MSW Licensing exam questions & answers 2024/2025
D. Determine the nature of the danger - ANSWERSA woman who is 5 months pregnant speaks with a social worker at an adoption agency to request information. The woman explains that she lives with her sister and that her sister's boyfriend is threat...
D. Determine the nature of the danger - ANSWERSA woman who is 5 months pregnant speaks with a
social worker at an adoption agency to request information. The woman explains that she lives with her
sister and that her sister's boyfriend is threatening to force her out of the home. She says she does not
feel safe. What should the social worker do FIRST?
A. Focus on directly engaging the client - ANSWERSA 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?
B. Teach clients how to disclose their background proactively when offered a job - ANSWERSA social
worker provides treatment to clients on the sex offender registry. Some clients are discouraged when
they are fired from their job after their sex offender status becomes known. What should the social
worker do to BEST support clients?
D. Self Disclosure in group treatment contradicts behavioral expectations of prison culture - ANSWERSA
social worker at a correctional facility is providing a treatment group for substance abusers who are
inmates at the prison. A prison classification committee has selected 12 group participants of various
racial and ethnic backgrounds. During the first 3 weeks of group, the social worker notices that very few
participants seem willing to speak. What statement MOST LIKELY explains the participants reluctance to
talk in the group?
C. Initiate a mental status examination - ANSWERSA CPS social worker meets with a parent who has
allegedly been neglectful. The parent talks about being overwhelmed by the needs of her child. She
describes having trouble sleeping because she needs to stay alert for messages from a favorite talk show
host. The parent also shares beliefs that the child's teacher is against her. What should the social worker
do NEXT?
B. Plan to discuss the issue with the group at the next session - ANSWERSAfter the death of their child, a
couple attend a bereavement group led by a social worker. The group meeting deals almost exclusively
with this couple's loss. After the session, other group members report that this caused them to feel
frustrated and uncomfortable. What should the social worker do NEXT?
,B. Talk with the client about the situation - ANSWERSA social worker meets with a new client who was
recently reunited with the spouse who is an injured soldier. The client is struggling with assisting the
spouse to cope with the injury, but the spouse responds with irritation. What should the social worker
do FIRST?
D. Ask to have the client transferred to another therapist - ANSWERSA new social worker is working at a
community mental health center with adult sex offenders. The social worker is assigned to a client who
disgusts and repels him. When meeting with the client, the social worker finds himself unable to be
sympathetic or empathic. The social worker realizes that his intense feelings are not changing. After a
month of discussion on this issue in supervision, there is still no improvement. What action should the
social worker take NEXT?
B. Explain why the gift basket cannot be accepted - ANSWERSA social worker meets with a client for a
termination session. The client has frequently expressed gratitude for the social worker's assistance
during past sessions. During the session, the client presents the social worker with an expensive gift
basket. After expressing gratitude, what should the social worker do NEXT?
C. Help the client clarify her goals - ANSWERSYour new client is a self-referred woman who is recovering
from a schizophrenic breakdown and mildly depressed. The client tells you that she is finally ready to
begin her life and hopes that you can help her. She says she wants to find a good job, save money to buy
a house, and begin dating regularly so that she can get married and start a family. What would be your
INITIAL step in providing treatment for this client?
C. Gather information to identify her needs and concerns - ANSWERSYou are referred a client who is
physically disabled and you will serve as her case manager. What would you do FIRST with this client?
C. Verify that the client can perform the essential functions of the job he interviewed for. - ANSWERSYou
help a severely hearing-impaired client secure a job interview for a position as a computer technician at
a local company. The client has experience as a computer technician but has been unemployed for about
a year. During the job interview, the company's manager tells the client that he is concerned about hiring
him because no one at the company knows American Sign Language. The client reports this to you. How
would you proceed?
B. Judgement - ANSWERSDuring the mental status exam of a new client, you ask the client what factors
led him to decide to quit his job two weeks ago. Apparently, you are interested in evaluating the client's:
,A. There has been a progressive decline in his cognitive functioning - ANSWERSThe family of an elderly
man reports that the man has been experiencing some troubling symptoms, including cognotive
problems. Which of the following, if present, would suggest that the man has dementia rather than
depression?
D. Lower-than-average intelligence, facial malformations, growth deficiencies - ANSWERSWhat are the
common symptoms of fetal alcohol syndrome (FAS)?
A. A pattern of deceit - ANSWERSYou are attempting to determine whether a teenage boy has conduct
disorder or oppositional defiant disorder. Which of the following is associated with conduct disorder but
not oppositional defiant disorder?
A. Memory loss - ANSWERSWhich of the following characteristics is shared by both delirium and
dementia?
C. Erotomanic - ANSWERSA client reports that she and a famous actor who lives in her city have fallen in
love with each other. She says she sends him many letters and often watches his films to express her
love, but he doesn't respond because he wants to avoid the publicity that would result since he is
married and many years younger than she is. You determine that the client has delusional disorder. What
subtype does the client have?
D. A major depressive episode - ANSWERSUnlike bipolar I disorder, bipolar II disorder must include which
of the following?
B. Research the historical problems that led to the policies - ANSWERSA social worker is asked to analyze
new social welfare policies that will affect the community. What should the social worker do FIRST?
D. Reassure the parents that parallel play is typical - ANSWERSParents of a 24-month-old child report
their only concern is that their child plays alongside but not with other children. What should the social
worker do?
C. Triangulation - ANSWERSA social worker is providing therapy to a family. The husband and wife have
been arguing constantly for several months and are considering a separation. Recently, the oldest child
began acting out in school. With attention focused on the child's problems, arguments between the
parents have subsided. What concept BEST describes this family's situation from a systems perspective?
, B. Employing an important warm-up period to establish rapport - ANSWERSA social worker makes a
home visit to a family to investigate alleged neglect of one of the children. The social worker spends the
first part of the interview discussing the family's new roof, their garden, and the rising cost of school
supplies. In doing this, the social worker is purposefully:
B. Normal sexual development - ANSWERSA preschooler's parents report that their child masturbates at
night and has tried to touch a sibling's genitals while bathing. What do these behaviors MOST LIKELY
indicate?
B. Contemplation - ANSWERSA social worker facilitates a group for domestic violence perpetrators. A
group member is now able to recognize the triggers for anger and is committed to changing resulting
reactions. According to the transtheoretical model of change, what stage is the group member MOST
LIKELY experiencing?
C. Confirm that the information can be securely transmitted - ANSWERSA social worker is asked to email
a client's records to a local physician. The client has signed a document legally permitting the release of
the records. What should the social worker do NEXT?
B. Clarifying - ANSWERSDuring a group session, an adolescent has difficulty talking about an interaction
with an abusive parent. The social worker helps the adolescent define and express feelings. What social
work concept is demonstrated by this process?
C. The social worker is attempting to increase the client's chance of success. - ANSWERSA social worker
refers a client to an agency for additional services that the social worker cannot provide. The social
worker says "Call me after your meeting to let me know what happened." What BEST describes the social
worker's statement?
Birth to two months - ANSWERSGenerally can notice faces and bright objects
two months - ANSWERSSocial smile develops, can follow moving objects with eyes, grunts and sighs
four months - ANSWERSrecognizes familiar objects, can activate arms and vocalizes socially (coos)
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