LMSW FREE LMSW Questions and Answers 4 — Questions and Answers
Question 1: Which theoretical orientation emphasizes that psychological problems stem from distorted thinking patterns and cognitive distortions?
- Psychodynamic theory
- Cognitive-behavioral theory (Correct answer)
- Solution-focused brief therapy
- Narrative therapy
Correct answer: Cognitive-behavioral theory
Cognitive-behavioral theory holds that maladaptive thoughts (cognitive distortions) drive emotional distress and problematic behavior.
Question 2: A social worker is facilitating a task group for adults with chronic mental illness. One member dominates every session and others have stopped participating. The BEST intervention is to:
- Ask the dominant member to leave the group
- Implement a structured turn-taking format to balance participation (Correct answer)
- Ignore the behavior and allow natural group dynamics to self-correct
- Speak privately with the quiet members only
Correct answer: Implement a structured turn-taking format to balance participation
Structured turn-taking is an effective group facilitation technique that ensures all members have equitable opportunity to contribute.
Question 3: According to Kübler-Ross, which stage of grief involves the client making deals with a higher power or medical team to reverse the loss?
- Denial
- Anger
- Bargaining (Correct answer)
- Depression
Correct answer: Bargaining
Bargaining is the stage in which individuals seek to negotiate—often with God or fate—to undo or delay the loss.
Question 4: A social worker using motivational interviewing encounters a client who says 'I know drinking is a problem, but I'm not ready to change.' This client is in which stage of the Transtheoretical Model?
- Precontemplation
- Contemplation (Correct answer)
- Preparation
- Action
Correct answer: Contemplation
Contemplation involves acknowledging the problem but ambivalence about change; the person is not yet committed to action.
Question 5: Which federal law prohibits discrimination against individuals with disabilities by programs receiving federal financial assistance?
- Americans with Disabilities Act (ADA)
- Section 504 of the Rehabilitation Act (Correct answer)
- Individuals with Disabilities Education Act (IDEA)
- Fair Housing Act
Correct answer: Section 504 of the Rehabilitation Act
Section 504 of the Rehabilitation Act of 1973 prohibits disability-based discrimination specifically in federally funded programs and activities.
Question 6: A client presents with recurrent, intrusive memories of a traumatic event, nightmares, avoidance of trauma reminders, and hypervigilance lasting more than one month. The MOST likely DSM-5 diagnosis is:
- Acute Stress Disorder
- Generalized Anxiety Disorder
- Post-Traumatic Stress Disorder (PTSD) (Correct answer)
- Adjustment Disorder with anxiety
Correct answer: Post-Traumatic Stress Disorder (PTSD)
PTSD requires symptoms in all four clusters (intrusion, avoidance, negative cognitions/mood, hyperarousal) lasting more than one month following trauma.
Question 7: In social work research, internal validity refers to:
- Whether findings can be generalized to other populations
- The consistency of the measurement tool across administrations
- The degree to which the study accurately measures what it intends to measure
- Whether observed changes in the outcome are actually caused by the intervention (Correct answer)
Correct answer: Whether observed changes in the outcome are actually caused by the intervention
Internal validity refers to the confidence that the independent variable (intervention) caused changes in the dependent variable, ruling out alternative explanations.
Which theoretical orientation emphasizes that psychological problems stem from distorted thinking patterns and cognitive distortions?