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LCSW EXAM

Lcsw Exam

by elmcasborn11, Jun. 2009

Subjects: development human

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50 Cards in this Set

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	Your client has been depressed over a series of "failed relaltionships" in which he has been subject to exploitation and scapegoating. If your client's goals was to reduce depression and improve his sense of confidence, the most appropriate objectives would be all of the following except.. a) improved self-assertion skills b) improved self-esteem c) redduced free floating anxiety d) improved self-acceptance	reduced free floating anxiety
	Your depressed client has threatened suicide and claims that she intends to take an OD of sleeping pills, prescribed by her internist, sometime within the next few days. She has made such threats before on three occasions over the past two years. She has made one ineffective suicide attempt to gain attention and dependency. Which of the following would be your best intervention? a) arrange for hospitalization b) refuse to hospitalize in order to avoid reinforcing the client's use of threats as a manipulation c) refuse to hospitalize but offer psychotherapy sessions three or four times per week as a support d) terminate and transfer to the former psychiatrist who will be able to manage the suicide risk	arrange for hospitalization
	You have been working with Mrs K for 9 months and have now suggested that termination be planned since she has substantially reached her primary goals and objectives. Mrs K's termination will be least likely to give rise to which of the following conditions? a) an opportunity to learn about handling loss b) a trigger for regression c) a stimulus for rejection of the therapist c) an opportunity to renegotiate the treatment plan	an opportunity to renegotiate the treatment plan
	Which of the following symptoms would you not expect to find in clients experiencing normal bereavement? a) fleeting hallucinations b) depression c) impaired immediate recall d) agitaiton	agitation
	Which of the following is the least helpful intervention for a client with paranoid schizophrenia who has recently become depressed after being evicted from his apartment for loud outbursts in the middle of the night? a) case management b) medications c) interpretive psychotherapy psychosocial rehabilitation	interpretive psychotherapy
	Managed care organizations are established in order to see that the best service possible is provided to a) population of beneficiaries b) the current caseload of clients c) each individual client d) the local community	a population of beneficiaries
	Your organization is interested in establishing a quality assurance program with a high level of validity, accountability and credibility. Peer reviews should be.. a) made according to predetermined explicit review criteria b) made according to staff members' intuitive impressions of one another d) based on client satisfaction surveys	made according to predetermined explicit review citeria
	In establishing a contract with a clinical consultant you should specify all of the following information except.. a) the types of cases to be discussed b) the types of issues to be discussed in relation to cases c) the amount and type of payment d) the type of psychotherapeutic methods to be used in helping you work through personal problems	the type of psychotherapeutic methods to be used in helping you work through personal problems
	When you enter into a consultation relationship you should expect that your consultant's principal mode of communication with you will be.. a) making and stating his/her assessment of the clinical situation under consideration b) asking questions c) giving advice d) didactic instruction	asking questions
	A consultant has been hired by a large family service organization to assist staff as part of a major organization development effort. In the course of consultation sessions a staff member informs the consultant that the agency director is rigid and authoritarian. He explains that the high no show rate reflects clients' reactions to the negative atmosphere that has resulted throughout the agency. All other consultees concur with this apprasial. The consultant should.. a) help the consultees learn ways of more effectively working with an authoritarian director b) meet with the director to make an independent assessment of the director's attitude and style c) meet with the director to help her understand the need for more flexible and participatory decision making processes at the agency d) explore the transference nature of the consultees' projections onto the director	meet with the director to make an independent assessment of the director's attitude and style
	You have been assigned to participate in contract negotiations in order to purchase services from a local consumer run self help program that will be serving your community MHC clients. Your contract should address all of the following issues except.. a) sufficient rate reimbursement to cover all aspects of the contracted services b) designation of a contract monitor who will meet regularly with the contractor's representatives and be available for technical assistance c) the contractor's staff recruitment and selection procedures d) reporting requirements for the contractor to use in assuring your organization of contract compliance	the contractor's staff recruitment and selection procedures
	You are a supervisor at a community counseling agency. Your director has asked you and the supervisor of a similar unit to develop a productivity management program to assure a high level of efficiency among the agency's staff. In designing this program you should.. a) measure the number of hours staff spend at the office b) measure the amount of time spent with clients as a proportion of total compensated (paid) time c) expect staff to spend at least 80% of their time in providing direct services to clients d) assure that the cost per visit in your agency is no higher than the cost per visit to a private practioner	measure the amount of time spent with clients as a proportion of total compensated (paid) time
