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LCSW EXAM

Lcsw Exam

by elmcasborn11, Jun. 2009

Subjects: evaluation practice research utilization

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55 Cards in this Set

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	Nervios ("nerves") is a Latin American syndrome of generalized emotional distress that tends to be prolonged or chronic. Symptoms may include headaches, body aches, heart palpitations, a sense of heat in the chest, irritability, gastrointestinal disturbances, dissociative experiences, insomnia, nervousness, inability to concentrate, presistent worry, trembling and dizziness. Within the culture it is often attributed to a loss of key relationships. According to the DSM, when diagnosing a client with this syndrome, it is best to... a) apply mutiple diagnostic labels if criteria are met for each: for example, psychogenic pain disorder, generalized anxiety disorder, and insomnia b) diagnose "nervios" and list it as a V-code NOS c) do not diagnose a mental disorder because the condition is considered normal within a culture d) present these options to the client and ask for the client's preference	apply multiple diagnostic labels if citeria are met for each; for example, psychogenic pain d/o, generalized anxiety d/o, and insomnia
	Which of the following would be the best treatment objective in your work with a client whose diagnosis is dependent personality d/o a) avoid dependency in favor of independence b) seek dependency and minimize independence c) invite dependency from others whenever possible d) vary the degree of dependency and independence in personal relationships	vary the degree of dependency and independence in personal relationships
	Your 35 yr old client is apologetic, overly concerned with others' judgements, and is afraid to be seen. This client will probably have a tendency toward which of the following? a) shame b) developing schizotypal personality d/o c) manic episodes d) adaptive regression	shame
	A person with a bipolar d/o calls you at the local community MH agency to request an appointment. She is in a manic phase, feeling "in crisis," and she is afraid of losing control and doing something she'll be sorry for. In setting the initial appointment your best course of action is to.. a) encourage her to have someone accompany her to the initial appointment b) arrange to make a home visit for the initial appointment c) arrange for her to make her initial appointment wtih a physician instead of a SW d) ask her to bring records of her prior treatment and hospitalization history to the initial appointment	encourage her to have someone accompany her to the initial appointment
	Your client has been seeing you for counseling regarding how to best care for her aging mother. In the course of the interview she tells you that she has become depressed over the past week but doesn't know why. She says that she has had a bad cold for the past two weeks "but that has nothing to do with it." All of the following, except one might be contributing cause to her depression. Which one? a) laxatives b) nonprescription cold medications c) ibuprofen d) use of lithium carbonate	use of lithium carboante
	In treating a client with PTSD your best course of action would be to... a) help the client understand his or her contribution to the trauma in order to reduce the chances of future trauma b) teach the client how to anticipate and reduce stressors that exacerbate symptoms c) teach the client to use the technique of psychic numbing in order to reduce anxiety d) encourage the client to confront the prepetrator of the trauma	teach the client how to anticipate and reduce stressors that exacerbate symptoms
	You are treating a client whose sole diagnosis is adjustment disorder with depressed mood. The client sought your help to overcome symptoms that have been interfering with her relationships with significant others. Your best course of action is to... a) help the client resolve the ego weaknesses that caused the vulnerability to the crisis b) teach cognitive restructuring to help the client overcome depressing automatic thoughts c) arrange for hospitalization in order to manage sidcide risk d) help the client cope better with the precipitating stressor	help the client cope better wtih preciptating stressor
	The following four individuals have sought help from your agency. Which of these clients is least likely to pose a need for urgent intervention? The client with.. a) bulimia nervosa b) anorexia nervosa c) brief psychosis d) OCD with delusions	bulilmia nervosa
	Which of the follolwing clusters of personality d/o are most likely to present with psychotic symptoms a) schizotypal, histrionic and antisocial b) narcissistic, avoidant and obsessive-compulsive c) borderline, paranoid and schizotypal d) borderline, obsessive-compulsive and schizotypal	borderline, paranoid and schizotypal
	What kind of employment would be most appropriate for a person with schiziod personality d/o.. a) none, due to the disabling effects of this condition b) a job that can be carried out under conditions of relative social isolation c) a job that provides substantial social interaction and social support, such as projects accomplished through teamwork d) a job that involves persuasion and negotiation such as sales	a job that can be carried out under conditions of relative social isolation
	In conducting an assessment interview, which of the following findings is most likely to reflect inference rather than fact? a) the client presents with autonomic hypersctivity b) the client is motivated by guilt c) the client is depressed d) the client avoids eye contact	the client is motivated by guilt
	Individual members of an ethnic group will differ from one another in their level of trust toward the mainstream culture. Such variations may be due to all of the following factors except one. Which one? a) variations in acculturation b) variations in personal exposure to prejudice and opression c) personality differences d) variations in intelligence	variations in intelligence
	In establishing a baseline for use as a reference point in marking future progress, you should take note of all of the following except.. a) how often does the problem behavior occur? b) what triggers the occurance of the problem behavior? c) how long does the problem behavior last when it occurs? d) how intense is the behavior when it occurs?	what triggers the occurance of the problem behavior?
