LCSW Clinical Practice Exam

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• How do parallel process and transference manifest in group therapy?
• Which of the following is NOT among the replacement concepts for culture-bound syndromes in DSM-5?
• In stage 4 of the family life cycle, which adjustment best describes the childless couple?
• IEPs must be reviewed at least annually.
• Which neurotransmitter is most closely linked to maintaining mood balance and depression?
• Which action best reflects a boundary-centered approach to dual relationships?
• Which statement best describes aphasia?
• In Trauma-Focused Cognitive Behavioral Therapy (TF-CBT), what is a core component alongside trauma processing?
• How can a clinician address disclosure of domestic violence while ensuring safety and providing resources?
• Ataxia refers to
• The Stanford-Binet Intelligence Scale is used to test?
• Negative reinforcement increases the likelihood of a behavior because an aversive stimulus is removed. Which scenario best illustrates this principle?
• How should a clinician demonstrate cultural humility in practice?
• Which statement best describes tertiary prevention?
• What are the three core components of Evidence-Based Practice in social work?
• Which term is not listed among the fancy-word stages of group development: preaffiliation, power and control, intimacy, differentiation, separation/termination?
• Which term describes the initial phase in the standard five-stage group development model?
• Which statement best describes a biopsychosocial assessment and its domains?
• Stage 6 of the family life cycle involves which focus?
• Which is not a typical component of informed consent?
• IEPs are reviewed how often?
• Which option best describes the role of client values/preferences in Evidence-Based Practice?
• Which personality disorder is characterized by constricted or inappropriate affect; magical or paranoid thinking; and odd beliefs, speech, behavior, appearance, and perceptions?
• A lost child is best described as:
• Catatonia is most often characterized by which symptom?
• Which term is NOT listed as one of the six cognition levels in the framework described?
• Which stage addresses midlife relationships and career issues?
• In which stage are grandparent roles included and the family system is realigned to make room for kids?
• Which of the following is a stage in group therapy?
• If a client asks for access to their medical or social records, the provider should disclose unless it would cause harm or misunderstanding. Which choice best reflects this principle?
• Which level of prevention involves screening to detect disease early, often before symptoms appear?
• Stage 7 of the family life cycle is best described as?
• In crisis safety planning, which item is a typical component?
• Which phase of object relations theory corresponds to roughly 1–5 months and is characterized by awareness of the mother but no sense of individuality?
• Which stage involves recognizing a problem and considering change but not yet taking action?
• What characterizes high ego strength?
• Which factor is typically considered in an older adult biopsychosocial assessment that may not be as prominent in younger clients?
• Biofeedback is used to teach people to control which of the following?
• Under which condition may a social worker withhold providing a client with a copy of their records?
• Maslow's deficiency needs include which of the following?
• What is the purpose of aftercare planning in relapse prevention?
• In group dynamics, a scapegoat is a person who typically:
• Which disorders are included in Personality Disorder Cluster A?
• Which cluster of personality disorders includes obsessive-compulsive, avoidant, and dependent types?
• Negative punishment is removing something positive to decrease the behavior. Which of the following is an example?
• Assent is defined as:
• Genetic counseling provides guidance for parents on the likelihood of genetic disorders in their future children.
• Nardil and Parnate belong to which class of antidepressants?
• Which of the following is NOT a differential diagnosis to consider for a client with depressed mood according to DSM-5-TR criteria?
• Which assessment is designed to assess perceptual reactions and psychological functioning?
• A mascot in a group often serves to:
• Which of the following is NOT recommended when documenting notes?
• Which statement differentiates confidentiality from privileged communication and describes when disclosure without client consent may occur?
• What is relapse prevention in substance use treatment, and which components are essential?
• When a client discloses thoughts of self-harm, with no plan, what steps should be taken?
• Which stage (24–38 months) involves understanding the mother as a separate identity and becoming truly separate?
• Which stage is characterized by launching children?
• Tofranil is categorized as which type of medication?
• In which scenario is mandated reporting typically required?
• Which of the following is not a cluster C personality disorder?
• Which stage (15–24 months) involves the infant returning to the mother while recognizing they are separate but keeping an eye on her?
• Which concept describes understanding that the mother exists as a separate identity even when not present?
• Which personality disorder is characterized by hypersensitive to rejection and avoidance of social settings?
• Culture-bound syndromes in the DSM-5 are replaced by all of the following concepts EXCEPT
• Which assessment uses stories to reveal a client's unconscious desires?
• Which assessment is described as a personality test covering introversion, sensing, thinking and feeling, judging and perceiving?
• Stage 1 of the family life cycle is defined as?
• Clozaril is classified as what type of medication?
• Which statement correctly describes the diagnostic criteria for Major Depressive Disorder?
