LCSW-Going to Pass

Question 1

A 16 year old female student is referred to the school socials worker by the principal. The student struggles with getting to school on time, does not turn in homework, and has poor hygiene . What should the social work asses FIRST ?

A) child neglect
B ) Child abuse
C ) personal neglect
D) learning disability

Answer 1

A) child neglect

Question 2

Brandon is very dependent on his mother. She does many things for him such as cook meals, wash and iron his clothes. When as about this by his friend , Brandon becomes defensive and says his friend is is a “ momma boy.” What defense mechanism is Brandon MOST likely using?

A. Projection
B . Sublimation
C. Displacement
D . Reaction Formation.

Answer 2

A. Projection

Question 3

Question 78

During a therapeutic session a 37 year old male reports that he is depressed and has suicidal ideation. When the social worker inquires further the client states, “ please don’t worry, everything will be okay.” The social worker should FIRST?

A, Conduct a safety assessment
B Refer the client to a psychiatrist
C. Initiate inpatient hospitalization
D. Explore with the client what’s is causing his depressive symptoms

Answer 3

A, Conduct a safety assessment

Question 4

Question 79

A welfare social worker enters a home for a quarterly home visit. When he arrives, the father appears to be under the influence of alcohol and punches one of the children. What should the social worker do first?

A. Call 911
B. Take the child out of the home
C Refer the father to substance abuse treatment center.
D. Make a CPS call and report abuse

Answer 4

A. Call 911

Question 5

Question 43

Which is often true about transference in social work practice?

A) it’s always sexual in natural
B ) there’s no therapeutic value
C ) Transference is when the client redirects an unconscious feeling, desire, or expectation from another person toward their therapist.
D) Transference is when the therapist redirects an unconscious feeling, desire, or expectation from another person toward their client.

Answer 5

C ) Transference is when the client redirects an unconscious feeling, desire, or expectation from another person toward their therapist.

Question 6

Questions 53

A social worker is facilitating a psychotherapy group for parents who are in recovery from Substance abuse. After the group, a 19 year old client mentions that she has been having thoughts of using and is struggling to stay clean. In order to meet this client’s needs, the social worker should:

A. Inquire about the clients children and supports
B. Encourage the client to bring up her struggles to the group in the next session.
C. Contact the client’s sponsor and report the behavior.
D. Refer the client to individual therapy

Answer 6

B. Encourage the client to bring up her struggles to the group in the next session.

Question 7

Question 25

A client who has received services for several years in a dialysis unit appears for a routine visit. The nurse notices a markedly changed affect and refers the client to the social worker. When seeing the social worker, the client seems detached, self-absorbed, and tearful. The social worker should FIRST assess the client’s:

(A) life situation and recent changes
(B ) compliance with medical care
(C) concerns about dying
(D) feelings about dialysis

Answer 7

(A) life situation and recent changes

Question 8

Question 42

All of the following are examples about delirium and dementia except:

A) I’m both delirium and dementia, cognition is distorted, but dementia affects mainly memory and delirium affects mainly attention
B ) delirium is often reversible while dementia is generally irreversible.
C )delirium is characterized as slow gradual onset while dementia is not
D ) delirium is a symptoms of dementia

Hint/ tip:
-clients are typically diagnosed with delirium in a hospital setting.

Answer 8

C )delirium is characterized as slow gradual onset while dementia is not

Key word is except

Question 9

Question 66

A college student is feeling overwhelmed and stressed about upcoming finals and begins thumb sucking . What defense mechanism is this ?

A, reaction formation
B regression
C. Rationalization
D introjection

Answer 9

B regression

Question 10

Question 56

Not remembering a traumatic incident in which you witnessed a crime.
This is an example of what defense mechanisms?

A. Denial
B. Repression
C. Reaction Formation
F. Sublimation

Answer 10

B. Repression

Question 11

Question 57

Throwing temper tantrums as an adult when you don’t get your way. This is an example of what defense mechanism.

A. Repression
B Regression
C. Peter Pan syndrome
D Denial

Answer 11

B Regression

Question 12

Question 65

After insulting someone, you spend then next few hours praising them and showering them with complements. What defense mechanism is this ?

A, repression
B undoing
C personality disorder
D identifying with the aggressor

Answer 12

B undoing

Question 13

Question 51

During a therapy session, a client reports that she is depressed and has suicidal ideation. When the social worker inquires further the client says “I will be okay, I just want to go home ”. The social worker should FIRST

A. Provide CBT therapy
B. Explore with the client what is causing her suicidal ideation and depressive symptoms
C. Conduct a safety assessment
D. Refer the client to a inpatient psychiatric unit.

Answer 13

C. Conduct a safety assessment

Question 14

Question 64

Heroin is treated by prescribing which medication?

A, Antabuse
B, methadone and suboxone
C methadoen and subutex
D opiods

Answer 14

B, methadone and suboxone

Pay attention to spelling

Question 15

Question 49

A Patient who is described as oriented x3, is able to demonstrate awareness of which of the following three features:

A. Name, date, city.
B. Age, place, situation.
C. Name, place, age.
D. Person, place, time.

Answer 15

D. Person, place, time.

Question 16

Question 62

What medication is used to treat alcohol abuse by creating an unpleasant reaction to alcohol?

A, antidepressant
b, Antabuse
C suboxone
D buprenorpbine

Answer 16

b, Antabuse

Question 17

Question 63

What medication is used to relieve withdrawal symptoms of opiates/ opiods?

A, Antabuse
B metnadone and subutex
C Suboxone
D amphetamines

Answer 17

C Suboxone

Question 18

Question 54

What primary condition is treated by monoamine oxidase inhibitors(MAOIs), serotonin- norepinephrine reuptake inhibitors (SNRIs),and selective serotonin reuptake inhibitors (SSRIs)?

