LMSW Practice Questions & Answers. 100% Accurate. Rated A. Latest update

LMSW Practice Questions & Answers. 100% Accurate. Rated A. Latest update Subpoena to release adult client info after termination - ✔✔-First try to obtain client consent (privilege) Subpoena to release child client in ...

LMSW Practice Questions & Answers. 100% Accurate. Rated A. Latest update Subpoena to release adult client info after termination - ✔✔-First try to obtain client consent (privilege) Subpoena to release child client info after termination - ✔✔-First obtain consent from parent/guardian A supervisor should do what for supervisees - ✔✔-establish guidelines for practice, regardless of their varying practice approaches Child is afraid of catheter - where does anxiety stem from? - ✔✔-fear of mutilation Most common psychological cause of sexual dysfunction's are related to - ✔✔-fear & anxiety What is true regarding NASW code of confidentiality? - ✔✔-obtain informed consent 5yo boy bullying, making sexual gestures toward others - assess for what? - ✔✔-sexual abuse Parents of 17yo boy want to report sons gf for child abuse since she is 19 - what do you do? - ✔✔- explore concerns further as this situation is not necessarily reportable. What is most important consideration during assessment of intoxicated individual? - ✔✔-Some individuals become intoxicated even if they haven't reached legal limit. Body weight, metabolism, etc affects this. Couples therapy, partner HIV positive - SW unexperienced - Infected parter hostile, angry, difficulty with everyday tasks. - ✔✔-First explore crisis at hand - relationship issues 23yo woman, recently divorced, anxious, feeling out of control - ✔✔-First assess her feelings "out of control" and clarify. This helps to understand situation so that you can help her better. Group therapy for teens in transition - important consideration for establishing membership? - ✔✔- Diagnoses - key word establish Group therapy for adult caregivers. Best indicator of groups stage of development? - ✔✔-cohesion level within group Sexual relationships with clients? - ✔✔-NEVER!!! Neither previous or current clients. In crisis intervention, most important factor is - ✔✔-providing support to client Can SW hire previous client to work for them? - ✔✔-No, unethical SW suspects physical abuse of a child - bruises, withdrawn behavior, etc. Report? - ✔✔-If a case of child abuse is suspected, it MUST be reported. There doesn't have to be confirmation. Female client begins to scream that she is going to explode and cries uncontrollably. SW thinks its about boyfriend. Next step? - ✔✔-Attempt to calm client and ascertain more info. Young girl asks for prescription, having trouble sleeping, concentrating, etc. Parents recently divorced and she just started grad school. SW should first? - ✔✔-Assess for depression. Generally, we ASSESS before we REFER. LCSW discovers her colleague, also LCSW, accepts split fees for referrals. - ✔✔-Unethical. LSCW should never participate in this. 58yo man having sexual difficulties, never has before. Most probable cause? - ✔✔-Health status Mother concerned about teenage son. He refuses to listen/follow rules. She comes from abusive background, son witnessed, currently divorced. - ✔✔-Explore situation further to see if son is at risk for abuse from father. Common symptom of cocaine withdrawal? - ✔✔-Depression is COMMON symptom First course of intervention for survivor of domestic violence? - ✔✔-SAFETY FIRST When a SW uses ecological framework, ADAPTATION means - ✔✔-a continuous process of individual balancing personal needs with environment When a SW supervisor initiates structure into supervisory experiences, she is - ✔✔-defining, directing and outlining her own role and the role of subordinates Physician, nurse, social worker. share duties and responsibilities for client care and service provision. Term to describe this? - ✔✔-Interdisciplinary since they share duties 9yo boy talks to himself in class. SW wishes to use behavior therapy approach but FIRST - ✔✔-determine how often child talks to himself 1. Frequency 2. Intensity 3. Duration When terminating tx, SW may feel - ✔✔-1. responsible for welfare of client 2. desire to have accomplished more 3. empathy for client situation SW feels reminded of her own situation when talking with a client - ✔✔-SW >> client = countertransference Client gives SW a gift to say thank you for help. - ✔✔-Thank client but explain that it cannot be used for SW personal use Client is afraid to be without lucky locket, believes something bad will happen to her if she doesn't have it, and locket prevents these events. Term for this behavior? - ✔✔-Ideas of reference - more item or individual related Measure behavior 1week before tx, continue measure 