LCSW Practice Questions and Answers Already Passed

LCSW Practice Questions and Answers Already Passed A hospital emergency room social worker meets with a 45-year-old man who recently immigrated from Mexico and has been experiencing severe panic attacks and anxiety. When the social worker approaches him, he says that he does not need any mental health treatment and that she can leave. The MOST likely explanation for his behavior is: A. His preference for seeking treatment from a curandero. B. His denial that he has a mental health problem. C. The negative cultural response associated with mental health treatment. D. A miscommunication due to a language barrier. C. The negative cultural response associated with mental health treatment. Rationale: C is the best answer because many cultures associate stigma with mental health treatment. A is not the best answer because it makes an assumption that is not indicated by the information in the stem. B may be true, but is not as likely as C. D is not the best answer since the stem gives no indication that there is a language barrier between the client and social worker. A mother meets with a social worker due to concerns with her seven-year-old son. The mother reports that her family recently survived an earthquake that destroyed their house and the surrounding area. She is worried about her son because any time he hears a loud noise he starts to cry inconsolably and won't leave her side. In behavioral therapy, what is this an example of? A. Extinction B. Negative reinforcement C. Operant conditioning D. Classical conditioning D. Classical conditioning Rationale: This is a recall question: the stem describes an example of classical conditioning in which the client develops a conditioned response (crying and clinging to mom) when exposed to stimuli (loud noises) that represent a previously experienced event (the earthquake). A, B, and C would all be described differently. A young adult client has been meeting with a social worker due to a diagnosis of major depression. When discussing his childhood, the client reports that he was often bullied and humiliated by peers at school. The client reports this with a flat affect and a sense of detachment. The social worker should respond by: A. Sharing a personal experience of being teased as a child. B. Assist the client in developing awareness around his feeling related to being bullied. C. Confront the client's denial. D. Provide the client with psychoeducation on the relationship between bullying and depression. B. Assist the client in developing awareness around his feeling related to being bullied. Rationale: B is the best answer because awareness is the first step in helping the client integrate and process his feelings. A is inappropriate; C is inappropriate and may cause the client harm. D is less therapeutic than B and may not be helpful for the client. A client who is diagnosed with trichotillomania meets with a social worker after being referred by her primary care physician. The client says she feels guilty and ashamed, but is having difficulty stopping the behavior. She says that she doesn't even know why she started the behavior in the first place. What should the social worker do FIRST? A. Explore the feelings behind the behavior. B. Have the client wear a wig until she can stop the behavior. C. Reinforce that hair-pulling will likely lead to complete baldness. D. Teach the client thought stopping strategies. A. Explore the feelings behind the behavior. Rationale: A is the best answer because understanding the psychological purpose of the behavior will best help the client understand and change the behavior. B, C, and D might all be part of the complete intervention strategy, but A is the best place to start in terms of addressing the behavior. A social worker is meeting with a recently retired woman who is seeking counseling due to feelings of irritability and poor frustration tolerance. The client reports that she was looking forward to retirement so that she could do the things she enjoyed and see more of her spouse after a demanding career in the health care industry. The client