LCSW Exam Questions & Answers 100% Solved

170 multiple choice questions and 4 hours to answer and no breaks included, however... - ANSWEROnly 150 questions will actually be counted in your score The test is on the computer and each question needs an - ANSWERAnswer I will get an unofficial copy of my results that will be - ANSWERPass or Fail If I don't pass I will have - ANSWERto wait 90 days to retake it The test is how many hours long - ANSWER4 Remember the time lapse- - ANSWERtests will be about 2 years behind in latest research This test is not geared to test your memory, instead it is - ANSWERon your understanding of the core essentials KSA - ANSWERknowledge, skills, and abilities Base your answers on the content you studied and what you've learned in the classroom. Do NOT - ANSWERalways base this on necessarily your clinical judgement Ask yourself... - ANSWER"what did I study related to this question?" or "Which KSA is being tested?" DO NOT ASK YOURSELF - ANSWER"what would i do in this situation" because you will be drawing on your practice experience rather than the existing knowledge Many questions will be focused on me applying information to... - ANSWERa particular situation or scenario. Do NOT get lost in the scenario, in practice social workers often alter their actions based on many contextual variables, HOWEVER in this exam - ANSWERthere is only one right answer and it is based on the KSAs. Focus on the content being tested NOT - ANSWERthe details of the vignette Do not think about the laws in your state because these questions are the same for every state and those laws vary, Instead - ANSWERfocus on the content being tested The best answers are not always - ANSWERthe correct ones Look for qualifying words like... - ANSWER"least, most, first, not, best, next" Put the qualifying word in front of each answer to ensure - ANSWERthat you are focusing on what is important. A theory is a set of - ANSWERinterrelated concepts that are organized in a way that explain aspects of everyday life. A practice model is a way - ANSWERin which a theory is operationalized. A perspective is a point of view - ANSWERthat is usually broader and at a higher level of abstraction Paradigm - ANSWERTheory, model or perspective Answer the question related to - ANSWERthe paradigm the question states. For example, "what theory is used in..." or "what practice", or "what model" STAY WITH THE MATERIAL IN THE QUESTION AND DO NOT ADD - ANSWERINFORMATION BASED ON YOUR PAST EXPERIENCES Look for quotations in the question as - ANSWERclues for the answer The lens that you should use is often listed in the - ANSWERlast sentence of the question The VERB choices in answers are often clues - ANSWER"provide, explore, engage, ignore or wait" Verbs like provide mean - ANSWERwhat a therapist will do or should do Verbs like explore or engage mean - ANSWERthat the SW is relying on the client Verbs like ignore or wait - ANSWERmeans that a SW is not taking critical information into account Use Maslow's Hierarchy of needs to answer questions about - ANSWERwhat to do First or Next- ex: a SW should always assess health and safety needs first before relationship needs Consider the problem-solving process when finding the answer. And focus on the correct order. The problem-solving process includes: - ANSWERENGAGEMENT, ASSESSMENT, PLANNING, INTERVENTION, EVALUATION, AND TERMINATION First session= ENGAGEMENT= - ANSWERwhy is the client there, why they are seeking services now, the role of the SW, what to expect in treatment, listen to client, explain limits of confidentiality Reference to a specific session in a question is also a clue to determine what - ANSWERstage of problem-solving they are in The answer to what the SW would do IS dependent ON - ANSWERthe PROBLEM-SOLVING STAGE they are in Stages can be identified with clues like - ANSWER"when developing rapport" to indicate engagement, "when gathering information on the problem" to indicate Assessment or "when developing the contract" to indicate Planning, "when implementing skills" to indicate Intervention, "when assessing whether ct has reached their goals" to indicate evaluation, "when discussing next steps after reaching goals" to indicate termination If the age of the client is in the question - ANSWERthen it is usually relevant in the answers. For example, Imaginary friends in childhood are an extension of pretend play and part of Piaget's preoperational stage. MANY questions aim to assess if the SW is placing the client as the priority and respecting - ANSWERtheir RIGHT TO SELF DETERMINATION Questions might focus on conflicts between meeting a client's needs vesus adhering to practices or policies created by the agency. - ANSWERALWAYS GO WITH THE CLIENT A SW never - ANSWERoffer's advice Do not dismiss an answer even if it seems difficult - ANSWERIt should ALWAYS be about the clients right to self determination and removing barriers The client is the expert on - ANSWERthemsevles When a supervisor is brought up in questions- - ANSWERit is to ensure that the client is getting quality care not treatment and is NOT about adhering to policies Always look at what is best for the client NOT - ANSWERfor the agency The only time we do not determine self determination is when - ANSWERclients are a harm to self or others Make sure you THOROUGHLY understand the question before answering- - ANSWERwrite down key words, stages, hints, etc Read the question exactly as it is written, paying attention to qualifying words and those in quotes. Do not look at - ANSWERthe responses yet Ask "What is this question about?!" to determine - ANSWERwhich of the