Study Questions & Terms for LMSW Exam Questions with correct Answers

Study Questions & Terms for LMSW Exam Questions with correct Answers A 16 year old girl and her parents are referred to a social worker by the child's pediatrician for concerns around social anxiety and depression. The family resides in a state where parental consent is required for anyone under the age of 18. What is the BEST practice for the social worker during initial session with the girl and her parents? A. Obtain written consent from the parent and discuss with the daughter how confidentiality will be maintained B. Obtain written consent from parents, Verbal consent from the daughter and discuss confidentiality considerations with both C. Obtain written consent from parents, Verbal consent from the daughter and discuss with parents how confidentiality will be maintained due to the daughters age D.Obtain written consent from daughter, Verbal consent from the daughter and discuss confidentiality with both the parents and the daughter B. Obtain written consent from parents, Verbal consent from the daughter and discuss confidentiality considerations with both -both parties have right to have SOME information - Written consent must be given by adults if under age of consent -Parents have rights to information about progress in therapy -it is best practice to also gain verbal consent from minor What is the 'mature minor exception" The mature minor doctrine is a rule of law found in the United States and Canada accepting that an unemancipated minor patient may possess the maturity to choose or reject a particular health care treatment, sometimes without the knowledge or agreement of parents, and should be permitted to do so. *This law is not applicable in all states. A woman is referred to a social worker by her EAP the referral reports that the woman is frequently absent from work and has difficulty completing projects. during the assessment she avoids answering questions about her relationship with her spouse. She becomes tearful when asked about her family and social supports. The woman shares that her husband does not "allow" her to go out in the evening or on weekends. She goes on to tell the social worker she is pregnant, but has not told her husband. What should the social worker do NEXT? A. refer the ct to a doctor for prenatal care B. suggest couples treatment and address the issue of stress C. suggest the client back to issues of absence and and incomplete performance D. assess the woman for domestic violence and create a safety plan D. assess the woman for domestic violence and create a safety plan -must rule out DV before proceeding Cycle of Violence Theory the notion that abuse and neglect that children suffer predispose them as adults to abuse and neglect their own children What is the Shortest Phase in the Cycle of Violence? Battering Incident/Explosive Episodes 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 Maslow: Physiological Needs basic fundamental needs include food, water, air, sleep, exercise, elimination, shelter, and sexual expression Maslow: Safety Needs safety from abuse, neglect, natural disasters, or war Maslow: Love and Belonging once first needs are met, people are driven to meet needs of acceptance and belonging with social groups/family/ community/religious organizations. human needs for love, affection and sexual intimacy Maslow: Esteem Needs need for self-esteem, achievement, competence, and independence; need for recognition and respect from others Maslow: Self-Actualization reaching one's highest potential, cannot be achieved until all other needs are mastered According to Maslow' failure to achieve the need for love and belonging can result in what? difficulty forming and maintaining close relationships with others Approximately what percentage of U.S children have some time of disability? 7% What are the most common physical disabilities that impact development in U.S children? Cerebral Palsy, Hearing Issues, & Visual Issues Defense Mechanisms are what? A mental process that protects the personality from anxiety, feelings of guilt, or undesirable thoughts. Psychoanalytic theories consider such mechanisms to be unconscious. All of the following describe defense mechanisms except: A. Conscious behavior used by the client to protect them from influence of the therapist B. Justifying actions or thoughts to make them seem acceptable when unconsciously they are not c. Rejecting or attributing unacceptable aspects of one's personality onto other individuals D.The process of protecting oneself from anxiety, feelings of guilt, or undesirable thoughts. A. Conscious behavior used by the client to protect them from influence of the therapist (defense mechanisms are unconscious) Questionable coping mechanisms known as "defense mechanisms" are originally described by who? Sigmund Freud The term Anhedonia refers to what? The lack of pleasure; An inability to experience pleasure from activities usually found enjoyable. The term Dysthymia refers to what? Persistent Depressive Disorder (was dysthymia in dsm 4) is a lower grade depression (in comparison with MDD) that has lasted at least 2 years or longer Delerium a state of temporary but acute altered mental status or mental confusion signs; anxiety, tremors, hallucinations, delusions, attention problems, decline in level of consciousness, memory problems Characterized by: -disorganized thinking; decreased attention span -Hallucinations (often visual) -disturbed sleep/wake cycle -cognitive dysfunction -agitation Treatment: identify and treat underlying cause (such as changing medication, treating the causing illness, infection, substance abuse, withdrawal, etc) Delerium vs Dementia Delirium is acute, waxing and waning presentation (on and off) and is reversible by treating the underlying cause Dementia is chronic, progressive decline in cognitive and motor functioning, and is irreversible Social institutions exist to meet the needs of individuals =, promote pro-social behavior, define social norms, and create order