LCSW FINAL 2027 EXAMS ANSWERS AND
QUESTIONS SET A+
✔✔A family is referred to a social worker. The mother says she is constantly tired from
going to work, cooking, cleaning, running the household, and caring for her first child.
Her spouse is angry with her for not spending time with him and for not keeping the
baby quiet. The couple MOST likely is: - ✔✔having difficulty with the new life cycle
stage
✔✔According to the DSM, all of the following behaviors are characteristic of paraphilias
EXCEPT: - ✔✔autoeroticism
✔✔A social worker in a mental health agency conducts an initial interview with a lesbian
client who seeks treatment for depression and problems in her relationship with her
partner. The social worker feels uncomfortable when the client discusses her
homosexuality. At the conclusion of the session, the client expresses a desire to
continue the therapeutic relationship with the social worker. The social worker should
FIRST: - ✔✔meet with the supervisor to discuss the discomfort
✔✔A social worker maintains client records in a way that shows awareness that the
records may be disclosed in a regulatory or legal proceeding. This kind of record
keeping demonstrates that the social worker is: - ✔✔keeping the client's best interest in
mind
✔✔A social worker sees a teenager with a diagnosis of anorexia nervosa. The family
physician believes hospitalization is necessary. A psychiatrist has diagnosed a
comorbid condition of major depressive disorder and recommends intensive outpatient
treatment. The client and her parents are confused and frightened. The social worker
should FIRST: - ✔✔schedule a case conference with the professionals involved
✔✔A woman is referred to a social worker because of noticeable decline in job
performance. The client describes an unhappy childhood, sexual assault at age 12 by
her older sister's boyfriend, and two brief marriages which ended in divorce. She is
afraid of losing her current boyfriend and attributes her job problems to her chaotic love
, life. She acknowledges using cocaine for several years, but minimizes it as a problem.
The social worker should INITIALLY focus on: - ✔✔stopping her drug use
✔✔A seven-year-old child in foster care because of severe sexual abuse has seen a
social worker for several months. The child's parents, the abusers, are attempting to get
their child back. They admit the abuse but refuse to follow the court ordered treatment
plan. It is essential that the social worker develop an appropriate plan for: -
✔✔permanency
✔✔A social worker sees a couple after the birth of their first child. They are very
stressed by the demands of parenthood. What should the social worker do FIRST? -
✔✔Determine what is causing the stress
✔✔A teacher asks the school social worker for professional advice about a six-year-old
student who has been diagnosed with Asperger's disorder. After offering information to
the teacher and discussing options with the parents, the social worker should NEXT: -
✔✔refer the child to a social skills group
✔✔A social worker is assigned a client who is believed to be a victim of domestic
violence. The client does not speak English and is accompanied to the interview by
several members of the extended family. The social worker has a very limited ability to
speak the client's language, but several nonclinical employees of the agency are fluent
in it. The social worker's MOST appropriate action is to: - ✔✔request the services of a
professional translator
✔✔Several months into therapy, a client tells the social worker that early in her
marriage her husband planned to leave her. The client has never told anyone about this
before, nor did she and her husband ever discuss this crisis again. Which family therapy
concept does this illustrate? - ✔✔Family secrets
✔✔A couple is seeing a social worker for marital problems. During one session, the wife
compliments her husband. The husband says, "It's nothing." What should the social
worker do FIRST? - ✔✔Assist the husband in accepting the compliment
✔✔A social worker treats a client who reports a desire to kill a former lover who has
recently ended their relationship. Upon further questioning, the client says that although
this is a desire, it is not a strong one and the client has no definite plan. The client says
"I probably won't do anything." The client contracts with the social worker not to kill the
former lover. The social worker should NEXT: - ✔✔monitor the client's feelings at future
sessions
✔✔A social worker meets with a young man who is in his first year of college. He
expresses feelings of acute anxiety and distress. He was an outstanding student in high
school, maintaining an A average, but his college grades are low. He says that if things
QUESTIONS SET A+
✔✔A family is referred to a social worker. The mother says she is constantly tired from
going to work, cooking, cleaning, running the household, and caring for her first child.
