to speak to his teacher.
D. Refer him to an educational psychologist - Answers -Refer him to a
neurologist....This boy seems to be experiencing olfactory hallucinations, which could
be caused by a neurological disorder (e.g., epilepsy, head injury).
If left untreated, diabetes mellitus can result in which of the following symptoms?
Select one:
A. Emotional lability, obesity, memory loss, depression.
B. Accelerated heart rate, nervousness, agitation, fatigue, insomnia.
C. Increased appetite with weight loss, apathy, confusion, mental dullness.
D. Lethargy, slowed heart rate, depression, impaired concentration and memory. -
Answers -Increased appetite with weight loss, apathy, confusion, mental dullness...The
pancreas releases insulin, which is involved in the uptake and use of glucose and amino
acids, and hypoinsulinism produces diabetes mellitus (excessive blood glucose).
Untreated diabetes mellitus may result in increased appetite with weight loss, apathy,
confusion, mental dullness, polyuria, polydipsia, and increased susceptibility to
infection.
A client reports experiencing fatigue and excessive nervousness. She says she has a
history of periodic depression but has never felt so nervous or anxious before. She was
treated for depression two years ago and says that her mood has improved since then.
Now, she's just a "nervous wreck" and feels like she can never calm down. What should
the social worker do FIRST in assessing this client?
Select one:
A. Collect a detailed history of the onset, development, frequency, and nature of the
clients anxiety symptoms
B. Ask the client about other symptoms she's experiencing to determine whether her
depression has returned.
, C. Ask the client about recent events, stressors, and transitions in her life and explore
her responses to them.
D. Collect a medical history, including a review of medications, and refer the client for a
physical exam. - Answers -Collect a medical history, including a review of medications,
and refer the client for a physical exam.....This question is difficult because a social
worker would do a variety of different things when assessing a client who reports
symptoms of anxiety. In fact, three of the answers describe steps that are usually taken
in the clinical assessment of anxiety, and "B" would be appropriate, as well, since this
client has a history of depression. "D" is the best answer to a question like this one,
however, because ruling out the possibility that a medical condition or
substance/medication use accounts for a client's symptoms is always a top priority.
A 40-year-old client has been unemployed since he started having seizures about a
year ago. His wife works and the family has been getting by on her income. When
asked by the social worker why he has come in, the client says he wants help figuring
out how to get a job. With which of the following should the social worker consult
FIRST?
Select one:
A. The clients past and potential employers.
B. The clients family members.
C. A medical specialist.
D. A career counselor. - Answers -A medical specialist.....A medical consultation would
be most important first because the client's seizures are probably related to a medical
condition. The physician (probably a neurologist) would have the expertise needed to
offer an evaluation of any work-related problems that may result from the client's
condition and could help you and the client understand the client's work-related
limitations and how to best deal with these in the job search (including how to best
advocate for the client's rights if the seizures constitute a disability). The neurologist
may also be able to provide or recommend medical treatments to minimize the effects
of seizures on the client's ability to work.
A client, age 79, has come in alone for treatment. He is exhibiting some signs of
depression. To clarify the nature of the problem in this case, the social worker should
FIRST:
Select one:
A. ask the client how he spends his time.
B. explore ways for the client to expand his support system.
C. evaluate what losses the client has experienced in this stage of his life.
D. refer the client to a neurologist for testing. - Answers -refer the client to a neurologist
for testing....."D" is overly specific but it is still the best choice offered (be prepared to
see "imperfect" answers on the exam, too). That is, you would probably first refer the
man to his regular physician for a general health screening, and the physician might
then recommend that the man see a neurologist. We still choose "D," however,
because, before formulating the problem or planning treatment, you must determine an
accurate clinical diagnosis (if any) for this man. This requires confirming or ruling out
any effects of a medical problem or substance (including medication) on the client's
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