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LCSW 170 Exam Questions Test Skills
**A client and social worker have reached an active stage of change, are dealing with underlyingrelational themes and dynamics, are using theory-based interventions and techniques, and have reached detailed developmental exploration. The client is in which stage of intervention? A. Early stage B. Middle stage C. Late stage D. End stage - ✔ ✔ B. Middle stage You have been treating a Tibetan client who was raised primarily in India until she moved to the UnitedStates four years ago. She is resisting discussion about her family-of-origin. In order to work through her resistance you would FIRST: A. Be patient, continue working with the client and focus on other issues. B. Directly confront the client about her resistance. C. Address transference or countertransference issues as a way of evaluating family-of-origin dynamics. D. Consider the client's cultural values regarding boundaries, privacy, and problem resolution. - D. Consider the client's cultural values regarding boundaries, privacy, and problem resolution. ✔ ✔ You have been treating Quentin and Kurt, who have been dealing with Kurt's HIV positive status. Oneafternoon, Quentin arrives at the session alone and says that he has also tested positive for the HIV virus
and does not want Kurt to know. He says they never have unprotected sex. What action should you takeNEXT?
A. Break confidence and tell Kurt if Quentin refuses to do so. B. Insist that Quentin open up this secret to Kurt in their next conjoint session or you will have toterminate the couples therapy.
C. Remind Quentin of your "no secrets policy," maintain confidence as requested of you and supportQuentin in handling the situation until he is ready to open up more.
D. Tell Quentin that you cannot support this decision, and that you will not be the holder of this secret. - ✔ ✔ C. Remind Quentin of your "no secrets policy," maintain confidence as requested of you and support Quentin in handling the situation until he is ready to open up more. **A client is decreasing their symptoms of stress without addressing the causes of the stress or disorderitself. What kind of coping strategy, if any, is the client using?
A. Emotion-focused B. Maladaptive coping C. Constructive coping D. the client is not using a coping strategy - ✔ ✔ B. Maladaptive coping **A client is describing the way they have been feeling. They describe that they have been tense,confused, unable to think with usual speed and clarity, and unable to concentrate. These problems have caused the client to feel insecure about driving and other tasks they once did with confidence. What isthe client possibly describing?
**A clinician has clients that consist of a mother and a daughter, both of whom are adults. The daughterrecently moved in with her mother at the mother's request to assist her with daily living needs. The mother complains that her daughter is messy; that she leaves dishes in the sink; that she leaves multipleitems on surfaces throughout her home; and that her daughter's car blocks hers in the driveway. The clinician, using Solution-Focused Brief Therapy, implements "Rule 3", which states: A. "If it's not working, discuss why it is not working." B. "If it's not working, do something else." C. "If it's not working, discover which party is not holding up his/her end." D. "If it's not working, then the therapist should provide expertise." -something else." ✔ ✔ B. "If it's not working, do **A female health organization is including free mammograms and pap smears with any office visit toencourage preventative health measures. What kind of prevention strategy is the organization using?
A. Primary prevention B. Secondary prevention C. Tertiary prevention D. Quaternary prevention - ✔ ✔ B. Secondary prevention **A social worker and client are using the problem-solving model to help the client develop their ownalternative solutions, think about the possible consequences of the solutions, and implement a plan of action. There are six steps in the problem-solving model. Which of the following steps is the step thatincludes discussing the pros and cons of each solution?
