LMSW Exam 2019 Questions and Correct Answers, With Complete Solution. Updated 2024. 317 Questions and Correct Answers.

LMSW Exam 2019 Questions and Correct Answers, With Complete Solution. Updated 2024. 317 Questions and Correct Answers. AASPIRINS A: acknowledge & assess S: start where the client is P: protect Life (preventing danger to self and others) I: informed Consent R: rule out medical conditions, send to Dr. if medical I: intoxication (don't treat if intoxicated) N: non-judgmental S: support self-determination For "Best"/"Worst" or "MOST reasonable" questions AREAFI What to do "FIRST" or "NEXT": A: Acknowledge/Assess feelings R: Refer E: Educate A: Advocate F: Facilitate I: Intervene Levels of cognition knowledge (teaching facts, theories, etc) comprehension application analysis synthesis (creating something new) evaluation (judging quality) Maslow's Hierarchy of Needs Physiological Safety Love/belonging Esteem Self-actualization Types of groups Shared problem, Counseling, Activity self help, natural group, closed group, open group, structured, reference, crisis Individual self-actualization occurs through... - release of feelings that block social performance - support from others - orientation to reality and check out own reality with others - reappraisal of self Bowenian Family Therapy change through understanding multigenerational dynamics -driven to achieve balance of internal and external differentiation Logotherapy change through finding meaning in life, understanding purpose Problem solving therapy (aka Task Centered) change through supporting client to take actions to address problems; client defined problems -Short term -Good for lower functioning, schizophrenia, homeless Dialectical Behavior theory Aims to change behavioral, emotional, and thinking patterns associated with dysfunction -teaches mindfulness, suicidal behavior, emotional regulation, interpersonal effectiveness • Good for Borderline Personality Disorder Narrative therapy Change occurs by externalizing problem and creating a new narrative or story, which emphasizes the client's competencies and strengths. -Problem separate of client, externalize the problem Feminist Therapy Change through recognizing disempowering social forces and empowering client. -Good for eating disorders. Emotional Triangulation Network of relationship between 3 people. Stable until anxiety starts between dyad, then 3rd party is used to reduce anxiety. structual family therapy SW engages family in restructuring; boundaries are determined with Interpersonal, boundaries w/ outside world, hierarchal organization of the family Interpersonal family structure Family is defined. Promoted differentiation and autonomy Boundaries of the outside world (Structural family therapy) Defines family. Must be permeable enough to maintain well functioning open system hierarchal organization (Structural family therapy) in all families and cultures. Maintained generationally; parent-child roles, rights, obligations, etc. Strategic Family Therapy - Pretend technique -1st order changes (superficial behavior changes) -2nd order changes (systematic interaction patterns) -Family homeostasis (preserve family organization and communication) -Relabeling (change label attached to problem or person) -Paradoxical directive (prescribe symptomatic behavior so client realize it can be controlled) Suprasystem (systems theory) An entity that is served by a number of component systems organized in interacting relationships Throughput (system theory term) Energy that is integrated into the system so it can be used by the system to accomplish its goals Subsystem (systems theory) A major component of a system made up of 2+ independent components that interact in order to attain their own purpose(s) and the purpose(s) of the system in which they are embedded SOAP format (Assessment) Subjective: How are they doing since last visit Objective: Vitals, physical exam, lab results Assessment: Tasks S & O into short assessment Plan: Done after assessment; treatment plan Mental Status Exam (MSE) Appearance Orientation (Time place events) Speech (Slurred, pressed, slow) Affect/Mood Impulsivity (Potential of harm) Judgement/Insight (Predict consequences) Thought process (reality, thinking style) Intellectual function/memory Suicide Assessment (Danger to self) - Hx of attempt/family hx - Lives alone, no social support - Psych disorders (depression, anxiety) - Substance use/abuse - Media & peer exposure - Losses - Firearms or lethal weapons Suicide Protective Factors - Social support, family connectedness - Coping skills -Access to clinical care/Treatment - Religion & participation in religious activities - Limited access to lethal methods Risk Assessment (Suicide/Violence) - Frequency, intensity & duration of suicidal or violent thoughts - Access to available methods - Availability/inability to control suicidal/violent thoughts - Ability to not act on thoughts - Factors making client feel better/worse -Consequences of actions - Deterrents to action - Using drugs/alcohol - Measures client uses to remain safe Community Strength & Challenges People, Partnerships, Facilities, Organizations, Policies, Regulations, Culture Delusions false beliefs, often of persecution or grandeur, that may accompany psychotic disorders Endogenous depression chemical imbalances in the brain rather than as a reaction to life events Exogenous depression depression caused by external events or psychosocial stressors Folie a deux shared delusion Postmorbid subsequent to the onset of an illness Premorbid before the onset of major symptoms Psychotic experiencing delusions or hallucinations contraindicated not recommended under these circumstances AntiAnxiety & Panic Disorder Ativan, Buspar, Klonopin, Valium, Xanax ADHD/ADD Stimulants Adderall, Concerta, Dexedrine, Ritalin Antidepressants (SSRIs) Celexa Lexapro Luvox Paxil Prozac Zoloft Antidepressants (Tricyclics) Anafranil Asendin Elavil Norpramin Pamelor Aventyl Surmontil Trofranil Vivactil Antidepressants (MAOI) Nardil Parnate *Avoid alcohol & aged foods Antidepressants (Others) Effexor Desyrel Remeron Serzone Wellbutrin Mood stabilizers (Anti-Manic/Bipolar) Depakote Lamictal Lithium Abilify Antipsychotics (Schizoprenia & Mania) Haldol Clozaril- need blood work done Thorazine Seroquel Risperdal Zyprexa Tardive dyskinesia (TD) Abnormal, involuntary movement of tongue, jaw, lips, & face; twitching and snakelike movement of extremities as a result of a high dose of antipsychotics over time Assessment of Violence (Danger to others) -Youth under 13 y/o who commit crimes & escalating violence -Aggression, associated w/ drugs, alcohol & risky behavior -Delinquent peers & gangs Assessment of violence (protective factors) Programs, individual risk & environment Target social context of change Access to clinical care Support system Coping skills Restrict access to lethal weapons Social Work Values 1. service 2. social justice 3. dignity and worth of the person 4. importance of human relationships 5. integrity 6. competence Ethical Problem Solving -Identify ethical standards being compromised -Determine if there is an ethical dilemma -Weigh issues in light of SW values & ethics -Suggest modifications -Implement modifications -Monitor for new dilemmas Payment (SW Ethics) Fees are fair, reasonable & commiserate w/ service. Bartering accepted only when it is acceptable in the local community Lack of Decision Making (SW Ethics)