LICSW Exam Prep

77 Questions

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LICSW Exam Prep

Preparation for LICSW exam in MA (ASWB Clinical)


Questions and Answers
  • 1. 
  • 2. 
    • A. 

      What are major psychiatric symptoms a client is displaying?

    • B. 

      Frequency, intensity, and duration of problem behavior

    • C. 

      Have environmental factors such as social and cultural considerations been considered as an explanation?

    • D. 

      Have organic (medical) problems been ruled out?

    • E. 

      All of the above

  • 3. 
    Which IQ level corresponds to borderline intellectual functioning?
    • A. 

      71-84

    • B. 

      51-70

    • C. 

      35-50

    • D. 

      25 to 35

    • E. 

      Below 25

  • 4. 
    Which IQ range corresponds to mild MR?
    • A. 

      71-84

    • B. 

      51-70

    • C. 

      35-50

    • D. 

      25 to 35

    • E. 

      Below 25

  • 5. 
    • A. 

      71-84

    • B. 

      51-70

    • C. 

      35-50

    • D. 

      25-35

    • E. 

      25 or below

  • 6. 
    Which IQ range corresponds to severe MR?
    • A. 

      71-84

    • B. 

      51-70

    • C. 

      35-50

    • D. 

      25-35

    • E. 

      25 and below

  • 7. 
    Which IQ Range corresponds to profound MR?
    • A. 

      71-84

    • B. 

      51-70

    • C. 

      35-50

    • D. 

      25-35

    • E. 

      25 and below

  • 8. 
    • A. 

      Avoidant personality disorder, dependent personality disorder, obsessive personality disorder, personality disorder NOS

    • B. 

      Paranoid personality disorder, schizoid personality disorder, schizotypal personality

    • C. 

      Antisocial personality disorder, borderline personality disorder, histrionic personality disorder, narcissistic personality disorder

  • 9. 
    • A. 

      Avoidant personality disorder, dependent personality disorder, obsessive personality disorder, personality disorder NOS

    • B. 

      Antisocial personality disorder, borderline personality disorder, histrionic personality disorder, narcissistic personality disorder

    • C. 

      Paranoid personality disorder, schizoid personality disorder, schizotypal personality

  • 10. 
    • A. 

      Paranoid personality disorder, schizoid personality disorder, schizotypal personality

    • B. 

      Avoidant personality disorder, dependent personality disorder, obsessive personality disorder, personality disorder NOS

    • C. 

      Antisocial personality disorder, borderline personality disorder, histrionic personality disorder, narcissistic personality disorder

  • 11. 
    • A. 

      Is the client 18 or older?

    • B. 

      Is there a pattern of behavior that developed in early adolescence or young adulthood?

    • C. 

      Is there a recurring pattern of inner experience and bhx that deviates markedly from expectations/norms of indiv's culture?

    • D. 

      Are sxs pervasive and inflexible and do they impair functioning in major life domains?

    • E. 

