LMSW FREE LMSW MCQ Questions and Answers 2 — Questions and Answers
Question 1: A social worker is conducting a biopsychosocial assessment with a new client who presents with depression. Which component should be included in the biological domain of this assessment?
- Family communication patterns
- Current medications and medical history (Correct answer)
- Employment status and work history
- Cultural beliefs about mental illness
Correct answer: Current medications and medical history
The biological domain of a biopsychosocial assessment includes physical health, medical history, medications, and neurological factors.
Question 2: Under HIPAA, a social worker may disclose a client's protected health information without written authorization in which situation?
- A family member requests information about the client's diagnosis
- The client's employer asks for a summary of treatment
- There is a serious and imminent threat to the safety of an identifiable person (Correct answer)
- A friend states the client gave verbal permission to share information
Correct answer: There is a serious and imminent threat to the safety of an identifiable person
HIPAA permits disclosure without authorization when necessary to prevent a serious and imminent threat to health or safety.
Question 3: Which theoretical framework focuses on the reciprocal relationship between individuals and their environments, viewing problems as arising from poor fit between the two?
- Psychodynamic theory
- Ecological systems theory (Correct answer)
- Cognitive behavioral theory
- Structural family therapy
Correct answer: Ecological systems theory
Ecological systems theory, developed by Bronfenbrenner and applied in social work by Germain and Gitterman, emphasizes person-environment fit.
Question 4: A client discloses that they were sexually abused as a child. The social worker notices they feel personally triggered by this disclosure. The most appropriate immediate action is to:
- Refer the client to another social worker immediately
- Continue the session and process feelings in supervision later (Correct answer)
- Disclose the personal reaction to the client to build rapport
- Terminate the session and reschedule for a different day
Correct answer: Continue the session and process feelings in supervision later
The social worker should maintain professional composure during the session and address countertransference in clinical supervision afterward.
Question 5: A social worker is working with an undocumented immigrant client who needs emergency housing. The client fears deportation if their status is revealed. What is the most ethical course of action?
- Report the client's immigration status to authorities as required
- Reassure the client and connect them to services that do not require documentation (Correct answer)
- Decline to serve the client to avoid legal liability
- Advise the client to self-disclose their status to access better services
Correct answer: Reassure the client and connect them to services that do not require documentation
Social workers are bound by the NASW Code of Ethics to serve all clients with dignity and respect, connecting them to accessible resources regardless of immigration status.
Question 6: In structural family therapy, the concept of 'enmeshment' refers to:
- Rigid, impermeable boundaries between family subsystems
- Overly diffuse boundaries where individual autonomy is compromised (Correct answer)
- A family's inability to communicate about problems
- Triangulation of a child into parental conflicts
Correct answer: Overly diffuse boundaries where individual autonomy is compromised
Enmeshment describes family systems with diffuse boundaries where members are overly involved in each other's lives, limiting individual autonomy.
LMSW FREE LMSW MCQ Questions and Answers 2
A social worker is conducting a biopsychosocial assessment with a new client who presents with depression.
Which component should be included in the biological domain of this assessment?