LSW Exam Prep

A woman in the community with three children and no transportation needs assitance. What should the social worker do FIRST

Determine the appropriate service

A woman in the community with 3 children has an appointment scheduled but the social worker IS concerned the client will not be able to keep her appointment due to distance. What should the social worker do NEXT?

Help to arrange transportation

In therapy a father expressed how overwhelmed he has been due to his son's behaviors. What should the social worker do?

Acknowledge the fathers feelings

A social workers who described frequent conflict and arguments. During the session the wife tells the social worker that her husband never wants to talk about his feelings. The husband confirms this but says that when he tries to express himself the wife gets upset and yells at him. The wife jumps in and says loudly that’s not true! He's always making up things about me! The husband then says “see” and crosses his arms sitting in silence. The social worker should Next:

Point out that the communication just occured

When addressing termination of the client in planned short-term treatment context, it should first be discussed with the client:

In the beginning of treatment

A family with a teenage girl brings their daughter in for counseling due to suspected 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

Explore and clarify the problem that needs to be addressed

When Addressing Mental Health conditions, use of the DSM is most helpful in the area of:

Assessment interpretation

 A 15 year old male teenager is angry with his father. He cannot tell his father how he feels. He plays football and during practice he deliberately tackles a member of th either team fiercely knowing the other player to the ground. While charging the other player he is thinking about his father and the anger he has for him. This is an example of:

Displacement

L. has a child who was recently diagnosed with a terminal illness. L tells the social worker that her child is not ill and will not be returning to the clinic for a follow up. Which of the following defense mechanisms is BEST represented by Ls response?

Denial

A woman has recently lost her husband due to tragic accident. She is feeling very guilty as she had wished previously that he was dead. She believes her thoughts caused hsi death. Is this mos tlikely:

Magical thinking

Same a 30 year old divorced male tells his social worker that he is going to commit suicide and clearly outlines a concrete plan to complete this. The first action the social worker should take is:

Seek hospitalization

A social worker has a first session with a teenager who was referred for recent poor school performance. He is withdrawing from friends and family an dhas been found hiding under his bed. The parents have found marijuana in his room. He told the social worker in the first session that he has been hearing voices. What should the social worker do first?

Refer the teenager for a substance evaluation

From a family therapy perspective in assessing family problems, the therapist would be least likely to:

Refer to the DSM

A social worker has recently placed a child in emergency foster care period this placement is considered essential because of serious allegations involving both child’s parent’s. The social worker should FIRST:

Seek to reunite the child with other members of the biological family

An individual calls a crisis hotline and states that he has tried to harm himself in the past and at times he s feeling suicidal. Which symptoms would be of more concern to the social worker?

The client has just given away most of his close personal possessions

A social worker on the initial interview is concerned about a client’s medical health. It appears that the 9 year old child is suffering from vocal and motor tics and may have possibly had seizures. The social workers first referral should be to:

A neurologist

Jay, a 40 year old male reports to his social worker in an initial interview that he is feeling suicidal. He tells the social worker that he has a rifle at home but would not shoot himself unless it was an accident. The first thing the social worker should do is:

Initiate hospitalization

A client reports delusional symptoms that the social worker records in the progress notes. Of the following definitions below, which is the definition of a delusion?

A false belief held despite evidence to the contrary

To complete the most appropriate psychosocial assessment, the following should be included:

Family dynamics and support systems

A social worker at an inpatient psychiatric facility meets with 40-year-old patient and the patients family to discuss planning. The patient has a diagnosis of schizophrenia and a history of assistive behavior and substance use disorder. The Patients parents want the patient to move into their home. What factor should the social worker evaluate FIRST

potential danger to the family

A social worker meets with a patient who has been in a psychiatric hospital for three weeks, The patients diagnoses include depression and substance use disorder. The patient is prescribed psychotropic medication and an anticonvulsant for a seizure disorder. For several days the patient has experienced drowsiness, stumbling, and slurring of speech. What should the social worker do first.

Review the patients discharge plan

A school social worker answers a call from a parent asking for help with a teenagers behavior. The parents tells the social worker the teenager is frequently defiant and aggressive toward a younger sibling and family pets. What is the social workers MOST appropriate response to the parents request?

Recommend the teenager receive a mental health assessment

What action by the social worker is MOST likely to facilitate rapport between a social worker and a client who is anxious about receiving services?

Validating the clients feelings with a nonjudgmental attitude

When may a social worker disclose client information without client consent?

A legally binding request has been received

A social worker meets with a couple to discuss options for assisted living. During the session, one partner begins to cry and expresses fear about dying. What should the social workers do FIRST.

Assess the couples concerns relative to their stage in the family life cycle

A social worker meets with a client who is concerned about frequently leaving tasks unfinished. This behavior has resulted in family conflict and job loss. To further assess this behavior, what should the social worker do NEXT?

Explore factors that have contributed to the behavior

A school social worker meets with a students for the first time. It is believed the student is being abused in a relationship with another student. During the meeting, the student is quiet and reluctant to answer the social workers questions. How should the social worker respond to the students silence.

Acknowledge the hesitancy, encouraging the student to talk when ready.

A hospital worker meets with a patient to recommend an assisted living placement at discharge. The patient declines the recommendation and asks the social worker not to discuss it with the patients adult children. The patient has mild cognitive impairment but has not been declared incompetent. What is the BEST action for the social worker to take?

Discuss community services that could help meet the patients increasing needs

A social worker is providing case management for clients in an affordable housing complex. The social worker observes pervasive hopelessness that prevents many clients from following through on workforce referrals. What is the BEST action for the social worker to take to empower these clients

Discuss how barriers affect the clients in achieving their goals