LCSW EVALUATION TEST ANSWERS AND
QUESTIONS SET A+
✔✔A social work student in a social service agency reports to the supervisor that a
client verbally assaults the agency receptionist during visits. The supervisor's FIRST
response should be to: - ✔✔ask the student to discuss the behavior with the client
✔✔A social worker sees a teenager and her mother because of increased anger, family
conflict, and defiance at home. The parent reveals that the teenager was sexually
abused at an early age, and has never talked about this with anyone. The teenager
denies memory of the abuse. The social worker should FIRST: - ✔✔normalize the
teenager's reactions
✔✔A social worker sees a university student who reports compulsive exercise, and
bingeing and purging several times per week. This has been going on for four months
and, in addition, the client reports having nightmares and continually feeling "on edge."
The client has missed classes because she loses track of time and is sometimes afraid
to walk across campus. The client says she broke up with her boyfriend over a month
ago after a violent fight during which he tried to kill her. The MOST likely diagnosis is
bulimia nervosa and: - ✔✔posttraumatic stress disorder
✔✔Due to budget problems, an agency makes policy changes that include raising client
fees. The social worker is concerned that poorer clients will be most affected. The social
worker should FIRST: - ✔✔advocate to change the policy for low-income clients
.
✔✔A social worker in an outpatient setting is treating a woman diagnosed with a
psychotic disorder but with no history of violence. During a session, the woman
presents as delusional and paranoid. She tells the social worker that she is convinced
that her husband is going to kill her. The client then becomes increasingly agitated, tells
the social worker that she is going to kill her husband before he can kill her, and runs
out of the office. The social worker should FIRST: - ✔✔call the police to warn of the
client's plan
, ✔✔During the initial interview of a recent victim of domestic violence, the social worker
observes a rapid emotional decompensation as the client recalls earlier childhood
abuses. She becomes intensely distressed and then withdraws into a trancelike state
while seeming to respond to visual and auditory hallucinations. It is MOST likely that the
client: - ✔✔is reliving past trauma
✔✔A social worker is providing ongoing therapy for an adolescent who has been
sexually abused. In assessing the impact the abuse has had on this client, the social
worker should be MOST concerned with the client's: - ✔✔psychosocial functioning
✔✔A basic process in establishing a collaborative team is: - ✔✔defining each member's
area of expertise
✔✔A 75-year-old man is referred to a social worker by a neighbor following the loss of
his spouse of 45 years, as well as the loss of two long-term friends. In the initial
interview the client said he was experiencing recent difficulties with memory loss and
confusion, increasing physical problems, sadness, feelings of loneliness, and a sense of
uselessness. The client also noted the pain of losing a spouse. The social worker
should FIRST: - ✔✔assess the client for depression and suicide risk
✔✔A social worker has been asked to develop services to address caregiver burdens
for families. In designing the services, the social worker should consider that the factor
MOST strongly linked to caregiver stress is: - ✔✔duration of the illness
✔✔During a session with a social worker, a woman complains of emotional and
physical abuse by her husband. She reports that two days ago her husband slapped her
during an argument. She did not have him arrested, although this was the second
occurrence. He bought her a piece of jewelry and agreed to enter therapy. According to
the cycle of violence theory, the husband MOST likely is motivated because he is in
what phase of the cycle? - ✔✔Honeymoon
✔✔A social worker meets with a new client who is cocaine dependent. The client
reports that he has abstained from cocaine for the past three days and now complains
of depression. The social worker assesses that the client's depression is MOST likely
the result of: - ✔✔withdrawal symptoms
✔✔In the middle phase of alcohol treatment when recovery is well underway, the MOST
difficult task for alcoholics is to: - ✔✔confront psychosocial realities about themselves
✔✔A social worker in a mental health hospital sees a 78-year-old involuntary client who
is being held due to the risk of self harm. The client has advanced cirrhosis of the liver
and a history of alcohol abuse. The client is depressed about being in the hospital and
asks to be referred to an outpatient program. What should the social worker do FIRST?
