LMSW EXAM - Bootcamp! LMSW QBANK 2023

LMSW EXAM - Bootcamp! LMSW QBANK 2023

• Areas to identify in each question (PPL) Correct Ans - 1. Problem
• Person
• Last Sentence (guide to answer question)

Key words Correct Ans - 1. Person/Client "hot seat"

• SAFETY Red Flags - suicide, abuse, life-threatening, unexplained marks, alcohol, recent

loss

• Strong words/adjectives
• Age
• Diagnosis
• Symptoms/Duration
• Who are you?
• Where are you in session?
• Quotations
• Direct requests/concerns
• Qualifiers (First/Next/Best)

Distractors Correct Ans - FARM GRITS ROAD - Answers that look appealing at first glance but are often wrong - ELIMINATE! Exam is here and now DO NOT CHOOSE FARM GRITS ROAD Correct Ans - 1. FOCUS on unresolved issues/past

• ADVICE - giving/judging
• RECOMMEND "to a support group"
• MAKE an appt.
• GIVE pamphlets/literature
• RECOMMEND a session
• INFORM parents/speak to parents (when child/ado)
• TERMINATE (Exceptions: Moving, client reaches goals/no new crisis, client does not

pay)

• SPEAK to supervisor (except transference/counter)
• RESPECT self-determination (If mentally UNSTABLE)
• OFFER contract as a reminder
• ALLOW the clients to lead the session
• DO nothing/say nothing

How do you answer first/next questions? Correct Ans - 90% of exam is SAFETY

FIRST.

How does the exam want you to have a CLEAR understanding of client's issues? Correct Ans - ASSESS BEFORE ACTION.RUSAFE Correct Ans - 1. RULE out medical 1 / 4

• UNDER the influence/delusional/hallucinating Do Not Treat
• SAVE Lives - Safety first (Answers: Duty to warn, report child/elder abuse, 911, mobile

crisis, ER)

• ASSESS before action - (Answers: ASSESS, ASK or DICE - Determine, Identify,Clarify,

Explore)

5. FEELINGS - (Answers: ACKNOWLEDGE person's feelings) CONCERNS (AID ASSIST,

INFORM client, DISCUSS concerns)

• EMPOWER - If client is mentally stable/alert (Answers: Respect client's decisions)

COE: Ethical responsibilities towards clients Correct Ans - 1. Client's best interests are primary

• Respect/promote right to self-determination if client is mentally alert/stable, NOT

unstable/intoxicated/psychotic

• Informed consent, written agreement by client to undergo treatment,

risks/benefits/costs disclosed

• Avoid conflicts of interest (Things that interfere with SW's impartial

judgment/discretion)

• DO NOT promote individual therapy sessions to ppl who have a relationship w/ each

other (except couples, family, group treatment) - Provide family members with appropriate referrals

• Avoid dual/multiple relationships
• Avoid bartering (unless common practice in community)
• Obtain a professional translator FIRST if client does not speak the language of SW
• Do not disclose client information w/out consent unless req'd by law
• Provide client with reasonable access to records (First explore/discuss reason for

request) Follow laws of state.

• Ensure CONTINUITY of services
• NO relations with clients past or present

Mandated reporting Correct Ans - SW's are req'd and responsible for reporting any instances of abuse that is suspected. Abuse includes physical, emotional, sexual, neglect,

CHILD AND ELDER ABUSE

Duty to Warn Correct Ans - SW's MUST WARN a threatened victim of any harm that his/her client may cause when there is a REAL INTENT (PLAN)

HIV Decisions Correct Ans - NOT DUTY TO WARN! 3 options:

• FIRST urge client to disclose to partner
• FIRST encourage client to engage in safe sex
• Research/follow state laws as needed

Subpoena by the court Correct Ans - SW may be req'd by law to disclose confidential information COE: Ethical responsibilities to colleagues Correct Ans - 1. Refer to colleague who may be better trained in an area than SW. SW can take client but must be COMPETENT. 2 / 4

• When CONSULTING with colleague, disclose least amount of information
• FIRST speak to a colleague to discourage/prevent/correct unethical behavior
• AVOID relationships with colleagues (conflict of interest)

COE: Ethical responsibilities in practice settings Correct Ans - 1. Accurately document services in client's records while keeping best interests in mind

• Maintain records securely for a period of time consistent with state laws

COE: Ethical responsibilities as professionals Correct Ans - 1.

