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Pearson ASWB Questions And Answers.
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Pearson ASWB Questions And Answers.A social worker in private temporarily moving to another city. Following consideration of
the risks and benefits that may be experienced by each client, the social worker offers
to continue the therapeutic relationship with several clients through e-mail. This
suggestion is MOST appropriate to clients who:
A. Have completed their treatment
B. would be harmed by early termination
C. are able to cope with day-to-day issues
D. are dealing with ongoing crises -
\Rationale: The less immediate contact associated with email is more appropriate for
higher functioning clients--in this item, those who are able to cope with "day-to-day" (key
C). Crisis clients (D) require more direct contact, and clients who would be harmed by
early termination are not necessarily the MOST appropriate group for this approach.
There would be no reason to offer a therapeutic email relationship with clients who have
completed treatment (A).
A social worker sees a new client referred because of heavy alcohol use. During the
initial assessment, the client questions the social worker's credentials and competence.
What should the social worker do NEXT?
A. Confront the client about evasive responses
B. Discuss the physical consequences of alcohol abuse
C. Ask how the client feels about seeking help
D. Obtain more detailed information by indirect questions -
\Rationale: During the initial assessment it is too soon to confront (A) the client. The
social worker is avoiding the question (B) and (D) by addressing another issue. By
asking a direct question about the client's feelings, the social worker refocuses the
discussion and redirect the client back to why help is being sought (key C).
A 19-year old is brought to a family service agency by the parents, who report a history
of school truancy, deliberate destruction of their property, lying, and stealing since age
14. According the the DSM-5, which of the following diagnoses BEST describes the
client?
A. Antisocial personality disorder
B. Oppositional defiant disorder
C. Conduct disorder
D. Intermittent explosive disorder -
\Rational: According to the DSM, deliberate destruction of another's property, lying,
stealing, and symptoms of conduct disorder before the age of 16 years meet the criteria
for conduct disorder, adolescent onset type, as an adult (key C). The irresponsibility and
aggressiveness toward others necessary for diagnosis of oppositional defiant disorder
(B)-normally a childhood diagnosis-are not mentioned in the stem, nor are the impulsive
aggressive behaviors necessary for a diagnosis of intermittent explosive disorder (D).
,A married mother of two children is referred to a social worker by her employer for
depression and inability to maintain expected standards at work. The initial assessment
reveals that the client has recently experienced the sudden death of her younger sister
who was a single mother of two young children. The children are now in the client's
care. The client's mother and one brother are in prison. The client's husband is
employed, but they need her paycheck to make ends meet. The social worker's MOST
appropriate practice approach is.
A. Solution-focused
B. ego psychology
C. problem-solving
D. behavioral therapy -
\The social worker must address the issues being presented, which demand resolution
within a fairly limited time span. A problem-solving practice approach would be the most
appropriate one given these factors (key C). Solution-focused (A) examines how
progress is made and would not provide assistance with immediate problems. Both ego
psychology (B) and behavioral therapy (D) are therapeutic approaches that do not
match client's problems and needs.
During an initial interview a social worker asks a question. The client blushes and
becomes silent. What should the social worker do NEXT?
A. Ask the question again in a slightly different form
B. Remain silent for a few seconds
C. Delay discussion of the topic at hand
D. Identify the emotions the client may be experiencing -
\Rationale. Silence allows clients to formulate their thoughts and deal with emotions
(key B).
A social worker sees a 75-year old man whose wife died six months ago. In the intake
interview, the client reports that he has lost weight, has very little energy, and has
difficulty getting himself to do things. What should the social worker do FIRST?
A. Complete a suicide risk assessment of the client
B. Explore available family and community resources
C. Suggest the client schedule an appointment with his
doctor
D. Refer the client to a local bereavement group -
\Rationale: After six months the client should be further along in grief process, and his
reports describe depression and risk that warrant a risk assessment (Key A). Options
(B), (C), and (D) are all plausible but not the FIRST action the social worker should take.
