LCSW Practice Exam 4

1. A school social worker has been working with a 14-year-old student who has recently experienced a drop in her grades. In the third session, the student disclosed she is having trouble concentrating due to an intimate relationship with another female classmate. She also shared that she has not told her parents she is gay and is afraid to do so. The following day, the student's parents request a copy of her records, which include notes about the relationship. What should the social worker do first?

2. How long should a social worker retain a client’s records after services have been terminated?

3. A social worker is meeting with a 40-year-old man who has been court-ordered to attend anger management classes. The client expresses that he believes the classes are a waste of time and intends to leave early. What should the social worker do NEXT?

4. A social worker has been working with a 35-year-old woman for two months to treat depression. The client has missed her last three payments. Although the agency allows termination after three missed payments, the social worker has avoided discussing it to prevent disrupting therapeutic progress. The client is not at immediate risk. What should the social worker do NEXT?

5. A social worker attends a prayer service at their mosque and sees a client there who waves at them. Which of the following terms BEST describes this situation?

6. A transgender man might benefit from taking which of the following medications to reduce gender dysphoria?

7. A social worker is meeting with an 18-year-old college student who is struggling to adjust to campus life. The client reports frequent isolation in her dorm, consistently turning down social invitations from roommates, and feeling inferior and less competent than her peers. What is the MOST likely diagnosis?

8. A social worker has been assisting a client at an outpatient facility who has made significant progress in managing their anxiety. During the client’s final session, they offer the social worker a small gift, explaining that giving a gift after receiving help is a valued part of their cultural tradition. What is the MOST appropriate response by the social worker?

9. Which of the following best characterizes Down syndrome?

10. A social worker is assessing a man who reports feeling fatigued and experiencing a depressed mood throughout most of the day for the past three weeks. He also shares that about a month ago, he felt significantly more energetic and highly productive at work. What is the MOST likely diagnosis?

11. What is physician-assisted suicide?

12. A social worker who has been with an agency for the past year is preparing to move to another state next month and will no longer be able to work with her current clients. She feels connected to her clients and wants to continue checking in informally after her departure. What is the BEST course of action for the social worker?

13. Which of the following is an evidence-based treatment for attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorders (ASD), conduct disorder, and substance use disorders?

14. A business owner is meeting with her employees to discuss how she can best facilitate a trauma-informed workplace. Which of the following is LEAST likely to occur following a transition to a trauma-informed workplace?

15. A social worker is collaborating with a local community to address concerns and potentially develop new programs. During decision-making, individuals initially disagreed on how to proceed, but after discussion, they began to reach a consensus. What stage are the community members MOST likely in?

16. Which of the following is the BEST example of transference?

17. A medical social worker decides to share clinical notes with clients through the clinic’s online medical records system. Which of the following outcomes is the social worker MOST likely to observe?

18. A social worker is treating a client with depression. After a session, she realizes she avoided appropriately challenging the client because she feels physically attracted to him. What is the social worker MOST likely experiencing?

19. Emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment are key symptoms of which of the following?

20. A social worker meets with a 52-year-old woman who reports feeling stressed, anxious, and physically exhausted. During the session, she shares that she is the primary caregiver for her elderly mother. What should the social worker do NEXT?

21. The _ _ _ _ theory encourages providers to consider a client’s conditions and environmental factors when attempting to understand behavior.

22. Who are children most commonly abused by?

23. A client was referred to a social worker by a psychiatrist due to symptoms of depression after losing his job two months ago. The client reports a low mood, social withdrawal, and impaired daily functioning. What should the social worker do NEXT?

24. Which of the following is classified as an organic brain syndrome?

25. A social worker meets with a client who reports symptoms of irritability, anxiety, and flashbacks after witnessing a car accident three weeks ago. What is the MOST likely diagnosis?