LCSW EVALUATION 2027 ANSWERS AND
QUESTIONS SET A+
✔✔A 13-year-old who is being treated for depression is concerned about disclosing his
homosexuality to his parents, who are homophobic. The parents also want to know the
details of the treatment. The social worker should plan to: - ✔✔work with the adolescent
around the timing of a safe disclosure
✔✔A social worker sees a teenager whose family has been chronically homeless. The
teenager tells the social worker that her family has to move to another shelter and that
she will have to change schools. She shares how difficult it is to change schools and
start all over again. What is the BEST way for the social worker to advocate for this
client's needs? - ✔✔Work with the parents and school personnel to keep the client from
changing schools
✔✔A social worker interviews a 55-year-old man who is seeking treatment for
impotence. Which of the following factors is LEAST likely to be contributing to his
condition? - ✔✔Age
✔✔An elderly widower is brought for an evaluation to a geriatric clinic by his adult
daughters, both of whom live a half hour away from where he still resides in the family
home. The daughters are concerned that there is "no one to look after Dad." They
believe he is having some difficulty with walking and memory. The neurological and
mental status exams reveal no dementia. The man is ambulatory although a cane is
recommended. The daughters want to place him in an assisted living facility, but the
father is adamantly opposed. The social worker's BEST course of action is to: - ✔✔offer
an in-home evaluation, with the assurance to keep in touch with the daughters if he
consents
✔✔A social worker meets with a client who is eligible for financial assistance. The client
has just had a sex change and wants all information to be under the new name and sex.
Upon entering the identifying information, the computer recognizes the client under the
previous identity and will not accept the new sex designation. The client will not give the
social worker permission to enter the current information under the old client file.
,Benefits cannot be issued unless the client is entered into the computer. What should
the social worker do NEXT? - ✔✔Review the consequences of available options with
the client
✔✔During an initial interview, a social worker asks a client a question. The client
blushes and becomes silent. What should the social worker do NEXT? - ✔✔Remain
silent for a few seconds
✔✔When using cognitive-restructuring with a depressed 16-year-old client, the social
worker should: - ✔✔work with the client to set a concrete, time-specified goal
✔✔A child who no longer characterizes objects as "all good" or "all bad" and appears to
demand an increased amount of attention from the primary caretaker is, according to
developmental object relations theory, in the stage of: - ✔✔rapprochement
✔✔A parent brings a four-year-old child to a family services agency because the child is
having fantasies of being chased by a giant and a tiger and has nightmares of running
in terror. What should the social worker do FIRST? - ✔✔Do a comprehensive
biopsychosocial assessment
✔✔An elderly woman has been hospitalized for treatment of a stroke. The physician
recommends placement in a rehabilitation facility and refers the woman and her
caregiver daughter to the social worker. The daughter wants her mother to come home
since she would like to continue caring for her but she is concerned about being able to
provide necessary care. The social worker should FIRST: - ✔✔confer with the mother
and family members regarding placement
✔✔A recent immigrant is seen in a hospital emergency room after several panic
attacks. He is referred to a social worker but declines mental health treatment. The
MOST likely explanation for this refusal is the: - ✔✔cultural stigmas associated with
treatment
✔✔A social worker is leading a group for students with conduct problems. One of the
students is the informal group leader. He tends to intimidate the others and tries to
control the discussion by glorifying his past crimes. What should the social worker do? -
✔✔Ask the group how they feel about the student leader's comments
✔✔Which defense mechanism is MOST likely used by clients with a diagnosis of
borderline personality disorder? - ✔✔Projective identification
✔✔An insurance utilization review representative indicates that only one more session
is authorized for a patient who is depressed and has suicidal ideation with no specific
plan. The private practice social worker argues that at least 12 more sessions are
needed to stabilize the patient, but is unsuccessful in convincing the reviewer. The client
, cannot afford to pay for further sessions. The social worker should: - ✔✔continue to see