A. Attention deficit disorders.
B. Anxiety disorder
C. Alcohol withdrawal
D. Depressive disorders

Answer 18

D. Depressive disorders

Question 19

Question 2:

A social worker suspects a child receiving services from another agency is being psychologically abused and neglected. She discussed the reason for her belief and her serious concerns about the child’s home environment with her supervisor. After a lengthy conversation, the social worker supervisor does not agree with the social worker and tells the social worker to monitor the situation for a while before deciding whether to make a report to the child protective agency. The social worker should:

A. Make an anonymous report to the child protective agency.
B. Contact the child protective agency immediately while informing the supervisor of the need to do so.
C. Make an appointment to speak to the supervisor and collect additional information that supports the social workers concerns.
D continue to collect information and follow up regularly with the supervisor to seek direction .

Answer 19

B. Contact the child protective agency immediately while informing the supervisor of the need to do so.

Question 20

Question 52

A social worker who leads a therapy group for teen moms, will be taking an MFLA extended leave. What should the social worker discuss with the group FIRST?

A. Arrangements for continuity of the group.
B. End the group
C. Meet with each group member individually and provides resources.
D. Provide a detailed reason for the MFLA leave

Answer 20

A. Arrangements for continuity of the group.

Question 21

Question 59

Channeling aggressive drives into playing football or inappropriate sexual desires into art. This is an example of what defense mechanism?

A. Denial
B Sublimination
C. Reaction Formation
D Regression.

Answer 21

B Sublimination

Question 22

Questions 58

Taking your anger toward your boss out on your spouse or children by yelling at them and not your boss. This is an example of what defense mechanism?

A. Projection
B. Displacement
C. Sublimation
F Reaction Formation

Answer 22

B. Displacement

Question 23

Question 55

A social worker who co- leads a therapy group for client with low self esteem plans to begin an extended leave due to limited childcare. What should the social worker discuss with the group FIRST?

A. Arrangements for continuity of the group.
B. Meet with each member individually
C. Detailed reason for the leave
D. Refer group member to other groups .

Answer 23

A. Arrangements for continuity of the group.

Question 24

Question 50

A social worker enters a foster home for a routine home visit. When she arrives, the foster parents are under the influence of a substance. The foster parents are yelling and mistreating the foster children. What should the social worker do FIRST:

A. Take immediate custody of the children
B. Call the foster care agency and speak to your supervisor.
C. Take the foster children out of the home to ensure safety.
D. Call 911 for immediate assistance

Answer 24

D. Call 911 for immediate assistance

Question 25

Question 60

What’s the difference between child abuse and child neglect?

Answer 25

Child abuse can be unexplained burns, cuts, scars or bruises caused by physical harm or overused corporal punishments, forced unwanted sexual acts, misused or soliciting.

Neglect is when the caregiver fails to meet the child’s basic necessities for living such as not supplying food, access to water, hazardous shelter, leaving a child at a doctor’s office, failing to report known harm that a child may have experienced to the appropriate authorities, failure to provide medical and/or mental health care.

Abuse- physical, sexual, emotional

Neglect- not providing needs to the children

Question 26

Question 44

A client who thinks that she is doing a good job is having problem at work. He reports feeling annoyed as his boss keeps telling him that he is not doing what’s expected of him. The client is likely experiencing?

A) role reversal
B ) role ambiguity
C) role complementary
D ) role discomplementarity

Answer 26

D ) role discomplementarity

Role Discomplementarity is when job expectations differ from the employers and the clients… they think they’re doing a good job but the boss doesn’t think so — meaning they have different expectations of what a good job means

Question 27

Question 41

A 27 year old male was admitted to the emergency room for opioid use disorder. The client was referred to the social worker by the MD for substance abuse resource. The social worker met with the patient at bedside and introduces self and role. The patient declines to speak to the social work and states, “ I dont have a problem with opiods.” What should the social worker do NEXT?

A) Confront the client about his opioid use
B ) Complete a SUDE assessment
C) Validate client feeling
D) Consult with MD

Hint: you are standing in front of the client. What should you do NEXT?

Answer 27

C) Validate client feeling

Question 28

Question 47

Wearing a mask during Covid is a:

A) Primary Prevention
B ) Secondary Prevention
C Tertiary Prevention
D) primary and secondary Prevention

Answer 28

A) Primary Prevention

Question 29

Question 45

When engaging in structural family therapy, social worker may use which of the following techniques to understand and diagnosed structures that maintain families’ dysfunctional interactions ?

A) enactments
B ) confronting
C ) empty chair technique
D ) collateral information for each family member.

Answer 29

A) enactments

Question 30

Questions: 48

What are some signs of elderly abuse ?

Answer 30

Bruises on body, being isolated, and someone taking money from the elderly that don’t have legal control over their finances.

Question 31

Question 46

Which of the following is not true about personality disorders?

A) the are characterized by distorted patterns of thinking.
B ) they cause interpersonal conflict
C ) they are diagnosed in childhood
D) poor impulse control

Answer 31

C ) they are diagnosed in childhood

Question 32

Question #40

Client is a 23 year old male who was referred to social work by his primary care provider. The client was hospitalized for 3 weeks and was medically cleared to resume outpatient therapy. During the initial assessment the client reports feeling tired, reduce appetite, lost of interest, back pain and feeling hopeless. What should the social worker do first ?

A) Refer to Primary care provider
B ) Conduct a risk assessment
C) Provide emotional support
D) Provide CBT therapy

Answer 32

B, as he’s already been medically cleared

Question 33

Question 38

During the initial phase of treatment with a new client, it is MOST important that the social worker:

A. Develop a contract to be followed.
B. Define interventions
C. Discuss treatment plan
D. Determine the client’s expectations.

Answer 33

D. Determine the client’s expectations.

Question 34

Question 36

When using the problem-solving process in social work practice, which of the following is involved in the planning phase?