	Which of the following families, all immigrants from Southeast Asia, is most acculturated? a) the native language and customs are preferred and practiced b) the native language is preferred and practiced, but the family has adopted the Southern Baptist religion c) the native language and customs are preferred and practiced at home, but the wider community's customs and language are used in relations with others in the wider community d) family members associate primarily with people other than Southeast Asians and few native values are retained	family members associate primarily with people other than Southeast Asians and few native values are retained
	Which of the following statements from a client, if said about her therapist, best indicates that the therapist's manner of relating is empathic? a) He usually knows exactly what I mean, sometimes even better than I could say it. b) He uses the same words and phrases over and over again c) His concern about me is very obvious. d) He accepts me the way I am, even though he wants me to be better	He usually knows exactly what I mean, sometimes even better than I could say it.
	An empathic and non-possessively warm realtionship with a client will have the effect of enhancing the client's... a) depth of self-exploration b) sense of reality c) self-assertiveness d) problem solving ability	depth of self exploration
	In assessing a sexually assaulted child, which of the following would be the strongest indicator of an especially problematic reaction to the assault? a) the child's willingness to talk about it b) delayed reactions to the assault c) emotional disturbances following the assault, but not prior to it d) absence of ideas of reference regarding the assault	delayed reaction to the assault
	In the course of interviewing Susan, a 14 yr old victim of father-daughter incest, all of the following expressions would foster the development of an empathic relationship except.. a) "This must be hard to talk about." b) "I know that sometimes it seems like no one believe you, but I believe you." c) "I know you still care about your dad." d) What do you suppose might cause him to do that kind of thing?"	What do you suppose might cause him to do that kind of thing?"
	If you were using a Client-Centered or Gestalt approach to psychotherapy, which of the following would be the best way to help a client develop a sense of greater self-acceptance? a) through your acceptance of the client b) by the client learning and practicing self-acceptance skills c) by the client learning to make self-accepting self statements d) through reassurance and by drawing attention to the client's strengths	through your acceptance of the client
	You are assessing violent offenders in criminal justice mental health setting. Which of the following qualities indicates the greatest risk of recidivism? a) the offense was situational and opportunistic b) the offense occured while sober c) the offender is cautious, even though basically cooperative during the interview d) the offender's self-concept is global and undifferentiated	the offender's self-concept is global and undifferentiated
	Which of the following statements best refers to genuiness on the part of the therapist? a) I can learn a lot about myself by talking with her. b) She is the kind of person who might be willing to lie to me if she knew it would help me. c) Her face and her words both give the same message. c) She knows what it feels like to go through what I've been through	Her face and her words both give the same message
	You are least likely to be found guilty of malpractice for which of the following reasons? a) making a child abuse report and providing the police or child welfare authorities with infromation about the client that is not related to the abuse b) failure to identify suicide risk in a person who later commits suicide c) identifying siucide risk without making a subsequent intervention to protect the individual d) discontinuing service to a deeply depressed person without making plans for their followup care	failure to identify suicide risk in a person who later commits suicide
	In obtaining written consent from a client to release information you should be sure that the following information is included a) a statement that the consent is subject to revocation by your agency's administration b) the client's identifying information such as birthdate or SS number c) the name of the program or person who is authorized to make the disclosure d) the date on which the disclosure should be made	the name of the program or person who is authorized to make the disclosure
	You are working in a state mental hospital. A physican instructs you to use Behavior Modification Therapy to control a patient's sexually intrusive behaviors. The patient refuses. This patient.. a) does not have the right to refuse if he is involuntarily committed to the hospital b) has the right to refuse unless a life and death emergency exists c) must comply if a panel of at least two physician finds the treatment to be necessary for the person's health and safety d) has a right to refuse only if he fully understands the nature and purpose of the treatment	has the right to refuse unless a life and death emergency exists