Her spouse is angry with her for not spending time with him and for not keeping the
baby quiet. The couple MOST likely is: - ✔✔having difficulty with the new life cycle
stage
✔✔According to the DSM, all of the following behaviors are characteristic of paraphilias
EXCEPT: - ✔✔autoeroticism
✔✔A social worker in a mental health agency conducts an initial interview with a lesbian
client who seeks treatment for depression and problems in her relationship with her
partner. The social worker feels uncomfortable when the client discusses her
homosexuality. At the conclusion of the session, the client expresses a desire to
continue the therapeutic relationship with the social worker. The social worker should
FIRST: - ✔✔meet with the supervisor to discuss the discomfort
✔✔A social worker maintains client records in a way that shows awareness that the
records may be disclosed in a regulatory or legal proceeding. This kind of record
keeping demonstrates that the social worker is: - ✔✔keeping the client's best interest in
mind
✔✔A social worker sees a teenager with a diagnosis of anorexia nervosa. The family
physician believes hospitalization is necessary. A psychiatrist has diagnosed a
comorbid condition of major depressive disorder and recommends intensive outpatient
treatment. The client and her parents are confused and frightened. The social worker
should FIRST: - ✔✔schedule a case conference with the professionals involved
✔✔A woman is referred to a social worker because of noticeable decline in job
performance. The client describes an unhappy childhood, sexual assault at age 12 by
her older sister's boyfriend, and two brief marriages which ended in divorce. She is
afraid of losing her current boyfriend and attributes her job problems to her chaotic love
, life. She acknowledges using cocaine for several years, but minimizes it as a problem.
The social worker should INITIALLY focus on: - ✔✔stopping her drug use
✔✔A seven-year-old child in foster care because of severe sexual abuse has seen a
social worker for several months. The child's parents, the abusers, are attempting to get
their child back. They admit the abuse but refuse to follow the court ordered treatment
plan. It is essential that the social worker develop an appropriate plan for: -
✔✔permanency
✔✔A social worker sees a couple after the birth of their first child. They are very
stressed by the demands of parenthood. What should the social worker do FIRST? -
✔✔Determine what is causing the stress
✔✔A teacher asks the school social worker for professional advice about a six-year-old
student who has been diagnosed with Asperger's disorder. After offering information to
the teacher and discussing options with the parents, the social worker should NEXT: -
✔✔refer the child to a social skills group
✔✔A social worker is assigned a client who is believed to be a victim of domestic
violence. The client does not speak English and is accompanied to the interview by
several members of the extended family. The social worker has a very limited ability to
speak the client's language, but several nonclinical employees of the agency are fluent
in it. The social worker's MOST appropriate action is to: - ✔✔request the services of a
professional translator
✔✔Several months into therapy, a client tells the social worker that early in her
marriage her husband planned to leave her. The client has never told anyone about this
before, nor did she and her husband ever discuss this crisis again. Which family therapy
concept does this illustrate? - ✔✔Family secrets
✔✔A couple is seeing a social worker for marital problems. During one session, the wife
compliments her husband. The husband says, "It's nothing." What should the social
worker do FIRST? - ✔✔Assist the husband in accepting the compliment
✔✔A social worker treats a client who reports a desire to kill a former lover who has
recently ended their relationship. Upon further questioning, the client says that although
this is a desire, it is not a strong one and the client has no definite plan. The client says
"I probably won't do anything." The client contracts with the social worker not to kill the
former lover. The social worker should NEXT: - ✔✔monitor the client's feelings at future
sessions
✔✔A social worker meets with a young man who is in his first year of college. He
expresses feelings of acute anxiety and distress. He was an outstanding student in high
school, maintaining an A average, but his college grades are low. He says that if things
