LCSW ALL COMPREHENSIVE ANSWERS AND
QUESTIONS SET A+
✔✔A social worker meets with a client who appears distraught. The client reports
feeling worried about her elderly mother, who lives in a group home. The client says that
her mother's glasses have been broken twice and her legs have marks on them that
look as though she has been restrained. The mother denies that any abuse has
occurred but the client notices that her mother's behavior has suddenly changed. The
social worker should help the client to: - ✔✔make a report to the appropriate authorities
✔✔A 14-year-old Asian American student is referred to a family agency because of the
student's recent poor academic performance and behavioral changes including lack of
paying attention and social withdrawal. During the second family therapy session, the
student angrily states that she is tired of the painful physical punishment from her father
for "trying to fit in with her friends at school." The father noted that the punishment is
necessary to prevent his daughter from imitating the behaviors of her American friends
and thus bringing shame to the family. The social worker should FIRST: - ✔✔attempt to
determine the severity of the physical punishment
✔✔A social worker is seeing a client who sometimes cancels appointments at the last
minute, does not show at all for some appointments, and always pays fees late. The
client describes frequent fights with friends, but doesn't understand why this keeps
happening. What should the social worker do FIRST? - ✔✔Relate the client's behavior
with the social worker to that with friends
✔✔During a family therapy session with a social worker, the parents of a 16-year-old
girl reveal that they have been reading her email and have become aware of her sexual
activity. The social worker should FIRST: - ✔✔encourage the adolescent to respond to
this disclosure
✔✔A client participating in day treatment attends a club house program designed to
reduce the isolation of mental health patients in the community. The social worker
observes that the client avoids socializing and lacks conversational skills. The social
,worker should FIRST: - ✔✔begin and sustain conversations, giving feedback about the
client's efforts to participate
✔✔A social worker sees a 75-year-old man whose wife died six months ago. In the
intake interview, the client reports that he has lost weight, has very little energy, and has
difficulty getting himself to do things. What should the social worker do FIRST? -
✔✔Complete a suicide risk assessment of the client
✔✔After a lifetime in one house, a senior moves into an assisted living facility. Before
the move the resident was outgoing but now is reclusive and refuses to attend meals or
other activities. The social work consultant should suggest the staff FIRST: - ✔✔allow
the resident time for grieving
✔✔A long-term client being treated for bipolar disorder announces her pregnancy and
her intent to continue taking lithium despite possible negative effects to the fetus. Her
psychiatrist has informed her of the consequences but agreed to continue monitoring
her medication. The social worker has a negative emotional reaction to the client's
decision. What is the BEST way for the social worker to convey this reaction? -
✔✔Perplexity
✔✔In the evaluation process for a client's sexual dysfunction, the FIRST consideration
is to: - ✔✔rule out any medical basis for the dysfunction
✔✔The term "tardive dyskinesia" refers to: - ✔✔a movement disorder
✔✔The social work supervisor is assigned a new supervisee. During the initial
supervisory sessions, the supervisor discusses the purpose of supervision, the role of
the supervisor, and the expectations for the supervisee. The supervisee is asked to
describe past practice experience, perceived strengths and weaknesses, and goals for
supervision. The supervisor and supervisee jointly formulate goals for the supervision.
The purpose of this process is to: - ✔✔establish learning objectives
✔✔A social worker sends a client to a colleague for a second opinion. The client has
been in treatment for the past three months and has a diagnosis of major depression.
