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LSW Exam Questions and Solutions.
When considering Native American customs and developing service plans, social workers should understand that: a. all Native Americans have the same culture and tribal differences are minor b. there are important reasons why Native Americans never integrated into American culture c. with more than 500 tribal groups, there are substantial cultural and social differences d. it is important for Native Americans to separate from traditional culture if they want to succeed economically - ANSc. with more than 500 tribal groups, there are substantial cultural and social differences The positive cultural value that is expressed in the ideals of "machismo" is: a. masculinity b. family provider and protector c. power and control d. cooperation - ANSb. family provider and protector When an interpreter is needed to conduct a social work interview, the least appropriate person is probably: a. a child of the client b. a relative c. an untrained interpreter d. an agency staff member - ANSa. a child of the client
Empirical research on diagnostic patterns has historically demonstrated that African Americans with the same symptom presentation as Caucasians will often be diagnosed: a. less severely b. more severely c. the same d. the research is irrelevant - ANSb. more severely A psychological, cultural and political orientation to life that both determines and influences how people think, behave, make decisions and understand phenomena is usually called a: a. world view b. culture c. personal opinion d. perception - ANSa. world view A hospital social worker receives definitive information that a social work colleague is engaged in a sexual relationship with a client. In deciding what to do, the social worker must first consider: a. the impact on the client b. the impact on the profession c. the Code of Ethics d. the views of the supervisor and administration - ANSc. the Code of Ethics Data collection in the engagement phase of social work practice means that social workers: a. identify clients' financial and insurance resources b. seek out information on any legal or criminal problems c. interview clients and fill out forms during the initial interview
A worker has reached an agreement with an elderly woman on public assistance to move to an assisted living facility. The client talks about her fears of moving to a place where she won't know anyone. The worker's best response is: a. Don't worry, you'll make new friends b. I guess you'd rather stay where you are c. It seems like part of you wants to move and another part feels scared and wants to stay with people you know d. Most older people feel just like you, but then feel better after they move - ANSc. It seems like part of you wants to move and another part feels scared and wants to stay with people you know After 2 months, an adolescent client ordered by the court to see a social worker complains that he sees no reason for continuing with the worker. He says he's avoided trouble the whole two months and the worker should trust him by now. The worker's best response is: a. You sound angry about coming here and annoyed with me for insisting that you do b. Two months isn't long enough to judge your trustworthiness c. You broke the law and now must suffer the consequences d. Perhaps there is no reason for us to continue - ANSa. You sound angry about coming here and annoyed with me for insisting that you do Which of the below questions is not evidence of discrimination in a job interview or job application process: a. Please send a photograph with the application b. What is your birthdate? c. What is your husband's occupation? d. List your previous employment - ANSd. List your previous employment People from Latino cultures tend to accept help from experts who:
a. sound very knowledgeable and work for prestigious institutions b. have a reputation for being knowledgeable about a certain subject and are a relative or friend of the person in need c. are not Latino, but are highly credentialed d. speak Spanish, are knowledgeable about the area of concern, and have a good reputation in the community - ANSd. speak Spanish, are knowledgeable about the area of concern, and have a good reputation in the community A generalist social worker is most concerned about: a. focusing on the hierarchy of client needs and the way they interact with the client's problems b. her/his relationship with the client c. the client's emotional well-being d. the way a person's spirit is connected to the client's physical well-being - ANSa. focusing on the hierarchy of client needs and the way they interact with the client's problems In a clinical setting the most likely statistically significant program evaluation design would be: a. experimental b. quasi experimental c. single subject d. type 2 - ANSb. quasi experimental Dysfunctional families that try to maintain the appearance of open, reciprocal relationships with each other are best described by the term: a. enmeshment b. mystification c. pseudo-mutuality d. disoriented - ANSc. pseudo-mutuality
deteriorating. The client sometimes experiences hallucinations, but says he wants to try to live on his own. He refuses hospitalization and says he plans to stop taking his meds. What is the best course of action: a. acknowledge the right to refuse medication and treatment and seek to maintain a relationship with the client b. seek an involuntary commitment c. continue to insist that the client take the medication and note that previous episodes of not taking meds have led to hospitalization d. suggest that his partner care for him for a short period until he is more stable - ANSa. acknowledge the right to refuse medication and treatment and seek to maintain a relationship with the client A fearful client in a mental health agency is repeatedly asked for money by his drug dependent son. Recently, the son has threatened violence and calls the father at all hours. How should the social worker advise the father? a. suggest he disconnect his phone b. ask the client to tell the son to come to the agency and discuss his problems with the social worker c. do nothing as it is likely that the behavior will stop on its own d. suggest that he has the right to be fearful and should probably call the police - ANSd. suggest that he has the right to be fearful and should probably call the police The Colonial Poor Laws established the principle of: a. neighborly involvement b. local public responsibility c. federal responsibility d. residential care for the poor - ANSb. local public responsibility A client is diagnosed with obsessive compulsive disorder. It is likely that : a. his personal life will not be affected