1week after tx - ✔✔-baseline, tx, baseline Cultural beliefs - ✔✔- Client is known to be manipulative, has few friends, self mutilate. When client gets stressed she threatens to harm herself. Several unsuccessful attempts. - ✔✔-Borderline Client states he no longer wants to take his meds. What should SW do first? - ✔✔-Assess first always Hispanic couple therapy, cultural factors to be aware of? - ✔✔-Typically hispanic males feel uncomfortable speaking to women Which stage does child understand death? - ✔✔-concrete operational (piaget) According to community social work, - ✔✔-there is a strong emphasis on social reform Consultation involves - ✔✔-advising in therapeutic goals, advise sw hot to strengthen relationships, provide educational info Cognitive therapy is most beneficial in treating - ✔✔-Depression 4yo child experiences which developmental concept? - ✔✔-irreversibility Older male places wife in nursing home; adult children become upset and do not want her there. SW should do what first? - ✔✔-See the entire family Assimilation - ✔✔-incorporating new info to fit existing thought structure Diagnosing DSM5, symptoms are counted and levels of severity are identified. What is this recording system called? - ✔✔-Dimensional assessment HIV+ client shows signs of physical deterioration and states she is having medical problems. What should SW do? - ✔✔-refer to medical provider for follow up What is primary prevention? - ✔✔-happens before the fact.. ex) suicide prevention hotlines African american social worker is asked to meet with hispanic teacher to help with concerns in multiracial class. This is referred to as - ✔✔-consultation Grounds for immediate referral to another social worker - ✔✔-SW & client are close friends/related, SW doesn't feel competent, client requests referral, SW dating client relative. SW feels client needs extension of tx sessions. First.. - ✔✔-SW should discuss re-contracting the expected termination Teen client expresses that she wants to kill herself using meds from moms cabinent. Doesnt want her mom to know. What should SW do? - ✔✔-Try to get permission from client to tell her mother. If she says no, explain that it must be done anyway. One major limitation of the clinical, or case study, method is - ✔✔-Lacks generalizability, its hard to generalize from one case According to psychoanalytic theory, what age is child experiencing sexual fantasies and guilt over these feelings for parents? - ✔✔-between ages 3-6 Evaluation of program on ongoing basis - ✔✔-formative evaluation Supervising generally has - ✔✔-Administrative, educational, and supportive functions The MOST important reason for social programs to be evaluated is - ✔✔-doing so satisfies demands for accountability According to Maslow's Hierarchy of Needs, the highest level that can be reached is - ✔✔-self actualization During final stage of therapy - ✔✔-prepare for termination, referrals, making follow up plans Family says their teen girl has substance abuse problem. Girl is defiant and denies intervention. Admits to using, but states it doesn't affect her behavior - ✔✔-assess situation and discuss ways to address the situation What is the primary reason for setting goals in therapy? - ✔✔-It helps the SW estimate the kind of and extend of help that is reasonable to offer or expect from our clients. SW is emotionally drawn to a client and starts thinking about possibility of dating client. First? - ✔✔- PROCESS the thoughts and then discuss with supervisor Best predictor of job performance? - ✔✔-samples of work completed SW supervisor rates employee based on personal life accomplishments in addition to job performance criteria - ✔✔-Halo effect Client is agitated and states they want to "shoot their ex lover." SW is unsure but has obligation to first - ✔✔-Warn the ex lover and call police. If a threat/plan is voice, legal obligation to report Squeeze method in sex therapy is most likely treatment for - ✔✔-Premature ejaculation According to systems theory, when a family enables another member to maintain dysfunctional behavior, this is an example of - ✔✔-Maintaining homeostasis - this is always goal in systems Close-ended questions - ✔✔-limit the response time and explanation. Therapist can use if they don't want client to elaborate or are pressed for time. Client moves in next door to social worker. What should SW do first? - ✔✔-Talk with client and explain boundaries. Then, may have to refer client to another SW for risk of dual relationship. Goals of crisis intervention - ✔✔-assist with immediate needs, address factors that led to crisis, help develop coping strategies When using short-term task-centered therapy - ✔✔-should always include problem identification. Client should identify and address problem. In a