	You are working in a public agency in which an outside consultant is brought in to assist staff. Which of the following questions would be most appropriate to present to the consultant? a) Which of my clients should I give highest priority to? b) My caseload is too large. Which of my clients should I discharge first? c) How can I best identify malingering in the clients I see for intake interviews? d) How should my agency allocate its budget to its various programs?	How can I best identify malingering in the clients I see for intake interviews
	In order to be effective a consultant needs to have... a) formal authority b) the authority of expertise and persuasion c) administrative authority d) responsibility for the quality of a consultee's work	the authority of expertise and persuation
	Your supervisor at the county adoption agency tends to socialize with supervisees, conveying a sense that "I'm really one of you." She complains to you that her superiors, the agency's administrators, are rigid and unreasonable, and that they overwhelm her with administrative detail. This supervisor's actions are probably designed to.. a) avoid the exercise of authority b) promote cohesion within her unit c) provide support to her supervisees d) convey a sense of empathy for her supervisees	avoid the exercise of authority
	Your client is a 22 yr old AA/F who recently moved to your urban area from rural MS. You are helping her find local employment. For the past week she has been "communicating" with the spirits of deceased relatives, seeking guidance on whether or not to return to her former home. Her family refers to these experiences as "spells." Although neither she nor her family are troubled by her symptoms, you recognize the potential for psychotic decompensation. You should... a) diagnose brief psychotic disorder because of the delusional nature of the symptom b) diagnose adjustment disorder because the stress of the recent move has triggered the client's symptom c) not formulate a diagnosis based on this symptom, but monitor for changes characteristic of brief psychotic disorder or other psychotic disorders d) refer to an AA therapist for an independent diagnostic assessment	not formualte a diagnosis based on this symptom, but monitor for changes characteristic of brief psychotic disorder or other psychotic d/o
	In conducting a mental status exam with a 45 yr old F suspected of having an organic brain d/o, you should consider all of the following issues except the client's a) hsitory of exposure to toxins b) immediate recall, recent memory, and remote memory c) calculation ability d) abstract thinking ability	history of exposure to toxins
	Mrs Henry calls on you, her SW at the family service agency, to complain that her son Mike has been placed on Ritalin by a psysician for treatment of ADHD. Although she agreed to this treatment she is now having second thoughts because she heard from a neighbor that Ritalin is "an upper." She says that she used "uppers" and that that's the last thing Mike needs. She says that she would like you to accompany her to meet with the doctor and rescind her consent to treat her son. You should.. a) agree to accompany her, but only if Mike is also present b) point out that Ritalin may have a different effect on ADHD children than it does on normal adults; suggest that she discuss this issue with her son's physician c) refuse to accompany her but agree to call the physicain to find out why he gave this prescription d) ask to speak with Mike directly	point out that Ritalin may have a different effect on ADHD children than it does on normal adults; suggest that she discuss this issue with her son's physician
	You are conducting assessment interviews with supervisees who are being considered for a special assignment to work with a particularly challenging target population. It is essential that your recommendations to administration be clearly stated and distinguish subjective inferences from objective facts. You should consider which of the following descriptions to be a reflection of inference rather than fact? a) the supervisee takes extended brakes b) the supervisee is conflicted about authority c) the supervisee is judgemental wtih chemically dependent clients d) the supervisee makes only frequent eye contact	the supervisee is conflicted about authority
	You are communicating with a new Vietnamese speaking client with the assistance of an interpreter. In order to best develop a therapeutic relationship with the client you should... a) ask the interpreter to introduce you in Vietnamese b) ask the interpreter to translate when you first introduce the interpreter, then introduce yourself c) introduce yourself directly to the client, allow the interpreter to translate your introduction, then introduce the interpreter d) introduce yourself directly to the client, allow the interpreter to translate your introduction, then ask the interpreter to introduce himself	introduce yourself directly to the client, allow the interpreter to translate your introduction, then introduce the intrepreter
