LMSW EXAM - Bootcamp! Test Bank Questions

LMSW EXAM - Bootcamp! Test Bank Questions with 100% Verified Correct Answers

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

Key words - Correct Answer 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 Answer 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 Answer 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) 1 / 4

• 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 Answer 90% of exam is SAFETY FIRST.How does the exam want you to have a CLEAR understanding of client's issues? - Correct Answer ASSESS

BEFORE ACTION.

RUSAFE - Correct Answer 1. RULE out medical

• 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)
• 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 Answer 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 2 / 4

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

• 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 Answer 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 Answer 1. MONITOR/EVALUATE policies and implementation of programs

• ADVOCATE when necessary 3 / 4

HMO Insurance/Short term Care/MANAGED CARE - Correct Answer 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 Answer Autism, ADHD, Oppositional Defiant Disorder, Conduct Disorder, Enuresis, Separation Anxiety Disorder Adult Disorders - Correct Answer Delirium, Dementia, Amnestic/Cognitive Disorders, Schizophrenia and other Psychotic Disorders, Mood Disorders, Anxiety Disorders, Somatoform Disorders, Factitious Disorders Autistic Disorder - Correct Answer 1. Deficits in social interaction and nonverbal COMMUNICATION

• Lack of peer relationships. eye contact, abnormal body movement,
• Restricted, repetitive patterns of behavior
• Inflexibility to routine, Fixed interests

Attention Deficit Hyperactivity Disorder - Correct Answer 1. Symptoms at least 6 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

• / 4