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Examen

LCSW Exam Prep Bundle | 5-File Practice Questions, Answers & Exam Review 2026/2027

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Vista previa 4 fuera de 247 páginas

LCSW Exam Prep Bundle | 5-File Practice Questions, Answers & Exam Review 2026/2027

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Answers
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LCSW EXAM PREP 2023 Questions with
100% Correct Answers | Updated & Verified


Acting out (defense mechanism) - ANSWER-emotional conflict is dealt with
through actions rather than feelings (i.e., instead of talking about feeling
neglected, a person will get into trouble to get attention).

sublimation (defense mechanism) - ANSWER-- Rechanneling of drives or
impulses that are personally or socially unacceptable into activities that are
constructive.

EX: Mom of son killed by drunk driver, president of MADD.

displacement (defense mechanism) - ANSWER-- The transfer of feelings from
one target to another that is considered less threatening or that is neutral.

EX: A client is angry at his doctor, does not express it, but becomes verbally
abusive with the nurse.

EX: in a fight with husband, husband leaves, and wife brushes child's hair
aggressively

Intellectualization (Defense Mechanism) - ANSWER-use of excessive reasoning
or logic to deal with situations rather than feeling their emotions

Passive aggression (defense mechanism) - ANSWER-Indirectly expressing
aggression toward others; a facade of overt compliance masks covert
resentment

(Ex: acting nice to boss when angry about salary)

Idealization (Defense Mechanism) - ANSWER-attributing exaggerated positive
qualities to others


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EX: recently divorced parents, child living with mom, child says dad was a better
parent and always knew how to help him. Child dealing with loss by adding
exaggerated positive qualities to dad.

Denial (defense mechanism) - ANSWER-- Refusing to acknowledge the
existence of a real situation/painful reality or the feelings associated with it.

EX: A women drinks alcohol every day and cannot stop, failing to acknowledge
that she has a problem.

Rationalization (defense mechanism) - ANSWER-offers self-justifying
explanations in place of the real, more threatening, unconscious reasons for
one's actions

devaluation (defense mechanism) - ANSWER-Attributing exaggerated negative
qualities to oneself or another person

Suppression (Defense Mechanism) - ANSWER-- The voluntary blocking of
unpleasant feelings and experiences from ones awareness.

In REPRESSION you unconsciously get rid of feelings by pushing them out of
your awareness. In SUPPRESSION you simply avoid the thoughts by forcing
yourself to think about other things.

EX: "I don't want to think about that now. I'll think about that tomorrow."

Repression (defense mechanism) - ANSWER-- Involuntary blocking of
unpleasant feelings and experiences from ones awareness.

In REPRESSION you unconsciously get rid of feelings by pushing them out of
your awareness. In SUPPRESSION you simply avoid the thoughts by forcing
yourself to think about other things.

EX: An accident victim can remember nothing about the accident




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reaction formation (defense mechanism) - ANSWER-- Preventing unacceptable
thoughts or behaviors from being expressed by exaggerating opposite thoughts
or types of behaviors.

usually occurs in conjunction with repression.

EX1: Teen has angry outbursts related to an intense hatred of gay people and
parents set him up with SW. Teen admits having gay fantasies but continues to
articulate hatred of gay people.

Angry outbursts are being used to cover fantasies and are still attached to the
strong hatred. It is a repression now developed into a reaction formation.

EX2: Jane hates nursing. She attended nursing school to please her parents.
During career day, she speaks to prospective students about the excellence of
nursing as a career.

projection (defense mechanism) - ANSWER-- Falsely attributing to another his or
her own unacceptable feelings, impulses, or thoughts.

EX: Sue feels a strong sexual attraction to her track coach and tells her friend,
"He's coming on to me!"

EX2: Woman HATES Neighbor. Woman tells Neighbor everyone else hates him
too. When she talks with other neighbors they are often strangely silent.

Client is dealing with her own feelings of anger towards M and because she feels
it she assumes everyone else feels the same way.

projective identification (defense mechanism) - ANSWER-Similar to projection-
Falsely attributing to another his or her own unacceptable feelings, impulses, or
thoughts.

Unlike simple projection, the person is aware and does not fully disavow what is
projected and misattributes them as justifiable reactions to the other person. At
times, the person causes feelings in others that were at first mistakenly believed
to be there.



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*often common in borderline individuals*

dual diagnosis - ANSWER-common when psychiatric disorders are coupled with
substance use disorders.

-Often linked to substance use: substances often used to self-medicate
-Separate Treatment plans: 2 unrelated conditions co-exist and require OWN
treatment plan
-Unrelated but Affect treatment: need to be aware of diagnoses for successful
treatment

Co-occuring disorders (COD) - ANSWER-Previously referred to as dual
diagnosis or dual disorders, can be any combination of two or more disorders in
any domain; intellectual, physical, or mental.

When there are two or more disorders occurring at the same time.

ex: anorexia nervosa AND history of sexual abuse
Ex: client may have one more more disorders relating to the use of alcohol/orther
drugs, as well as another mental disorder.

Comorbidity - ANSWER-the co-occurrence of two or more disorders (physical or
mental) in a single individual. One does not cause the other. Need to be aware
for treatment

i.e. anorexia nervosa and body dysmorphic disorder

Mental Health Assessment - ANSWER-Consider the following changes:
1. Self-care: Dress & Grooming
2. Posture and Mannerisms
3. Psychomotor Problems (side effects related to substances/meds are twitching,
shakes, psychomotor retardation, or agitation)
4. Speech (rate, rhythm, volume, speed, relevance, flow)
5. Thought Content (ideas of reference, magical thinking, paranoid ideations,
obsessions & compulsions)
6. Mood & Affect (mood=feelings, affect = how you show mood)



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Subido en
27 de octubre de 2026
Número de páginas
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Escrito en
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