LCSW EXAM PREP QUESTIONS AND ANSWERD ALREADY GRADED A

LCSW EXAM PREP QUESTIONS AND ANSWERD ALREADY GRADED A Maslow's Hierarchy of Needs level 1) Physiological Needs, (level 2) Safety and Security, (level 3) Relationships, Love and Affection, (level 4) Self Esteem, (level 5) Self Actualization Physiological Needs According to Maslow, ________ are the most fundamental and must get satisfied first. Food, Water, Oxygen, Constant Body Temperature. If deprived of these needs a person will die. Safety Needs There is need to feel safe from harm, danger, or threat of destruction. Need to feel that the world is organized and predictable; need to feel safe Social Needs Friendship, Intimacy, Love, Affection needs from one's work, group,family,friends,or romantic relationships Esteem Needs People need a stable, firmly based level of self-respect and respect from others Fourth level of Maslow's hierarchy. Includes self-esteem, confidence, achievement, respect of and by others. Self-Actualization There is a need to be oneself, to act consistently with whom one is. It is an ONGOING PROCESS. according to Maslow, the ultimate psychological need that arises after basic physical and psychological needs are met and self-esteem is achieved; the motivation to fulfill one's potential Tarasoff Duty to Protect the intended victim. The Therapist may notify police, warn the intended victim, and take action to protect the threatened individual. Duty to Warn a mental health professional's responsibility to break confidentiality and notify the potential victim whom a client has specifically threatened Dementia a chronic or persistent disorder of the mental processes caused by brain disease or injury and marked by memory disorders, personality changes, and impaired reasoning. Delirium Acute b. Rapid onset c. Reversible d. Might occur with: high fevers or substance withdrawal If it is a question about an ethical dilemma who do you contact? Consult the Professional Code of Ethics In instances where social worker's ethical obligations conflict with agency policy or relevant laws they should resolve the conflict in a manner consistent with values principles and standards expressed in the Code of Ethics If it is a question after a visceral reaction or dilemma who do you contact? Supervisor Client Self- Determination Age is not relevant. Social workers respect and promote the right of clients to self-determination and assist clients in their efforts to identify and clarify their goals. Social Workers may limit self determination when clients actions or potential actions pose a threat, risk to themselves or others. Contemplation strategy to reduce resistance keep friends close and enemies closer Name two stages of change is client in precontemplation, contemplation Lack of motivation found in both stages How to deal with lack of motivation and resistance in precontemplation stage. establishing a rapport, acknowledge resistance, keep conversation informal, engage a client and recognize a clients thoughts feelings fears and concerns. How to deal with resistance in contemplation stage (behavior) emphasize a clients free choice and responsibility as discuss pros and cons of changing. discuss how change will assist client in achieving his goals in life. Problem Solving Model 6 Stages 1. Engaging 2. Assessing 3.Planning 4. Intervening 5. Evaluating 6. Terminating Behavioral Approach suggests that personality is a result of interaction between the person and the environment. Does not look at thoughts and feelings. respondent involuntary behavior anxiety. automatically elicited by certain behavior. A stimulus elicits a response Operant voluntary behavior walking, talking. voluntary behavior that is controlled by its consequences in the environment Classical Conditioning A type of learning in which an organism comes to associate stimuli. A neutral stimulus that signals an unconditioned stimulus (US) begins to produce a response that anticipates and prepares for the unconditioned stimulus. Also called Pavlovian or respondent conditioning. Operant Conditioning A type of associative learning that occurs through rewards and punishments for behavior (Skinner). Structural family Therapy interpersonal boundaries, boundaries with outside world permeable enough hierarchical organization rules define parent child roles, rights, and responsibilities. Primary role of Social Worker Acts as a resource Contracts with patients not legally binding provides blueprints for change it encourages social workers to rethink assumptions and steps ensuring that all change efforts are unique to individual client situation. Phases of intervention/treatment method of evaluation effectiveness of our services. clients will have deficiency needs before growth needs. always rule out medical and or substance use first. deficiency needs physiological security social and estemm needs growth needs self-actualization Engagement why is change sought? define foles of social worker and the expectations for treatment Assessment of Strengths and Needs essential information is collected