LMSW FREE LMSW MCQ Questions and Answers 4 — Questions and Answers
Question 1: A social worker in a hospital setting is asked by a physician to share details from a client's psychosocial assessment. The client has not signed a release. What should the social worker do?
- Share the information since the physician is part of the treatment team
- Decline to share any information without a signed release
- Ask the client for verbal consent before sharing (Correct answer)
- Share only non-sensitive demographic information
Correct answer: Ask the client for verbal consent before sharing
While treatment team members may share information under TPO (Treatment, Payment, Operations), best practice is to obtain client consent before sharing psychosocial information.
Question 2: Which stage of Prochaska and DiClemente's Transtheoretical Model best describes a client who says, 'I know I drink too much, and I'm planning to cut back starting next month'?
- Precontemplation
- Contemplation
- Preparation (Correct answer)
- Action
Correct answer: Preparation
The preparation stage is characterized by the intention to change in the near future and beginning to make small steps toward change.
Question 3: A client with borderline personality disorder frequently calls the social worker between sessions in crisis. What is the MOST therapeutic boundary response?
- Refuse all between-session contact to enforce firm limits
- Be consistently available to prevent the client from feeling abandoned
- Establish clear guidelines about between-session contact and follow them consistently (Correct answer)
- Transfer the client to a crisis center for all between-session needs
Correct answer: Establish clear guidelines about between-session contact and follow them consistently
Consistent, predictable boundaries provide structure and are therapeutically beneficial for clients with BPD who struggle with emotional regulation.
Question 4: A social worker is conducting a group for survivors of domestic violence. One member begins to disclose graphic details of abuse. What is the BEST intervention?
- Allow the disclosure to continue as it promotes catharsis
- Gently redirect to protect the group and maintain therapeutic norms (Correct answer)
- Ask other members how they feel about what is being shared
- Refer the disclosing member to individual therapy immediately
Correct answer: Gently redirect to protect the group and maintain therapeutic norms
The social worker should gently redirect to protect other members from vicarious trauma and maintain a safe, productive group environment.
Question 5: What is the PRIMARY purpose of a psychosocial assessment in social work practice?
- To diagnose the client's mental health disorder
- To gather comprehensive information to inform treatment planning (Correct answer)
- To determine the client's eligibility for services
- To assess whether the client needs medication management
Correct answer: To gather comprehensive information to inform treatment planning
A psychosocial assessment gathers biopsychosocial information about the client's history, functioning, and strengths to guide individualized treatment planning.
Question 6: A social worker suspects that an elderly client is being financially exploited by an adult child. The client denies any problems and refuses help. What should the social worker do?
- Respect client autonomy and take no further action
- Report suspected elder abuse to adult protective services (Correct answer)
- Contact the adult child directly to confront the situation
- Convince the client to accept help before taking any action
Correct answer: Report suspected elder abuse to adult protective services
Social workers are mandated reporters for elder abuse in most states, and suspected financial exploitation must be reported to adult protective services regardless of client consent.
Question 7: Which approach to supervision focuses on the parallel process between the supervisor-supervisee relationship and the therapist-client relationship?
- Administrative supervision
- Educational supervision
- Reflective supervision (Correct answer)
- Task-centered supervision
Correct answer: Reflective supervision
Reflective supervision examines parallel processes and uses the supervisory relationship as a model for the therapeutic relationship.
LMSW FREE LMSW MCQ Questions and Answers 4
A social worker in a hospital setting is asked by a physician to share details from a client's psychosocial assessment.
The client has not signed a release.
What should the social worker do?