LSW EXAM QUESTIONS
. What do you do first in a clinical interview with a client?
a. Present your qualifications
b. Establish rapport
c. Complete an intake
d. Identify treatment goals - answer-b. Establish rapport
A 15 year old high school student believes he is a policeman. This illustrates
which of the following:
a. a delusion
b. a hallucination
c. grandiosity
d. metacognition - answer-a. a delusion
A 28 year old female has been raped. When she calls you, she is crying and
having difficulty breathing. The most important thing to do first is:
a. get her medical treatment
b. give her phone numbers of shelters
c. have her call the police
d. call the police yourself, but get her permission to do so - answer-a. get her
medical treatment
A 5 year old boy is watching his 18 month old sister have her diapers
changed and becomes aggressive. The mother is concerned. What would
your intervention be?
a. normalize his behavior
b. get the family in treatment
c. get the 5 year old in treatment
d. start treatment with the mother - answer-a. normalize his behavior
A 70 year old woman has been calling her children by other names and
forgetting her where her keys are. The children are concerned about her and
bring her to you for an assessment. Based on this limited information, you
suspect she is suffering from:
a. Dementia
b. This is normal age-related cognitive decline
c. Substance abuse
d. Malnutrition - answer-...
,A 70 year old woman lives with her 82 year old sister. They are having
difficulty taking care of their basic needs. They have no support or help with
shopping, chores, or self-care. What would you do?
a. refer for in-home nursing services
b. refer for in-home care services that will deliver groceries and take care of
their daily needs
c. refer to local church groups
d. refer to hospice care - answer-b. refer for in-home care services that will
deliver groceries and take care of their daily needs
A boy is in a wheelchair. His peers at school have been making fun of him.
What would be the best intervention for a social worker to make?
a. Inform his teachers
b. Talk to the student body
c. Help the boy accept his disability
d. Talk to his parents - answer-c. Help the boy accept his disability
A child is engaging in risk-taking behavior and is disruptive with his parents
and peers. What is the most likely diagnosis?
a. ADHD
b. Conduct disorder
c. Antisocial personality disorder
d. Depression - answer-a. ADHD
A child is experiencing separation anxiety during the school day. What
should you do?
a. refer to a child psychiatrist
b. assess the home and school environments
c. refer to medical doctor
d. recommend Ritalin - answer-b. assess the home and school environments
A client begins arriving late for her meetings with you. At the end of one
meeting, she asks if she can stay longer so she can have a full hour with you.
Your best response is to:
a. Extend the session, but tell her it's an exception
b. Ask the client if she has a problem with her scheduled time and explain
that, if she does, you can offer a different appointment time
c. Tell the client she has an obligation to arrive on time
d. Refuse to extend the session - answer-b. Ask the client if she has a
problem with her scheduled time and explain that, if she does, you can offer
a different appointment time
A client begins to cry during an initial meeting. Your best action is to:
, a. reassure him that he will feel better
b. sit with him quietly until he is ready to speak
c. ask open-ended questions to find out why he is crying
d. ask him to stop crying - answer-b. sit with him quietly until he is ready to
speak
A client diagnosed with Bulimia is likely to display all of the following
symptoms except:
a. Shame and guilt
b. Binging and purging
c. Diuretic use
d. Concern about being overweight even though she is well below normal
body weight - answer-...
A client diagnosed with schizophrenia has been released from an inpatient
unit and is being followed at a community mental health agency. The client
is stable enough to participate in a group. What type of group is the social
worker likely to recommend?
a. short term crisis oriented group
b. activity group
c. behavioral group
d. supportive group - answer-d. supportive group
A client expresses her disappointment at not being called back after a job
interview and vents her anger at the job interviewer. She informs her social
worker of this exchange. The social worker's best response is:
a. You have to be patient in a job search
b. I can see that you're upset about this
c. I wonder how you feel about this
d. I guess you're hurt and angry about not getting the job - answer-d. I guess
you're hurt and angry about not getting the job
A client has been voluntarily admitted to a psychiatric hospital. He is
psychotic, HIV+, and suffers from alcohol abuse. His parents want nothing to
do with him. What would you do first?
a. stabilize on meds
b. start treatment for alcohol abuse
c. perform blood tests to determine T-cell count and viral load
d. call the family - answer-a. stabilize on meds
A client is diagnosed with obsessive compulsive disorder. It is likely that :