A. schedule a medical evaluation and obtain medical clearance
B. Complete a Beck inventory survey following the planning phase
C. Discuss and review interventions with the client
D. Uncovering of the client’s objectives as well as possible solutions to the issue at hand

Answer 34

D. Uncovering of the client’s objectives as well as possible solutions to the issue at hand

Question 35

What is (TF-CBT ? When do you use it ? For what age group?

Tip: This will be on the exam

Hint: trauma

Answer 35

It's used to treat the effects of trauma in children 3-18 years old. The caregivers or parents are involved in the therapy. 
TFCBT is used in 3 stages. 
     1. Stabilization 
     2. Trauma narrative 
     3. Integration and consolidation

Question 36

QUESTION 35

When planning an intervention with a client, the social worker should FIRST assess the client’s:

A. Mental Status
B. individual therapy
C. Diagnosis
D. View of the problem

Answer 36

D. View of the problem

Question 37

Question 37

A 27 -year-old female police officer meets with a social worker for an intake assessment and reports that she thinks she has PTSD. During the interview, the client also reports difficulties sleeping, poor appetite, headaches, leg pain and feeling lights headed. The FIRST action the social worker should take in this situation is:

A. Refer the client to an MD.
B. Complete a psychosocial assessment
C. Asses for trauma
D. Diagnose the client with PTSD.

Answer 37

A. Refer the client to an MD.

• You want to rule out any medical problems first

Question 38

Question 39

A social worker is working as a case manager at a non- profit. The social worker ethical obligations conflict with the agency policies. What should the social worker do?

A) Follow the agency guidelines
B ) The social worker should seek proper consultation
c) The social worker should attempt to resolve the conflict in a manner that follows NASW guidelines
D) Speak to the board of director.

Answer 38

c) The social worker should attempt to resolve the conflict in a manner that follows NASW guidelines

the NASW is like our bible. It has the rules and regulations we must follow.

Question 39

How does Acute Stress Disorder differ from PTSD ?

Answer 39

Acute stress is the symptoms experienced directly after a traumatic experience whereas PTSD are the long term.

PTSD does not always have to come right after Acute stress as there are time that acute stress do not develop

Question 40

What is an example of sublimation defense mechanism ?

Answer 40

Expressing unacceptable impulses by using acceptable means. Anger into extreme exercise to avoid the unacceptable impulse from occurring.

Question 41

What is an example of Repression?

Hint: defense mechanism

Answer 41

Someone who has pushed their hurt and painful emotional away form a traumatic experience.

Unable to recall a past trauma

Question 42

What is an example of reactions formation ?

Answer 42

Being nice to someone you don’t like. Buying someone something for their birthday but you really don’t like them

Question 43

Question 22

A college senior meets with a social worker. The client reports that he has been struggling with feelings of depression. He says that his friends have job offers for post-graduation, but he has not even been able to get an interview. He is frustrated, confused and says that if he doesn’t find a job soon, he doesn’t know what do. What should the social worker do FIRST?

A. Refer the client to a career counselor
b) point out the clients high expectations of himself
C) teach the client stress management techniques
D) assess for the risk of suicide

Answer 43

D, assess for the risk of suicide

Remember: safety -> feelings -> asses

Question 44

Question 24

When faced by a hostile client in an agency setting, it is BEST for the social worker to:

(A) suggest that the client’s attitude is making the situation worse
(B ) accept the client’s hostility and talk about nonthreatening topics
(C) set limits and structure on the interview session
(D) acknowledge the client’s feelings and encourage discussion of them

Answer 44

D, Acknowledge the client’s feelings and encourage discussion of them

**If the question becomes confusing focus on who is the client and what do they need 😉

Remember; Safety - >feelings -> asses

Question 45

Question 34

If a colleague is doing something unethical, what should the social worker do ?

Answer 45

Social worker should address the concern with their colleague first.. if the colleague does not address the concern then you can go and speak with their supervisor

Question 46

Question 32

A 24 yr old woman complains of depressed mood. She tells the social worker that she has felt this way the past 2-3 yrs. She has little energy for social or work activities, has difficulty making decisions and concentrating, and has poor appetite. There are no delusions or hallucinations. Her most likely DSM IV diagnosis is?

(a) Dysthymic disorder
(b) Bipolar disorder, depressed
(c) Cyclothymic disorder
(d) Major depression, recurrent

Answer 46

(a) Dysthymic disorder

Question 47

Question19

A client is concluding treatment at a family Counseling center. The client feels appreciative of the social worker’s services. At the end of the interview, the client offers a monetary gift. The social worker should:

A- Accept the gift, acknowledging the clients contribution to treatment.
B- Refuse the gift, basing the action on ethical standards of practice.
C- Accept the money with the understanding that it will be donated to charity.
D- Refuse the personal gift and suggest that the client make a donation to the agency instead.

Answer 47

B- Refuse the gift, basing the action on ethical standards of practice.

Question 48

Question 33

Which of the following medications is primarily used in the treatment of psychosis?