	SW limit their cleint's rights to self-determination when, in their professional judgement, the clients' actions or potential actions.. a) pose a danger to life, physical well being, or physical integrity b) pose a serious, forseeable, and imminent risk to self or others c) pose an imminent danger to a person under the age of 18 d) would cause a social injustice to others	pose a serious, forseeable, and imminent risk to self or others
	In social service programs improved efficency means.. a) achieving a better relationship between costs (resources) and results (e.g. client outcomes) b) cost cutting c) operating in a more businesslike manner d) reduced quality of services	achieving a better relationship between costs (resources) and results (e.g. client outcomes)
	Your client becomes agitated and angry when you confront her with a discrepancy. Last week she told you that she was raised by her grandparents and today she told you that she was raised by her mother and stepfather. She now denies ever saying that she was raised by her grandparents. Your best course of action is to .. a) confirm your claim by showing the client your clinical notes from last week's session b) maintain that you heard her make both statements but don't press for acknowledgement if she continues to deny it c) let the client know that you must have been mistaken d) interpert the likely resason for her deception	maintain that you heard her make both statements but don't press for acknowledgement if she continues to deny it
	You are interviewing a client who has a difficult time focusing on a specific problem or any specific issue. The client's comments tend to be vague, general and indirect. Which of the following exemplifies the kinds of comments you would make if you wanted to develop better focus in the interview.. a) What's going on on your new job? b) I suppose there are a lot of changes going on for you in your new job. c) Describe how your work day is different now that you're on a new job. d) How are things going for you lately?	Describe how your work day is different now that you're on a new job.
	Which of the following should be included in your domestic violence agency's primary prevention program? a) marriage encounters designed to develop better communication and intimacy in marriages b) a battered women's shelter c) an anger management program for battering husbands d) perinatal health screening	marriage encounters designed to develop better communication and intimacy in marriages
	A supervisor in a social service agency should be.. a) an advocate for the supervisee c) a bridge that seeks to integrate the mutual interest of administration and supervisees d) an advocate for the supervisee's clients b) an advocate	a bridge that seeks to integrate the mutual interests of administration and supervisees
	All of the following should be included on a social agency's Board of Directors except one. Which one?" a) a community member who is o high status but curently out of the power game, for example, due to retirement b) a person who is a member of other organizations with sililar interests c) a person with technical competence who is able to garner respect and trust d) a person who has recently left employment at the agency	a person who has recently left employment at the agency
	A mother comes to see you with her 9 yr old daughter. She reveals that her husband has been fondling their daughter for the past 6 months. She feels terribly guilty for not having sought help sooner. She wants you to meet with her husband and "give him the help he needs." You should.. a) step out of the room and call Children's Protective Services from another office b) encourage the mother to call Children's Protective Services but make the call yourself if she refuses to do so c) encourage the daughter to call Children's Protective Services in your presence but insist that the mother make the call if she refuses to do so d) call Children's Protective Services in the client's presence but do not encourage them to make the call themselves	encourage the mother to call Children's Protective Services but make the call yourself if she refuses to do so
	The Mental Status Exam is a..	a guide to clinical obsevation
	As compared to positions lower on an organization's hierarchy, a higher position has more.. a) informal authority b) decision making power over organization's operations c) access to information about the organization's operation d) insight into the organization's group dynamics	decision making power over organizational design
	Which of the following will help you develop a therapeutic alliance with an anxious and guilt ridden client during the first few sessions? a) empathic listening, acceptance and warmth b) advice, suggestions and reassurance about their capacity to solve the presenting problem c) role play, structured, fantasy and guided imagery d) clarification, confrontation, and interpretation	empathic listening, acceptance and warmth
	Which of the following modalities is designed for treatment of anxiety? a) ECT b) antabuse c) biofeedback d) lithium carbonate	biofeedback
	Your client Bill G, a deeply depressed man, has been contemplating siucide. His risk is moderate and not imminent at the moment. Your approach to Bill should include all of the following except which one? a) discuss the natural tendency of depression toward remission b) note the client's ambivalence c) maintain boundaries and structure by limiting contacts to a regular appointment schedule d) formulate a clear and specific treatment plan	maintain boundaries and structure by limiting contacts to a regular appointment
	It is important for a clinical SW to convey genuineness to clients because genuineness.. a) builds trust b) results in depth of understanding of a client's psychodynamics c) improves with a therapist's level of education d) results in accurate empathy	builds trust