KSA's is being tested Think about the important concepts related to the KSA; - ANSWERthey will be essential in selecting the correct answers from the incorrect ones. Examine the question again to confirm that your assumption about which KSA is being tested is correct and - ANSWERto determine how the important concepts related the KSA are relevant to the question. Eliminate any responses that do not appear to be correct. - ANSWERIf more than one response choice appears to be viable, go back and read the question again- looking only at the remaining viable responses. This will take several tries. Each time a response choice is eliminated - ANSWERread the question and the answers that are left. Unless the client is in crisis, don't choose an answer that says, - ANSWER"Tell the client to x,y,z", The exception is "tell me HOW you..." Do not pick an answer simply because it has SW buzz words like "rapport, empathy, support system, joining with client, strengths perspective" - ANSWERA word or a catch phrase does not make an answer correct. Ask yourself whether the answer would still be as appealing without the buzzword. You should not be quick to diagnose a client with a disorder UNLESS - ANSWERall the required clinical criteria are present. You should not make all the client feelings or behaviors - ANSWERclinical issues to be addressed as part of an intervention or treatment. Clinical work does not always imply the need for - ANSWERpsychotherapy, unless the question is explicitly stating that. Use a more generalist approach Most questions do not ask the SW to "solve the problem" or take action that will resolve the issue. - ANSWERDo not pick a solution if the question is not asking for one There are no long waiting lists, scarce resources, or delays in referrals unless the exam - ANSWERexplicitly states this in the question Defense mechanisms - ANSWERare unconscious mechanisms which are activated in times of anxiety, stress, and distress without any choice or conscious intentionality. They are a necessary tool of protection and in moderate use contribute to successful adaptation. Defense mechanisms are a part of normal functioning, but they can be considered as pathological in some instances. Coping Mechanisms - ANSWERincludes conscious strategies that enable clients to attain realistic goals by using available resources and past experiences while acting within society's rules of conduct. While defense mechanisms are unconscious processes whereas coping methods are conscious, in reality, sometimes clients exhibit rational coping simultaneously with unconscious defenses. The question contains qualifying words like—PRIMARY - ANSWERthat indicates that there may be more than one distinction between answers. However, the correct response choice is the one which contains the most fundamental or important difference. Before the day of the exam- - ANSWERdrive to the testing center so you know how to get there. Arrive early so you are not rushed. Take your time reviewing the tutorial on the computer so you aren't rushed. A client who has recently married undergoes genetic testing to learn if she is a carrier of a specific disease given her family history. Upon learning that she is a carrier, the client becomes very upset that the news will impact a future decision to have children. The client is nervous about telling her husband. The social worker should: - ANSWERHelp the client understand the likelihood of her children having the disease. Human genetics is the study of inheritance. It is important for social workers to have knowledge about the benefits, limitations, and risks. Social workers can help the clients weigh the pros and cons of the test and discuss the social and emotional aspects of testing. The social worker in this situation can educate the client that every person carries two copies of most genes and a carrier is a person who has a change in one copy of the gene. The carrier does not have the genetic disease but can pass the gene to the child. If both parents carry the abnormal gene, there is a 25% chance the child will have the disease and a 50% that their child will be a carrier of the disease. There is also a 25% chance that the child will not get the abnormal gene and so will not have the disease nor be a carrier. If only one parent is a carrier then the child has a 50% chance of being a carrier but almost no chance that they will have the disease. It would not be appropriate to meet with the husband because the client has not stated a desire for that. No medical issues have been raised so a referral to a doctor is also not necessary. While the client is upset and anxious, her feelings may result from not understanding how gene testing works. A social worker is meeting with a third-grade boy who is struggling in school. Despite his poor grades, his parents seem disinterested in assisting him with his schoolwork. He is frustrated by his academic performance, but does not know how to do better. What psychosocial problem is the boy MOST likely to experience if this situation is not addressed? - ANSWERInferiority- Erik Erikson maintained that personality develops in predetermined order. He was interested in how children socialize and how this affects their sense of self. He saw personality as developing throughout the life course and looked at the identity crises as the focal point of each stage of human development. Industry and Inferiority occur during childhood between the ages of 6 and 11 and is the 4th stage of psychosocial development. The question contains a qualifying word- MOST. In order to select the correct answer, it is necessary to recall