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LCSW Real Exam Questions

ASWB Social Work Licensing

250 questions available · Page 1 of 25

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Question 1 Single choice

The Equal Pay Act states that men and women in the same workplace must be given equal pay for equal work, discrimination is not tolerated. This includes bonuses, overtime pay, salary, stock options, vacation pay, and reimbursement fortravel.

How is equality defined in this context?

  1. A

    Men and women should be paid according to theirjob title

  2. B

    Job content, not job title determines equality

  3. C

    Men and women in differentworkplaces should be given equal pay

  4. D

    None ofthe above

Show answer and explanation

Correct answer: B

Explanation

The Equal Pay Act states that job content, not job title, determines whether indMduals are considered equal. Professionals need to be aware of the consequences if theyalterfrom this definition. It is against the law for men and women to have an inequality in pay based on their gender. An indMdual alleging a violation of this act may go directly to court without first contacting a supervisor.

Question 2 Single choice

Erica spends the day with clients as a clinical social worker for a chiIdren's hospital. Her work requires some home visits with family, and most documentation is completed at this time. In between visits, Erica leaves case records in her car until she needs them. Due to a tight schedule on this particular day, she haphazardly throws papers on the backseat. A neighbor to one of the clients walks by the vehicle and recognizes a name on one of the documentation sheets.

What ethical standards were not followed by the social worker?

  1. A

    Organization

  2. B

    Confidentiality

  3. C

    Competence

  4. D

    Informed consent

Show answer and explanation

Correct answer: B

Explanation

Clinical social workers need to take reasonable steps to protect the confidentiality of each and every client.
Written or electronic records are not to be available for anyone that does not have appropriate authorization.

Question 3 Single choice

Alysha meets with a clinical social worker and discusses self-perceived problems. She reports complex mood swings that last for weeks and sometimes months. AIysha's main concern is that her manic behaviors may one day become life threatening. When the client is in a more sullen mood, she feels sad but somewhat safer.

When completing a full assessment, what might the social worker diagnose Alysha as having?

  1. A

    Dissociative identity disorder

  2. B

    Major depressive disorder

  3. C

    Bi-polar disorder

  4. D

    Post-traumatic stress disorder

Show answer and explanation

Correct answer: C

Explanation

IndMduals with bi-polar disorder suffer from both euphoric periods that can lead to risk-taking behaviors and sudden bouts of depression with symptoms of sadness, crying, and a sense of worthlessness.

Question 4 Single choice

Sabrina has managed to alienate all of her co-workers with bizarre behaviors. She is constantly stealing other peopIe's food from the refrigerator in the Iunchroom, arguing with fellow employees over unimportant issues and most recently showing up for work intoxicated. Sabrina is quick-tempered and has even thrown a stapler at a coworker's computer. She has been ordered to seek help for observable problems.
A full assessment will more than likely display what findings?

  1. A

    Judgment disorder

  2. B

    Affect regulation disorder

  3. C

    Attention Deficit Disorder

  4. D

    Impulse control disorder

Show answer and explanation

Correct answer: D

Explanation

A full assessment for Sabrina will likely have the finding of impulse control disorder. IndMduals with impulse control disorder are unable to manage aggressive desires without immediate action. Other symptoms of this disorder include sexual promiscuity and excessive drug use. This is ego function problem is quite common.

Question 5 Single choice

Conflict resolution is an area that clinical social workers find themselves practicing frequently. One such technique that professionals are often called upon to perform, involves helping clients solve problems and engage in empowerment.

What application builds on communication, problem analysis and intervention?

  1. A

    Organizational development

  2. B

    Mediation

  3. C

    Family resolution

  4. D

    Transformative goals

Show answer and explanation

Correct answer: B

Explanation

A clinical social worker practicing as mediator will structure the problem-soMng process. This will involve education, information organization and suggested options for developing proposals. Nlediation assessments are generally short-term with interest-based problem soMng goals.

