Texas Licensed Clinical Social Worker
(LCSW) Exam With Actual Questions &
Verified Answers,Plus
Rationales/Expert Verified For
Guaranteed Pass Graded A+/2026
/Latest Update/Instant Download Pdf
1. A client reports feeling constantly anxious about work performance and
experiences frequent panic attacks. Which intervention is most
appropriate initially?
A. Psychoanalysis
B. Cognitive-behavioral therapy
C. Electroconvulsive therapy
D. Group therapy
B. Cognitive-behavioral therapy
CBT is evidence-based and effective for anxiety disorders, including panic
attacks, as it addresses distorted thoughts and promotes coping strategies.
2. When a social worker encounters a dual relationship that could impair
professional judgment, the most ethical action is to:
A. Ignore it if the client seems comfortable
B. Consult with a supervisor and consider terminating the dual
relationship
C. Proceed if the dual relationship benefits the client
D. Document it but continue
B. Consult with a supervisor and consider terminating the dual relationship
Dual relationships can compromise objectivity. Ethical standards require
consultation and, if necessary, termination to prevent harm.
, 3. Which of the following best reflects the social work principle of self-
determination?
A. Encouraging clients to follow the therapist’s advice
B. Supporting clients to make informed decisions about their lives
C. Directing clients to the most efficient treatment
D. Ensuring clients always follow evidence-based practice
B. Supporting clients to make informed decisions about their lives
Self-determination is central to social work ethics, emphasizing client
autonomy while providing necessary guidance.
4. A client presents with chronic depression unresponsive to outpatient
therapy. What is the next best step?
A. Continue outpatient therapy indefinitely
B. Refer for psychiatric evaluation for possible medication management
C. Suggest lifestyle changes only
D. Terminate therapy
B. Refer for psychiatric evaluation for possible medication management
Chronic depression may require combined treatment, including
pharmacological interventions alongside therapy.
5. A social worker is preparing a biopsychosocial assessment. Which
information is least relevant?
A. Medical history
B. Social support network
C. Client’s favorite movies
D. Employment history
C. Client’s favorite movies
While rapport-building may include casual interests, the biopsychosocial
assessment focuses on medical, psychological, and social functioning.
6. Which of the following is an example of transference?
A. A client feels intense anger toward the therapist due to unresolved
parental conflicts
B. A therapist feels irritated after a long day
, C. A client misses a session due to work
D. A client completes homework assignments
A. A client feels intense anger toward the therapist due to unresolved
parental conflicts
Transference occurs when a client projects feelings from past relationships
onto the therapist.
7. A mandated reporter suspects child abuse but the family denies it. The
social worker should:
A. Wait until more evidence is gathered
B. Report the suspicion to child protective services immediately
C. Discuss the suspicion with the client before reporting
D. Only document the concern
B. Report the suspicion to child protective services immediately
Social workers are legally required to report suspected child abuse without
delay to protect the child.
8. Which of the following best describes countertransference?
A. A client projecting feelings onto the therapist
B. The therapist projecting personal feelings onto the client
C. A client resisting therapy
D. A therapist documenting sessions
B. The therapist projecting personal feelings onto the client
Countertransference occurs when a therapist unconsciously reacts based on
personal feelings rather than professional objectivity.
9. In crisis intervention, the primary goal is to:
A. Explore childhood issues in depth
B. Reduce immediate distress and restore equilibrium
C. Establish a long-term therapy plan
D. Diagnose personality disorders
B. Reduce immediate distress and restore equilibrium
Crisis intervention focuses on stabilizing the client and addressing immediate
needs, not long-term therapy.
(LCSW) Exam With Actual Questions &
Verified Answers,Plus
Rationales/Expert Verified For
Guaranteed Pass Graded A+/2026
/Latest Update/Instant Download Pdf
1. A client reports feeling constantly anxious about work performance and
experiences frequent panic attacks. Which intervention is most
appropriate initially?
A. Psychoanalysis
B. Cognitive-behavioral therapy
C. Electroconvulsive therapy
D. Group therapy
B. Cognitive-behavioral therapy
CBT is evidence-based and effective for anxiety disorders, including panic
attacks, as it addresses distorted thoughts and promotes coping strategies.
2. When a social worker encounters a dual relationship that could impair
professional judgment, the most ethical action is to:
A. Ignore it if the client seems comfortable
B. Consult with a supervisor and consider terminating the dual
relationship
C. Proceed if the dual relationship benefits the client
D. Document it but continue
B. Consult with a supervisor and consider terminating the dual relationship
Dual relationships can compromise objectivity. Ethical standards require
consultation and, if necessary, termination to prevent harm.
, 3. Which of the following best reflects the social work principle of self-
determination?
A. Encouraging clients to follow the therapist’s advice
B. Supporting clients to make informed decisions about their lives
C. Directing clients to the most efficient treatment
D. Ensuring clients always follow evidence-based practice
B. Supporting clients to make informed decisions about their lives
Self-determination is central to social work ethics, emphasizing client
autonomy while providing necessary guidance.
4. A client presents with chronic depression unresponsive to outpatient
therapy. What is the next best step?
A. Continue outpatient therapy indefinitely
B. Refer for psychiatric evaluation for possible medication management
C. Suggest lifestyle changes only
D. Terminate therapy
B. Refer for psychiatric evaluation for possible medication management
Chronic depression may require combined treatment, including
pharmacological interventions alongside therapy.
5. A social worker is preparing a biopsychosocial assessment. Which
information is least relevant?
A. Medical history
B. Social support network
C. Client’s favorite movies
D. Employment history
C. Client’s favorite movies
While rapport-building may include casual interests, the biopsychosocial
assessment focuses on medical, psychological, and social functioning.
6. Which of the following is an example of transference?
A. A client feels intense anger toward the therapist due to unresolved
parental conflicts
B. A therapist feels irritated after a long day
, C. A client misses a session due to work
D. A client completes homework assignments
A. A client feels intense anger toward the therapist due to unresolved
parental conflicts
Transference occurs when a client projects feelings from past relationships
onto the therapist.
7. A mandated reporter suspects child abuse but the family denies it. The
social worker should:
A. Wait until more evidence is gathered
B. Report the suspicion to child protective services immediately
C. Discuss the suspicion with the client before reporting
D. Only document the concern
B. Report the suspicion to child protective services immediately
Social workers are legally required to report suspected child abuse without
delay to protect the child.
8. Which of the following best describes countertransference?
A. A client projecting feelings onto the therapist
B. The therapist projecting personal feelings onto the client
C. A client resisting therapy
D. A therapist documenting sessions
B. The therapist projecting personal feelings onto the client
Countertransference occurs when a therapist unconsciously reacts based on
personal feelings rather than professional objectivity.
9. In crisis intervention, the primary goal is to:
A. Explore childhood issues in depth
B. Reduce immediate distress and restore equilibrium
C. Establish a long-term therapy plan
D. Diagnose personality disorders
B. Reduce immediate distress and restore equilibrium
Crisis intervention focuses on stabilizing the client and addressing immediate
needs, not long-term therapy.
