LCSW Bonus Test Prep

Question 1

Broker (Q2)

Answer 1

Supports clients by connecting them with the appropriate community services and resources (essentially the CRS function)

Question 2

Delusion of Reference

Answer 2

the belief that un-related occurrences in the external world have a special significance for the person who is being diagnosed. So, for example, a delusion of reference might occur when someone watches a movie and believes there is a message in the movie that is meant specifically for them, and that makes some kind of “sense”.

Question 3

Delusion of Control

Answer 3

Also - delusion of passivity, passivity experience, and passivity phenomenon.
According to the patient’s narrative, his thoughts, emotions, perceptions or actions are under the control of a different agent: either another person, a spirit, a machine, or unknown forces.

Question 4

Grandiose Delusion

Answer 4

unfounded or inaccurate beliefs that one has special powers, wealth, mission, or identity

Question 5

Persecutory Delusion

Answer 5

believe someone or something is mistreating, spying on or attempting to harm them (or someone close to them)

Question 6

Defense mechanisms

Question 7

Order of operations Risk Assessment/Safety contract with SI (Q33)

Question 8

Beck Depression Inventory (BDI)

Answer 8

21 item questionaire for depressive Sx:
1-10___These ups and downs are considered normal
11-16__ Mild mood disturbance
17-20__Borderline clinical depression
21-30__Moderate depression
31-40__Severe depression
+ 40__Extreme depression

Question 9

Minnesota Multiphasic Personality Interview (MMPI)

Answer 9

https://www.verywellmind.com/what-is-the-minnesota-multiphasic-personality-inventory-2795582
Clinical psychology professionals use the test to assess and diagnose mental illness, but it’s used in other areas, such as:

*Legal cases, including criminal defense and custody disputes
*Professional/employment screening, especially for high-risk jobs
*Substance use programs

Question 10

Thematic Appreciation Test (TAT)

Answer 10

A psychological assessment tool used to evaluate individuals’ emotional responses and inner thoughts by analyzing their interpretations of ambiguous pictures.

Question 11

Myers-Briggs Type Indicator (MBTI)

Answer 11

16 personality types.
*Extraversion vs Introversion
*Sensing vs Intuition
*Thinking vs feeling
*Judging vs perceiving
https://www.themyersbriggs.com/en-US/Products-and-Services/Myers-Briggs

Question 12

Formal Operational Stage (Q38)

Answer 12

The individual develops egocentrism and is able to self-admire and self-criticize. Full abstract and logical deduction ability is reached.
* Abstract thinking, or “thinking about thinking” becomes possible
* Only ½ of all adults achieve this stage.

Question 13

Gottman Method of Therapy (Q46)

Answer 13

Focus on improving communication by eliminating harmful language and managing conflict resolution.

Question 14

Atypical vs typical antipsychotics (Q83)

Answer 14

Atypical Antipsychotics - developed in the 1990s, less severe side effects
Typical Antipsychotics - developed in the 1950s, used if atypicals don’t work, usually with more severe side effects

Question 15

David Kolb’s stages of learning model (Q154)

Answer 15

Diverging - sees things from different perspectives and works well in brainstorming/group settings
Accommodating - hands-on, relies on intuition
Assimilating - logical and concise approach, benefits from clear explanation
Converging - problem-solving style, competent at finding practical uses for theoretical ideas

Question 16

Depression vs Dysthimia (Q155)

Answer 16

Persistence and severity of symptoms is the key differentiator
Dysthymia - 2 symptoms present for at least 2 yrs
Depression - 3-5 symptoms present for at least 2 wks

Question 17

Family Life Cycle - Launching Stage

Answer 17

Major task is the establish self as an adult, finding one’s lifestyle and partner.

Question 18

Malingering vs Fictitious D/O

Answer 18

Malingering - Faking symptoms for external gain
Fictious Disorder - faking symptoms with no obvious external reward

Question 19

Therapist self disclosure

Answer 19

seek supervision to determine if clinically appropriate, not the responsibility of the client to determine if this would be clinically beneficial.

Question 20

Ecomap

Answer 20

An ecomap in social work (also referred to as eco map or eco-map) is a visual representation of all the different systems impacting an individual’s or family’s life.

People interact with multiple other entities regularly, including friends, extended family, work, school, recreational clubs, medical professionals, etc.

This is the person’s “ecosystem.”

Question 21

Columbia Severity Rating Scale

Answer 21

Also Columbia Suicide Rating Scale, risk assessment for sucide and ideation.
The Screener contains 6 “yes” or “no” questions in which respondents are asked to indicate whether they have experienced several thoughts or feelings relating to suicide over the past month and behaviors over their lifetime and past 3 months. Each question addresses a different component of the respondent’s suicide ideation severity and behavior.

Question 1: wish to be dead
Question 2: non-specific suicidal thoughts
Questions 3–5: more specific suicidal thoughts and intent to act
Question 6: suicidal behavior over the respondent’s lifetime and past 3 months
If the respondent answers “yes” to Question 2, he/she is instructed to answer Questions 3–5. If the respondent answers “no” to Question 2, he/she may skip to Question 6.
An answer of “yes” to any of the six questions may indicate a need for referral to a trained mental health professional, and an answer of “yes” to questions 4, 5 or 6 indicates high-risk.

Question 22

Ethical Responsibilities (Dilemmas question)

Answer 22

Commitment to Clients
Self-Determination
Informed consent
Competence
Cultural competence
Conflict of interest
Privacy and confidentiality
Access to records
Sexual relationships
Physical contact
Sexual harassment
Derogatory language
Payment for services

Question 23

Erikson’s Psychosocial Developmental stages

Answer 23

Trust versus mistrust: The first stage, which occurs in infancy, is about whether the world is reliable
Autonomy versus shame and doubt: Children learn to act intentionally and within reason
Initiative versus guilt: Children develop purpose through play and social interactions
Industry versus inferiority: Children build confidence and learn new skills
Identity versus role confusion: Adolescents search for their identity and question their beliefs, habits, and perspectives
Intimacy versus isolation: Young adults form loving relationships with others
Generativity versus stagnation: Adults create or nurture things, often through parenting or community contributions
Integrity versus despair: Adults reflect on their lives and consider whether they embraced life or regretted missed opportunities

Question 24

Narrative Therapy techniques

Answer 24

Focus on providing space to share persepctive, listen to understand. Tell and understand one’s story.

Question 25

Confidentiality following client death

Answer 25

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

Question 26

Vicarious Trauma

Answer 26

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.

Question 27

Rx for depressive Sx in Bipolar D/O

Answer 27

Lamictal

Mood stabilizer and anticonvulsant

hard to treat b/c traditional antidepressants can trigger mania

Question 28

Piaget’s stages of development

Answer 28

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

Question 29

premature termination of treatment

Answer 29

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

Question 30

Bipolar I Disorder

Answer 30

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

Question 31

zone of proximal development

Answer 31

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

Question 32

When to refer couples to individual therapists

Answer 32

When the relationship is abusive

Question 33

Response when receiving a subpoena

Answer 33

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

Question 34

Compassion Fatigue

Answer 34

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)

Question 35

Motivational Interviewing stages

Answer 35

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

Question 36

Stages of Grief

Answer 36

denial.
anger.
bargaining.
depression.
acceptance.

Question 37

Validity in Research

Answer 37

Measuring what is intended to measure

Question 38

Reliability in Research

Answer 38

results are consistently produced