LCSW ACTUAL FINALS ANSWERS AND QUESTIONS
SET A+
✔✔A social worker on a multidisciplinary team works with a young adult who is
hospitalized following a suicide attempt. The client complains bitterly about the number
of staff who know the details of her hospitalization. She says that she is tired of
answering the same questions from different people. She reports having had a temper
outburst because of all the questions. After acknowledging the client's feelings, what
should the social worker do NEXT? - ✔✔Explore how the client thinks the social worker
can help with the situation
✔✔A social worker works with clients recently discharged to the community after long
term stays in a mental hospital. Despite the monthly medication monitoring and
treatment services offered by the mental health center, the social worker notices a
pattern in which many of these clients have frequent crises that require
rehospitalization. What is the MOST likely explanation for this pattern? - ✔✔The
community lacks follow-up services.
✔✔A social worker evaluates a youth arrested for armed robbery who has had repeated
drug related offenses. After the court ordered assessment of the youth, the social
worker should only recommend that the youth be placed in a secure residential facility if:
- ✔✔the safety and welfare of the community are at risk
✔✔A single mother sees a social worker following the death of her mother. The client's
mother had provided child care for her two preschool children. The client has taken
leave from her job to care for her children. The client complains that she is always tired
and never has any time to herself now. After empathizing with the client, the social
worker should NEXT: - ✔✔explore child care resources in the community
✔✔An adolescent arrives for a therapy session intoxicated, yet coherent and
cooperative. What should the social worker do FIRST? - ✔✔Confront the acting out
behavior
, ✔✔A social worker is treating a client who is a painting contractor. The social worker
needs someone to paint his office and offers the job to the client. This is an example of:
- ✔✔a dual relationship
✔✔A client meets with a social worker to work on relationship concerns with her
daughter. The client has begun to act the way she thinks the social worker wants her to.
She says that the social worker reminds her of her aunt. What issue should the social
worker deal with NEXT? - ✔✔Transference
✔✔A social worker admits to an intimate relationship with one of his clients whom he
has treated for over two years. The social worker is the subject of a regulatory board
investigation. He tells the investigator that he truly loves this client and would like to
marry her. When interviewed, the client reports that she initiated the sexual contact with
the social worker. The social worker terminated therapy with the client when she moved
in with him. The social worker's actions are: - ✔✔a violation of boundaries
✔✔Utilizing ego psychology, a social worker would view a client's use of defense
mechanisms as: - ✔✔serving an important protective function
✔✔A social worker meets with the parents of a rebellious adolescent. They say that
they are very offended when he talks back. In family therapy, the MOST appropriate
goal is to: - ✔✔teach the family how to discuss problems
✔✔A social worker meets with a client at an outpatient clinic. While obtaining a
psychosocial history, the social worker notes that the client frequently shifts the
conversation to completely unrelated topics. The social worker should FIRST: -
✔✔perform a mental status exam
✔✔A client requests that the social worker accompany her to weekly church services.
The social worker should FIRST: - ✔✔clarify professional boundaries
✔✔A social worker is employed by an agency that provides therapy for low income
families. The agency is funded to provide weekly social work services for a maximum of
five months. After providing four months of weekly therapy services the social worker
realizes that the client will no longer be eligible to receive services soon. The social
worker has located appropriate alternative resources for the client. What should the
social worker do NEXT? - ✔✔Discuss the need for termination and the client's
preferences about referrals
✔✔A social worker discovers that a newly referred client is currently in individual
therapy with another therapist. Before accepting this client for individual therapy, the
social worker should FIRST: - ✔✔advise the client to discuss the change with the other
therapist
SET A+
✔✔A social worker on a multidisciplinary team works with a young adult who is
hospitalized following a suicide attempt. The client complains bitterly about the number
of staff who know the details of her hospitalization. She says that she is tired of
answering the same questions from different people. She reports having had a temper
outburst because of all the questions. After acknowledging the client's feelings, what
should the social worker do NEXT? - ✔✔Explore how the client thinks the social worker
can help with the situation
✔✔A social worker works with clients recently discharged to the community after long
term stays in a mental hospital. Despite the monthly medication monitoring and
treatment services offered by the mental health center, the social worker notices a
pattern in which many of these clients have frequent crises that require
rehospitalization. What is the MOST likely explanation for this pattern? - ✔✔The
community lacks follow-up services.
✔✔A social worker evaluates a youth arrested for armed robbery who has had repeated
drug related offenses. After the court ordered assessment of the youth, the social
worker should only recommend that the youth be placed in a secure residential facility if:
- ✔✔the safety and welfare of the community are at risk
✔✔A single mother sees a social worker following the death of her mother. The client's
mother had provided child care for her two preschool children. The client has taken
leave from her job to care for her children. The client complains that she is always tired
and never has any time to herself now. After empathizing with the client, the social
worker should NEXT: - ✔✔explore child care resources in the community
✔✔An adolescent arrives for a therapy session intoxicated, yet coherent and
cooperative. What should the social worker do FIRST? - ✔✔Confront the acting out
behavior
, ✔✔A social worker is treating a client who is a painting contractor. The social worker
needs someone to paint his office and offers the job to the client. This is an example of:
- ✔✔a dual relationship
✔✔A client meets with a social worker to work on relationship concerns with her
daughter. The client has begun to act the way she thinks the social worker wants her to.
She says that the social worker reminds her of her aunt. What issue should the social
worker deal with NEXT? - ✔✔Transference
✔✔A social worker admits to an intimate relationship with one of his clients whom he
has treated for over two years. The social worker is the subject of a regulatory board
investigation. He tells the investigator that he truly loves this client and would like to
marry her. When interviewed, the client reports that she initiated the sexual contact with
the social worker. The social worker terminated therapy with the client when she moved
in with him. The social worker's actions are: - ✔✔a violation of boundaries
✔✔Utilizing ego psychology, a social worker would view a client's use of defense
mechanisms as: - ✔✔serving an important protective function
✔✔A social worker meets with the parents of a rebellious adolescent. They say that
they are very offended when he talks back. In family therapy, the MOST appropriate
goal is to: - ✔✔teach the family how to discuss problems
✔✔A social worker meets with a client at an outpatient clinic. While obtaining a
psychosocial history, the social worker notes that the client frequently shifts the
conversation to completely unrelated topics. The social worker should FIRST: -
✔✔perform a mental status exam
✔✔A client requests that the social worker accompany her to weekly church services.
The social worker should FIRST: - ✔✔clarify professional boundaries
✔✔A social worker is employed by an agency that provides therapy for low income
families. The agency is funded to provide weekly social work services for a maximum of
five months. After providing four months of weekly therapy services the social worker
realizes that the client will no longer be eligible to receive services soon. The social
worker has located appropriate alternative resources for the client. What should the
social worker do NEXT? - ✔✔Discuss the need for termination and the client's
preferences about referrals
✔✔A social worker discovers that a newly referred client is currently in individual
therapy with another therapist. Before accepting this client for individual therapy, the
social worker should FIRST: - ✔✔advise the client to discuss the change with the other
therapist
