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Egocentrism in the Preoperational stage (ages 2–7) causes children to assume others experience the world as they do. Believing the moon follows them reflects this cognitive limitation. Conservation and reversibility are concrete operational skills, and abstract reasoning develops later. Correct answer: B.

Fatigue and hopelessness may indicate depression but can also stem from medical issues (e.g., thyroid disease, anemia, chronic illness). Ethical assessment requires ruling out medical causes before finalizing a diagnosis. Interventions such as behavioral activation or grief work may be appropriate later but should follow comprehensive assessment. The LCSW exam emphasizes differential assessment and prioritizing medical rule-outs, making A correct.

Role-play with feedback builds confidence and reduces anxiety through practice, making it the best evidence-based intervention. Avoidance worsens anxiety, childhood focus is not immediate, and canceling is harmful. Correct answer: A.

The Concrete Operational stage (ages 7–11) is marked by logical reasoning, conservation, and classification, but abstract thinking is not yet developed. The Formal Operational stage introduces abstract reasoning, while the Sensorimotor and Preoperational stages occur earlier. The child’s skills align with Concrete Operational.