the client and discuss an alternative payment plan
✔✔A woman explains to the social worker that her family is a recent survivor of a
devastating hurricane. She is worried because every time it rains, her six-year-old
daughter becomes terrified and hides in a closet. In behavioral theory, what is this an
example of? - ✔✔Classical conditioning
✔✔A social worker meets regularly with a young adult client who has depression related
to separation and individualization issues. The client reports that his parents were often
demeaning and neglectful of him as a child. The client relates his past in a flat,
unemotional manner. The social worker should: - ✔✔help the client become aware of
his feelings about his parents
✔✔A social worker is working with a client diagnosed with kleptomania. The client
expresses guilt, but says she cannot seem to stop the behavior. The client tells the
social worker that she does not know why she engages in this behavior. What should
the social worker do FIRST? - ✔✔Explore the feelings behind the behavior
✔✔A client has established a behavioral contract to complete homework between
sessions. The next two sessions the client says, "I didn't have time to get it done." The
worker states, "I'm concerned that you contracted to complete your homework and yet
have not done so. What do you think is going on?" The social worker's statement is an
example of the technique of: - ✔✔confrontation
✔✔A client contacts a social worker for help with his anger over his partner's
extramarital affair. During the initial session, the client states he "will do whatever it
takes" to get even with his partner. What should the social worker do FIRST? - ✔✔Seek
further clarification of the statements
✔✔A retired person requests counseling because of "boredom and feeling worthless."
As a successful middle manager, the client looked forward to retirement and to
spending time with family and friends. However, the client now spends time sleeping
and watching television, rather than enjoying long anticipated pastimes. The social
worker should FIRST inquire about: - ✔✔other symptoms that might indicate depression
✔✔A client comes to a social worker complaining of persistent and intrusive thoughts.
The client asks for help to better manage his thinking. What should the social worker do
FIRST? - ✔✔Ask the client to describe the content of his thoughts
✔✔An 86 year old man recently widowed is encouraged to obtain mental health
services by his minister. He expresses concern that since the death of his wife of 50
years, he has not been able to sleep, has little energy, and often skips meals. The
social worker at the hospital conducts a clinical evaluation of the widower for
QUESTIONS SET A+
✔✔A 13-year-old who is being treated for depression is concerned about disclosing his
homosexuality to his parents, who are homophobic. The parents also want to know the
details of the treatment. The social worker should plan to: - ✔✔work with the adolescent
around the timing of a safe disclosure
✔✔A social worker sees a teenager whose family has been chronically homeless. The
teenager tells the social worker that her family has to move to another shelter and that
she will have to change schools. She shares how difficult it is to change schools and
start all over again. What is the BEST way for the social worker to advocate for this
client's needs? - ✔✔Work with the parents and school personnel to keep the client from
changing schools
✔✔A social worker interviews a 55-year-old man who is seeking treatment for
impotence. Which of the following factors is LEAST likely to be contributing to his
condition? - ✔✔Age
✔✔An elderly widower is brought for an evaluation to a geriatric clinic by his adult
daughters, both of whom live a half hour away from where he still resides in the family
home. The daughters are concerned that there is "no one to look after Dad." They
believe he is having some difficulty with walking and memory. The neurological and
mental status exams reveal no dementia. The man is ambulatory although a cane is
recommended. The daughters want to place him in an assisted living facility, but the
father is adamantly opposed. The social worker's BEST course of action is to: - ✔✔offer
an in-home evaluation, with the assurance to keep in touch with the daughters if he
consents
✔✔A social worker meets with a client who is eligible for financial assistance. The client
has just had a sex change and wants all information to be under the new name and sex.
Upon entering the identifying information, the computer recognizes the client under the
previous identity and will not accept the new sex designation. The client will not give the
social worker permission to enter the current information under the old client file.
