LCSW Bonus Test Prep Flashcards

Question

Confidentiality following client death

Answer 1

Can only release records following client's death if: there is an existing signed release of information legal obligation threat of harm to the patient or someone else when the patient is alive

Answer 2

When professionals who are constantly exposed to the traumatic experiences of their clients begin to experience similar symptoms Best course of action is to seek supervision to process the vicarious trauma for the professional and to mitigate the impact on clients.

Answer 3

Lamictal Mood stabilizer and anticonvulsant hard to treat b/c traditional antidepressants can trigger mania

Answer 4

Sensorimotor - Birth to 18/24 mon - Object Permanence Preoperational - 2 yrs to 7 yrs - Symbolic Thought Concrete operational - 7 to 11 yrs - Logical thought Formal Operational - 12 yrs to adulthood - Scientific reasoning

Answer 5

Must educate on the risks of termination before treatment is complete, and document the interaction *protective as shows client initiated the termination and protects professional against claims of abandonment/malpractice *Professional should remain objective throughout

Answer 6

full manic episode with symptoms affecting functioning and lasting for at least 1 week

Answer 7

range of tasks a developing child can do with assistance from an adult but cnanot complete independently Hard enough to require the child stretches their skills, but in the proximity of a helping adult

Answer 8

When the relationship is abusive

Answer 9

Protect client confidentiality by claiming privilege on behalf of the client. Refuse to release records unless the client gives permission to do so. Legally required to provide records if a second subpoena is received with a court order. Always appropriate to ask court to withdraw the request or limit to a specific part of the record

Answer 10

Combination of burnout and secondary trauma (Burnout is total exhaustion, feelings of professional inadequacy and hopelessness) (Secondary Trauma is experiencing the same Sx as one's clients)

Answer 11

Stage One: Precontemplation. ... Stage Two: Contemplation. ... Stage Three: Preparation/Determination. ... Stage Four: Action/Willpower. ... Stage Five: Maintenance. ..

Answer 12

denial. anger. bargaining. depression. acceptance.

Answer 13

Measuring what is intended to measure

Answer 14

results are consistently produced

Answer 15

Defense mechanism Displaying behavior associated with an earlier stage of development.

Answer 16

One's gender does not match the sex they were assigned at birth. This does NOT develop as a response to trauma.

Answer 17

Engagement - building rapport Assessment - identify strengths, needs, barriers, and problems Planning - Goals are identified, interventions outlined Implementation - intervention to move toward goal achievement Evaluation - how well did the interventions work to achieve goals

Answer 18

Linking accountability and the consequences that arise when responsibility/accountability is not owned lead to weak boundaries.

Answer 19

Can be harmful to clients and lead to boundary violations. Helpful when used correctly (i.e. rapport building) Rarely required to acheive a treatment goal.

Answer 20

Conformity (strong preference for the dominant culture - displays negative views, shame or embarrassment for their own racial/cultural groups) Dissonance (individuals reconsider/challenge their own beliefs) Resistance and Immersion (pride in one's racial/cultural group, along with a preference for minority views and rejection of the dominant culture) Introspection (awareness of negative impact of resistance/immersion stage) Integrative Awareness (appreciate both their own culture and differing sides)

Answer 21

Perception of family relationships, mental functioning, occupation and social class

Answer 22

Person in environment (this is ongoing during treatment process)

Answer 23

Specific data is collected on the client in a predetermined setting

Answer 24

Physical and cognitive alterations throughout one's lifespan

Answer 25

allows therapist to model ways to communicate effectively in real time, good when a client is learning new skills/techniques

Answer 26

experience of recurring or intense sexual arousal to atypical objects, places, situations, fantasies, behaviors, or individuals. It has also been defined as a sexual interest in anything other than a legally consenting human partner.

Answer 27

Suicidal individuals - not recommended for clients in crisis, including those who are suicidal

Answer 28

When a client makes a change that deviates from their established goals, it is appropirate to confront the behavior and encourage the client to reflect on what is diverting them from moving toward goal progress

Answer 29

Preschool - Crying, Clinging, changes in sleep or eating habits Children - Blaming self for the death, Somatic Sx, Embarrassment Teenager - deflection through humor, minimizing loss, taking on the role of the adult

Answer 30

inform client of their rights in treatment - to refuse any/all services. In some cases right to refuse is limited by court-mandated services, minor clients, clients who lack capacity - in these cases important to clarify the limitations

Answer 31

using self-disclosure in a way that keeps emphasis on the client while also acknowledging the client's concerns

Answer 32

Brief 2-3-question survey at the end of sessions *Different options allow for various options for gathering info on what is going well and what challenges exist

Answer 33

Industry vs. Inferiority - a developmental stage in Erik Erikson's theory of psychosocial development, where children are focused on acquiring new skills and developing a sense of competence ("industry") or feeling inadequate and incompetent ("inferiority") if they struggle to master these tasks, often occurring during the elementary school years; essentially, it's the stage where children grapple with feeling productive and capable versus feeling like they are falling behind or not good enough.