b. he will be excessively studious c. he will experience performance problems at school and work due to his inability to finish tasks on time d. he will not have low self esteem - ANSc. he will experience performance problems at school and work due to his inability to finish tasks on time While many variables affect suicidality among teenagers, which item below has been a particularly powerful predictor: a. a recent parental divorce b. a transfer to a new school c. a history of occasional drug use d. a change in family economic status - ANSa. a recent parental divorce a patient experiencing dysthymic disorder will: a. Vividly describe hallucinations that began at least three months ago b. Have associated eating disorders that began at least six months ago c. Experience chronic depression on most days for two years or longer d. Probably be drug dependent - ANSc. Experience chronic depression on most days for two years or longer Clients in a mental health agency group are encouraged by the group leader to socialize even when not participating in the group sessions. The group is probably: a. an analytically oriented group b. a behavioral group c. a supportive group d. a transactional group - ANSc. a supportive group
b. insight oriented therapy c. a drug treatment group d. a change of diet - ANSb. insight oriented therapy A client diagnosed with schizophrenia has been released from an inpatient unit and is being followed at a community mental health agency. The client is stable enough to participate in a group. What type of group is the social worker likely to recommend? a. short term crisis oriented group b. activity group c. behavioral group d. supportive group - ANSd. supportive group Mrs. W has a long history of alcohol abuse. Though she has made several failed attempts to quite, she is now convinced that alcohol is affecting her heart and liver and she decides to stop drinking. She refuses medical supervision. Several days after deciding to quit, she arrives at the clinic without making an appointment and demands to see her social worker. She is loud and demanding and seems disheveled and uncoordinated. She then abruptly leaves the clinic. The social worker might conclude that Mrs. W : a. is going through alcohol withdrawal and needs medical attention b. wants the social worker's help in managing her discomfort c. is intoxicated d. may be experiencing delusions - ANSc. is intoxicated A woman brings her husband to a busy emergency room because he is not feeling well. He dies while there. What should the social worker do? a. counsel the wife on grief and loss b. tell the wife that dying is part of life c. explain to the wife the stages of grief and loss d. find a room so that the wife can have privacy to deal with her feelings - ANSd. find a room so that the wife can have privacy to deal with her feelings
Empathy has been described as an attitude that engages a client in treatment. Which of the following best describes empathy? a. acknowledging what the client is saying b. accepting what the client is saying c. understanding what the client is saying d. judging what the client is saying - ANSc. understanding what the client is saying a man who lives in your neighborhood phones you expressing concerns about his son's conduct at school. The boy has skipped classes and his grades have declined this year. You and the man have several friends in common and you see him frequently at parties. The man asks if you would see his son for therapy. Your best course of action is to: a. see the son for therapy after you clarify issues of confidentiality with his parents b. see the son once to assess his needs and then refer him to another social worker c. refer the son to another social worker d. agree to see the son for therapy - ANSc. refer the son to another social worker You are a social worker practicing in a rural town. One of the local agencies asks you to test a child for ADHD. You would: a. Tell them you will need to speak with the child's parents b. Test the child c. Tell them you would need to speak with the school d. Refuse - ANSa. Tell them you will need to speak with the child's parents You receive a phone call from clients who have a child who is refusing to shower. They report the child cries when they attempt to get him to shower, and when they back away and leave him alone, he stops crying. This is an example of:
a. respite services b. referral to unemployment c. referral to a support group d. referral to parenting classes - ANSa. respite services A client is told by her doctor that she has breast cancer. She is distraught and says she doesn't know what to do. She has 6 children. Which of the following would you do? a. Refer her to a support group b. Refer her for further medical tests c. Encourage her to make provisions for her children d. Provide supportive therapy - ANSd. Provide supportive therapy A 5 year old boy is watching his 18 month old sister have her diapers changed and becomes aggressive. The mother is concerned. What would your intervention be? a. normalize his behavior b. get the family in treatment c. get the 5 year old in treatment d. start treatment with the mother - ANSa. normalize his behavior A 70 year old woman lives with her 82 year old sister. They are having difficulty taking care of their basic needs. They have no support or help with shopping, chores, or self-care. What would you do? a. refer for in-home nursing services b. refer for in-home care services that will deliver groceries and take care of their daily needs c. refer to local church groups d. refer to hospice care - ANSb. refer for in-home care services that will deliver groceries and take care of their daily needs
You decide that one of your clients could be best helped by a treatment intervention that is outside your scope of practice. What would you do? a. end treatment with the client b. seek consultation c. tell the client you are not familiar with the needed intervention d. get training in this intervention - ANSa. end treatment with the client A female client is having difficulty eating and sleeping. She cannot complete her work because she is plagued by constant worrying. What is the most likely diagnosis? a. bipolar disorder b. generalized anxiety disorder c. major depressive disorder d. adjustment disorder - ANSb. generalized anxiety disorder Two social workers are in a crowded restaurant when one of the social worker's clients approaches them. What should the social worker do? a. pretend he doesn't know the client b. introduce the client as his friend to the other social worker c. tell the client to leave them alone d. tell the client he'll call him later - ANSd. tell the client he'll call him later A client is referred to you due to ongoing depression. Your best intervention is: a. refer to a doctor for medication b. refer to a psychiatrist for medication c. refer to support groups d. begin individual counseling - ANSd. begin individual counseling
