LCSW EXAM PREP Questions With
Correct Answers.
A new social worker begins to establish professional rapport with a group of school aged youths.
After a few weeks, the social worker discovers that their former social worker still sees the
youths, gives them new school supplies, and takes them ou...
A new social worker begins to establish professional rapport with a group of school aged youths.
After a few weeks, the social worker discovers that their former social worker still sees the
youths, gives them new school supplies, and takes them out for social events. The new social
worker should FIRST: - Answer✔speak directly to the former social worker
A parent in great distress consults a social worker. Because of having heard so much in the
media about sexual abuse, the parent is unsure how to respond to recently finding her five-year-
old exploring the body of another child. The parent does not know whether this is deviant
behavior. The social worker should: - Answer✔reassure the parent that this is normal for
children this age
A social worker is the new manager of a human service organization that is simultaneously
struggling with maintaining positive employee morale, increasing client services, and improving
outcomes. The manager should FIRST: - Answer✔initiate a staff recognition program
What is MOST important to remember about defense mechanisms? - Answer✔Defense
mechanisms are unconscious process.
A 27-year-old male with a history of hospitalizations for bipolar disorder and alcohol abuse
recently stopped taking his medication, became manic, and resumed drinking. At his landlord's
request, the police take him to the hospital and arrange an involuntary admission to the acute
psychiatric unit. The client has all of the following rights EXCEPT the right to: - Answer✔leave
the hospital regardless of his condition
A social worker assesses an elderly client for suicide risk. The BEST approach is to use the
clinical interview and the: - Answer✔Geriatric Depression Inventory
A couple married for 30 years seeks help at a crisis clinic. The husband describes his wife's
emotional and erratic behavior and radical change in appearance and dress, which is contrary to
their religious beliefs. The wife talks openly and happily about spending more time outside the
home with her friends and hobbies, and her desire to work for the first time. The social worker
should assess the couple for evidence of: - Answer✔Issues related to family transition
A client is seen by a social worker at a family service agency complaining that she has been
feeling depressed. She states that she shouldn't feel this way because there are no problems in her
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life. She has a husband, a good job, and two healthy children. The social worker should FIRST: -
Answer✔clarify what the client means by depression
A social worker meets with an adolescent who frequently misses school and is having academic
problems. Psychological testing found the client is above average in intelligence, but with poor
impulse control and at high risk for antisocial behaviors. The social worker completes the social
history to: - Answer✔understand factors that affect the client's behavior
At a community mental health agency, a new social worker replaces a social worker who
resigned with short notice due to a family emergency. Within a few weeks, the social worker has
met with all the clients. While in the public waiting room, a social work colleague hears the new
social worker say to a client that it was "unprofessional and harmful" for the prior social worker
to leave the agency so suddenly. The colleague should FIRST: - Answer✔talk to the new social
worker about the conversation
A social worker conducts a support group for adults who are caregivers for their elderly parents.
During one group meeting, a member begins to describe how she behaves toward her parent
when she becomes frustrated. The social worker becomes concerned that the behavior may
constitute abuse. The social worker should: - Answer✔meet with the member individually after
the group to review the situation
A 14-year-old girl comes to a family service agency for help. She is four weeks pregnant,
unmarried, and depressed. She lives with her parents who are unaware of her pregnancy. Local
law requires parental consent for treatment of minors who live with their parent(s) or legal
guardian. The social worker should FIRST: - Answer✔discuss the need for parental involvement
with the client
A 25-year-old woman seeks help at a local mental health clinic. She complains of nightmares,
agitation, an inability to concentrate, and weight loss. During the assessment phase, the social
worker learns that the client had been recently raped and mugged. The social worker should
FIRST focus on: - Answer✔potential for self-harm
A social worker in private practice is temporarily moving to another city. Following
consideration of the risks and benefits that may be experienced by each client, the social worker
offers to continue the therapeutic relationship with several clients through email. This suggestion
is MOST appropriate for clients who: - Answer✔are able to cope with day-to-day issues
A 49-year-old woman seeks therapy citing problems with her 74-year-old mother. She reports
that her mother moved to a retirement community seven years ago after the death of the client's
father. The mother has adjusted well and made many new friends. Six months ago the client's
mother began dating a man and they have decided to live together. Since this decision, the client
and her mother argue each time they see each other. The client states that her mother "is not
thinking clearly," and "is betraying my father." The client is very upset to think of her mother
being sexually active. The social worker should FIRST: - Answer✔focus on the client's feelings
about her mother's changes in behavior
A social worker sees a family for family therapy. During one session, the youngest family
member tells the social worker, "I need to share something with you." Another family member
responds by saying, "Don't talk about it." The social worker makes several unsuccessful attempts
to assist family members in more open discussion. To increase open communication, what
should the social worker do NEXT? - Answer✔Use circular questioning with all family members
A social worker sees a 60-year-old man who reports feeling irritable and unhappy in his 35-year
marriage. The man also describes loss of interest in his longtime hobbies, and trouble sleeping.
Six months ago he had a serious heart attack and is currently on disability after working all his
adult life. The social worker should FIRST: - Answer✔refer the client for medication evaluation
A social worker sees a new client referred because of heavy alcohol use. During the initial
assessment the client questions the social worker's credentials and competence. What should the
social worker do NEXT? - Answer✔Ask how the client feels about seeking help
A 19-year-old is brought to a family service agency by the parents who report a history of school
truancy, deliberate destruction of their property, lying, and stealing since age 14. According to
the DSM-IV-TR, which of the following diagnoses BEST describes the client? -
Answer✔Antisocial personality disorder
A couple brings their four-year-old child to a social worker concerned that the child cannot yet
recite the alphabet. They tell the social worker that they know other four-year-olds who can say
the alphabet and they have tried to teach it to their child without success. They believe something
may be wrong with their child. The MOST likely explanation is that the: - Answer✔child may
not have reached this level of cognitive development
Parents bring a 14-year-old to a social worker because the adolescent questions authority, is late
for curfew, and no longer desires to attend church with the family. The adolescent states that the
parents "treat me like a baby" and that the adolescent wants to go to a "more upbeat" church. The
social worker should explain to the parents that the adolescent is MOST likely: - Answer✔trying
to find a personal identity
A social worker is working with a woman who was recently diagnosed with HIV. The client
abruptly stopped her medication. Her doctor asked that the social worker address the issue of
medication noncompliance with the client. The client tells the social worker that she stopped the
medication at the time her partner died of AIDS. The MOST likely explanation for the client's
behavior is that she is: - Answer✔dealing with bereavement
A social worker meets with a 35-year-old Japanese American man who is anxious because his
wife is pressuring him to move his mother into a nursing home. He prefers that she live with
them. The social worker asks the man if he has any siblings and what his birth order is. This
information is important to the understanding of the man's: - Answer✔cultural perspective
In which of the following situations may a social worker provide information without the client's
consent? - Answer✔When a client files a malpractice suit
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