- ✔✔Remind the client that the hospitalization is not voluntary
QUESTIONS SET A+
✔✔A social work student in a social service agency reports to the supervisor that a
client verbally assaults the agency receptionist during visits. The supervisor's FIRST
response should be to: - ✔✔ask the student to discuss the behavior with the client
✔✔A social worker sees a teenager and her mother because of increased anger, family
conflict, and defiance at home. The parent reveals that the teenager was sexually
abused at an early age, and has never talked about this with anyone. The teenager
denies memory of the abuse. The social worker should FIRST: - ✔✔normalize the
teenager's reactions
✔✔A social worker sees a university student who reports compulsive exercise, and
bingeing and purging several times per week. This has been going on for four months
and, in addition, the client reports having nightmares and continually feeling "on edge."
The client has missed classes because she loses track of time and is sometimes afraid
to walk across campus. The client says she broke up with her boyfriend over a month
ago after a violent fight during which he tried to kill her. The MOST likely diagnosis is
bulimia nervosa and: - ✔✔posttraumatic stress disorder
✔✔Due to budget problems, an agency makes policy changes that include raising client
fees. The social worker is concerned that poorer clients will be most affected. The social
worker should FIRST: - ✔✔advocate to change the policy for low-income clients
.
✔✔A social worker in an outpatient setting is treating a woman diagnosed with a
psychotic disorder but with no history of violence. During a session, the woman
presents as delusional and paranoid. She tells the social worker that she is convinced
that her husband is going to kill her. The client then becomes increasingly agitated, tells
the social worker that she is going to kill her husband before he can kill her, and runs
out of the office. The social worker should FIRST: - ✔✔call the police to warn of the
client's plan
, ✔✔During the initial interview of a recent victim of domestic violence, the social worker
observes a rapid emotional decompensation as the client recalls earlier childhood
abuses. She becomes intensely distressed and then withdraws into a trancelike state
while seeming to respond to visual and auditory hallucinations. It is MOST likely that the
client: - ✔✔is reliving past trauma
✔✔A social worker is providing ongoing therapy for an adolescent who has been
sexually abused. In assessing the impact the abuse has had on this client, the social
worker should be MOST concerned with the client's: - ✔✔psychosocial functioning
✔✔A basic process in establishing a collaborative team is: - ✔✔defining each member's
area of expertise
✔✔A 75-year-old man is referred to a social worker by a neighbor following the loss of
his spouse of 45 years, as well as the loss of two long-term friends. In the initial
interview the client said he was experiencing recent difficulties with memory loss and
confusion, increasing physical problems, sadness, feelings of loneliness, and a sense of
uselessness. The client also noted the pain of losing a spouse. The social worker
should FIRST: - ✔✔assess the client for depression and suicide risk
✔✔A social worker has been asked to develop services to address caregiver burdens
for families. In designing the services, the social worker should consider that the factor
MOST strongly linked to caregiver stress is: - ✔✔duration of the illness
✔✔During a session with a social worker, a woman complains of emotional and
physical abuse by her husband. She reports that two days ago her husband slapped her
during an argument. She did not have him arrested, although this was the second
occurrence. He bought her a piece of jewelry and agreed to enter therapy. According to
the cycle of violence theory, the husband MOST likely is motivated because he is in
what phase of the cycle? - ✔✔Honeymoon
✔✔A social worker meets with a new client who is cocaine dependent. The client
reports that he has abstained from cocaine for the past three days and now complains
of depression. The social worker assesses that the client's depression is MOST likely
the result of: - ✔✔withdrawal symptoms
✔✔In the middle phase of alcohol treatment when recovery is well underway, the MOST
difficult task for alcoholics is to: - ✔✔confront psychosocial realities about themselves
✔✔A social worker in a mental health hospital sees a 78-year-old involuntary client who
is being held due to the risk of self harm. The client has advanced cirrhosis of the liver
and a history of alcohol abuse. The client is depressed about being in the hospital and
asks to be referred to an outpatient program. What should the social worker do FIRST?
- ✔✔Remind the client that the hospitalization is not voluntary