      All of the above

  • 12. 
    Defense mechanism where the individual manages emotional conflict/stressors by turning to others for help or support.  Does not involve avoiding responsibility for problems.
  • 13. 
    Defense mechanism where individual manages stress by dedication to meeting the needs of others. NOT characterized by self-sacrifice.
  • 14. 
    Defense mechanism where individual manages stress by experiencing emotional reactions before events occur or by anticipating future events/consequences and  considers realistic, alternative responses/solutions.
  • 15. 
    Defense mechanism where individual manages stress by emphasizing ironic/amusing aspects of stressor.
  • 16. 
    Defense mechanism where individual responds to stress by reflecting on her/his thoughts/feelings/motivation/bhx, and responding appropriately.
  • 17. 
    Individual deals with stress by channeling potentially maladative feelings or impulses into socially acceptable bhxs (i.e.-contact sports to channel angry impulses)
  • 18. 
    Defense mechanism where individual deals with stress by voluntarily setting aside or avoiding thinking about unpleasant thoughts, feelings, etc.  These experiences can also be voluntarily recalled.
  • 19. 
    Defense mechanism where individual manages stress by transferring a feeling about, or a response to, one object onto another (less threatening) substitute object.
  • 20. 
    Defense mechanism where individual manages stress through a breakdown in the usually integrated functions of memory, consciousness, perception of self or environment.  Common in trauma survivors.
  • 21. 
    Defense mechanism characterized by excessive use of abstract thinking, generalizations to avoid, control, or minimize disturbing feelings
  • 22. 
    Defense mechanism where individual separates feelings about an event from the idea/experience of the event.  Maintains conscious of facts of event but not feelings associated with the event.
  • 23. 
    Defense mechanism where the individual manages emotional conflict or distress by substituting bhxs, thoughts, or feelings  that are diametrically opposed to their own (actual) thoughts, feelings, etc. that they perceive as unacceptable.
  • 24. 
    Defense mechanism in which unacceptable or disturbing thoughts, wishes, or experiences are expelled from consciousness
  • 25. 
    Defense mechanism in which an individual engages in words or behaviors designed to negate or to symbolically make amends for actions, thoughts, feelings perceived as unacceptable (examples frequently in play therapy)
  • 26. 
    Defense mechanism in which individual manages stress by attributing exaggerated negative qualities to self or others
  • 27. 
    Defense mechanism in which individual manages stress by attributing exaggerated positive qualities to self or others
  • 28. 
    Defense mechanism where individual manages stress by imagining or acting as if s/he possesses special powers or is superior to others, may believe self to be all-powerful
  • 29. 
    Defense mechanism in which individual manages stress by refusing to acknowledge some painful aspect of external reality or subjective experience that is obvious to others. (not just a river in Egypt)
  • 30. 
    Defense mechanism where individual manages stress by falsely attributing their unacceptable thoughts, wishes, feelings, etc. to another individual.
  • 31. 
    Like projection, individuals using this defense mechanism  falsely attribute their unacceptable feelings, behaviors, etc. to another person.  However, they remain aware of their impulses and feelings and mistakenly believe that these emotions are justifiable reactions to the other person. 
  • 32. 
    Defense mechanism in which stress is managed by compartmentalizing opposite feeling states and failing to integrate positive and negative qualities to self/others.  Perceptions of self and others tend to alternate between polar opposites (exclusively loving, powerful, worthy or exclusively bad. hateful, unworthy).  Major defense attributed to people with Borderline Personality Disorder
  • 33. 
    Which is a form of therapy that involves understanding the individual in light of their personal situation, encouraging insight (often psychodynamically based)?
    • A. 

      Cognitive Behavioral Therapy

    • B. 

      Crisis Intervention

    • C. 

      Psychoeducation

    • D. 

      Psychotherapy

    • E. 

      None of the above

  • 34. 
    • A. 

      Psychotherapy

    • B. 

      Gestalt Therapy

    • C. 

      Psychoeducation

    • D. 

      Cognitive Behavioral Therapy

  • 35. 
    This type of behavioral therapy was introduced by Albert Ellis.  It involves a change in thinking leading to a change in behavior, leading to decreased sxs.  Goal is to change irrational thoughts guiding behavior to rational thoughts.  Useful when clients catastrophize. ABCDE format. A (Activating experience) B (belief about activating experience) C (consequence) D (disputation of distorted beliefs) E (new effect or philosophy replacing old belief).  Uses role playing, conditioning, assertiveness training.
  • 36. 
    Treatment framework based on the belief that clients are healthy individuals who have the skills they need to address their problems and remain capable of change. Focus on solution to problems, diminished focus on relationship or relationship between problem and antecedent
  • 37. 
    • A. 

      Clients need to be active participants in assessment, creating a treatment plan, and selecting a treatment strategy. Information from assessment will guide interventions

    • B. 

      Issues regarding race, sexual orientation, ethnic background, etc. should be addressed openly during assessment

    • C. 

      SW and clients are encouraged to be aware of underlying beliefs/values that may influence treatment

    • D. 

      Assessment should focus on client strengths and highlight client's resources for providing continued support

    • E. 

      All of the above

  • 38. 
    When an individual has an organized set of images and relational experiences that enable them to control impulses, are cooperative, demonstrate empathy, flexibility, high self-esteem, and the ability to form positive relationships with others, they have a ____________ attachment style.
    • A. 

      Secure

    • B. 

      Resistant/ambivalent

    • C. 

      Disorganized

    • D. 

      Avoidant

  • 39. 
    When an individual presents as clingy, overly demanding of affection, struggles with separation, and is frequently angry upon parents' return (difficult to soothe, re-connect), they are said to have a(n) ______________ attachment style. 
    • A. 

      Secure

    • B. 

      Ambivalent/resistant

    • C. 

      Disorganized

    • D. 

      Avoidant

  • 40. 
    When an individual presents as whiny, needy, distant, with aversion to physical touch, self-sufficient, and masks anger with indifference, they are said to have a(n)____________________ attachment style.
    • A. 

      Secure

    • B. 

      Ambivalent/resistant

    • C. 