	Your approach to clinical practice draws on several behavorial science and practice theories. Such an eclectic approach to clinical practice is.. a) inherently confusing and internally inconsistent b) favored by the Psychosocial Approach for flexibility in responding to client's needs c) usually based on psychodynamic theory d) inappropriate in dealing with crises	favored by the Psychosocial Approach for flexibility in responding to client's needs
	In the initial session a client who has sought long term, insight oriented therapy becomes agitated when the therapist refers to the client's recent divorce. The client changes the subject and focuses on problems with her 8 yr old son. The therapist's best course of action is to.. a) once again raise the issue of the divorce to help the client face reality b) allow the client to continue expressing her problems with her son, using this as an opportunity to build relationship and gather important assessment information c) ask to have the ex-husband attend the next session in order to determine why that relationship has been so threatening to the client d) help the client understand why children have problems at times of divorce	allow the client to continue expressing her problems with her son, using this as an opportunity to build relationship and gather important assessment information
	A client approaches you for therapy to work through a problem of threatening and assaultive behavior that as alienated him from friends and colleagues. The client has an aire of false bravado. Treatment with this client begins.. a) once the client can fully admit to his or her underlying fears b) once a comprehensive treatment plan is formulated c) at the moment of first contact d) in the course of engaging the client in a comprehensive psychosocial assessment	at the moment of first contact
	The client feels overwhelmed by changes in his life since his recent divorce. By partializing objectives and tasks into subgoals and subtasks, the SW a) confuses the client b) engages the client in a trusting relationship c) loses sight of "the big picture" d) helps the client develop a sense of clarity, focus and grasp	helps the client develop a sense of clarity, focuses and grasp
	As a SW, your expectations of the SW process.. a) reflect countertransference and should never be expressed to clients b) should be expressed only if the client asks c) are a form of self-revelation and are inappropriate in psychotherapy d) should be made clear and explicit during the engagement process	should be made clear and explicit during the engagement process
	Respondent behavior is controlled by a) authority figures b) reinforcement contingencies that follow the behavior c) stimuli or triggers that precede the behavior d) decision and free will	stimuli or triggers that precede the behavior
	Your clinical approach emphasizes the importance of a therapeutic alliance, treatment contract and problem focus. You are probably using which of the following approaches? a) Psychosocial, Problem Solving and Sociobehavorial b) Problem Solving and Sociobehavorial, but not Psychosocial c) Sociobehavorial, but not Psychosocial and Problem Solving d) Psychosocial and Problem Solving, but not Sociobehavorial	Psychosocial, Problem Solving, and Sociobehavorial
	Your client has sought psychotherapy for a presisent, prevasive problem of apprehension and fear of rejection in social situations. Support and reassurance with such a client can.. a) reduce anxiety and guilt feelings, stimulate hope and confidence, and enhance self-esteem b) free up energy for adaptive problem solving c) promote dependency and reduce motivation d) either reduce anxiety, free up energy, or promote dependency	either reduce anxiety, free up energy, or promote dependency
	You are working with Mrs K in long term, insight oriented psychotherapy geared at personal development. The primary purpose of ventilation with such a client is.. a) to generate data for deepening self-exploration and self awareness b) cathartic release of pent up frustrations and other problematic feelings c) to deepen the therapeutic alliance d) to prevent a sense of overexposure and premature termination	to generate data for deepening self-exploration and self awareness
	When you are serving an immigrant client, the client's acculturation to the "mainstream culture" should be.. a) fostered by the SW in order to promote psychosocial adaptation b) fostered primarily by acculturated family members, not by the SW c) determined by the client d) resisted by the SW in order to maintain cultural diversity in the community	determined by the client
	Your clinet has been abusing amphetamines for the past 2 yrs, but has recently entered a period of well maintained abstinence. Delusions may occur in such a client for how many months after discontinuing drug use? a) 1 b) 3 c) 6 d) 12	12
	Your client has a long standing problem of hyperthyroidism. Which of the following conditions is most likely to show up in the assessment as a direct result of the client's harmone imbalance a) anxiety b) depression c) psychosis d) cognitive dissonance	anxiety
	Your client reports that he has been smelling noxious fumes in a variety of settings, fumes that nobody else smells. Such olfactory hallucinations are a sign of a) schizophrenia b) organic mental disorder c) panic attacks d) dementia	organic mental disorder
	A client seeks therapy in order to become more self-accepting and freely expressive in relationships with loved ones. In the initial interview the SW.. a) primarily listens, while encouraging the expression of feelings b) recommends several possible strategies for accomplishing the client's goal c) focuses on the how the presenting problem developed d) remains silent if the client appears to be confused, so that the clilent can freely take responsibility for resolving the confusion	primarily listens, while encouraging the expression of feelings

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