The client believes the therapy is not working because of continuing episodes of
depression. The client says that the treating social worker has suggested psychotropic
medication. The client refuses to consider the medication. The colleague should NEXT:
- ✔✔explore with the client her resistance to taking medication
✔✔A client in short-term therapy with a social worker expresses general dissatisfaction
with life. During the first few sessions, the client skirts answers to questions, avoids
issues, and changes the subject often. Upon observing these behaviors, the social
worker should: - ✔✔confront the client with the resistance
, ✔✔A social worker is conducting an insight-oriented psychotherapy group. Although all
parties have been briefed on confidentiality, during the group session, one individual
admits discussing the group with friends and family. The BEST way for the social
worker to handle this situation is to: - ✔✔have group members discuss this situation and
reach a mutually satisfactory resolution
✔✔A social worker is called to a hospital emergency room to assist with a woman who
was brought in with her deceased baby. The baby has just died of sudden infant death
syndrome. The mother, who has no history of mental illness, is refusing to let go of the
baby and insists that the baby is still alive. What should the social worker do FIRST? -
✔✔Allow the woman to let go of the baby in her own time
✔✔A social worker is treating a woman who is a confirmed victim of abuse. Recently,
the therapeutic work has become quite intense. Suddenly, the client begins to say that
the abuse never happened. What is the MOST likely reason for the client's change of
opinion? - ✔✔The client may be avoiding the painful subject.
✔✔A family is referred to a social worker. The mother says she is constantly tired from
going to work, cooking, cleaning, running the household, and caring for her first child.
Her spouse is angry with her for not spending time with him and for not keeping the
baby quiet. The couple MOST likely is: - ✔✔having difficulty with the new life cycle
stage
✔✔According to the DSM, all of the following behaviors are characteristic of paraphilias
EXCEPT: - ✔✔autoeroticism
✔✔A social worker in a mental health agency conducts an initial interview with a lesbian
client who seeks treatment for depression and problems in her relationship with her
partner. The social worker feels uncomfortable when the client discusses her
homosexuality. At the conclusion of the session, the client expresses a desire to
continue the therapeutic relationship with the social worker. The social worker should
FIRST: - ✔✔meet with the supervisor to discuss the discomfort
✔✔A social worker maintains client records in a way that shows awareness that the
records may be disclosed in a regulatory or legal proceeding. This kind of record
keeping demonstrates that the social worker is: - ✔✔keeping the client's best interest in
mind
✔✔A social worker sees a teenager with a diagnosis of anorexia nervosa. The family
physician believes hospitalization is necessary. A psychiatrist has diagnosed a
comorbid condition of major depressive disorder and recommends intensive outpatient
treatment. The client and her parents are confused and frightened. The social worker
should FIRST: - ✔✔schedule a case conference with the professionals involved
QUESTIONS SET A+
✔✔A social worker meets with a client who appears distraught. The client reports
feeling worried about her elderly mother, who lives in a group home. The client says that
her mother's glasses have been broken twice and her legs have marks on them that
look as though she has been restrained. The mother denies that any abuse has
occurred but the client notices that her mother's behavior has suddenly changed. The
social worker should help the client to: - ✔✔make a report to the appropriate authorities
✔✔A 14-year-old Asian American student is referred to a family agency because of the
student's recent poor academic performance and behavioral changes including lack of
paying attention and social withdrawal. During the second family therapy session, the
student angrily states that she is tired of the painful physical punishment from her father
for "trying to fit in with her friends at school." The father noted that the punishment is
necessary to prevent his daughter from imitating the behaviors of her American friends
and thus bringing shame to the family. The social worker should FIRST: - ✔✔attempt to
determine the severity of the physical punishment
✔✔A social worker is seeing a client who sometimes cancels appointments at the last
minute, does not show at all for some appointments, and always pays fees late. The
client describes frequent fights with friends, but doesn't understand why this keeps
happening. What should the social worker do FIRST? - ✔✔Relate the client's behavior
with the social worker to that with friends
✔✔During a family therapy session with a social worker, the parents of a 16-year-old
girl reveal that they have been reading her email and have become aware of her sexual
activity. The social worker should FIRST: - ✔✔encourage the adolescent to respond to
this disclosure
✔✔A client participating in day treatment attends a club house program designed to
reduce the isolation of mental health patients in the community. The social worker
observes that the client avoids socializing and lacks conversational skills. The social
,worker should FIRST: - ✔✔begin and sustain conversations, giving feedback about the
client's efforts to participate
✔✔A social worker sees a 75-year-old man whose wife died six months ago. In the
intake interview, the client reports that he has lost weight, has very little energy, and has
difficulty getting himself to do things. What should the social worker do FIRST? -
✔✔Complete a suicide risk assessment of the client
✔✔After a lifetime in one house, a senior moves into an assisted living facility. Before
the move the resident was outgoing but now is reclusive and refuses to attend meals or
other activities. The social work consultant should suggest the staff FIRST: - ✔✔allow
the resident time for grieving
✔✔A long-term client being treated for bipolar disorder announces her pregnancy and
her intent to continue taking lithium despite possible negative effects to the fetus. Her
psychiatrist has informed her of the consequences but agreed to continue monitoring
her medication. The social worker has a negative emotional reaction to the client's
decision. What is the BEST way for the social worker to convey this reaction? -
✔✔Perplexity
✔✔In the evaluation process for a client's sexual dysfunction, the FIRST consideration
is to: - ✔✔rule out any medical basis for the dysfunction
✔✔The term "tardive dyskinesia" refers to: - ✔✔a movement disorder
✔✔The social work supervisor is assigned a new supervisee. During the initial
supervisory sessions, the supervisor discusses the purpose of supervision, the role of
the supervisor, and the expectations for the supervisee. The supervisee is asked to
describe past practice experience, perceived strengths and weaknesses, and goals for
supervision. The supervisor and supervisee jointly formulate goals for the supervision.