A. Step 3. Select a particular solution B. Step 4. Develop a plan of action based on the solution C. Step 1. Identify, define, and assess the problem specifically and clearly D. Step 2. Identify possible solutions to the problem -**A social worker and her teenaged client diagnosed with Conduct Disorder are setting up treatment ✔ ✔ A. Step 3. Select a particular solution objectives. Which of the following is the BEST example of a treatment objective? A. Improving impulse control behaviors. B. Increasing participation in age-appropriate and safe peer activities by the end of the month. C. Helping the client identify cognitive distortions that contribute to their anger. D. Determining treatment frequency -peer activities by the end of the month. ✔ ✔ B. Increasing participation in age-appropriate and safe **A social worker has a 31-year-old female client whose 4-year-old daughter was diagnosed withleukemia when she was two years old and is currently undergoing painful treatments. The child is not in remission, though the doctors are optimistic that continuing treatment may result in remission.Recently, the client's daughter has begun acting out. She has been bossy, demanding, outspoken, and defiant. The mother explained that she is now pregnant with a second child and is finding her daughter'sbehavior patterns exhausting. What is the BEST explanation for her child's behavior?
A. The little girl is dying. B. Appropriate boundaries and rules were not set.
**A social worker is working at an inpatient treatment unit. She is interviewing a patient for possibleinpatient treatment. The social worker suspects this patient may be under the influence of narcotics. Which of the following is NOT a sign of narcotic use? A. Slurred speech. B. Pupils constricted and fixed. C. Scratches self frequently. D. Dilated pupils during withdrawal. - ✔ ✔ A. Slurred speech. **A Strategic and Communications therapist, fluent in sign language, has clients who consist of two deafparents and an 11-year-old hearing daughter, who also is fluent in sign language. The parents do not read lip syncing very well. The parents present with the problem that their daughter will not sign withthem and will not communicate with them. At this point, the mental health provider is not overly concerned because: A. All parties know sign language, so treatment can begin. B. It is impossible not to communicate. C. The mental health provider can teach the parents to lip sync. D. The child is going through a normal phase of preadolescence. -communicate. ✔ ✔ B. It is impossible not to **After being in treatment for 6 months, a client requests a copy of her records. After reviewing therecords, the client calls the social worker very upset because she feels that the social worker did not portray her relationship with her ex-husband accurately. What should the social worker do NEXT?
A. Provide empathy and inform the client that she has the right to change the information in herpersonal record.
B. Provide empathy and inform the client that she has the right to add an addendum to her record. C. Provide active listening and inform the client that she will no longer have access to her recordbecause it seems to have caused her harm.
D. Provide active listening and inform the client that she can add an addendum to the psychotherapynotes but not to the psychotherapy record. - ✔ ✔ B. Provide empathy and inform the client that she has the right to add an addendum to her record.Many adult children find themselves in a position of caregiver for an aging parent. Such caregivers living with all EXCEPT one of the following are at higher risk of participating in elder abuse: A. Poor stress management B. History of childhood abuse C. Overwhelming role strain D. Cultural expectations - ✔ ✔ D. Cultural expectations Mary is assessing her client's strengths and challenges in order to develop an appropriate treatmentplan. Which of the following is NOT an example of a method to assess client/client system strengths and challenges? A. Asking clients about areas in which they excel B. Observing strengths during time spent with the client
A. Premature Ejaculation B. Erectile Disorder C. Male Hypoactive Sexual Desire Disorder D. Substance/Medication-Induced Sexual Dysfunction -Disorder ✔ ✔ C. Male Hypoactive Sexual Desire Armando, a clinician in a psychiatric ward of a women's state prison, works with clients with severepsychotic disorders. Armando has a 23-year-old client, Amy, who has been diagnosed with Antisocial Personality Disorder. Amy also has a history of pyromania and had been detained after being arrestedfor setting her parents' house on fire. She pleaded guilty and was remanded to the state correctional facility. In providing EBPP, Armando sends copies of all his files to the prison warden, the court, andother practitioners involved in Amy's treatment. Even though Armando works outside the collaborative process with Amy, how is this part of EBPP? A. The State, not Amy, is Armando's client. B. The court authorized Armando to treat Amy. C. Amy must comply with treatment as part of her prison term requirements. D. Armando must follow the rules the warden sets. -Dorina is assessing her client's coping abilities in order to determine whether or not her client will be ✔ ✔ A. The State, not Amy, is Armando's client. able to use their intervention/treatment. Which of the following suggests that the client may be LESSLIKELY to be able to use treatment?
