LMSW Intervention and Treatment Planning 2

Question 1

A client with borderline personality disorder frequently calls the social worker in crisis between sessions. Which intervention framework is most evidence-based for this presentation?

Accepted Answer

Dialectical Behavior Therapy (DBT)

Answer

DBT was specifically developed by Marsha Linehan for borderline personality disorder and has the strongest evidence base for reducing self-harm and crisis behaviors.

Question 2

When developing a treatment plan for a client experiencing complicated grief, which element distinguishes it from major depressive disorder treatment?

Accepted Answer

Grief-specific interventions focus on meaning-making and continuing bonds

Answer

Complicated grief treatment focuses on meaning-making, processing the loss, and maintaining a healthy connection to the deceased, which differs from standard depression protocols.

Question 3

A social worker is treating a veteran with PTSD using Prolonged Exposure therapy. The client avoids discussing the traumatic event and requests to switch topics. The best response is to:

Accepted Answer

Gently encourage the client to stay with the distress as part of the treatment protocol

Answer

Prolonged Exposure requires graduated approach to trauma memories; encouraging engagement with distress while maintaining safety is central to the protocol's effectiveness.

Question 4

A treatment plan goal states: 'Client will feel better about relationships.' This goal is problematic primarily because it:

Accepted Answer

Is not measurable or time-bound

Answer

Effective treatment plan goals must be specific, measurable, achievable, relevant, and time-bound (SMART); 'feel better' cannot be objectively measured.

Question 5

Which motivational interviewing technique involves the social worker summarizing the client's ambivalence about change to highlight discrepancy?

Accepted Answer

Double-sided reflection

Answer

A double-sided reflection acknowledges both sides of the client's ambivalence, helping the client hear their own contradictory statements and increasing motivation for change.

LMSW - Licensed Master Social Worker Practice Test

LMSW - Licensed Master Social Worker Practice Test

LMSW Intervention and Treatment Planning 2