LMSW EXAM - Bootcamp! Updated 2025 with complete solution

LMSW EXAM - Bootcamp!
Delusional Disorder - CORRECT ANSWER-1. NON-BIZARRE/IRRATIONAL
beliefs/delusions
2. Hallucinations absent or not prominent
3. Persecutory/Jealous Types of delusions
4. NO IMPAIRED FUNCTIONING

Brief Psychotic Disorder - CORRECT ANSWER-1. 1 Symptoms of criterion A
Schizophrenia
2. DURATION LESS THAN 1 MONTH

Psychotic symptoms may also occur during which other conditions? - CORRECT
ANSWER-Bipolar 1 Disorder, Major Depression, Substance Induced Mental Disorders,
Mental disorders due to a medical condition (ex. Amphetamine induced psychotic
disorder with delusional features), Delusional Disorder, Borderline Personality Disorder,
Brief Psychotic Disorder, Schizophreniform Disorder, Schizoaffective Disorder

Differential diagnosis Schizophrenia and Delusional Disorder - CORRECT ANSWER-1.
Delusions occur in both
2. Schizophrenia experience other symptoms (hallucinations, bizarre delusions)
3. DD less functional impairment

schizoaffective disorder - CORRECT ANSWER-Same symptoms of schizophrenia with
a major depressive episode, manic episode, or mixed episode

Disruptive Mood Dysregulation Disorder - CORRECT ANSWER-a childhood disorder
(diagnosed after age 6, before age 18) marked by severe recurrent temper outbursts
along, persistent irritable or angry mood, 3 or more times per week period of 12 months

Major Depressive Disorder - CORRECT ANSWER-1. Symptoms: (most of day, nearly
every day for 2 weeks)
-Depressed mood
-Lack of pleasure
-weight loss/gain
-insomnia/hypersomnia,
-psychomotor agitation
-sad/empty/worthlessness
-suicidal ideation
- fatigue
- difficulty concentrating
- excessive guilt

,MDD and bereavement differences- excessive guilt, anhedonia, suicidality


How do you answer first/next questions? - CORRECT ANSWER-90% of exam is
SAFETY FIRST.

How does the exam want you to have a CLEAR understanding of client's issues? -
CORRECT ANSWER-ASSESS BEFORE ACTION.

RUSAFE - CORRECT ANSWER-1. RULE out medical
2. UNDER the influence/delusional/hallucinating Do Not Treat
3. SAVE Lives - Safety first (Answers: Duty to warn, report child/elder abuse, 911,
mobile crisis, ER)
4. ASSESS before action - (Answers: ASSESS, ASK or DICE - Determine,
Identify,Clarify, Explore)
5. FEELINGS - (Answers: ACKNOWLEDGE person's feelings) CONCERNS (AID
ASSIST, INFORM client, DISCUSS concerns)
6. EMPOWER - If client is mentally stable/alert (Answers: Respect client's decisions)

COE: Ethical responsibilities towards clients - CORRECT ANSWER-1. Client's best
interests are primary
2. Respect/promote right to self-determination if client is mentally alert/stable, NOT
unstable/intoxicated/psychotic
3. Informed consent, written agreement by client to undergo treatment,
risks/benefits/costs disclosed
4. Avoid conflicts of interest (Things that interfere with SW's impartial
judgment/discretion)
5. DO NOT promote individual therapy sessions to ppl who have a relationship w/ each
other (except couples, family, group treatment) - Provide family members with
appropriate referrals
6. Avoid dual/multiple relationships
7. Avoid bartering (unless common practice in community)
8. Obtain a professional translator FIRST if client does not speak the language of SW
9. Do not disclose client information w/out consent unless req'd by law
10. Provide client with reasonable access to records (First explore/discuss reason for
request) Follow laws of state.
11. Ensure CONTINUITY of services
12. NO relations with clients past or present

Mandated reporting - CORRECT ANSWER-SW's are req'd and responsible for
reporting any instances of abuse that is suspected. Abuse includes physical, emotional,
sexual, neglect, CHILD AND ELDER ABUSE

Duty to Warn - CORRECT ANSWER-SW's MUST WARN a threatened victim of any
harm that his/her client may cause when there is a REAL INTENT (PLAN)

, HIV Decisions - CORRECT ANSWER-NOT DUTY TO WARN! 3 options:
1. FIRST urge client to disclose to partner
2. FIRST encourage client to engage in safe sex
3. Research/follow state laws as needed

Subpoena by the court - CORRECT ANSWER-SW may be req'd by law to disclose
confidential information

COE: Ethical responsibilities to colleagues - CORRECT ANSWER-1. Refer to colleague
who may be better trained in an area than SW. SW can take client but must be
COMPETENT.
2. When CONSULTING with colleague, disclose least amount of information
3. FIRST speak to a colleague to discourage/prevent/correct unethical behavior
4. AVOID relationships with colleagues (conflict of interest)

COE: Ethical responsibilities in practice settings - CORRECT ANSWER-1. Accurately
document services in client's records while keeping best interests in mind
2. Maintain records securely for a period of time consistent with state laws

COE: Ethical responsibilities as professionals - CORRECT ANSWER-1.
MONITOR/EVALUATE policies and implementation of programs
2. ADVOCATE when necessary

HMO Insurance/Short term Care/MANAGED CARE - CORRECT ANSWER-1.
Emphasizes short term, discourages long term treatment
2. Cases assigned to case manager to whom provider must justify necessity for
treatment for payment and services.
3. More precise diagnosis = greater likelihood of reimbursement
4. Encourages Cognitive/Behavioral short term TX.
5. Contracts are INFLEXIBLE, abide by rules to receive reimbursement

Disorders in Infancy, Childhood, Adolescence - CORRECT ANSWER-Autism, ADHD,
Oppositional Defiant Disorder, Conduct Disorder, Enuresis, Separation Anxiety Disorder

Adult Disorders - CORRECT ANSWER-Delirium, Dementia, Amnestic/Cognitive
Disorders, Schizophrenia and other Psychotic Disorders, Mood Disorders, Anxiety
Disorders, Somatoform Disorders, Factitious Disorders

Autistic Disorder - CORRECT ANSWER-1. Deficits in social interaction and nonverbal
COMMUNICATION
2. Lack of peer relationships. eye contact, abnormal body movement,
3. Restricted, repetitive patterns of behavior
4. Inflexibility to routine, Fixed interests

Attention Deficit Hyperactivity Disorder - CORRECT ANSWER-1. Symptoms at least 6
months