LMSW Practice Questions 4

Question 1

A client with bipolar disorder tells their LMSW that they have stopped taking their mood stabilizer because it causes weight gain. What is the BEST initial response?

Accepted Answer

Explore the client's concerns about the side effects and their feelings about the medication

Answer

Immediately contact the prescribing psychiatrist to report non-compliance

Answer

Educate the client about the risks of stopping medication abruptly

Answer

Document the refusal and continue with other treatment goals

Question 2

Under the NASW Code of Ethics, when a social worker's personal values conflict with a client's choices, the social worker should PRIMARILY:

Accepted Answer

Set aside personal values and prioritize the client's right to self-determination

Answer

Refer the client to another provider who shares the client's values

Answer

Discuss the conflict openly with the client during sessions

Answer

Seek supervision to determine whether to continue working with the client

Question 3

A mother reports that her 10-year-old child has been having nightmares and bedwetting since witnessing domestic violence in the home. These symptoms MOST likely indicate:

Accepted Answer

Post-Traumatic Stress Disorder

Answer

Oppositional Defiant Disorder

Answer

Adjustment Disorder with Depressed Mood

Answer

Separation Anxiety Disorder

Question 4

An LMSW working in a hospital is asked by a patient's employer for information about the patient's condition. The social worker should:

Accepted Answer

Decline to release any information without the patient's written consent

Answer

Provide general information without disclosing the specific diagnosis

Answer

Release information only if the employer can demonstrate a legitimate need

Answer

Consult with the hospital's legal team before responding

Question 5

When using Motivational Interviewing (MI) with an ambivalent client, the technique of 'rolling with resistance' means the social worker should:

Accepted Answer

Acknowledge and reflect the client's ambivalence without arguing or confronting

Answer

Firmly redirect the client toward behavior change goals

Answer

Postpone the session until the client is ready to engage

Answer

Provide psychoeducation to overcome the client's objections

Question 6

A social worker discovers that a colleague is billing Medicaid for services that were never provided. The MOST appropriate first action is to:

Accepted Answer

Document the observation and consult with a supervisor before taking action

Answer

Confront the colleague directly and give them a chance to self-report

Answer

Report the fraud to the appropriate supervisor or administration

Answer

Report the fraud anonymously to the Medicaid fraud hotline

Question 7

A client in a community mental health setting discloses that they are undocumented and fears deportation if they seek additional services. The social worker's PRIORITY response is to:

Accepted Answer

Reassure the client that mental health records are protected and explain their rights

Answer

Refer the client immediately to an immigration attorney

Answer

Contact immigration authorities to clarify the client's legal status

Answer

Document the disclosure and continue with the mental health assessment