Answer 34

Code of Ethics Prohibits the acceptance of financial incentives for referrals

Answer 35

*What a program hopes to achieve *statement about how goals will be achieved (SMART) *knowledge or skills that will be gained *broad statement of an organization's purpose (programing/goals will follow the mission statement)

Answer 36

Children develop sense of modesty around age 5 Children age 3 are typically curious about their bodies/genitals

Answer 37

Interaction to gather preliminary information about a prospective client to determine if a program/service is a good fit.

Answer 38

Increased participatory management with face-to-face engagement to address conflict as a group is effective to remedy morale concerns. Important to meet early - high conflict and low morale can impact employee turnover.

Answer 39

People have multiple identities that come with various forms of oppression, and everyone's experience is unique. Acknowledges the power dynamicsof identities like gender, race, religion, ethnicity, ability, and sexual orientation and introduces concept that people can have power in one area but not others. Key Concept of Feminist Theory

Answer 40

More comprehensive than internal audits. More detailed

Answer 41

More cost-effective, support the organization to prepare for an external audit, allow space to mitigate risk nad implement changes quickly.

Answer 42

Interplay of classical conditioning, operant conditioning, social learning/observation

Answer 43

Informed consent = Conversation + Signed document Assent = explaining elements of informed consent, including limitations to confidentiality and self-determination and having client agree (assent) to treatment - usually with minors

Answer 44

Increase supervision and faciliate ways for the staff to process work they are doing and the impact on themselves in a confidential setting.

Answer 45

1. ID Warning signs 2. Develop coping strategies 3. People and settings that provide safe distraction 4. List people you can ask for help 5.List of crisis numbers 6. Make the environment safe (means restriction)

Answer 46

staff meeting - face to face forum with opportunity for discussion

Answer 47

Ethically obligated to take reasonable precautions to ensure client's records are protected and confidentiality is maintained in the event of a SW illness, incapacity, or death. Not required to notify the licensing board of illness that does not impact the scope of practice or work with clients.

Answer 48

No barrier to providing consultation if there is not direct client service provided.

Answer 49

Custody cases. The Bricklin Perceptual Scales (BPS) measures children's perceptions about each parent [22]. The BPS consists of 64 questions, half of which pertain to each parent [25]. The questions alternate in their focus on father or mother; each question being asked about each parent at different points during the examination.

Answer 50

Cannot treat PTSD without sobriety. If client is not typically sober first focus should be on managing alcohol use. Concurrent treatment is effective if client is able to maintain sobriety.

Answer 51

The goal is to generate solutions to the conflict that will work for everyone involved.

Answer 52

*Can be used at individual and community levels *Focuses on strengths, resources, and resiliency of indivudals/groups *Provides wholistic lens rather than focus only on problems or needs

Answer 53

atypical anti-psychotic used to treat Sx of Schizophrenia

Answer 54

stimulant to treat ADD/ADHD

Answer 55

Proton-pump inhibitor to treat reflux diseases

Answer 56

have a specific plan for safety, support, and structure in the immedaite wake of an assault

Answer 57

College counselors are exempt from mandated reporting of assaults under Title IX laws.

Answer 58

Reflect what the client is saying and offer a new frame of reference to consider.

Answer 59

Offers a response to a client's perspective without offering a new frame of reference.

Answer 60

Recognize when personal bias is impacting objectivity - when htis happens seek supervision. If truly unable to provide objective care it is important to refer the case to another professional. This is most appropriate when the case is new and rapport is not established.

Answer 61

When one experiences stress when unable to fulfill what is expected of them in a certain role they hold. It an create stress for the client. Values exploration does nto address the immediate stressor of role strain.

Answer 62

Style management takes the perspective that employees are unable ot do their jobe adequately without a high degree of oversight.

Answer 63

supervisor tailors apporach depending on the supervisee's need.

Answer 64

Supervisee is encouraged to express opinions during staff meetings

Answer 65

Supervisor has a clear vision for the organization and provides close coaching - grounded in the supervisor's own vision to motivate supervisee.