• Which phase occurs at 5–9 months and is marked by using the mother as a point of orientation in object relations theory?
• Which therapy involves caregiver participation?
• Differentiation in a family system refers to what?
• Stage 8, later family life, centers on which theme?
• DSM-5 eliminated the traditional five-axis system.
• Why is clinician self-care essential, and which strategies support resilience?
• In object relations theory, the normal autism phase for an infant is:
• A suprasystem is best described as:
• Which stage involves planning to take action and may begin taking small steps?
• Hodgkin's disease primarily affects which system?
• The Rorschach Inkblot Test is used to assess which of the following?
• In safety planning for self-harm risk, what is a key role of a supervisor?
• In supervision, which model focuses on the supervisee's developmental stage and needs?
• Other Specified is used in DSM-5 to indicate that a condition does not meet full criteria but there is distress or impairment.
• Which single-subject design has the fewest threats to internal validity?
• Which statement best differentiates adjustment disorder from a primary anxiety disorder?
• Which is a protective factor in suicide risk assessment?
• In DSM-5, the term for the condition previously labeled 'mental retardation' is:
• What is the primary goal of motivational interviewing?
• What characterizes a strengths-based approach in assessment and intervention?
• What is primary prevention?
• Single subject research is characterized by:
• Nardil requires dietary caution to avoid:
• Which of the following statements identifies an antipsychotic medication?
• Which option correctly lists the stages in order from childless couple to later life?
• Agranulocytosis is a side effect of which medication commonly used as an antipsychotic?
• What is a biopsychosocial assessment's role in forming a treatment plan?
• In stage 5, the family with young children, which action is emphasized?
• In the problem-solving model, what step follows assessment?
• How can clinicians address social determinants of health within a treatment plan?
• Which term describes the repetition of speech or sounds heard from others?
• Which statement best captures key features and precautions of trauma-focused therapies TF-CBT and EMDR?
• How do social workers apply ecological systems theory to address a client's housing instability?
• Maslow's framework comprises two categories: deficiency needs and growth needs. Which option lists these two categories?
• What is motivational interviewing's stance on readiness to change?
• What considerations are unique when assessing an older adult in a biopsychosocial assessment?
• Which of the following is the MOST significant change in the DSM-5 concerning Substance Related Disorders?
• Parnate requires restricting foods high in tyramine to prevent:
• Social stratification refers to which of the following?
• Which observation role poses the MOST ethical challenges for social workers?
• What should a social worker do when working with a racist client?
• Covert modeling is best described as
• Entropy in a system is best described as?
• Which term best fits 'research conducted during program implementation to inform ongoing design'?
• Case management does NOT focus on which aspect?
• Which statement best defines differentiation in a family system?
• Korsakoff's syndrome is associated with which alcohol-related neurological condition?
• Which of the following lists represents the six levels of cognition?
• Which concept is defined as randomness or disorder in a system?
• Contraindicated means
• Which age range corresponds to the Rapprochement stage in object relations theory?
• Which statement best reflects the Least Restrictive Environment principle in treatment planning?
• Maslow's growth needs include which of the following?
• How do group therapy dynamics contribute to treatment outcomes, and what are some common stage processes?
• Low ego strength is best described by which characteristic?
• What best describes the role of clinical supervision in practice?
• How should a clinician respond to a client disclosing substance use during pregnancy?
• Which statement best differentiates Cognitive Behavioral Therapy from psychodynamic therapy?
• Which statement best describes content after stabilization in crisis intervention?
• FORMATIVE research is defined as research conducted during program implementation to guide ongoing development. Which option best matches this definition?
• What is the role of documentation in legal and ethical compliance for social work practice?
• Which statement best describes ethical and effective documentation practices in notes (e.g., SOAP/DAP/BIRP formats)?
• Which statement best describes trauma-informed interviewing to minimize re-traumatization?
• Which stage involves leaving home and differentiating self from family of origin?
• How do you ethically navigate conflicts between client autonomy and safety?
• Which elements must be included in informed consent for treatment?
• What is the Tarasoff duty to warn, and when does it require a social worker to disclose information?
• What is macro practice in social work, and how does it relate to micro practice?
• In preventive care, which level aims to prevent disease by addressing risk factors before disease develops?
• Which set represents the ecological systems levels?
• The phrase cross boundary exchanges is most closely associated with which concept?
• The problem-solving model used in clinical practice includes:
• Delirium is best described as?
• Which stage involves pre-marriage: select partners and decide to establish home with someone?
• Maintenance stage is characterized by sustained change and ongoing strategies to prevent relapse. Which option best describes this stage?
• An open system is characterized by:
• In typical development, receptive language clarity precedes expressive language clarity.
• Which practice best minimizes re-traumatization when taking a trauma history?