      Disorganized

    • D. 

      Avoidant

  • 41. 
    When an individual presents as inhibited, depressed, clingy, and frequently contradictory behaviors, they are said to have a(n) _________________ attachment style. 
  • 42. 
    Diagnosis: Demonstrates behavior pattern that violates the rights of others over past 12 months.Child or adolescent onsetSxs include: aggression to people and animals, destruction of property (incl. firesetting), lying or theft, and serious violation of rules. Conflict with authority figuresLittle/no remorse for actions
  • 43. 
    • A. 

      ETOH/Substance Dependence

    • B. 

      ETOH/Substance Abuse

  • 44. 
    Diagnosis: ETOH/Substance Dependence v. AbuseSymptoms:ToleranceWithdrawalRecurrent use (more than intended, difficulty controlling)Unsuccessful attempts to quitReduced social activities secondary to significant time consumed by obtaining substancePsychological/physical problems related to use
    • A. 

      ETOH/Substance Abuse

    • B. 

      ETOH/Substance Dependence

  • 45. 
    With brief psychotic disorder, symptoms are present for
    • A. 

      1 week, but less than 1 month

    • B. 

      1 month, but less than 6 months

    • C. 

      6 months or more

  • 46. 
    With schizophreniform disorder, symptoms are present for
    • A. 

      1 week, but less than 1 month

    • B. 

      1 month but less than 6 months

    • C. 

      6 months or more

  • 47. 
    With schizophrenia, symptoms are present for
    • A. 

      1 week, but less than 1 month

    • B. 

      1 month but less than 6 months

    • C. 

      More than 6 months

  • 48. 
    Select the appropriate subtype of Schizophrenia for the following symptoms:marked incoherence, lack of systematized delusions, blunted, disturbed, or inappropriate affect
    • A. 

      Schizophrenia, Disorganized Type

    • B. 

      Schizophrenia, Catatonic Type

    • C. 

      Schizophrenia, Paranoid Type

    • D. 

      Schizophrenia Undifferentiated Type

    • E. 

      Schizophrenia, Residual Type

  • 49. 
    Select the appropriate subtype of Schizophrenia for the following symptoms:Stupor, negativism, bizarre posturing, excessive motor activity
    • A. 

      Schizophrenia, Disorganized Type

    • B. 

      Schizophrenia, Catatonic Type

    • C. 

      Schizophrenia, Paranoid Type

    • D. 

      Schizophrenia, Undifferentiated Type

    • E. 

      Schizophrenia, Residual Type

  • 50. 
    Select the appropriate subtype of Schizophrenia for the following symptoms:one or more systematized delusions or auditory hallucinations with similar themes
    • A. 

      Schizophrenia, Disorganized Type

    • B. 

      Schizophrenia, Catatonic Type

    • C. 

      Schizophrenia, Paranoid Type

    • D. 

      Schizophrenia, Undifferentiated type

    • E. 

      Schizophrenia, Residual Type

  • 51. 
    Select the appropriate subtype of Schizophrenia for the following symptoms:"garbage can" bits of other types of Schizophrenia
    • A. 

      Schizophrenia, Disorganized Type

    • B. 

      Schizophrenia, Catatonic Type

    • C. 

      Schizophrenia, Paranoid Type

    • D. 

      Schizophrenia, Undifferentiated Type

    • E. 

      Schizophrenia, Residual Type

  • 52. 
    Select the appropriate subtype of Schizophrenia for the following symptoms:Not currently displaying symptoms displayed in the past (past symptoms may have included delusions, hallucinations, disorganized speech or bhx, avolition, alogia)
    • A. 

      Schizophrenia, Disorganized Type

    • B. 

      Schizophrenia, Paranoid Type

    • C. 

      Schizophrenia, Catatonic Type

    • D. 

      Schizophrenia, Undifferentiated Type

    • E. 

      Schizophrenia, Residual Type

  • 53. 
    Disorder where individual presents with symptoms of both schizophrenic disorder and mood disorder, but symptoms of schizophrenia are more prevalent.
  • 54. 
    Which is not an antipsychotic medication?
    • A. 

      Thorazine

    • B. 

      Haldol

    • C. 

      Elavil

    • D. 

      Prolixin

    • E. 

      Risperdal

  • 55. 
    Persistently elevated mood, increased psychomotor agitation, distractibility, flight of ideas, decreased need for sleep for at least a week
  • 56. 
    Appetite disturbance, sleep disturbance, depressed mood, decreased interest/enjoyment of formerly pleasurable activities, psychomotor agitation or retardation, fatigue or loss of energy, difficulty concentrating, irritability
  • 57. 
    Dx: Mood Disorder characterized by one or more manic episodes and h/o of depressive episodes.  Psychotic features are sometimes part of manic episodes.
    • A. 

