LMSW EXAM(Fully Updated & Complete Spring 2023

A physician has recommended nursing home placement for a 92-year-old patient who is currently in the hospital with leg problems and Neurocognitive issues. The patient's 80-year-old wife insists that she can continue caring for him at home. As part of the discharge plan, the hospital SWKR should: a) convince the wife that the physician's recommendations should be followed b) support the wife in finding a second opinion c) assist the wife to explore home health care service options d) recommend that he wife discuss nursing home placement with her children - c) assist the wife to explore home health care service options (RUSAFE outline) During an assessment with a pregnant, unmarried teenager and her mother, the teenager states firmly that she wants to keep her baby. The mother asks the SWKR to explain to the daughter how difficult it will be to care for the baby. The teenager states, "I don't want to be talked out of keeping my child." The SWKR should FIRST: a) Provide the teenager with the positives and negatives of caring for a baby b) explore the mother's feelings about her daughter's pregnancy c) discuss the teenager's feelings about being forced into a decision d) facilitate communication between the mother and daughter - c) discuss the teenager's feelings about being forced into a decision (RUSAFE Outline) A mother seeks help for her child at a local child guidance clinic. She asks SWKR not to tell her husband about the appointment. The SWKR should FIRST: a) respect the client's wishes and continue to work with her b) explain to the client that the entire family should be seen c) explore the husband's feelings about seeking guidance d) explore the client's reasons for not wanting her husband involved - d) explore the client's reasons for not wanting her husband involved (RUSAFE Outline) A recently widowed 86 year old man is encouraged by his minister to obtain mental health services. Since the death of his wife of 50 years, he has not been able to sleep, has little energy, and often skips meals. The SWKR conducts an interview. The SWKR should FIRST: a) conduct a mental status examination b) consult with collateral sources c) acknowledge the client's feelings of loss d) provide information about depression - c) acknowledge the client's feelings of loss (RUSAFE) A SWKR sees a teenager and her mother because of increased anger, family conflict, and defiance at home. The parent reveals that the teenager was sexually abused at an early age, and has never talked about this with anyone. The teenager denies memory of the abuse. The SWKR should FIRST: a) recommend individual treatment for the teenager b) normalize the teenager's reactions c) develop a treatment plan for family therapy d) provide education for anger management skills - b) normalize the teenager's reactions A SWKR sees a couple after the birth of their first child. They are very stressed by the demands of parenthood. What should the SWKR do FIRST: a) ask the couple what family resources are available b) refer the couple to a pediatrician c) determine what is causing the stress d) refer them to a support group for new parents - c) determine what is causing the stress (RUSAFE)