The purpose of this process is to: - ✔✔establish learning objectives
✔✔A social worker sends a client to a colleague for a second opinion. The client has
been in treatment for the past three months and has a diagnosis of major depression.
The client believes the therapy is not working because of continuing episodes of
depression. The client says that the treating social worker has suggested psychotropic
medication. The client refuses to consider the medication. The colleague should NEXT:
- ✔✔explore with the client her resistance to taking medication
✔✔A client in short-term therapy with a social worker expresses general dissatisfaction
with life. During the first few sessions, the client skirts answers to questions, avoids
issues, and changes the subject often. Upon observing these behaviors, the social
worker should: - ✔✔confront the client with the resistance
, ✔✔A social worker is conducting an insight-oriented psychotherapy group. Although all
parties have been briefed on confidentiality, during the group session, one individual
admits discussing the group with friends and family. The BEST way for the social
worker to handle this situation is to: - ✔✔have group members discuss this situation and
reach a mutually satisfactory resolution
✔✔A social worker is called to a hospital emergency room to assist with a woman who
was brought in with her deceased baby. The baby has just died of sudden infant death
syndrome. The mother, who has no history of mental illness, is refusing to let go of the
baby and insists that the baby is still alive. What should the social worker do FIRST? -
✔✔Allow the woman to let go of the baby in her own time
✔✔A social worker is treating a woman who is a confirmed victim of abuse. Recently,
the therapeutic work has become quite intense. Suddenly, the client begins to say that
the abuse never happened. What is the MOST likely reason for the client's change of
opinion? - ✔✔The client may be avoiding the painful subject.
✔✔A family is referred to a social worker. The mother says she is constantly tired from
going to work, cooking, cleaning, running the household, and caring for her first child.
Her spouse is angry with her for not spending time with him and for not keeping the
baby quiet. The couple MOST likely is: - ✔✔having difficulty with the new life cycle
stage
✔✔According to the DSM, all of the following behaviors are characteristic of paraphilias
EXCEPT: - ✔✔autoeroticism
✔✔A social worker in a mental health agency conducts an initial interview with a lesbian
client who seeks treatment for depression and problems in her relationship with her
partner. The social worker feels uncomfortable when the client discusses her
homosexuality. At the conclusion of the session, the client expresses a desire to
continue the therapeutic relationship with the social worker. The social worker should
FIRST: - ✔✔meet with the supervisor to discuss the discomfort
✔✔A social worker maintains client records in a way that shows awareness that the
records may be disclosed in a regulatory or legal proceeding. This kind of record
keeping demonstrates that the social worker is: - ✔✔keeping the client's best interest in
mind
✔✔A social worker sees a teenager with a diagnosis of anorexia nervosa. The family
physician believes hospitalization is necessary. A psychiatrist has diagnosed a
comorbid condition of major depressive disorder and recommends intensive outpatient
treatment. The client and her parents are confused and frightened. The social worker
should FIRST: - ✔✔schedule a case conference with the professionals involved