• Aphasia is a disorder that primarily affects which ability?
• Stage 2 of the family life cycle is defined as?
• What are the four core techniques in Motivational Interviewing abbreviated as OARS?
• How do cultural competence and cultural humility differ in clinical practice?
• Which statement best distinguishes equifinality from multifinality?
• How should information about a client be shared among family members while maintaining safety and privacy?
• Which statement best describes the relationship between macro and micro practice in social work?
• Assent refers to which kind of confirmation?
• During which stage (9–15 months) is the infant described as practicing by exploring and crawling away from the mother?
• A single-subject research design is best described as involving:
• In clinical risk management, what is the purpose of least restrictive measures?
• Ego-dystonic is the same thing as which term?
• How do you distinguish Major Depressive Disorder from Persistent Depressive Disorder in diagnostic terms?
• In systems theory, equifinality is defined as:
• Which of the following is NOT included in the DSM-5?
• The Wechsler Intelligence Scale is used to assess which population?
• In the fancy-word model of group development, which term is listed as a stage?
• When taking clozapine for schizophrenia you need to monitor
• Which develops earlier in language development?
• The term used in DSM-5 instead of 'mental retardation' is:
• Wernicke's encephalopathy is most accurately described as which of the following?
• Which statement best contrasts assent with consent?
• What are the typical steps involved in fulfilling the Tarasoff duty to warn or protect?
• What is a defining difference between trauma-focused CBT (TF-CBT) and standard CBT for youth?
• Delirium tremens refers to what phenomenon?
• What is a common management approach when tardive dyskinesia develops?
• Which scenario demonstrates negative reinforcement?
• What is play therapy, and when is it appropriate for children?
• Which statement best defines homeostasis in clinical practice?
• Which personality disorder involves avoidance of social relationships and little expression of emotion?
• Positive punishment involves which of the following?
• How should a social worker coordinate care with a client on antidepressants?
• Which of the following best represents the initial steps to stabilization in crisis intervention?
• Projective tests were developed by which theory?
• Clozapine therapy requires regular monitoring of which laboratory parameter due to risk of agranulocytosis?
• Thematic Apperception Test assesses?
• Which of the following is a core principle of trauma-informed care?
• What is an ethical best practice for documentation in social work?
• Which term describes mimicking someone's speech?
• In system theory, a closed system is described as?
• Positive reinforcement is defined as:
• Which neurotransmitter is commonly targeted by antidepressants and linked to mood disorders?
• What does SMART stand for in treatment planning and why are they important?
• Which disorder is defined by swallowing non-food items?
• Which disorders are included in Personality Disorder Cluster B?
• Negative entropy refers to:
• Entropy is defined as:
• Hodgkin's disease primarily affects which bodily system?
• In treatment planning, which statement best reflects the principle of the least restrictive environment?
• What is a key consideration when delivering teletherapy across state lines?
• In ecological systems theory, which example illustrates the exosystem?
• Global Assessment of Functioning (GAF) is included in DSM-5.
• Which level of prevention focuses on reducing complications in individuals with established disease?
• What is a dual relationship, and why are they discouraged in clinical practice?
• Tardive dyskinesia is best described as:
• Stage 3 of the family life cycle is defined as?
• Agranulocytosis is defined as which of the following?
• What is a core reason for involving caregivers in TF-CBT with children?
• Negative punishment is defined as removing something positive to decrease behavior. Which of the following is an example?
• What elements constitute a structured suicide risk assessment?
• In the stages of change model, which stage describes a client who is not yet aware of the need to change?
• Regarding mandated reporting for abuse of a minor, which statement is true?
• A client has sustained the behavior change for more than six months and is actively using strategies to prevent relapse. Which stage does this describe?
• The Minnesota Multiphasic Personality Inventory (MMPI) is best described as which of the following?
• How does the NASW Code of Ethics frame social justice, and how does this shape clinical practice?
• What best defines secondary prevention?
• Which approach best balances adolescent autonomy with parental involvement in treatment?
• Which term best matches 'gets in trouble and angry' as described in group dynamics?
• Which evidence-based therapy is most effective for OCD?
• Consent refers to:
• Should you disclose a client's HIV status to the partner?
• What are common signs of elder abuse and neglect, and what steps should a clinician take upon suspicion?
• Which sequence correctly lists the conventional five stages of group development?
• What are essential components of a crisis safety plan for immediate risk?
• What considerations are involved in delivering teletherapy, including privacy, licensure, and emergencies?
• Which cluster includes Schizoid, Schizotypal, and Paranoid personality disorders?
• Global functioning is assessed with which instrument?
• In the DSM-5, when a social worker provides a reason why a condition does not qualify for a disorder, it should be noted as