(a) haldol
(b) xanax
(c) wellbutrin
(d) prozac

Answer 48

(a) haldol

Question 49

Question 30

Borderline personality disorder is characterized by all of the following characteristics except

(a) intense long term relationships
(b) primitive delusional fantasies
(c) lack of control of aggressive drives
(d) self-destructive behavior

Answer 49

a) intense long term relationships

Question 50

Question 26

During the clients first appointment in a family agency, the social worker encourages her to express her feelings about the recent placement of her child in a residential facility for the developmentally disabled. The client talks at length instead about her physical health problems. The social worker should:

(A) use the clients remarks about her health to identify unresolved parenting issues
(😎 refocus the interview on the child’s behavior and the reason for the residential placement
(C) explore with the client how her health problems are related to the recent placement of her
child
(D) listen to clients description of her health as a beginning of a relationship and means of
assessing her self-perception

Answer 50

(D) listen to clients description of her health as a beginning of a relationship and means of
assessing her self-perception

Question 51

Question 23

In an initial session with a social worker, a client mentions having been hospitalized several times for depression. When the social worker attempts to explore the hospitalizations, the client becomes tense and guarded, saying “it’s old history”. The client refuses to give permission for the records to be released. The social worker should FIRST:

(A) explore why this topic appears to be upsetting the client
( B ) acknowledge the client’s right to decide about release of records
(C) reassure the client that the focus will be on present issues
(D) assess the client’s current level of depression

Answer 51

( B ) acknowledge the client’s right to decide about release of records

Question 52

Question 27

A couple expressing extreme anger at each other come to a social worker for marital counseling. The social worker should FIRST:

(A) explore the goals the anger is masking
(B) clarify whether each partner is willing to hear the other
(C) acknowledge the anger each partner has toward the other
(D) use the interview to probe for positive feelings each has for the other.

Answer 52

(C) acknowledge the anger each partner has toward the other

Question 53

Question 21

A child welfare social worker is interviewing a single mother who admits of abusing her youngest child two weeks ago . On learning the details, the Social worker becomes angry. To appropriately deal with the anger, the social worker should:

A- Acknowledge the anger to the parent and continue the interview
B- Ignore the anger and proceed with the interview.
C- Request the case be transferred to another social worker.
D- Recognize the anger and discuss it later with a supervisor.

Answer 53

D- Recognize the anger and discuss it later with a supervisor.

Question 54

Question 20

A client whose mother dies following a long term illness states to the social worker that he believes that his angry thoughts about his mother caused the death. This is an example of

A) delusions
B) grandiosity
C) ideas of reference
D) magical thinking

Answer 54

D) magical thinking

Magical thinking refers to the idea that you can influence the outcome of specific events by doing something that has no bearing on the circumstances. It’s pretty common in children

Question 55

Question 28

A 49 yr old recently divorced mail carrier complains his memory and logic skills have diminished. He is on a new delivery route and is embarrassed that he can’t visualize the exact boundaries of the route or calculate his workload and schedules. These are important factors in his job and he is worried. He has developed a slight limp and tires easily. What would the social worker first consider?

(a) a referral for a medical and neurological evaluation
(b) a diagnosis of early onset Alzheimer’s
(c) the possibility of a substance abuse problem
(d) an adjustment reaction to his divorce

Answer 55

a) a referral for a medical and neurological evaluation

Question 56

Question 29

A 26 year old patient complains of sleeplessness, loss of appetite, feeling hopeless, general apathy. To help diagnose a social worker would most need to know

(a) medications the client is taking
(b) family history of depression
(c) how long the symptoms have persisted
(d) if the patient lives alone

Answer 56

(c) how long the symptoms have persisted

Question 57

Question 31

A 22 year old man is seen in the ER with complaints of visual hallucinations, confusion and restlessness. He also has chills, dilated pupils and nausea. He says “nothing is wrong, I just need sleep”. Which of the following substances is most likely the cause of the condition?

(a) alcohol
(b) marijuana
(c) cocaine
(d) barbiturates

Answer 57

(c) cocaine

Question 58

Question 11

When faced by a hostile client in an agency setting, it is BEST for the social worker to:

A) suggest that the client’s attitude is making the situation worse
B) accept the client’s hostility and talk about nonthreatening topics
C) set limits and structure on the interview session
D) acknowledge the client’s feelings and encourage discussion of them

Answer 58

D) acknowledge the client’s feelings and encourage discussion of them

Question 59

Question 8

A social Worker is facilitating a new group for teenage mothers . The goal of the group is to support and encourage the young mothers to become more engaged with their children. After reviewing the rules of the group and eliciting introductions, what should the social worker do NEXT?

A) Ask each group member to describe the circumstances of their child’s life
DB Invite members to discuss how they view their roles as young mothers
C) Identify barriers that prevent the members from being more involved mothers
D) Ask each member to express his personal expectations of the group experience

Answer 59

D) Ask each member to express his personal expectations of the group experience

Question 60

Question 7

A hospital social worker is assessing a client who is oriented to person, time and place. The client has terminal cancer. The client declines a medical procedure that might prolong her life. Her husband tries to persuade the social worker to change the clients mind about the medical procedure. The social worker should:

A. Respect the client’s right to make the decision regarding the medical procedure
B. Encourage the client to review the pros and cons of her decision
C. Allow the clients husband to make an appropriate choice
D. Social Worker should schedule a family meeting and review medical treatment options.

Answer 60

A. Respect the client’s right to make the decision regarding the medical procedure

Question 61

Question 16

A 8 -year -old girl is referred to the school social worker by a teacher. The student is constantly falling asleep and has poor personal hygiene. What should the school social worker asses for FIRST?

A. Need of resources
B. Child abuse
C. Child neglect
D. Complete child abuse reporting.

Answer 61

C. Child neglect

Question 62

Question 18

The developmental tasks of self evaluation and skill learning are associated with what life stage?

A) toddlerhood 2-4 yrs (
B) early childhood 4-6 yrs
C) middle school 6-12 yrs
D) early adolescence 12-18 yrs

Answer 62

C) middle school 6-12 yrs

Question 63

Question 17

A hospital social worker completes a biopsychological-spiritual assessment on a client upon admission. In the biological section of the assessment, the social work lists the clients’ current medication, weight, height, blood pressure, and subjective assessment of well-being. The social worker moves on to the psychological section of the assessment. When the social worker’s supervisor looks at the biological section, it will be viewed as:

a) Complete because it gives critical information about the clients current physical well-being
b) Accurate and useful in understanding the current function of the client
c) Incorrect because it should contain only objective data and not subjective information
d) Incomplete because it does not contain the clients current medical problems and development and history, including developmental milestones.

