LCSW 170 Exam Questions AND Correct Answers
A client is referred to a social worker as she has been
repeatedly hospitalized due to medication
noncompliance. During the assessment, the client
admits to frequently missing doses of her prescribed
medication. This behavior has resulted in numerous
inpatient stays, which she complains are both costly
and adversely impacting her quality of life. Which is the
BEST question for the social worker to ask?
1. "Why haven't you been able to take your medication
as prescribed?"
2. "Can you think of any advantage of having to stay in
the hospital?"
3. "What are some of the reasons for skipping your
medication?"
4. "How can I help to ensure that your medications are
taken properly?" - ✔✔3. "What are some of the reasons
for skipping your medication?"
A client reports feeling very frustrated by his wife's
behavior. She becomes upset when he is quiet at the
,dinner table, but constantly criticizes him when he
speaks. The client is experiencing a:
1. Paradoxical directive (reverse psychology)
2. Negative feedback loop
3. Double bind
4. Metacommunication (nonverbal message) - ✔✔3.
Double bind
A client tells a social worker that she has been
communicating with her recently deceased son. The
client states that she has an altar in her home at which
she leaves daily food offerings. She is hopeful that her
son will return to the home sometime in the future to
visit her. In this situation, it is MOST important for the
social worker to:
1. Determine if the client is at risk for self-harm
2. Assess the client for psychotic symptoms
3. Understand the mourning rituals of the client's
culture
,4. Identifying coping strategies which can assist the
client in dealing with her loss - ✔✔3. Understand the
mourning rituals of the client's culture
A client tells a social worker that she is having problems
with her teenage daughter's behavior. The daughter has
begun to violate strict rules set in the home. The client,
who is frustrated with this disobedience, states that she
often does not speak to her child for days as
punishment. The client does not understand why the
girl questions the rules and does not behave as
expected. Based on this description, which style of
parenting is the client likely using?
1. Permissive
2. Authoritative
3. Uninvolved
4. Authoritarian - ✔✔4. Authoritarian
A client who has recently married undergoes genetic
testing to learn if she is a carrier of a specific disease
, given her family history. Upon learning that she is a
carrier, the client becomes very upset that the news will
impact a future decision to have children. The client is
nervous about telling her husband as he is not aware of
the testing. In this situation, the social worker should:
1. Arrange a joint session with the husband to support
the client when she tells him
2. Refer the client to a physician to address any medical
issues associated with being a carrier
3. Work with the client to minimize the anxiety and
depression that she is experiencing
4. Help the client understand the likelihood of her
children having the disease - ✔✔4. Help the client
understand the likelihood of her children having the
disease
A client who is homosexual tells a social worker that he
is very distressed over his sexual attractions toward
other men. His shame has prevented him from
disclosing his sexual orientation to others in his family.
He has low self-esteem and appears distraught. The
A client is referred to a social worker as she has been
repeatedly hospitalized due to medication
noncompliance. During the assessment, the client
admits to frequently missing doses of her prescribed
medication. This behavior has resulted in numerous
inpatient stays, which she complains are both costly
and adversely impacting her quality of life. Which is the
BEST question for the social worker to ask?
1. "Why haven't you been able to take your medication
as prescribed?"
2. "Can you think of any advantage of having to stay in
the hospital?"
3. "What are some of the reasons for skipping your
medication?"
4. "How can I help to ensure that your medications are
taken properly?" - ✔✔3. "What are some of the reasons
for skipping your medication?"
A client reports feeling very frustrated by his wife's
behavior. She becomes upset when he is quiet at the
,dinner table, but constantly criticizes him when he
speaks. The client is experiencing a:
1. Paradoxical directive (reverse psychology)
2. Negative feedback loop
3. Double bind
4. Metacommunication (nonverbal message) - ✔✔3.
Double bind
A client tells a social worker that she has been
communicating with her recently deceased son. The
client states that she has an altar in her home at which
she leaves daily food offerings. She is hopeful that her
son will return to the home sometime in the future to
visit her. In this situation, it is MOST important for the
social worker to:
1. Determine if the client is at risk for self-harm
2. Assess the client for psychotic symptoms
3. Understand the mourning rituals of the client's
culture
,4. Identifying coping strategies which can assist the
client in dealing with her loss - ✔✔3. Understand the
mourning rituals of the client's culture
A client tells a social worker that she is having problems
with her teenage daughter's behavior. The daughter has
begun to violate strict rules set in the home. The client,
who is frustrated with this disobedience, states that she
often does not speak to her child for days as
punishment. The client does not understand why the
girl questions the rules and does not behave as
expected. Based on this description, which style of
parenting is the client likely using?
1. Permissive
2. Authoritative
3. Uninvolved
4. Authoritarian - ✔✔4. Authoritarian
A client who has recently married undergoes genetic
testing to learn if she is a carrier of a specific disease
, given her family history. Upon learning that she is a
carrier, the client becomes very upset that the news will
impact a future decision to have children. The client is
nervous about telling her husband as he is not aware of
the testing. In this situation, the social worker should:
1. Arrange a joint session with the husband to support
the client when she tells him
2. Refer the client to a physician to address any medical
issues associated with being a carrier
3. Work with the client to minimize the anxiety and
depression that she is experiencing
4. Help the client understand the likelihood of her
children having the disease - ✔✔4. Help the client
understand the likelihood of her children having the
disease
A client who is homosexual tells a social worker that he
is very distressed over his sexual attractions toward
other men. His shame has prevented him from
disclosing his sexual orientation to others in his family.
He has low self-esteem and appears distraught. The