upon to define the problems and solutions as well as identify collateral contacts from which gaps in data can be collected. Planning or Design of Intervention understand the problem specific action plans developed. What resources are needed? timelines. Intervention active involvement to realize continued progress and sustainable change. Issues addressed. Progress tracked. Evaluation of Efforts Subjective reports and objective indicators of progress used Termination Progress that has been achieved should be reviewed and supports anticipated to be needed in future should be identified. Client is always a priority, is an expert. Social worker must help fight rules or remove barriers which do not put client first. ADVOCATE for needs of a cliemt Piaget Cognitive development. a developmental psychologist. Piaget's stages describe how one acquires knowledge. he believes children learn from their interaction with the environment and others. Piaget Cognitive Development Stages Four Stages: Sensorimotor; Preoperational; Concrete operational; Formal operational Sensorimotor Stage 0-2 symbol meaning means language. Signals meaning ie. babysitter's arrival means mom is leaving. play is imitative. primitive logic in manipulating objects. Preoperational Stage 2-7 Progress from concrete to abstract thinking. can comprehend past present and future. Night terrors, magical thinking, concrete egocentric thinking. imaginary friends Concrete Operations 7-11 Beginning abstract thought. Plays games with rules. Cause and effect relationship ing reversible. Formal Operations 11 years -15 years higher level of abstraction. Cognitive abstract thought. Planning for future. Thinks hypothetically. Assumes adult roles and responsibilities Child Development physical emotional changes that occur between birth and the end of adolescence Infants and Toddlers (0-3) brain size grows rapidly. learning through senses, building trust Young Children (4-6) toilet trained. use independent Older Children (7-12) Spurt at puberty. Understands cause and effect. PIE Theory client-centered theory rather than agency centered. highlights the importance of understanding individual behavior in light of the environment in which a client lives and acts. ecological perspective rooted in systems theory which views coping as a transactional process that reflects the pie relationship. The focus of intervention is the interface between a client (person, family, group etc) and a clients environment Depression and anxiety can be typical reactions to life events. not always a clinical problem. Tips put everything in writing. always advocate and empower. Do not make everything a clinical issue. A client cannot be involuntarily treated unless a danger to self and others. Systems Theory biopsychosocial spiritual cultural dimensions of a client are interrelated and work together. when one dimension changes within a system the whole system or a clients well-being is affected. Autism Spectrum Disorder incorporates Autism,Aspergers, Disintegrative and Pervasive Developmental Disorders. to diagnose ASD client must have deficits in l communication/ and social interaction and icted, repetitive behaviors, interests, and activities. If both components are not present use social communication disorder. Bipolar Disorder DSM V primary criteria for manic and hypomanic episodes now include changes in activity and energy not just mood Substance Related and Addictive Disorders Substance Abuse and Substance Dependence have been combined. Recurrent legal problems omitted. Craving or a strong desire or urge to use added to criteria. DSM V nonaxial. combines axis 1,2,3. into one list that contains all mental disorders including personality disorders, intellectual ability, and medical diagnosis. eliminates not otherwise specified (nos) and gaf. (NOS) replaced with "other" and "unspecified" Intellectual Developmental Disorder revised from DSM IV mental retardation. IQ score of 70 or below. Conduct Disorder diagnosis assigned to individuals under age 18. Suicide Risks History of a previous suicide attempt best predictor of future attempts. lives alone lacks support. Presence of psychiatric disorder. A client is also at greater risk after being discharged from hospital or after starting antidepressants because now have energy to implement a suicide plan. substance abuse. family history of suicide. exposure to suicidal behavior through media/peers. Losses relationship, job, financial, and social. Presence of firearm or easy access to other legal methods. Evaluations In order to deliver effective and efficient client services social workers performance should be reviewed and evaluated. It should occur regularly as part of the administrative task of supervision. *Supervisor always helps the client not the social worker Growth needs also know as being needs b needs. self actualization deficiency needs also known as d needs. physiological, safety, social, and esteem. these needs arise due to deprivation. the satisfaction of these needs helps to avoid unpleasant feelings or consequence.