MONITOR/EVALUATE policies and implementation of programs

• ADVOCATE when necessary

HMO Insurance/Short term Care/MANAGED CARE Correct Ans - 1. Emphasizes short term, discourages long term treatment

• Cases assigned to case manager to whom provider must justify necessity for treatment

for payment and services.

• More precise diagnosis = greater likelihood of reimbursement
• Encourages Cognitive/Behavioral short term TX.
• Contracts are INFLEXIBLE, abide by rules to receive reimbursement

Disorders in Infancy, Childhood, Adolescence Correct Ans - Autism, ADHD, Oppositional Defiant Disorder, Conduct Disorder, Enuresis, Separation Anxiety Disorder Adult Disorders Correct Ans - Delirium, Dementia, Amnestic/Cognitive Disorders, Schizophrenia and other Psychotic Disorders, Mood Disorders, Anxiety Disorders, Somatoform Disorders, Factitious Disorders attention-deficit/hyperactivity disorder (ADHD) Correct Ans - 1. Symptoms at least

• months
• Inattentive: Difficulty focusing, staying on task follow-through, listening, easily

distracted, loses things, forgetful

3. Hyperactive: Impulsive, fidgeting, running around, talking excessively

• Several symptoms present prior to age 12
• Must occur in 2 or more settings

6.. Behaviors can increase/decrease based on settings.

7. TX: Behavior modification

Oppositional Defiant Disorder Correct Ans - At least 6 months - Angry, irritiable, defiant, talking back to adults, rebellious behavior, attitude, blames others, cursing, lying

- NO SERIOUS VIOLATIONS OF OTHERS RIGHTS

a childhood disorder in which children are repeatedly argumentative and defiant, angry and irritable, and in some cases, vindictive. Lasting at least 6 months Conduct Disorder Correct Ans - 1. Violates other's rights, bullies, shoplifts, truancy, DX up to age 17 3 / 4

• TX: Family, schools, community, client, parent/child behavior modificationq skills

a disorder that involves severe antisocial and aggressive behaviors that inflict pain on others or involve destruction of property or denial of the rights of others. Has a childhood onset however it is more likely to continue into adulthood. Adolescent onset less likely to display aggressive behaviors. Symptoms occurred in the last year with at least one occurring in the last six months Enuresis Correct Ans - 1. Repeatedly urinating during day/night

• Up to 5 years old
• Rule out medical first

involuntary discharge of urine, usually referring to a lack of bladder control Repeated bed wetting, wetting clothes, wetting at least twice a week for approximately three months, must be five years or older Separation Anxiety Disorder Correct Ans - 1. Excessive distress when separated from major attachment figures.

• Clinging, school refusal, sleep refusal
• School Phobia is a form of separation anxiety.
• Brought on when leaving home/family members to attend school.
• At least 1 month of symptoms

Impulse control disorders Correct Ans - Trichotillomania, Intermittent Explosive Disorder, Gambling, Kleptomania, Pyromania, Dementia Correct Ans - 1. Slow onset

• Deterioration of memory/cognition
• Alzheimer's, HIV, Parkinson's

Amnestic Disorders Correct Ans - Memory impairment w/out cognitive impairment Korsakoff's Syndrome Correct Ans - Chronic alcoholism causes inability to recall previously learned information an amnestic disorder caused by thiamine (vitamin b1) deficiency associated with prolonged ingestion of alcohol. Memory loss, lack of insight, apathy etc Schizophrenia Correct Ans - 1. Hallucinations, delusions, disorganized speech, disordered/catatonic behavior, impaired thinking, negative symptoms (diminished emotional expression or avolition) THOUGHT DISORDER

• Duration at least 1 month, but more than 6 months
• TX = Medication and ego-supportive therapy (No INSIGHT therapy!)
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