07/18/18 LCSW Practice Exam Question

Irene, a social work supervisor attends a large outdoor free concert in a city park. By chance, she notices that Liz, one of her supervisees is chatting at the entrance with a client familiar to her as well. At the office the next day, Irene inquires and is told that, indeed, they had met there by chance, and Liz accepted an invitation to sit with the client and her friends for the complete musical event. The supervisor should next: A) Suggest that Liz think more carefully about this choice and not repeat it. B) Discuss the issues of personal and professional boundaries with Liz. C) File an incident report with the agency administrator. D) Write and distribute a memo to all professional staff summarizing the key ethical behavior principles concerning contacts with clients. EXP: The correct answer is "B". Professional boundaries must be maintained whenever possible, even if the “crossing over” is brief, temporary and seems quite harmless.

Which of the following traits can be seen in a person with a narcissistic personality disorder but not as likely in a person with a histrionic personality disorder? A) Believes that he/she is special and unique, therefore worthy of admiration. B) Has an exaggerated sense of self-importance and likes to be the center of attention. C) Lacks empathy and can try to take advantage of others to promote his/her position. D) Relationships serve the exaggerated needs and have many emotional deficits. EXP: The correct answer is "C". There are similarities in these two diagnoses, and while both are attention-seeking, the NPD may be disinterested in “seeing” the other person and is largely focused on him/herself. This is not typically found in persons who carry the HPD diagnosis.

A social worker in private practice is meeting with a client for the first time. The client describes her recent separation from her husband and the sudden onset of symptoms including difficulty going to work, fear of going out alone and recurring thoughts of self-blame for not being able to prevent the separation. The social worker asks her many questions focusing on her actions:What has she tried to do to address these problems, what has she wished she could do, attempted to do, and failed at carrying out. The social worker is using which framework? A) Behavioral B) Task-centered C) Problem-focused D) Cognitive The correct answer is "A".