Answer 63

C and D are both correct.

For test purposes: assessments only has objective information with the exception of SOAP ( subjective, objective, assessment, plan)

D- it’s important that you know what information belongs in each section of the helping process.

Example:
During Engagement ( validate feelings, build relationship , review confidentiality etc…

Question 64

Question 15

An adult client with little support from family is being discharged from an inpatient unit. Which of the following social work activities will BEST contribute to the client’s successful reentry into the community?

A. Helping the client obtain housing resources
B. Helping the client obtain food and financial resources
C.Ensure a safe discharge
D. Collaborating with community agencies

Hint: use the 5W’s to answer the question!

Answer 64

D. Collaborating with community agencies

TIP # 5 Using the 5w will help you answer the question.

• Where Is My Work Setting: (ex: school, hospital, community etc.)
• What is the Social Worker’s Role (school social worker, supervisor, therapist, case manager etc.)
• Who is my client (ex: parent, child, couple, group etc.. )
• What is the question asking me to do right now (firs, next, best , most, should etc..)
• What stage of treatment is my client in? ( ex: initial session, assessment, planning, termination etc.)

Question 65

Question 14

During the first session, a client becomes very upset and hostile about his need to seek treatment. He blames others for his situation and yells in aloud manner, In order to facilitate the problem- solving process, the social worker should First:

A) Listen to the client as he explains his concerns
B) Tell the client that he needs to calm down in order for the social worker to best understand his issues
C) Develop a plan to help him deal with his anger and blame of others
D) Asses why the client is so upset and unwilling to accept responsibility for his problems

Answer 65

A) Listen to the client as he explains his concerns

Question 66

Question 13

In the first session with a school social worker a high school student reveals he has been cutting school and forging his mother’s name on absence excuses. The social worker should:

A) inform the student that the social worker has a responsibility to inform his mother
B) avoid negatively reinforcing the attention-seeking behavior
C) suggest that it would be best for him to inform school authorities and accept
responsibility for his behavior
D) explore the reasons for the absences and factors contributing to the behavior

Answer 66

D) explore the reasons for the absences and factors contributing to the behavior

Question 67

Question 12

Which of the following medications is primarily used in the treatment of psychosis?

A. haldol
B. xanax
C. wellbutrin
D. prozac

Answer 67

A. haldol

Question 68

Question 10

A patient complains of sleeplessness, loss of appetite, feeling hopeless, general apathy. To help diagnose a social worker would most need to know

1) medications the client is taking
2) family history of depression
3) how long the symptoms have persisted
4) if the patient lives alone

Answer 68

3) how long the symptoms have persisted

Question 69

Question 9

A client arrives to therapy under the influence of alcohol. What do you do first ?

A. Continue with therapy.
B reschedule the therapy session
C. Complete a SUDE assessment
D Refer to AA

Answer 69

B reschedule the therapy session

Question 70

Question 6

After assessment is completed, what follows according to the problem solving process?

A.Intervention
B. Evaluation
C. Planning
D. Engagement

Answer 70

C. Planning

The first step is to engage with a client prior to starting the assessment. Engagement is the initial interactions between the social worker and the client.

On the exam, you will have multiple first question…. Before you assess you need to engage w/ the client validate feeling etc…..

I recommend the following acronyms EAt PIE T

engagement
Assessment
Planning
Intervention
Evaluating
Termination

Question 71

Question 5

A client is detoxing from alcohol. What medication is most like prescribed ?

A. Antidepressant
B. Mood stabilizer
C antipsychotic
D. Anti-anxiety (anxiolytics)

Answer 71

D. Anti-anxiety (anxiolytics)

Question 72

Question 4

All of the following are methods to address resistance during engagement except

A) Clarify what will occur in treatment
B) Instilling hope that change is possible
C) Explaining limits of confidentiality
D) Partializing action steps so clients can make incremental progress toward change

Answer 72

D) Partializing action steps so clients can make incremental progress toward change

Question 73

Question 3

During the fist session, a client becomes very upset and hostile about his need to seek treatment. He blames others for his situation and yells in a loud manner. In order to facilitate the problem solving process, the social worker should first.

A. Listen to the client as he explains his concerns
B. Tell the client that he needs to calm down in order for the social worker to best understand his issues.
C. Develop a plan to help him deal with his anger and blame others
D. Assess why the client is so upset and willing to accept responsibility for his problem .

Answer 73

A. Listen to the client as he explains his concerns

Question 74

Question 1:

A social worker is seeing a family for therapy. During session, the 17 year old daughter states that her father molested her when she was 6 year old. She says that it happened twice and has not occurred since that time. The father confirms the daughters accounts and says he is remorseful about his actions. He assures the social worker and his family that it will never happen again. In this situation, the social worker should:

A. Not contact the child protective agency given the length of time that has occurred since the incident
B. Not contact the child protective agency because these were isolated incidents and the father realized the inappropriateness of his actions.
C. Contact the protective agency after telling the family of the needs to do so because the social worker is a mandated reporter
D. Contact the child protective agency but not tell the family in order to preserve ten therapeutic relationship.

Answer 74

C. Contact the protective agency after telling the family of the needs to do so because the social worker is a mandated reporter

Always address safety first and notify family/ individual if you are going to contact child protective services.

Question 75

Question 61

What’s the difference between Early full Remission and Sustained Full Remission ?

Answer 75

Length of time without symptoms. | SFR is one year and EFR js 6-12 months | Time frame, Early full remission is 6 month and sustained full remission is 1 year

Question 76

Questions 80

A social worker is facilitating a behavior therapy group for individuals who are in recovery from substance abuse. After the group, a 22 year- old client mentions that she had an alcoholic beverage and pills prior to group. The client reports feeling anxious, irritable, nauseous and reports having tremor. In order to meet this client’s needs, the social worker should:

A. Suggest the client leave the group to attend individual substance abuse therapy.
B. Encourage the client to bring up her alcohol use to the group in the next session.
C. Refer the client to a substance abuse counselor
D. Call EMS

Answer 76

D - safety first

Question 77

Questions 82

In the initial assessment a client who works as a school bus driver reports that he drinks alcohol and smokes marijuana daily. What should the social worker do FIRST?