      Bipolar I

    • B. 

      Bipolar II

  • 58. 
    Elavil, Anafranil, Norpramine, Doxepin, Tofranil are all
    • A. 

      Older (heterocyclic) meds used to treat depression

    • B. 

      Mood stabilizers

    • C. 

      Neuroleptics

    • D. 

      Mental disorders

  • 59. 
    Wellbutrin, Celexa, Luvox, Remeron, Paxil, Zoloft, and Effexor are all
    • A. 

      Old medications no longer prescribed

    • B. 

      SSRIs or SSNRIs and related "newer" antidepressants

    • C. 

      Mood stabilizers

  • 60. 
    Tegretol, Depakote, Risperdal, Prolixin, Haldol, Thorazine, and Lithium are all
    • A. 

      Mood stabilizers or antipsychotics

    • B. 

      Anti-convulsants used to treat anxiety

    • C. 

      SSRIs

  • 61. 
    All of the following are used to treat anxiety symptoms except:
    • A. 

      Benzodiazapines

    • B. 

      Xanax

    • C. 

      BuSpar

    • D. 

      Klonopin

    • E. 

      Klonodine

  • 62. 
    ___________________ is a planned, voluntary response to a non-preferred activity in order to avoid the activity.  It is not characteristic of major mood disorders.
  • 63. 
    A _______________ is a reinforcement technique used in which individuals are rewarded for positive bhx with tokens that can be exchanged for desired objects or activities
  • 64. 
    If an individual is oriented x 4, they are oriented to:
  • 65. 
    Before diagnosing a client with a mood disorder, the following should be ruled out:
  • 66. 
    A major goal in treating people with schizophrenia is to increase ego strength
    • A. 

      True

    • B. 

      False

  • 67. 
    In interventions with clients presenting with symptoms of paranoia, SW should
    • A. 

      Be highly directive

    • B. 

      Confront the false nature of presenting symptoms

    • C. 

      Choose the intervention that is the least threatening

  • 68. 
    An initial family interview should be conducted with
  • 69. 
    Optimal social work interventions seek to be
  • 70. 
    In a family system, sometimes one family member begins to improve while another member decompensates.  This is known as
    • A. 

      Role complementarity

    • B. 

      Pseudo-mutuality

    • C. 

      Fusion

    • D. 

      Homeostasis

  • 71. 
    In family systems, 2 or more individuals have different roles that preserve a particular type or pattern of interaction.  This is known as
    • A. 

      Homeostasis

    • B. 

      Dependency

    • C. 

      Role complementarity

    • D. 

      Fusion

  • 72. 
    In a family system, __________ describes an agreement between members that there will be no differentiation and that all members are emotionally involved in all aspects of family life. 
    • A. 

      Pseudo-mutuality

    • B. 

      Fusion

    • C. 

      Homeostasis

    • D. 

      Role complementarity

  • 73. 
    In an initial interview, the social worker should primarily seek to build rapport.  Additionally, in this interview, SW should try to understand
    • A. 

      The client's description of presenting problem

    • B. 

      History of the presenting problem, including frequency and duration of sxs

    • C. 

      Client's level of risk to harm self or others

    • D. 

      All of the above

  • 74. 
    _____________________ is one of the only things that comes before a client's right to self-determination.
  • 75. 
    In which kind of group would a social worker point out discrepancies in content and affect, rather than allowing the group to notice the discrepancy?
    • A. 

      Therapeutic group

    • B. 

      Self-help group

    • C. 

      Discussion group

  • 76. 
    In therapeutic groups, the following statements are true except:
    • A. 

      Group behavior is used as a learning tool for all members

    • B. 

      The SW is initially active, but leads the group to a place where the group is the primary resource

    • C. 

      When an individual presents with affect that strongly differs from content, the SW encourages/waits for the group to point this out

    • D. 

      Anything occuring in the group represents an expression of issues the group needs to discuss

    • E. 

      The SW allows the group to engage in physical confrontation with each other if that is needed to resolve conflicts.

  • 77. 
    In a family system, this describes a type of agreement in which members describe behaviors as being equally beneficial to all members when the opposite is actually true
    • A. 

      Role complementarity

    • B. 

      Pseudo-mutuality

    • C. 

      Patriarchal

    • D. 

      Fusion