LMSW Clinical Assessment and Diagnosis 4

Question 1

A client with no prior psychiatric history presents after a traumatic car accident with flashbacks, nightmares, hypervigilance, and avoidance of driving for 2 weeks. The most appropriate diagnosis to consider is:

Accepted Answer

Acute Stress Disorder

Answer

Acute Stress Disorder is diagnosed when PTSD-like symptoms occur within 3 days to 4 weeks following a traumatic event; PTSD requires symptoms lasting more than 1 month.

Question 2

Which of the following is an example of a negative symptom of schizophrenia?

Accepted Answer

Alogia

Answer

Alogia (poverty of speech) is a negative symptom reflecting diminished thought and communication, contrasted with positive symptoms like hallucinations and delusions.

Question 3

A social worker is assessing an elderly client for cognitive impairment. The Mini-Mental State Examination (MMSE) is administered. Which domain is NOT assessed by the MMSE?

Accepted Answer

Abstract reasoning and executive function

Answer

The MMSE does not comprehensively assess executive function or abstract reasoning; the MoCA is more sensitive for these domains.

Question 4

A client describes episodes of unexpected intense fear lasting about 10 minutes with heart pounding, sweating, and fear of dying, occurring twice in the past month. Between episodes they worry constantly about having another one. This best describes:

Accepted Answer

Panic Disorder

Answer

Panic Disorder requires recurrent unexpected panic attacks plus persistent concern or behavioral change related to the attacks for at least 1 month.

Question 5

When using the Columbia Suicide Severity Rating Scale (C-SSRS), which item most specifically indicates HIGH acute risk?

Accepted Answer

Active ideation with intent and a specific plan

Answer

Active suicidal ideation with intent to act and a specific plan is the highest-risk category on the C-SSRS and requires immediate intervention.

LMSW - Licensed Master Social Worker Practice Test

LMSW - Licensed Master Social Worker Practice Test

LMSW Clinical Assessment and Diagnosis 4