A Report to CPS

b. Refer the client to a Substance abuse counselor.
c. Inquire about the client drinking and Marijuana use.
d. Provide psychoeducationon on the dangers of drinking and driving

Answer 77

c. Inquire about the client drinking and Marijuana use.

*

Question 78

Question 83

Name the stages of change in order!

Hint: preparation

Answer 78

Precontemplation, contemplation, preparation, action, and maintenance.

I think of it as deciding what to make for dinner and then completing it.
Precontemplation- what I want for dinner.
Contemplation- do I want to cook chicken or steak,
Preparation- getting all the ingredients for the meal,
then Action- start cooking the meal,
Maintenance- clean up the dishes after

Question 79

Question 84

A family who has just immigrated to the United States from Afghanistan comes to the Emergency Department for a medical evaluation for their 14 year old daughter. The daughter reports having headaches and back pain. Parents report feeling concerned about their daughters health. In the initial intake, the parents report that they have taken the daughter to a faith healer but she continues to have symptoms. What would be the BEST course of action for the social worker to take?

A. provide psychoeducation surrounding medical care in the US
B. Report the family to CPS for medical neglect.
C. Explain to the family that faith healers are not allowed to provide care in the US
D. Acknowledge the family’s concerns surrounding daughters medical symptoms.
E. Refer the family to immigration services.

Answer 79

D - as social workers we acknowledge and respect the clients culture and their own belief system.. I eliminated A, B and C because A and B is discriminating and c has nothing to do with the stem…. what does immigration have to do with the daughter’s condition.

Question 80

Questions 85

The parents of a 16 year old girl, feel comfortable leaving her home alone during the day because she is able to problem solve, is aware of dangers and can cook for herself. This adolescent has reached which stage of cognitive development according to Piaget?

A. Sensorimotor.
B. Formal operations.
C. Concrete operations.
D. Preoperational

Answer 80

B. Formal operations.

Question 81

Question 86

Brandon is very dependent on his mother. She does many things for him such as cook meals, wash and iron his clothes. When as about this by his friend , Brandon becomes defensive and says his friend is a “ mommy’s baby.” What defense mechanism is Brandon MOST likely using?

A. Projection
B . Sublimation
C. Displacement
D . Reaction Formation.

Answer 81

A. Projection

Question 82

Question 87

A 27 -year-old female police officer meets with a social worker for an intake assessment and reports that she thinks she has PTSD. During the interview, the client also reports difficulties sleeping, poor appetite, headaches, leg pain and feeling lights headed. The FIRST action the social worker should take in this situation is:

A. Refer the client to an MD.
B. Complete a psychosocial assessment
C. Asses for trauma
D. Diagnose the client with PTSD.

Answer 82

A.- the client has to get medically cleared first due to all the physical symptoms described in the stem

Question 83

Question 88

The initial symptoms of schizophrenia MOST often occur between which of the following range?

a. 6 to 12
b. 13 to 16
c. 17 to 45
d. 46 to 60

Answer 83

c.17 to 45

Question 84

Question 89

A diagnosis of major depression episode, is indicated by all of the following symptoms EXCEPT:

a. Loss of interest
b. Feelings of hopelessness
c. Hallucination and hearing voices
d. lack of concentration

Answer 84

c.Hallucination and hearing voices

Question 85

Question 100

All of the following are methods to address resistance during engagement except

A) Clarify what will occur in treatment
B) Instilling hope that change is possible
C) Explaining limits of confidentiality
D) Partializing action steps so clients can make incremental progress toward change

Answer 85

D) Partializing action steps so clients can make incremental progress toward change

Question 86

Question 96

A female client comes to see a social worker to discuss her relationship issues. According to the psychosocial perspective, the social worker should:

1) have her tell you about the issues affecting her life
2) begin training behavioral techniques
3) provide a referral to a psychologist for testing
4) refer to a marriage and family therapist

Answer 86

1) have her tell you about the issues affecting her life

Question 87

Question 99

During the fist session, a client becomes very upset and hostile about his need to seek treatment. He blames others for his situation and yells in a loud manner. In order to facilitate the problem solving process, the social worker should first.

A. Listen to the client as he explains his concerns
B. Tell the client that he needs to calm down in order for the social worker to best understand his issues.
C. Develop a plan to help him deal with his anger and blame others
D. Assess why the client is so upset and willing to accept responsibility for his problem .

Hint: safety - feeling -asses

Answer 87

A. Listen to the client as he explains his concerns

Question 88

Question 93

A low income community is gathered in a Christian church and are deciding how to allocate funds to the All saints day event. What type of community theory is this an example of?

1- Conflict theory.
2- Power and Control.
3- Power struggle.
4- Hostility Model.

Answer 88

2- Power and Control.

Question 89

Question 93

A 21 year old individual has recently experienced the death of a parent and the loss of a job, and has increased consumption of alcohol. Which of the following areas should be assessed FIRST by the social worker?

1. Financial resource availability
2. Potential for suicidal behavior
3. Need for grief counseling
4. Extent of substance abuse

Answer 89

2. Potential for suicidal behavior

* Safety first*

Question 90

Question 92

A 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?

1. refer the parent to a physician
2. Encourage the parent to discuss her anxiety
3. initiate a mental status exam
4. plan a collaborative meeting with the school

Answer 90

3. initiate a mental status exam

Question 91

Question 94

A social worker is planning to develop a Diabetes Awareness training in her local community. What should the social worker do FIRST?