	You are using Cognitive Therapy with a client who is a SW with performance anxiety about taking a forthcoming state license exam. The client tells you that people are either successes or failures, and that those who fail the exam are failures. According to this theoretical orientation, your client is using... a) arbitrary inference b) absolutistic thinking c) personalization d) catastrophic thinking	absolutistic thinking
	You are working with a client who is severely impaired by alcohol dependence. He is at the contemplation phase of recovery. In order to establish and maintain a therapeutic relationship you should observe all of the following principles except one. Which one is the exception? a) remove triggers, exacerbating factors and temptations b) do not expect or demand change according to your own timetable c) do not focus solely on the client's behavior vs. his or her other psychological issues d) relate the client's own hopes and dreams to the potential of therapeutic success	remove triggers, exacerbating factors and temptations
	You have received a referral of a Chinese-American family that immigrated to the US 10 yrs ago. The mother requires treatment of a major depressive disorder. The two youngest children were educated exclusively in American schools and are fluent in both English and Mandarin. The parents do not speak any English and the two older children, now living independently, have very limited English skills. You are unable to arrange a referral to a Mandarin speaking therapist. The best approach would be to.. a) use the two younger children as translators to protect the family's right to privacy b) request that an older bilingual family member join the sessions c) engage a translator after evaluating his or her qualifications d) refer out to a supportive community service in the Chinese-American community such as a church or community center	engage a translator after evaluating his/her qualifications
	A mother and her 10 month old infant are in a play room. The mother watches her child explore the toys in the room for 20 minutes. The infant props herself up on a small table, loses her balance and falls. Although not physically hurt, her facial expression sugggests distress as she bursts into tears. While the mother calmly approaches her daughter you observe the infant is scooting away from her. This infant's reaction to her mother is characteristic of which kind of attachment relationship? a) avoidant b) secure c) resistant/ambivalent d) disorganized	avoidant
	"Forced choice" confrontations are especially relevant to working with... a) SA clients who have a well established pattern of revovery b) SA clients who are in denial or just beginning to consider making changes c) obsessive compulsive clients who have difficulty making decisions d) oppositional children	substance abusing clients who are in denial or just beginning to consider making changes
	Your sense of disgust became visible upon hearing of a client's sexually abusive acts toward a young child. It showed on your face. Your best course of action would be to... a) acknowledge your reaction by mentioning it to the client, attributing it to the abusive behavior and not to the client as a person b) honestly tell the client that he is disgusting c) consciously supress the reaction and redirect your attention at the client, not yourself d) ignore the reaction and emphasize acceptance to the client	acknowledge your reaction by mentioning it to the client, attributing it to the abusive behavior and not to the client as a person
	The client says that he is overwhelmed by a series of personal crises in the family and on the job. As a result he has been confused and anxious to the point where he fears that he might be going crazy. You should.. a) assure the client that his is a normal reaction to stress b) help the client identify several specific problem areas and rank them in terms of which should be attended to first c) recommend referral to a physican for psychotropic medications d) evoke the client's castastrophic fantasies and help work them through	help the client identify several specific problem areas and rank them in terms of which should be attended to first
	Mr Carls came to you at the family service agency seeking advice. His 19 yr old daughter has been losing control of her life due to a cocaine addiction. He wants to know if he should eliminate her from his will or set up a trusteeship for her in the will. Your best course of action would be to .. a) advise him to establish the trusteeship contingent upon 6 months of sobriety b) advise him to eliminate her from the will until she is clean and sober c) establish guidelines for the worker-client contract in which role realtionships are clarified d) let him know that he needs to see an attorney, not a SW	establish guidelines for the worker-client contract in which role relationships are clarified

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