lmsw bootcamp test| 287 questions| WITH COMPLETE SOLUTIONS

A physician has recommended nursing home placement for a 92-year-old patient who is currently in the hospital with leg problems and Neurocognitive issues. The patient's 80-year-old wife insists that she can continue caring for him at home. As part of the discharge plan, the hospital SWKR should: a) convince the wife that the physician's recommendations should be followed b) support the wife in finding a second opinion c) assist the wife to explore home health care service options d) recommend that he wife discuss nursing home placement with her children correct answer: c) assist the wife to explore home health care service options (RUSAFE outline) During an assessment with a pregnant, unmarried teenager and her mother, the teenager states firmly that she wants to keep her baby. The mother asks the SWKR to explain to the daughter how difficult it will be to care for the baby. The teenager states, "I don't want to be talked out of keeping my child." The SWKR should FIRST: a) Provide the teenager with the positives and negatives of caring for a baby b) explore the mother's feelings about her daughter's pregnancy c) discuss the teenager's feelings about being forced into a decision d) facilitate communication between the mother and daughter correct answer: c) discuss the teenager's feelings about being forced into a decision (RUSAFE Outline) A mother seeks help for her child at a local child guidance clinic. She asks SWKR not to tell her husband about the appointment. The SWKR should FIRST: a) respect the client's wishes and continue to work with her b) explain to the client that the entire family should be seen c) explore the husband's feelings about seeking guidance d) explore the client's reasons for not wanting her husband involved correct answer: d) explore the client's reasons for not wanting her husband involved (RUSAFE Outline) A recently widowed 86 year old man is encouraged by his minister to obtain mental health services. Since the death of his wife of 50 years, he has not been able to sleep, has little energy, and often skips meals. The SWKR conducts an interview. The SWKR should FIRST: a) conduct a mental status examination b) consult with collateral sources c) acknowledge the client's feelings of loss d) provide information about depression correct answer: c) acknowledge the client's feelings of loss (RUSAFE) A SWKR sees a teenager and her mother because of increased anger, family conflict, and defiance at home. The parent reveals that the teenager was sexually abused at an early age, and has never talked about this with anyone. The teenager denies memory of the abuse. The SWKR should FIRST: a) recommend individual treatment for the teenager b) normalize the teenager's reactions c) develop a treatment plan for family therapy d) provide education for anger management skills correct answer: b) normalize the teenager's reactions A SWKR sees a couple after the birth of their first child. They are very stressed by the demands of parenthood. What should the SWKR do FIRST: a) ask the couple what family resources are available b) refer the couple to a pediatrician c) determine what is causing the stress d) refer them to a support group for new parents correct answer: c) determine what is causing the stress (RUSAFE) During an initial session a client becomes progressively more anxious and overwhelmed while discussing presenting problems. The SWKR should FIRST: a) sensitively direct the interview toward initiating relaxation techniques b) assist the client in breaking the concerns down into more manageable parts c) reassure the client of the social worker's intention to help d) encourage the client to summarize the concerns correct answer: b) assist the client in breaking the concerns down into more manageable parts (RUSAFE) A female client is seen by a SWKR for feeling depressed. She explains that she does not understand why she feels this way because she has no problems in her life. She further explains that she has a great job, a nice spouse, and healthy children. The SKWR should FIRST: a) assess the client's family history of depression b) identify the specific beliefs fueling the depression c) refer the client for a psychiatric medication evaluation for antidepressants d) clarify what the client means by depression correct answer: d) clarify what the client means by depression (RUSAFE) A 15 year old Native American/First Nations boy is referred to the school SWKR by his teacher for "disrespectful behavior." The child had recently transferred to the school, and the teacher reported that the student did not pay attention and refused to make eye contact when reprimanded. During the interview, the SWKR notes that the student keeps his head turned away, avoiding eye contact, but he explains that he was paying attention in class. The SWKR should FIRST: a) attribute diagnostic significance to the lack of eye contact b) be aware of the meaning of different communication styles c) initiate education for the school staff on cultural differences d) assess the significance of eye contact for the teacher correct answer: b) be aware of the meaning of different communication styles (RUSAFE) A nursing home SWKR has a client who is elderly and mentally alert. The client declines a medical procedure that most likely will prolong life. An adult child tries to persuade to SWKR to change the client's mind about the decision. The SWKR should: a) respect the client's capacity to make the decision b) explain to the client the treatment choice that has been made c) allow the client's family member to make an appropriate choice d) challenge the adult child's decision only if it seems to violate ethical principles correct answer: a) respect the client's capacity to make the decision (EMPOWER RUSAFE) A SWKR in private practice is treating a client for over six months. The SWKR notices that the client is not making any type of progress. The SWKR will BEST