LCSW CORE 2027 SET ANSWERS AND QUESTIONS
SET A+
✔✔A client is court mandated to see a social worker for help with anger control. The
client denies having a problem and blames others for initiating fights. The client also
states that attending therapy sessions is not necessary. To demonstrate acceptance of
the client, the social worker should: - ✔✔express understanding of the client's position
regarding therapy
✔✔After several months of weekly therapy sessions, a client tells her social worker that
she believes she can drink responsibly and intends to do so on an upcoming vacation.
The client has recently been discharged from a rehabilitation facility and has been
diagnosed with alcohol dependence. The client admits that she has not attended
Alcoholics Anonymous nor talked with a sponsor. What should the social worker do
NEXT? - ✔✔Confront the client's denial
✔✔An immigrant family is referred to a social worker because of the ten-year-old child's
frequent absences from school. In the intake interview, the social worker asks for
information from various members of the family, but all responses come from the father,
who speaks sharply and whose facial expression appears angry. The social worker's
BEST course of action is to: - ✔✔learn about the communication styles typical of the
family's culture
✔✔A married mother of two young children is referred to a social worker by her
employer for depression and inability to maintain expected standards at work. The initial
assessment reveals that the client has recently experienced the sudden death of her
younger sister who was a single mother of two young children. The children are now in
the client's care. The client's mother and one brother are in prison. The client's husband
is employed, but they need her paycheck to make ends meet. The social worker's
MOST appropriate practice approach is: - ✔✔Problem-solving
✔✔A social worker sees a new client for severe anxiety and panic attacks. The client is
a recent immigrant from Asia and has difficulty understanding and speaking English.
What should the social worker do FIRST? - ✔✔Determine the client's specific language
,✔✔A social worker sees an adolescent because of poor academic performance. The
adolescent also frequently lies to family members, is manipulative, and has shown a
change in friendship patterns. What diagnosis should the social worker consider
FIRST? - ✔✔Substance Abuse
✔✔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
SET A+
✔✔A client is court mandated to see a social worker for help with anger control. The
client denies having a problem and blames others for initiating fights. The client also
states that attending therapy sessions is not necessary. To demonstrate acceptance of
the client, the social worker should: - ✔✔express understanding of the client's position
regarding therapy
✔✔After several months of weekly therapy sessions, a client tells her social worker that
she believes she can drink responsibly and intends to do so on an upcoming vacation.
The client has recently been discharged from a rehabilitation facility and has been
diagnosed with alcohol dependence. The client admits that she has not attended
Alcoholics Anonymous nor talked with a sponsor. What should the social worker do
NEXT? - ✔✔Confront the client's denial
✔✔An immigrant family is referred to a social worker because of the ten-year-old child's
frequent absences from school. In the intake interview, the social worker asks for
information from various members of the family, but all responses come from the father,
who speaks sharply and whose facial expression appears angry. The social worker's
BEST course of action is to: - ✔✔learn about the communication styles typical of the
family's culture
✔✔A married mother of two young children is referred to a social worker by her
employer for depression and inability to maintain expected standards at work. The initial
assessment reveals that the client has recently experienced the sudden death of her
younger sister who was a single mother of two young children. The children are now in
the client's care. The client's mother and one brother are in prison. The client's husband
is employed, but they need her paycheck to make ends meet. The social worker's
MOST appropriate practice approach is: - ✔✔Problem-solving
✔✔A social worker sees a new client for severe anxiety and panic attacks. The client is
a recent immigrant from Asia and has difficulty understanding and speaking English.
What should the social worker do FIRST? - ✔✔Determine the client's specific language
,✔✔A social worker sees an adolescent because of poor academic performance. The
adolescent also frequently lies to family members, is manipulative, and has shown a
change in friendship patterns. What diagnosis should the social worker consider
FIRST? - ✔✔Substance Abuse
✔✔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