d. call the police yourself, but get her permission to do so - ANSa. get her medical treatment Your 17 year old client is demonstrating behavioral problems and considerable anger. You consider referring him for group therapy. Your main concern should be: a. the education of the group leader b. the experience of the group leader c. whether the group is heterogeneous or homogeneous d. the structure and format of the group - ANSd. the structure and format of the group If a client from a minority group seems suspicious and mistrustful and hesitant to talk to a white social worker, the most likely reason is: a. resistance b. paranoia c. transference d. language issues - ANSc. transference A healthy couple has been referred to you because the woman is unable to have orgasms. The doctor that referred them states there are no obvious medical problems. You would first: a. explain female anatomy b. begin exploring the couple's relationship c. find out what the couple has tried thus far to address the problem d. do a genogram to explore family of origin issues - ANSc. find out what the couple has tried thus far to address the problem An effective intervention for hyperactive children would include which of the following: a. the child will decide on rewards for completing tasks b. the parents will set up a behavioral modification program and enforce it consistently
c. both the parents and child will determine appropriate punishments d. the parents will set up a behavioral modification program and be flexible in its enforcement - ANSb. the parents will set up a behavioral modification program and enforce it consistently You are a social worker in an inpatient psychiatric facility. A female patient tells you a secret and asks you not to share it with others. You should: a. Assess her needs and decide whether or not to disclose her secret to other staff members b. Disclose her secret to other staff members and her therapy group and tell the client when you do this c. Discuss the case with a supervisor d. Tell the client you will honor her wishes - ANSa. Assess her needs and decide whether or not to disclose her secret to other staff members Your client is a man whose wife was raped. He reports feeling overwhelmed and confused, wanting to be supportive but also feeling sexually distant from his wife. She is in treatment with another therapist. Your best treatment plan would be: a. Call the wife's therapist to consult and coordinate treatment b. Bring the wife into counseling with you and her husband c. Refer your client to a group for men whose partners have been assaulted d. Normalize your client's feelings and continue individual counseling - ANSc. Refer your client to a group for men whose partners have been assaulted A social work intern admits to his supervisor that he had sex with a client. The supervisor should: a. Report the intern to the licensure board b. Explain to the intern that sex with a client is inappropriate and take the intern off the case c. Consult with the client before taking any further action in order to determine whether the client consented to the sex d. None of the above - ANSa. Report the intern to the licensure board You are beginning a group for parents and their teenage children. From your experiences with new groups, you know that there is an expected communication style among members in the early stages of groups. Typically, which of the following occurs: a. Group members are hostile toward the social worker
Task groups are an important means of accomplishing an agency's objectives. A task group: a. Is leaderless so that all staff are motivated to contribute b. Is convened to achieve a specific function or goal c. Focuses on supporting staff members in order to maintain high quality services delivery d. Relies on brainstorming to identify obstacles to achieving agency objectives - ANSb. Is convened to achieve a specific function or goal A social worker who recently began working at a community agency is inadvertently violating one of the agency's policies. The supervisor should a. Speak to the social worker b. Give the social worker a written evaluation c. Discuss the matter with the social worker's clients who have been affected d. Fire the social worker - ANSa. Speak to the social worker A boy is in a wheelchair. His peers at school have been making fun of him. What would be the best intervention for a social worker to make? a. Inform his teachers b. Talk to the student body c. Help the boy accept his disability d. Talk to his parents - ANSc. Help the boy accept his disability How might a black client initially relate to a white social worker? a. with minimal countertransference issues b. with passive aggressiveness c. with transference issues d. with self disclosure - ANSc. with transference issues
A social worker is making little progress with a client after 4 weeks of treatment. What might the social worker do? a. refer the client to another social worker b. schedule a case consultation c. continue with treatment, it's too early for progress to occur d. confront the client about their lack of motivation - ANSb. schedule a case consultation Of the following, which would be least important in the acculturation of an Asian girl in treatment with a social worker? a. the wishes of her parents b. the social worker's experience with similar situations c. the social worker's skills d. the girl's network of friends - ANSd. the girl's network of friends Per Minuchin, psychosomatic families are most likely to be characterized by which of the following: A. frequent intense open conflicts between family members B. weak boundaries between family members C. family roles that are inflexible and stereotyped D. marked emotional distance between the husband and wife - ANSB. weak boundaries between family members A child is engaging in risk-taking behavior and is disruptive with his parents and peers. What is the most likely diagnosis? a. ADHD b. Conduct disorder c. Antisocial personality disorder
