Maryland Licensed Graduate Social Worker
Exam With Actual Questions & Correct
Answers, Plus Rationales/Expert Verified
For Guaranteed Pass 2026/Latest
Update/Instant Download Pdf
1. A client presents with persistent sadness, insomnia, and loss of
interest for over two weeks. What is the most likely diagnosis?
A. Generalized Anxiety Disorder
B. Bipolar Disorder
C. Major Depressive Disorder
D. Adjustment Disorder
Answer: C
Rationale: Symptoms lasting more than two weeks with
functional impairment are consistent with Major Depressive
Disorder.
2. Which defense mechanism involves attributing one’s own
unacceptable thoughts to others?
A. Projection
B. Denial
C. Regression
D. Displacement
Answer: A
Rationale: Projection occurs when individuals assign their own
unacceptable feelings to others.
3. What is the primary goal of cognitive-behavioral therapy (CBT)?
A. Explore unconscious conflicts
, B. Modify maladaptive thoughts and behaviors
C. Analyze childhood trauma
D. Strengthen defense mechanisms
Answer: B
Rationale: CBT focuses on identifying and changing distorted
thinking and behavior patterns.
4. A social worker must break confidentiality when:
A. The client requests it
B. There is risk of harm to self or others
C. The family requests information
D. The case is closed
Answer: B
Rationale: Duty to warn/protect overrides confidentiality when
safety is at risk.
5. Which stage of Erikson’s theory involves identity vs. role
confusion?
A. Adolescence
B. Early childhood
C. Middle adulthood
D. Late adulthood
Answer: A
Rationale: Adolescents struggle with identity formation versus
confusion.
6. What is transference?
A. Therapist projecting onto client
B. Client projecting feelings onto therapist
C. Mutual sharing of emotions
D. Avoidance of feelings
Answer: B
, Rationale: Transference involves clients redirecting feelings from
past relationships onto the therapist.
7. Which assessment tool evaluates suicide risk?
A. Beck Depression Inventory
B. Columbia Suicide Severity Rating Scale
C. MMPI
D. DSM-5
Answer: B
Rationale: This scale specifically assesses suicidal ideation and
behavior.
8. A client refuses treatment. What principle applies?
A. Beneficence
B. Autonomy
C. Justice
D. Fidelity
Answer: B
Rationale: Autonomy respects the client’s right to make
decisions about their care.
9. Which type of therapy focuses on family systems?
A. Psychoanalysis
B. Structural Family Therapy
C. Behavioral Therapy
D. Humanistic Therapy
Answer: B
Rationale: Structural Family Therapy examines family roles and
organization.
10. What is the first step in crisis intervention?
A. Planning
B. Assessment
Exam With Actual Questions & Correct
Answers, Plus Rationales/Expert Verified
For Guaranteed Pass 2026/Latest
Update/Instant Download Pdf
1. A client presents with persistent sadness, insomnia, and loss of
interest for over two weeks. What is the most likely diagnosis?
A. Generalized Anxiety Disorder
B. Bipolar Disorder
C. Major Depressive Disorder
D. Adjustment Disorder
Answer: C
Rationale: Symptoms lasting more than two weeks with
functional impairment are consistent with Major Depressive
Disorder.
2. Which defense mechanism involves attributing one’s own
unacceptable thoughts to others?
A. Projection
B. Denial
C. Regression
D. Displacement
Answer: A
Rationale: Projection occurs when individuals assign their own
unacceptable feelings to others.
3. What is the primary goal of cognitive-behavioral therapy (CBT)?
A. Explore unconscious conflicts
, B. Modify maladaptive thoughts and behaviors
C. Analyze childhood trauma
D. Strengthen defense mechanisms
Answer: B
Rationale: CBT focuses on identifying and changing distorted
thinking and behavior patterns.
4. A social worker must break confidentiality when:
A. The client requests it
B. There is risk of harm to self or others
C. The family requests information
D. The case is closed
Answer: B
Rationale: Duty to warn/protect overrides confidentiality when
safety is at risk.
5. Which stage of Erikson’s theory involves identity vs. role
confusion?
A. Adolescence
B. Early childhood
C. Middle adulthood
D. Late adulthood
Answer: A
Rationale: Adolescents struggle with identity formation versus
confusion.
6. What is transference?
A. Therapist projecting onto client
B. Client projecting feelings onto therapist
C. Mutual sharing of emotions
D. Avoidance of feelings
Answer: B
, Rationale: Transference involves clients redirecting feelings from
past relationships onto the therapist.
7. Which assessment tool evaluates suicide risk?
A. Beck Depression Inventory
B. Columbia Suicide Severity Rating Scale
C. MMPI
D. DSM-5
Answer: B
Rationale: This scale specifically assesses suicidal ideation and
behavior.
8. A client refuses treatment. What principle applies?
A. Beneficence
B. Autonomy
C. Justice
D. Fidelity
Answer: B
Rationale: Autonomy respects the client’s right to make
decisions about their care.
9. Which type of therapy focuses on family systems?
A. Psychoanalysis
B. Structural Family Therapy
C. Behavioral Therapy
D. Humanistic Therapy
Answer: B
Rationale: Structural Family Therapy examines family roles and
organization.
10. What is the first step in crisis intervention?
A. Planning
B. Assessment
