LMSW - Licensed Master Social Worker LMSW 1

Question 1

A social worker is conducting an initial assessment with a new client who presents with symptoms of depression.
The client mentions they have been experiencing thoughts of suicide but denies any specific plan or intent.
What should the social worker do FIRST?

Accepted Answer

Conduct a thorough suicide risk assessment to determine the level of danger

Answer

Immediately hospitalize the client involuntarily

Answer

Refer the client to a psychiatrist and end the session

Answer

Contact the client's family members to inform them of the disclosure

Question 2

A social worker in a community mental health center is working with a client from a cultural background different from their own. The client describes a spiritual healing practice that the social worker is unfamiliar with. The BEST approach is to:

Accepted Answer

Ask the client to explain the practice and explore how it fits into their care

Answer

Educate the client about evidence-based treatments as superior alternatives

Answer

Consult with a supervisor about discontinuing work with the client

Answer

Recommend the client seek a social worker from the same cultural background

Question 3

A social worker has been seeing a client in individual therapy for six months. The client asks to become friends on social media and invites the social worker to their birthday party. How should the social worker respond?

Accepted Answer

Decline both and explain the importance of maintaining professional boundaries

Answer

Accept the social media request but decline the party invitation

Answer

Attend the party briefly to show support, but decline the social media request

Answer

Transfer the client to another social worker since the relationship has become too close

Question 4

During a family therapy session, a teenager discloses to the social worker that they have been using marijuana recreationally but asks the social worker not to tell their parents. The teenager does not appear to be in danger. What is the MOST appropriate response?

Accepted Answer

Honor the teenager's confidentiality and explore the behavior further within the session

Answer

Immediately disclose the information to the parents to ensure the teenager's safety

Answer

End the session and file a report with child protective services

Answer

Dismiss the teenager's concerns and redirect the family session to other topics

Question 5

A social worker learns that a colleague is billing Medicaid for services that were never rendered. What is the social worker's ethical obligation?

Accepted Answer

Take action through appropriate channels, such as reporting to a supervisor or ethics board

Answer

Discuss the issue with the colleague privately and encourage them to stop

Answer

Ignore the situation because it does not directly involve the social worker's clients

Answer

Document the behavior but wait to see if it continues before taking action

Question 6

A social worker is providing case management services to a client who is homeless and has a severe mental illness. The client refuses all housing placements offered. What is the MOST appropriate next step?

Accepted Answer

Continue engaging the client, explore barriers to accepting housing, and document the refusal

Answer

Discharge the client from services since they are non-compliant

Answer

Contact a judge to obtain a court order compelling the client to accept placement

Answer

Limit contact with the client to monthly check-ins until they agree to housing