In the evaluation process for a client's sexual dysfunction, the FIRST consideration is to:
A. gain an understanding of the client's past sexual
functioning
B. rule out any medical basis for the dysfunction
C. meet conjointly with the sexual partner to evaluate
sexual communication
D. evaluate the client's history for sexual trauma -
,\Rationale. All of these options should be done at some point during the evaluation
process; however, anytime there is a physical symptom, a medical cause must be ruled
out first. (b)
The term "tardive dyskinesia" refers to:
A. truant behavior
B. impaired memory
C. a speech disorder
D. a movement disorder -
\This is a basic recall item that requires knowledge of tardive dykskinesia.
A social worker sends a client to a colleague for a second opinion. The client has been
in treatment for past three months and has a diagnosis of major depressive disorder,
recurrent episode. The client believes the therapy is not working because of continuing
episodes of depression. The client says that the treating social worker has suggested
psychotropic medication. The client refuses to consider the medication. The colleague
should NEXT.
A. conduct a literature search on the value of
psychotherpay for depression.
B. discuss information given by the client with the treating
social worker
C. suggest the client see a psychiatrist for a medication
evaluation
D. explore with the client her resistance to taking
medication. -
\Rational: After three months in treatment without improvement, refusal by the client to
consider medication represents resistance (key D). This issue needs to be explored with
the client before any other options are considered.
In an initial interview, a five year-old girl is anxious and emotionally constricted. In order
to lower anxiety and begin a working relationship, what should the social worker do
FIRST?
A Assure the child she is safe and can express feelings
B. Involve the parents in the treatment
C. Ask the child gently what is bothering her
D. Relate to the child through the use of play materials -
\Rationale: This is an unscored question. Young children do not often express their
feelings verbally but rather act them out through play.
A social worker sees a university student who reports compulsive exercise, and
bingeing and purging several times per week. This has been going on for four months
and, in addition, the client reports having nightmares and continually feeling "
on edge.," The client has missed classes because she loses track of time and is
sometimes afraid to walk across campus. The client says she broke up with her
boyfriend over a month ago after a violent fight during which he he tried to kill her. The
MOST likely comorbid diagnoses are bulimia nervosa and :
, A. dissociative amnesia
B. nightmare disorder
C. adjustment disorder
D. postraumatic stress disorder -
\The seriousness of the precipitation event (boyfriend tried to "kill her") In addition to the
nightmares, avoidance of classes and fear, all meet the criteria for the diagnosis of
posttraumatic stress disorder (key D). In order for adjustment disorder (C) to be correct,
the stressors would be less severe and within the range of common experiences. There
is not enough information to meet the criteria for nightmare disorder (B), and no
indication of amnesia (A).
A social worker sees a client who was referred after a conviction of embezzlement. The
client has an extensive history of gambling but denies that it is a problem for him or his
family, what type of therapy would be MOST effective in treating his client's gambling
addiction?
A. Individual
B. Family
C. Group
D. Couples -
\Rationale: This is an unscored question. Group therapy is the preferred method of
treatment for all addictive behaviors, since the group process breaks down the
individual client's denial and rationalizations.
A client scores high on the Beck Depression Inventory. After the Social worker has
reviewed the results, the social worker should NEXT.
A. Discuss the results with the client at the next session
B. validate the results by having the client take another
instrument measuring depression
C. share the results with the client after progress has
occured
D. share the results with the client after the client has taken
the inventory several times. -
\It is imporktant to share the results with the client as soon as possible (key A). The
results of this inventory do not have to be validated (B). It is not therapeutic to wait for
progress to be made before sharing these finding (C). There is need to engage in
repeated administrations of inventory (D).
A social worker begins treatment with a couple by asking many questions about their
marital history. The social worker is MOST likely.
A. looking for the unspoken, unidentified problem
B. understand how the present problem evolved
C. identify the person with the most problems
D. searching for the strengths in each spouse. -
\Rationale: The social worker needs to understand the couple's relationship as well as
factors that led to and brought them into couples therapy (key B).
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