,Benefits cannot be issued unless the client is entered into the computer. What should
the social worker do NEXT? - ✔✔Review the consequences of available options with
the client
✔✔During an initial interview, a social worker asks a client a question. The client
blushes and becomes silent. What should the social worker do NEXT? - ✔✔Remain
silent for a few seconds
✔✔When using cognitive-restructuring with a depressed 16-year-old client, the social
worker should: - ✔✔work with the client to set a concrete, time-specified goal
✔✔A child who no longer characterizes objects as "all good" or "all bad" and appears to
demand an increased amount of attention from the primary caretaker is, according to
developmental object relations theory, in the stage of: - ✔✔rapprochement
✔✔A parent brings a four-year-old child to a family services agency because the child is
having fantasies of being chased by a giant and a tiger and has nightmares of running
in terror. What should the social worker do FIRST? - ✔✔Do a comprehensive
biopsychosocial assessment
✔✔An elderly woman has been hospitalized for treatment of a stroke. The physician
recommends placement in a rehabilitation facility and refers the woman and her
caregiver daughter to the social worker. The daughter wants her mother to come home
since she would like to continue caring for her but she is concerned about being able to
provide necessary care. The social worker should FIRST: - ✔✔confer with the mother
and family members regarding placement
✔✔A recent immigrant is seen in a hospital emergency room after several panic
attacks. He is referred to a social worker but declines mental health treatment. The
MOST likely explanation for this refusal is the: - ✔✔cultural stigmas associated with
treatment
✔✔A social worker is leading a group for students with conduct problems. One of the
students is the informal group leader. He tends to intimidate the others and tries to
control the discussion by glorifying his past crimes. What should the social worker do? -
✔✔Ask the group how they feel about the student leader's comments
✔✔Which defense mechanism is MOST likely used by clients with a diagnosis of
borderline personality disorder? - ✔✔Projective identification
✔✔An insurance utilization review representative indicates that only one more session
is authorized for a patient who is depressed and has suicidal ideation with no specific
plan. The private practice social worker argues that at least 12 more sessions are
needed to stabilize the patient, but is unsuccessful in convincing the reviewer. The client
, cannot afford to pay for further sessions. The social worker should: - ✔✔continue to see
the client and discuss an alternative payment plan
✔✔A woman explains to the social worker that her family is a recent survivor of a
devastating hurricane. She is worried because every time it rains, her six-year-old
daughter becomes terrified and hides in a closet. In behavioral theory, what is this an
example of? - ✔✔Classical conditioning
✔✔A social worker meets regularly with a young adult client who has depression related
to separation and individualization issues. The client reports that his parents were often
demeaning and neglectful of him as a child. The client relates his past in a flat,
unemotional manner. The social worker should: - ✔✔help the client become aware of
his feelings about his parents
✔✔A social worker is working with a client diagnosed with kleptomania. The client
expresses guilt, but says she cannot seem to stop the behavior. The client tells the
social worker that she does not know why she engages in this behavior. What should
the social worker do FIRST? - ✔✔Explore the feelings behind the behavior
✔✔A client has established a behavioral contract to complete homework between
sessions. The next two sessions the client says, "I didn't have time to get it done." The
worker states, "I'm concerned that you contracted to complete your homework and yet
have not done so. What do you think is going on?" The social worker's statement is an
example of the technique of: - ✔✔confrontation
✔✔A client contacts a social worker for help with his anger over his partner's
extramarital affair. During the initial session, the client states he "will do whatever it
takes" to get even with his partner. What should the social worker do FIRST? - ✔✔Seek
further clarification of the statements
✔✔A retired person requests counseling because of "boredom and feeling worthless."
As a successful middle manager, the client looked forward to retirement and to
spending time with family and friends. However, the client now spends time sleeping
and watching television, rather than enjoying long anticipated pastimes. The social
worker should FIRST inquire about: - ✔✔other symptoms that might indicate depression
✔✔A client comes to a social worker complaining of persistent and intrusive thoughts.
The client asks for help to better manage his thinking. What should the social worker do
FIRST? - ✔✔Ask the client to describe the content of his thoughts
✔✔An 86 year old man recently widowed is encouraged to obtain mental health
services by his minister. He expresses concern that since the death of his wife of 50
years, he has not been able to sleep, has little energy, and often skips meals. The
social worker at the hospital conducts a clinical evaluation of the widower for