Question 6 Single choice

The Madisons are meeting with their clinical social worker, who is helping them with daily functioning.
Theyare called into one room and shown a flow chart describing the processes the family unconsciously follows. There are distinguishing hierarchies and alliances within.

What type of therapy is the social worker utilizing?

  1. A

    Relational therapy

  2. B

    Dysfunctional therapy

  3. C

    Interactive therapy

  4. D

    Structural family therapy

Show answer and explanation

Correct answer: D

Explanation

Structural family therapy places most of the focus on the members' interactions. The family is viewed as a system that functions within a larger classification such as culture or community. Rules of interaction are established, and these form the familys structure. Therapy should always focus on the presenting problem and the process of change.

Question 7 Single choice

During the 1950's, the system of government in America was based on discrimination. The white population was allowed to vote and be supported by all levels of government. African Americans were not permitted to participate or receive equal accommodations.
The belief that one race is superior over another is known as what?

  1. A

    CMl Rights

  2. B

    Racism

  3. C

    Domination

  4. D

    Discrimination

Show answer and explanation

Correct answer: B

Explanation

Racism is the belief that one race in particular is superior based on their intelligence, physical attributes or culture. The CMl Rights Movement accomplished many breakthroughs for the black population. They gained the right to equally participate in social, economic and political environments.

Question 8 Single choice

A referral comes into the local human service office alleging elder abuse and a clinical social worker is assigned to assess the situation. During the initial session with family members, it is discovered that abuse may have also occurred with a three-year-old child in the home. The social worker interviews the child and takes the information back to the administrator.

What ethical rule did this social worker violate?

  1. A

    Confidentiality and informed consent by the parents

  2. B

    Immediate referral should have been made to a professional Child Protective social worker

  3. C

    The clinical social worker should have only interviewed the adult in regards to the child abuse, not the child

  4. D

    The elderly adult should have been referred to a nursing home

Show answer and explanation

Correct answer: B

Explanation

Clinical social work administrators need to stress the importance of employees only working within their realm of competency. Professionals should seek the advice of colleagues whenever the consultation is in the best interest of the client and maintain knowledge of other coIIeagues' areas of expertise.

Question 9 Single choice

Beverly is a 72 year old female who suffers from diabetes. She lives independently, but her health was recently diagnosed by a doctor as slowlyfailing. The medical professional sees the cause as being a lack of nutrition and failure to take medication as prescribed. Beverly does not drive and stays within her home.
Neighbors have noticed a lack of food in the house and Beverly not appearing to be very clean. A clinical social worker is assigned to handle case management.

What will be this indMduaI's main function?

  1. A

    Short-term communication and planning

  2. B

    Assessment, education and coordination of services

  3. C

    Administering medication, daily lMng skills, assessment

  4. D

    Preparing the indMdual for assisted lMng

Show answer and explanation

Correct answer: B

Explanation

Case management is a service ideal for supporting indMduals with chronic diseases. In BeverIy's case, she is losing the ability to self-manage. The clinical social worker will assess appropriate long-term care needs. The focus is on collaboration between social and health care providers. Effective case management supports the indMdual in a manner that allows effective community involvement while maintaining that person in their home.

Question 10 Single choice

A clinical social worker is providing services to a woman diagnosed with bipolar disorder. She experiences frequent manic episodes that include motor hyperactMty, elation, poorjudg ment, pressured speech and hostility.
To try and bring about normalization of symptoms, what is the best choice for medication?

  1. A

    Effexor

  2. B

    Citalopram

  3. C

    Adderall

  4. D

    Lithium

Show answer and explanation

Correct answer: D

Explanation

Lithium is used as an anti-mania medication for indMduals suffering from Affective Disorder, Bipolar, and Nlania. Studies have demonstrated that lithium alters sodium transport in muscle and nerve cells. Patients given this medication will feel relief of symptoms and demonstrate normalcy within 1 to 3 weeks. A drug more commonly prescribed is Depakote, due to the need for ongoing blood level tests with Lithium.
Antidepressants can trigger mania and do not work very well.