couples session, clients state they are having sexual problem. It's causing stress that pervades entire relationship. SW explains this problem is very common. What is the issue? - ✔✔-Premature ejaculationnow considered most common sexual difficulty. If marital problems cause the difficulty, they must be addressed too. SW is working to change behaviors of client and applies ABA. What is essential focus of tx? - ✔✔- Behaviors Father states his 17yo son is primary problem. Says he stays out too late, failing school, never home. After talking to entire family, SW learns that father is recovering from SA, mother recently lost job. Many family problems noted. Son may be viewed as - ✔✔-Symptom of family dysfunction, representation of family's overall problem, scapegoat for family "Dysfunctional behaviors are the result of irrational thoughts and beliefs." This statement is reflective of - ✔✔-Rational Emotive Therapy by Albert Ellis SW uses empty chair technique. What therapeutic modality is being used? - ✔✔-Gestalt Client requests new therapist. Client states SW is aloof, unconcerned, phony, unable to establish rapport. SW is lacking - ✔✔-Authenticity Most closely related to brain damage that results in mild to moderate forms of intellectual disability that can be linked to chromosomal abnormality - ✔✔-Down's syndrome When parents are hostile and controlling, child is most likely to be - ✔✔-shy and withdrawn Client suffers from schizophrenia and lives in a group home. The prognosis for an individual with schizophrenia is best when - ✔✔-the individual has family support Negative reinforcement - ✔✔-The strengthening of a response because it is followed by the removal of an aversive (unpleasant) stimulus. "The therapeutic relationship is essential to therapeutic process; open communication is fundamental to establishing rapport between client and worker." - ✔✔-Could be psychosocial, psychoanalytic, functional approach Best description of crisis intervention process? - ✔✔-assessment, implementation, termination During honeymoon phase of parenthood - ✔✔-parent-child attachments are formed According to Kuber-Ross, the stages of adjusting to ones impending death include - ✔✔-denial, anger, bargaining, acceptance The best tx for schizophrenia is - ✔✔-(phenothiazines) antipsychotic medication and therapy The best tx for depressed client is - ✔✔-tricyclics and therapy Client recently separated from abusive husband. Husband is requesting to visit her and children; client wants to. Client asks SW to help her plan reunification. SW should first - ✔✔-help client clarify her reasons for wanting to reunite. Then, develop a plan. Research dealing with family violence strongly links existing family physical violence to - ✔✔-history of violence in abusers family of origin. Client expresses discomfort with gender. He feels trapped in a body that doesnt correspond with his head/heart. The client is experiencing - ✔✔-gender dysphoria At what age does baby develop fear of strangers if baby feels unprotected? - ✔✔-Fear of strangers, when a child feels unprotected usually begins at approx. 8mo age. SW found drinking during work. Supervisor cancels all of her appts and asks her to leave until situation can be reviewed. If SW is terminated, this is primarily done for - ✔✔-1) the welfare of the clients 2) due to professional accountability and standards SW suspects there may be sexual abuse occurring in family btwn stepfather and 14yo daughter. No direct evidence. What supports SW suspicions? - ✔✔-If father abuses drugs or alcohol, daughter is withdrawn, mother is often gone SW using Gestalt therapy, tells client to imagine deceased loved one was still here and focus on what would be said to that individual. Primary goal of this technique is? - ✔✔-Focus on bringing past relationships to the here and now. "empty chair technique" The best way to maintain a behavior once its acquired is referred to as - ✔✔-intermittent reinforcement Paraprofessionals are most effective when - ✔✔-used as an adjunct to treatments by clergy or mental health professionals A SW researcher wants to assess the effects of an education program that has recently been administered to HS students. This type of research design is known as - ✔✔-Ex-post facto design - done after tx has been completed Client occasionally states she doesn't want to go on living. Most concerning behavior? - ✔✔-Client giving away posessions Client suffering from schizophrenia - what is best tx for initial stages? - ✔✔-pharmacological tx Female comes into crisis center stating she wants to kill herself bc she is flunking college courses. Client is lucid, has supportive family, and has no suicide plan. For womans safety, SW should first - ✔✔-try to establish "no suicide" agreemen