1- Garner support from the council representatives.
2- Distribute flyers and e-mails to invite people to the Training.
3- Ask political leaders to come to the training to offer their support.
4- Gauge the interest of the community to attend this type of training.

Answer 91

4- Gauge the interest of the community to attend this type of training.

Question 92

Question 95

A social worker notices that there is more gang affiliated graffiti in her neighborhood. She would like to enlist the help of others to solve this problem. What kind of Community Organization model is she using?

1. Social Planning.
   2- Brokerage.
   3- Social Action.
   4- Locality Development.

Answer 92

3- Social Action.

Question 93

What is the best way to evaluate a program?

1- Do a complete historical review.
2- Ask administrative staff for assistance.
3- Do an external audit.
4- Ask line staff for information

Answer 93

3- Do an external audit.

Question 94

Question 92

A 49 year female arrives to the emergency room with a broken nose. She claim that she fell and doesn’t want to talk about it . Her husband shows up, one hour later with a box of chocolates and flowers and then leaves. After completing the initial assessment, the social worker should :

1) work with the client and make a safety plan
2) encourage the client to talk about the abuse
3) provide psychoeducation education on the cycle of violence
4) provides the client with domestic violence resources.

Answer 94

4) provides the client with domestic violence resources.

Question 95

Question 90

An 11-year-old child would like to start helping around the house with chores. She approaches her mother many times, but is told she cannot assist because “she won’t do it right.” During several attempts to do things on her own, she is scolded. According to psychosocial development theory, she may experience doubts in her abilities due to a crisis in which of the following stages?

A. Industry versus inferiority
B. Initiative versus guilt
C. Autonomy versus shame/doubt
D. Generativity versus stagnation

Answer 95

A. Industry versus inferiority

Question 96

Question 91

All are part of a mental status exam except :

A) medical history
B)general appearance
C) judgement and insight
D) orientation

Answer 96

A) medical history

Question 97

Question 97

A social worker is seeing a family for therapy. During session, the 17 year old daughter states that her father molested her when she was 6 year old. She says that it happened twice and has not occurred since that time. The father confirms the daughters accounts and says he is remorseful about his actions. He assures the social worker and his family that it will never happen again. In this situation, the social worker should:

A. Not contact the child protective agency given the length of time that has occurred since the incident
B. Not contact the child protective agency because these were isolated incidents and the father realized the inappropriateness of his actions.
C. Contact the protective agency after telling the family of the needs to do so because the social worker is a mandated reporter
D. Contact the child protective agency but not tell the family in order to preserve ten therapeutic relationship.

Answer 97

C. Contact the protective agency after telling the family of the needs to do so because the social worker is a mandated reporter

Question 98

Question 98

A social worker suspects a child receiving services from another agency is being psychologically abused and neglected. She discussed the reason for her belief and her serious concerns about the child’s home environment with her supervisor. After a lengthy conversation, the social worker supervisor does not agree with the social worker and tells the social worker to monitor the situation for a while before deciding whether to make a report to the child protective agency. The social worker should:

A. Make an anonymous report to the child protective agency.
B. Contact the child protective agency immediately while informing the supervisor of the need to do so.
C. Make an appointment to speak to the supervisor and collect additional information that supports the social workers concerns.
D continue to collect information and follow up regularly with the supervisor to seek direction .

Answer 98

B. Contact the child protective agency immediately while informing the supervisor of the need to do so.

*code of ethics- if the social worker suspects abuse or neglect it should be reported as the role of a mandated reporter

Question 99

Question 77

Brandon is very dependent on his mother. She does many things for him such as cook meals, wash and iron his clothes. When as about this by his friend , Brandon becomes defensive and says his friend is is a “ momma boy.” What defense mechanism is Brandon MOST likely using?

A. Projection
B . Sublimation
C. Displacement
D . Reaction Formation.

Answer 99

A. Projection

Question 100

Question 101

The ability to keep feelings and needs separate from work relationships BEST represents which social work ethical standard ?

A) professional discretion
B ) responsibility to the profession
C) Professional Boundaries
D) Responsibility to colleagues

Answer 100

C) Professional Boundaries

Question 101

Question 102

A 25 year old male has recently experience the death of a parent and the loss of a job, and has increased consumption of alcohol. Which of the following areas should be assessed First by the social worker?

A) Need for grieving counseling
B ) Substance Abuse treatment
C ) Potential for suicidal behavior
D ) employment resources available

Answer 101

C ) Potential for suicidal behavior (Client has had multiple recent losses, red flags- swker must assess for suicide.. safety first

Question 102

Question 103

A social worker has been treating a client for 5 months in a mental health agency setting and experiencing intense sexual attraction towards the client. The social worker Best response is to:

A) Reveal the attraction to the client
B ) transfer the client to another therapies
C ) with the agency supervisor about the case
D) Work toward ending the clients services

Answer 102

C ) with the agency supervisor about the case

Question 103

Questions 104

A social work administrator is responsible for record keeping at a large agency. Which approach is MOST appropriate for maintaining client records?

A) Maintain all records for seven years following termination
B ) seek permission from clients for destruction of records
C) store records for the number of years required by state guidelines
D) keep records indefinitely

Answer 103

C) store records for the number of years required by state guidelines

Question 104

Questions 105

Which of the following medication is NOT typically prescribed for the treatment of Attention Deficit/ Hyperactivity disorder?

