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LMSW EXAM - Bootcamp! Questions and Correct Answers

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LMSW EXAM - Bootcamp! Questions and Correct Answers LMSW EXAM - Bootcamp! Questions and Correct Answers

Institution
LMSW
Module
LMSW

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1




LMSW EXAM - Bootcamp! Questions and
Correct Answers

Question: 3 Areas to identify in each question (PPL)
Answer: 1. Problem
2. Person
3. Last Sentence (guide to answer question)


Question: Key words
Answer: 1. Person/Client "hot seat"
2. SAFETY Red Flags - suicide, abuse, life-threatening, unexplained
marks, alcohol, recent loss
3. Strong words/adjectives
4. Age
5. Diagnosis
6. Symptoms/Duration
7. Who are you?
8. Where are you in session?
9. Quotations
10. Direct requests/concerns
11. Qualifiers (First/Next/Best)


Question: Distractors
Answer: FARM GRITS ROAD - Answers that look appealing at first glance
but are often wrong - ELIMINATE! Exam is here and now


Question: DO NOT CHOOSE FARM GRITS ROAD
Answer: 1. FOCUS on unresolved issues/past
2. ADVICE - giving/judging
3. RECOMMEND "to a support group"


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4. MAKE an appt.
5. GIVE pamphlets/literature
6. RECOMMEND a session
7. INFORM parents/speak to parents (when child/ado)
8. TERMINATE (Exceptions: Moving, client reaches goals/no new crisis,
client does not pay)
9. SPEAK to supervisor (except transference/counter)
10. RESPECT self-determination (If mentally UNSTABLE)
11. OFFER contract as a reminder
12. ALLOW the clients to lead the session
13. DO nothing/say nothing


Question: How do you answer first/next questions?
Answer: 90% of exam is SAFETY FIRST.


Question: How does the exam want you to have a CLEAR understanding
of client's issues?
Answer: ASSESS BEFORE ACTION.


Question: RUSAFE
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)


Question: COE: Ethical responsibilities towards clients
Answer: 1. Client's best interests are primary


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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


Question: Mandated reporting
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


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


Question: HIV Decisions
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




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Question: Subpoena by the court
Answer: SW may be req'd by law to disclose confidential information


Question: COE: Ethical responsibilities to colleagues
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)


Question: COE: Ethical responsibilities in practice settings
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


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


Question: HMO Insurance/Short term Care/MANAGED CARE
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


Question: Disorders in Infancy, Childhood, Adolescence
Answer: Autism, ADHD, Oppositional Defiant Disorder, Conduct Disorder,
Enuresis, Separation Anxiety Disorder


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