A. The client is court-mandated
B. Openness to treatment C. Collateral information is available D. Positive expectations of the outcome -**During the intake with Geoffrey, his mood seems subdued and he tells you he hasn't been eating or ✔ ✔ A. The client is court-mandated sleeping well since he and his lover broke up two months ago. In assessing for depression, what wouldbe your FIRST question?
A. Are you currently enjoying your favorite activities? B. Are you using any type of drugs, alcohol or medication to help you cope? C. Have you ever tried to hurt yourself or attempt suicide in the past? D. How have you handled relationship break-ups in the past? -your favorite activities? ✔ ✔ A. Are you currently enjoying **Eli has relocated his psychotherapy practice from a big city to a small town. In addition to seeingclients in his office, he also takes a job as a supervisor of associates at the town's only community counseling clinic. In his second week at the clinic, Eli is given a list of new associates he will besupervising, and one of the associates assigned to him is a client in his private practice. This client does not know that Eli supervises at the clinic. What should Eli do FIRST? A. Ask the client to choose between having Eli as a social worker or a supervisor. B. Decline to supervise the associate. C. Terminate the therapy since it conflicts with his role as a supervisor as well as the client's desire fortraining and career advancement.
A. Synthetic-conventional B. Spontaneous C. Mimetic-pretend D. Pre-conventional -**Jeremy wants to leave an inpatient program for substance abuse earlier than his social worker wants ✔ ✔ B. Spontaneous him to stay, and wants to move to a clean and sober housing placement. Which of the following BESTdescribes Jeremy's right to refuse service?
A. Jeremy has the right to refuse some services and accept others with no consequences. B. Jeremy may refuse the inpatient treatment service, but it may affect his eligibility for other services,such as clean and sober housing.
C. Jeremy is either allowed to refuse all services or accept all services. D. Jeremy is not allowed to refuse any services. -service, but it may affect his eligibility for other services, such as clean and sober housing. ✔ ✔ B. Jeremy may refuse the inpatient treatment **Juan, a first generation Latino college student, is thinking about studying abroad in India. AlthoughJuan would like to experience Indian culture, he is concerned about leaving his traditional Mexican family. Juan is receiving services at the on-campus counseling center for support in making a decision.Juan's social worker would MOST LIKELY consider which of the following cultural factors?
A. The value of independence to Juan's developmental process. B. Potential conflict between Mexican and Indian cultural values.
C. Potential conflict between the values of independence and interdependence. D. The American cultural value of interdependence. -independence and interdependence. ✔ ✔ C. Potential conflict between the values of Julie is an LCSW who has a history of trauma in her own life. Her client, Sid, has had a very traumatichistory and Julie constantly provides empathy to Sid. Julie has been feeling emotionally and physically exhausted, and it is starting to take a toll on Julie's relationships with her clients. Julie is experiencing: A. Burnout B. Compassion fatigue C. Secondary trauma D. Re-traumatization -Lucia, who is Hispanic, is a senior in high school. She has been in treatment with you for three years ✔ ✔ B. Compassion fatigue due to low grades as a freshman. She now wants to apply to schools out of state. No one in her familyhas gone to college, let alone moved away from home before marriage. What would you do FIRST to help Lucia implement her goals? A. Role play the situation with her so she can practice telling her family, while thinking of compromisesand alternatives to present to her family.
B. Ask her to bring her parents in for a session where she can share her desires with your support. C. Help her find a way to tell her family.
**Monica, a social worker who is doing a research study on teen pregnancy and the quality of prenatalcare within the local underserved Hispanic population, encounters subjects with unique needs, as many are undocumented immigrants residing illegally in this country, and many do not speak English well or atall. Monica's FIRST priority in acquiring her test subjects is:
A. Immigration status B. Anonymity C. Consent D. Confidentiality - ✔ ✔ C. Consent **Nadine opens the door to her waiting room and finds that her new client is of a different race thanher own. In the session, Nadine mentions the differences and wonders if the client has any thoughts or feelings about this. The client says she does not. Nadine should NEXT: A. Not address the question further at this time. B. Take the client at her word and accept that that not all people are attuned to racial differences. C. Explain to the client that we live in a world where racial differences matter and have real impacts onpeople, and that it is important to discuss them.
