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Exam (elaborations)

ASWB practice questions to become LMSW

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If a client is diagnosed with anxiety which medication will he/she most likely be taking A. Oxicodone (OxiConton) B. Atravastatin (Lipitor) C. Alprazolam (Xanax) D. Haloperidol (Haldol) correct answer: C. Alprazolam (Xanax) is the correct answer. A.Oxycodone is used to treat severe pain. B.Atravastatin is used to manage cholesterol. and D. Haloperidol is an anti-psychotic medication typical. A couple meets with a SW about concerns in their relationship. Both partners report the other person does not offer emotional support of affection. What should the SW explore FIRST? A. Gender roles B. Safety risks C. Relationship expectations D. Relationship development correct answer: C. Relationship expectations is the correct answer. By first exploring expectations SW is focusing on presenting problem. Gender roles and safety maybe later but make assumptions not known at this point. Relationship development may occur later but is not the first area of exploration. A SW leads a parenting skills group during a session a 3 year old roars like a lion and gestures. The parents appear embarrassed and scold the child. The SW should do what? A. Discuss importance of pretend play. B. Suggest parents take child to the zoo. C. Demonstrate approval of child's behavior. D. Use a animal song to normalize behavior. correct answer: A. Discuss importance of pretend play is the correct answer. Educate parents of age appropriate healthy development of 3-year-old's pretend play. A zoo visit or song does not address parents response it demonstrates approval also does not take into account parents reaction. A hospital SW has a client who is non-compliant with management of diabetes. The client believes that the illness is Gods will and God will provide a cure. What should the SW do first. A. Assure the client that God want the client to be compliant. B. Educate the client on the health consequences of being non-compliant. C. Explore the role that religion plays in the clients overall self care. D. Inform the client that managing diabetes is not a spiritual issue. correct answer: C. The SW should strive to promote clients self determination and respect differing values toward the role of religion. Understanding the role that religion plays is a part of the assessment process. A B D do not start where the client is at and disregard his or hers personal values. After first exploring with the client the role that religion plays in his beliefs system educating may be the appropriate intervention. A family services agency has a high number of clients that don't keep appointments the agencies SW administration conducts a client satisfaction survey which reveals clients believe the agency is not welcoming to their children. To alleviate the clients concern. What should the administrator do first. A. Create specialized activities for kids. B. Evaluate the need to change agency's programs. C. Obtain consultation to develop an action plan. D. Form a committee of clients and staff to identify solutions. correct answer: D. Engaging those who are directly involved is an important first step. Forming a committee. D engages the clients and staff in formulating solutions after forming a committee A B C may follow. A SW facilitated a group for domestic violence perpetrators. A group member is now able to recognize the triggers for anger and is committed to changing resulting reactions. According to the trans theoretical model of change what stage is the group member most likely experiencing. A. Precontemplation B. Contemplation C. Maintence D. Termination correct answer: B. Because the group member recognizes triggers and is a committed to change but has not determined action steps contemplation is most likely the stage. To take into account the information processing deficits of clients with schizophrenia what should SW do to best structure group treatment. A. Encourage the free flow of ideas. B. Use expressive therapy tools. C. Enforce a rigid agenda for the group. D. Schedule a variety of brief activities. correct answer: D. This item requires understanding of schizophrenia and the information processing deficits that are typically present. Because of characteristics of schizophrenia a free flow of ideas use encouraging of expressive tools and enforcing rigid agenda are not indicated providing a schedule of brief activities is best suited for clients with schizophrenia. A SW who recently graduated begins working at a drug treatment program the SW notices that clients have many needs including medical attention, mental health services, social services, housing assistance, and employment training. The SW feels overwhelmed. What should the SW do first. A. Establish priorities B. Be aware of countertansference

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