A) Adderall
b) Ritalin
C) Dexedrine
D)Elavil

Answer 104

D)Elavil

Question 105

Question 106

Which of the following medication is NOT typically prescribed for the treatment Bipolar disorder

A) Tegretol
B ) Topamax
C) Lamictal
D) Luvox

Answer 105

D) Luvox

Question 106

Question 107

Which of the following medication is NOT typically prescribed for the treatment Depression Disorder

A) Fluoxetine
B)sertraline
C ) citalopram
D) Topiramate

Answer 106

D) Topiramate

Question 107

Question 108

Which of the following medication is NOT typically prescribed for the treatment of anti anxiety disorder

A) klonopin
B ) buspirone
C) Xanax
D amphetamine

Answer 107

D amphetamine

Question 108

Question 109

All of the following are symptoms of Autism spectrum disorder Except:

A) restricted behavior
B repetitive behavior
C) social communication delays
D ) dysthymia

Answer 108

D ) dysthymia

Question 109

Question 110

In the first interview, a client who works as a city bus driver reports that he drinks alcohol daily. What should the social worker do FIRST?

A. Refer to AA
B confront the driver about the dangers of drinking under the influence
C. Find out more about the clients drinking
D. File a report with the department and motor and vehicles.

Answer 109

C. Find out more about the clients drinking

Question 110

Question 110

All of the following are symptoms of Schizophrenia except:

A) disorganize speech and behaviors
B ) delusions
C) hallucinations
D) communicative intent

Answer 110

D) communicative intent

Question 111

Question 111

The clients are a newly married couple who complain of a sexual problem. Their primary care providers have ruled out medical conditions and neither client uses any substances on a regular basis. During the initial intake with the couple, the social worker notices that each blames the other for the problem and the social worker decides to provide some information about potential causes for the sexual problems. The actions by the social worker are:

A) Ethical
B uneathical

Answer 111

A. Ethical because the couple is there for help asking for help. I think it’s important for the social worker to help guide them on some potential causes of why they are are having sexual problems in their relationship/marriage.

Question 112

Question 112

A welfare social worker enters a home for a quarterly home visit. When he arrives, the father appears to be under the influence of alcohol and punches one of the children. What should the social worker do first?

A. Call 911
B. Take the child out of the home
C Refer the father to substance abuse treatment center.
D. Make a CPS call and report abuse

Answer 112

A. Call 911

Question 113

Questions 113

What’s the difference between Early full Remission and Sustained Full Remission ?

Answer 113

Length of time. Early Full three to 6 months with only cravings.

Full Remission- 12 months only cravings

Question 114

Question 114

When engaging in structural family therapy, social worker may use which of the following techniques to understand and diagnosed structures that maintain families’ dysfunctional interactions ?

A) enactments
B ) confronting
C ) empty chair technique
D ) collateral information for each family member.

Answer 114

A. Enactment used as an assessment tool or therapeutic intervention in structured family therapy.

Question 115

Question 115

A client who thinks that she is doing a good job is having problem at work. He reports feeling annoyed as his boss keeps telling him that he is not doing what’s expected of him. The client is likely experiencing?

A) role reversal
B ) role ambiguity
C) role complementary
D ) role discomplementarity

Answer 115

D ) role discomplementarity

Question 116

Question 116

A college student is feeling overwhelmed and stressed about upcoming finals and begins thumb sucking . What defense mechanism is this ?

A, reaction formation
B regression
C. Rationalization
D introjection

Answer 116

B regression

Question 117

Question 117

Wearing a face mask during Covid is a:

A) Primary Prevention
B ) Secondary Prevention
C) Tertiary Prevention
D) primary and secondary Prevention

Answer 117

A. Primary Prevention (discuss, precaution, protect before contracting the virus)

Question 118

Question 118

When engaging in structural family therapy, social worker may use which of the following techniques to understand and diagnosed structures that maintain families’ dysfunctional interactions ?

A) enactments
B ) confronting
C ) empty chair technique
D ) collateral information for each family member.

Answer 118

A) enactments

Question 119

Question 119

In the initial intake, a 27 year old client who works as a school bus driver reports that he drinks alcohol and smoke a marijuana daily. What should the social worker do FIRST?

A. File a CPS report and notify the school district.
B confront the driver about the dangers of drinking under the influence.
C. Find out more about the clients drinking
D. Refer the client to detox.

Answer 119

C. Find out more about the clients drinking

Question 120

Question 120

A 35-year-old graphic designer is seeking help for his fear of public speaking. Due to a recent promotion, he is now required to make regular “pitches” to prospective clients. Previously, his work was mostly “behind the scenes,” and he’s afraid that he will “blow it” when making presentations and look incompetent and silly to his co-workers and the clients. The client is considering asking to be demoted so that he won’t have to make presentations. He states that public speaking has been a problem for him since high school, and that he feels like he’s having a panic attack whenever he has to speak in front of a group. The MOST likely DSM-5 diagnosis for this client is:

A. social anxiety disorder.

b. panic disorder.
c. specific phobia.
d. generalized anxiety disorder.

Answer 120

c. specific phobia.

Question 121

Question 121

A client reports that her 4-year-old son was found showing his genitals to a classmate at his preschool. The client is not upset by this but she is curious about what it means. What should the social worker do FIRST?
Select one:

a. Remind the mother of the limitations to confidentiality and file a child abuse report.
b. Provide education about sexual behavior in children.
c. Elicit more information to determine if this is normal sexual exploration.
d. Refer the child to a pediatrician.

Answer 121

b. Provide education about sexual behavior in children.

Question 122

Question 122

A social worker receives a phone call from client who reports that his neighbor, a policeman who was recently fired, is standing on his front lawn waving a rifle in the air and screaming, “I’m going to kill the next gang member I see!” The client, who is clearly shaken up, tells the social worker that there are several gang members who live on his street. What should the social worker do?

Select one:

a. Tell the client they will deal with this frightening event in therapy the next time he comes in.
b. Warn the intended victims and then deal with this in therapy the next time the client comes in.
c. Warn the intended victims and call the police and then deal with this in therapy the next time the client comes in.
d. Briefly help the client with his feelings of fear or anxiety and encourage him to call the police immediately.

Answer 122

d. Briefly help the client with his feelings of fear or anxiety and encourage him to call the police immediately.