LMSW EXAM Bootcamp LMSW LMSW with Correct Answers
3 Areas to identify in each question (PPL) - correct answers1. Problem
2. Person
3. Last Sentence (guide to answer question)
Key words - correct answers1. 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)
Distractors - correct answers FARM GRITS ROAD - Answers that look appealing at first glance but are
often wrong - ELIMINATE! Exam is here and now
DO NOT CHOOSE FARM GRITS ROAD - correct answers1. FOCUS on unresolved issues/past
2. ADVICE - giving/judging
3. RECOMMEND "to a support group"
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
How do you answer first/next questions? - correct answers90% of exam is SAFETY FIRST.
How does the exam want you to have a CLEAR understanding of client's issues? - correct answers
ASSESS BEFORE ACTION.
RUSAFE - correct answers1. 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 answers1. 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 answersSW'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 answersSW'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 answersNOT 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 answersSW may be req'd by law to disclose confidential information
COE: Ethical responsibilities to colleagues - correct answers1. 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 answers1. 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 answers1. MONITOR/EVALUATE policies and
implementation of programs
2. ADVOCATE when necessary
, HMO Insurance/Short term Care/MANAGED CARE - correct answers1. 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 answersAutism, ADHD, Oppositional Defiant
Disorder, Conduct Disorder, Enuresis, Separation Anxiety Disorder
Adult Disorders - correct answersDelirium, Dementia, Amnestic/Cognitive Disorders, Schizophrenia and
other Psychotic Disorders, Mood Disorders, Anxiety Disorders, Somatoform Disorders, Factitious
Disorders
attention-deficit/hyperactivity disorder (ADHD) - correct answers1. Symptoms at least 6 months
2. Inattentive: Difficulty focusing, staying on task follow-through, listening, easily distracted, loses things,
forgetful
3. Hyperactive: Impulsive, fidgeting, running around, talking excessively
4. Several symptoms present prior to age 12
5. Must occur in 2 or more settings
6.. Behaviors can increase/decrease based on settings.
7. TX: Behavior modification
Oppositional Defiant Disorder - correct answersAt least 6 months - Angry, irritiable, defiant, talking back
to adults, rebellious behavior, attitude, blames others, cursing, lying
- NO SERIOUS VIOLATIONS OF OTHERS RIGHTS
a childhood disorder in which children are repeatedly argumentative and defiant, angry and irritable,
and in some cases, vindictive. Lasting at least 6 months
3 Areas to identify in each question (PPL) - correct answers1. Problem
2. Person
3. Last Sentence (guide to answer question)
Key words - correct answers1. 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)
Distractors - correct answers FARM GRITS ROAD - Answers that look appealing at first glance but are
often wrong - ELIMINATE! Exam is here and now
DO NOT CHOOSE FARM GRITS ROAD - correct answers1. FOCUS on unresolved issues/past
2. ADVICE - giving/judging
3. RECOMMEND "to a support group"
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
How do you answer first/next questions? - correct answers90% of exam is SAFETY FIRST.
How does the exam want you to have a CLEAR understanding of client's issues? - correct answers
ASSESS BEFORE ACTION.
RUSAFE - correct answers1. 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 answers1. 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 answersSW'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 answersSW'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 answersNOT 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 answersSW may be req'd by law to disclose confidential information
COE: Ethical responsibilities to colleagues - correct answers1. 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 answers1. 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 answers1. MONITOR/EVALUATE policies and
implementation of programs
2. ADVOCATE when necessary
, HMO Insurance/Short term Care/MANAGED CARE - correct answers1. 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 answersAutism, ADHD, Oppositional Defiant
Disorder, Conduct Disorder, Enuresis, Separation Anxiety Disorder
Adult Disorders - correct answersDelirium, Dementia, Amnestic/Cognitive Disorders, Schizophrenia and
other Psychotic Disorders, Mood Disorders, Anxiety Disorders, Somatoform Disorders, Factitious
Disorders
attention-deficit/hyperactivity disorder (ADHD) - correct answers1. Symptoms at least 6 months
2. Inattentive: Difficulty focusing, staying on task follow-through, listening, easily distracted, loses things,
forgetful
3. Hyperactive: Impulsive, fidgeting, running around, talking excessively
4. Several symptoms present prior to age 12
5. Must occur in 2 or more settings
6.. Behaviors can increase/decrease based on settings.
7. TX: Behavior modification
Oppositional Defiant Disorder - correct answersAt least 6 months - Angry, irritiable, defiant, talking back
to adults, rebellious behavior, attitude, blames others, cursing, lying
- NO SERIOUS VIOLATIONS OF OTHERS RIGHTS
a childhood disorder in which children are repeatedly argumentative and defiant, angry and irritable,
and in some cases, vindictive. Lasting at least 6 months