D. Not bring up racial, cultural, or ethnic differences unless the client brings them up first. -Not address the question further at this time. ✔ ✔ A. **Natasha is a supervisee that is expressing transference in her supervisory relationship. Which of thefollowing is a way her supervisor can resolve this issue instead of expressing countertransference?
A. The supervisor can shift the focus back to the client and client-worker relationship.
B. The supervisor can mirror the supervisee's actions. C. The supervisor can react to the supervisee's transference. D. The supervisor can help the client with their reflective process. -to the supervisee's transference. ✔ ✔ C. The supervisor can react **Oliver, a social worker newly in practice at an outpatient clinic, is treating a 24-year-old client, Robert,who presents with a Major Depressive Disorder associated with a medical condition. Robert was bound for professional basketball when he threw out his knee during his senior year of college. For the pasttwo years, Robert has experienced worsening depression. His hygiene is poor, his alcohol use has increased, and he is addicted to opioid painkillers. Oliver has had limited experience dealing with clientswho have chemical addictions. His FIRST step to improve professional development is:
A. Continuing education classes in substance use. B. Clinical supervision. C. A post-graduate educational degree. D. Attending 12-step groups. - ✔ ✔ B. Clinical supervision. **One of the most common documentation formats is SOAP. SOAP is an acronym for SubjectiveObjective Assessment Plan. Which of the following describes what is meant by Objective?
A. Social worker's understanding of problems and test results. B. Goals, objectives, and interventions reflecting identified needs.
B. Express unconditional positive regard. C. Express understanding of the issues the client is experiencing. D. Share the same or similar experiences as the client. -the client is experiencing. ✔ ✔ C. Express understanding of the issues Sylvia, a social worker who facilitates conflict resolution, provides support to her clients who have hadongoing conflicts in which previous attempts at resolution have been unsuccessful. Sylvia uses methods that include reducing the time the individuals are involved with each other; structure session in aninformal setting and manner; set limits and boundaries; and acts as a third-party negotiator. These are known as: A. Structuring Methods B. Development Methods C. Therapeutic Methods D. Mediation Methods -The main difference between a client receiving treatment from a medical doctor and a client receiving ✔ ✔ A. Structuring Methods treatment from a social worker is: A. Social workers should expect their clients to know how to conduct themselves in treatment, whilemedical doctors expect to do the work for their clients.
B. Clients being treated by a social worker are expected to play a more active role in the healing process,while medical doctors carry more of the responsibility through diagnosing and prescribing for the patient.
C. Because social workers get to know their clients on a social basis, social workers have more patienceand exhibit rescuing behaviors, while medical doctors do not.
D. Social workers are expected to give referrals, while medical doctors are expected to help with all of aclient's medical needs. - ✔ ✔ B. Clients being treated by a social worker are expected to play a more active role in the healing process, while medical doctors carry more of the responsibility throughdiagnosing and prescribing for the patient. **Tyler is brought to therapy by his mother. She says she doesn't understand what is going on with him.The only way she can get him to clean his room is if she threatens to punish him when it's dirty. According to Kohlberg's levels of moral development, Tyler obeys rules to avoid getting punished and isin which level?
A. Obedience and Relativist Orientation B. Obedience and Punishment Orientation C. Obedience and Avoidance Orientation D. Obedience and Discipline Orientation - ✔ ✔ B. Obedience and Punishment Orientation **When differential value is ascribed to women just for being female members of society, theenvironment can heavily impact those on the receiving end of such discrimination. Feminist theory argues that when women are continually oppressed as a result of bias and unequal social hierarchies, acommon result is:
A. Social stigma B. Trauma exposure