Erikson's stages of psychosocial development. The incorrect answers reflect problems associated with other psychosocial crises throughout the life course. When age is included in a question, it is usually CRITICAL to selecting the correct answer. It is also says Psychosocial Problem which Erikson is associated with! A client tells a social worker that she is having problems with her teenage daughter's behavior. The daughter has begun to violate strict rules set in the home. The client, who is frustrated with this disobedience, states that she often does not speak to her child for days as punishment. The client does not understand why the girl questions rules and does not behave as expected. Based on the description, which style of parenting is the client using? - ANSWERAuthoritarian- There are 4 major parenting styles which reflect skills and capabilities of clients. Permissive parenting, sometimes referred to as indulgent parenting has very few demands. Authoritative parenting establishes rules and guidelines that children are expected to follow. However, this parenting is democratic and parents are responsive to children and willing to listen. AUTHORITARIAN parenting , children are expected to follow strict rules established by the parents. Failure to follow such rules usually results in punishment. Authoritarian parents do not explain reasoning. The Uninvolved parenting style is characterized by few demands, low responsiveness and little communication. While these parents fill basic needs, they are generally detached and can be even neglectful. medical model - ANSWERis based on the assumption that abnormal behavior is the result of physical problems and should be treated medically. A mother comes with her 4-year-old daughter to a social worker as her husband is receiving hospice and she is worried about the child's reaction to his death in the coming weeks. The mother has many questions about the child's ability to comprehend what will happen. Based on developmental theories, the child is likely to view death as a: - ANSWERTemporary state which can be reversed at any time. Death is just one life event or crisis which impacts families. When deaths of family members occur, children go through a series of stages in trying to understand its meaning. For example, preschool children usually see death as reversible, temporary, and impersonal. Watching cartoon characters on television miraculously rise up whole again after having been crushed or blown apart tends to reinforce this notion. If the age of a client is mentioned in a case scenario, it is usually relevant in selecting the correct response choice. The age is a useful hint of where a client is in the life course and what might be expected with regard to his or her cognitive, emotional, and/or social development. This case scenario requires knowledge about the complex concepts associated with death as well as child development. In order to identify when death is truly understood by children, it is necessary to outline the complex concepts associated with death, including: - ANSWERIrreversibility or finality, the understanding that the dead cannot come back to life Universality or applicability, the understanding that all living things (and only living things) die Personal mortality, the understanding that death applies to oneself Inevitability, the understanding that all living things must die eventually Cessation or nonfunctionality, the understanding that bodily and mental functions cease after death Causality, the understanding that death is ultimately caused by a breakdown of bodily functions Unpredictability, the understanding that the timing of (natural) death is not known in advance Piaget's cognitive developmental stages indicate that these death concepts cannot really be understood by someone until age 7 years at the absolute earliest. A client is having trouble achieving a treatment goal, so the social worker breaks it down into small successive steps and rewards the client after achieving each one. This behavioral technique is known as: - ANSWERShaping-Shaping refers to the reinforcement of behaviors that approximate or come close to desired new behaviors. The steps involved are often called successive approximations because they successively approximate or get closer and closer to desired behaviors. This technique works well for phobias and anxiety-related disorders as the process of shaping can involve the creation of a hierarchy ranging from the least feared situation to the most feared situation. Rewards to greater incremental exposure are provided as a means to confront fears.The question requires recall knowledge about behavioral techniques. Shaping is used when it may be, or has been, difficult to achieve a goal or demonstrate a behavior. Shaping allows the goal or behavior to be achieved in steps, each reinforced positively. After a client achieves each successive step of the behavior or goal, a reward is received and the next one is presented until the desired end result is reached. If there is difficulty in a client reaching the steps, they should be broken down into smaller increments. Behavior modification is the generic term given to any process derived from learning theory where the goal is to change client behavior. To understand behavior modification, it is necessary to understand the two main concepts that it is based on: - ANSWERclassical and operant conditioning. Classical conditioning - ANSWERrefers to the pairing of naturally occurring stimulus-response chains with other stimuli in order to produce a similar response. For example, whenever you come home wearing a