LMSW Exam Questions With Complete Solutions

A social worker is meeting with a 55- year old lesbian who has a history of depression and substance abuse. The client says she feels "pretty good" about most things in her life, but wants to have a lont-term relationship and has never achieved this. She reports feeling disconnected from the gay community because she is politically conservative and "doesn't fit in". The social worker should FIRST: A. Recommend that the client join a group for gay singles in the area. B. Make a psychiatric referral C. Complete a biopsychoscial assessment D. Explore the disconnection between the client's sexual orientation and political beliefs. correct answer: C. Complete a biopsychosocial assessment. ------ Social worker needs to know more about the client's overall functioning and history before further explorations or referrals can be made. A, B, and D are all good interventions, but should be done after the assessment is complete. When addressing termination of the client in a planned short-term treatment context, it should FIRST be discussed with the client. A. In the beginning of treatment B. In the middle of treatment C. at the end of treatment D. generally, not discussed until termination correct answer: A. In the beginning of treatment A family with a teenage girl brings their daughter in for counseling due to suspected substance abuse. The daughter is defiant and says it is her parents who need help and she refuses any intervention. What should the social worker do FIRST? A. Refer the daughter for substance abuse counseling. B. Explain to the parents that her attitude is typical for her age C. Assist the daughter to express her anger with her parents D. Explore and clarify what the problem is that will need to be addressed. correct answer: D. Explore and clarify what the problem is that will need to be addressed. When referring a client in the community for service, the most important information for the social worker to discuss with the client is: A. the agency's reputation in the human service community B. Appropriateness of the agency service to meet the client's needs. C. Fees the agency will charge the client for services. D. Ease with which the client can reach the agency from home or work correct answer: B. Appropriateness of the agency service to meet the client's needs. -----All may be relevant, but appropriateness of the agency to address the problem is essential.