LMSW Licensure Exam

In an initial session with a social worker, a client mentions having been hospitalized several times for depression. When the social worker attempts to explore the hospitalizations, the client becomes tense and guarded, saying "it's old history". The client refuses to give permission for the records to be released. The social worker should FIRST:

When faced by a hostile client in an agency setting, it is BEST for the social worker to

A client who has received services for several years in a dialysis unit appears for a routine visit. The nurse notices a markedly changed affect and refers the client to the social worker. When seeing the social worker, the client seems detached, self-absorbed, and tearful. The social worker should FIRST assess the client's:

During Mrs. S's first appointment in a family agency, the social worker encourages her to express her feelings about the recent placement of her child in a residential facility for the developmentally disabled. Mrs. S talks at length instead about her physical health problems. The social worker should:

A couple expressing extreme anger at each other come to a social worker for marital counseling. The social worker should FIRST:

A social worker has been asked to assist an elderly client in making alternative living arrangements. In the initial interview, the client repeatedly attempts to discuss past experiences. What is the social worker's MOST appropriate response to the client?

A hospital social worker interviews a couple whose six month old infant has recently been hospitalized for cystic fibrosis. The social worker notices that the parents are reluctant to touch the child. Based on this information, the social worker's FIRST intervention should be to:

In the first session with a school social worker a high school student reveals he has been cutting school and forging his mother's name on absence excuses. The social worker should:

A family comes to an agency complaining of their child's behavior problems. As a result of the assessment phase, the social worker believes that the marital relationship is the primary problem. The social worker should focus on:

A 28 Yr old client with a long standing history of drug use is referred to a social worker by a concerned relative. In the assessment interview, the client tells the social worker about frequent cocaine use. The social worker should FIRST:

The developmental tasks of self evaluation and skill learning are associated with what life stage?

Parents of a 4 yr old are referred to a social worker after a physical exam reveals no physical problem preventing the child from being toilet trained. The parents reveal that the child has not been able to separate from them to attend nursery school and he sleeps with them most nights. The most important area to focus on in the assessment phase is the:

The 2 most common defenses used by couples with marital problems are

A client who expresses no overt anger accuses her social worker of being angry, hostile, suspicious and cold. The process being used is most likely

Which of the following characteristics is usually not found in families in which incestuous relationships have occurred?

Which of the following assumptions is not accepted by a social worker engaged in family treatment

After 6 weeks of marital therapy, a couple continues their destructive pattern of fighting. In the next session when the couple begins yelling at each other, the social worker stops them and states “your situation is hopeless, fight as often as you wish”. She is using the technique of?

The major goal of behavioral treatment of depression reflects the view that depression is the result of

The view that learning takes place through observation and that new responses are acquired through the process of imitating models is associated with

Mrs. W asks for help with her 6 yr old daughters frequent temper tantrums. The tantrums often occur when shopping. When the child sees something she wants she screams and kicks until her mother gives her the item. When asked how she responds, Mrs. W says she usually gives in to avoid being embarrassed. Which behavior principle is demonstrated?

Which of the following medications is primarily used in the treatment of psychosis?

A client whose mother dies following a long term illness states to the social worker that he believes that his angry thoughts about his mother caused the death. This is an example of

A 24 yr old woman complains of depressed mood. She tells the social worker that she has felt this way the past 2-3 yrs. She has little energy for social or work activities, has difficulty making decisions and concentrating, and has poor appetite. There are no delusions or hallucinations. Her most likely DSM IV diagnosis is?

A man is seen in the ER with complaints of visual hallucinations, confusion and restlessness. He also has chills, dilated pupils and nausea. He says “nothing is wrong, I just need sleep”. Which of the following substances is most likely the cause of the condition?

Borderline personality disorder is characterized by all of the following characteristics except

A patient complains of sleeplessness, loss of appetite, feeling hopeless, general apathy. To help diagnose a social worker would most need to know

A 45 yr old recently divorced mail carrier complains his memory and logic skills have diminished. He is on a new delivery route and is embarrassed that he can’t visualize the exact boundaries of the route or calculate his workload and schedules. These are important factors in his job and he is worried. He has developed a slight limp and tires easily. What would the social worker first consider?

• Which of the following characteristics is NOT among the major symptoms of schizophrenia?

• A woman whose child was recently diagnosed with a terminal illness is referred to a hospital social worker. The woman tells the social worker that her child is not ill and will not need to see the doctor again. Which of the following defense mechanisms is represented by the mothers’ response?

• A client who has received services for several years in a dialysis unit appears for a routine visit. The nurse notices the client has a markedly changed affect and refers the client to the unit social worker. When seeing the social worker, the client seems detached, self-absorbed, and tearful. The social worker should FIRST assess the client’s

• During the first appointment at a family agency, a woman is encouraged by the social worker to express her feelings about the recent placement of her child in a residential facility for the developmentally disabled. The client talks at length instead about her physical health problems. The social worker should:

• Parental rights have been terminated on three Native American children who are eligible members of a tribe. They have been together the past nine moths in a foster home of Caucasian parents who wish to adopt them. The FIRST place for action by the adoption worker should be to:

• A social worker has been asked to assist an elderly client in making alternative living arrangements. In the initial interview, the client repeatedly attempts to discuss past experiences. What is the social worker’s MOST appropriate response to the client?

• A hospital social worker interviews a couple whose six month old infant has recently been hospitalized for cystic fibrosis. The social worker notices that the parents are reluctant to touch the child. Based on the observation, the social worker’s FIRST intervention should be to:

According to DSM-5 TR criteria, which of the following symptoms is MOST prevalent in persons with a major depressive episode?

As part of the social work process, assessment is BEST described as a;

• Random error is assessed by

• An adult client diagnosed with chronic alcoholism is at greatest risk for which of the following disorders:

• Employing the concept of client self determination means that the social worker

• An appropriate instrument used to evaluate Axis V in the DSM-5 classification is

• Metacommunication in practice refers to:

• Which of the following drugs is a stimulant:

• During the first interview in the home with a pregnant unmarried fifteen year old and her mother, the teenager states firmly to the social worker that she wants to keep her baby. The mother asks the social worker to tell the daughter about 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 social worker’s FIRST response should be to:

• An example of role reversal in a parent child relationship is a(n):

18. A social worker in a voluntary agency is offered a monetary gift from a client in appreciation for services. Ethically, the MOST appropriate response by the social worker is to

19. A client is absent from two consecutive groups sessions without contacting the social worker. On the client’s return to the group a t the next session, the social worker should:

20. A child welfare worker must interview a parent who has admitted to brutal child abuse. The social worker is angry about the incident. How should the social worker deal with the anger:

21. A firm, fixed idea that is held despite rational explanation and evident to tae contrary is BEST defined as a(n):

A social worker has learned that a father becomes quite angry when his two year old son soils or wets his pants. The father’s usual response to the behavior is to severely spank the child. The father’s behavior MOST likely reflects