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ASWB Clinical Exam Questions
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ASWB Clinical Exam Questions
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ASWB Clinical Exam Questions23-year old Penny comes into your outpatient office seeking therapy for "constant worrying."
Penny says that ever since high school, she's referred to herself as a "worrier" and that she
often finds herself worrying about work, graduate school, her friends, her family - just about
everything. She confirms that worrying this much is exhausting, and more often than not, she
feels fatigued, though this may also be related by her difficulty falling and staying asleep. Penny
adds that she snaps at her loved ones and has a harder time focusing on her school work. She
thinks that the way she feels is pretty normal, but you think she may have:
-Adjustment Disorder with Anxiety
-Separation Anxiety Disorder
-Generalized Anxiety Disorder
-Posttraumatic Stress Disorder - ANS-Generalized Anxiety Disorder
Explanation: Penny's symptoms fit Generalized Anxiety Disorder because she's had them
longer than six months, has the symptoms (fatigue, sleep disturbance, irritability, difficulty
concentrating) most days, and the symptoms are related to a number of events/activities.
A 14-year-old girl is referred to a social worker after missing excessive days of school. Her
family members are migrant workers from Central America. She often stays home to take care
of her five younger siblings. Prior to meeting with the her parents, the social worker must FIRST:
-Educate the parents on compulsory school attendance
-Consider how to be culturally sensitive to the family roles
-Make sure a social worker is available who speaks the family's native language
-Consider how her role as a big sister will reflect as a role model - ANS-Consider how to be
culturally sensitive to the family roles
Explanation: The first consideration is to be culturally sensitive to the family and how each
member contributes to the well-being and survival of the family.
A 25 year old woman presents for therapy when her spouse begins pressing her to start a family
like they had planned years ago. She is frightened about becoming a mother, fearing the abuse
she experienced as a child will make her a bad mother. What is your BEST course of treatment?
,a. Assure her she has nothing to worry about because of her current awareness
b. Refer her to parenting classes while you assess the depth of the abuse
c. Assess her history of abuse and current fears, then make a positive parenting plan
d. Educate her on the generational patterns of abuse, and refer to parenting classes - ANS-c.
Assess her history of abuse and current fears, then make a positive parenting plan
A 35 year old wife and mother of two has a recurrence of breast cancer four years after a
lengthy, painful battle involving radiation, chemotherapy and mastectomy. She has been offered
the opportunity to participate in a new treatment, likely her only option for survival, but it is
invasive and carries a high risk for significant side-effects. She denies treatment. What is your
NEXT step?
a. Abide by her decision and let her die
b. Recommend to the spouse that he work with the doctor and the legal system to enforce
treatment because of the minor children
c. Confirm that all the information needed to make an informed decision was available and
offered; offer counseling, links to palliative care and hospice
d. Remind her that the children and spouse need her and it is best to exhaust all options before
giving up - ANS-c. Confirm that all the information needed to make an informed decision was
available and offered; offer counseling, links to palliative care and hospice
A client has been working through childhood sexual abuse issues with you in therapy. Child
protective services (CPS) removed her from the home for several months, and the perpetrator,
an uncle who resided in the home, went to treatment. The uncle now works in a daycare setting
and the client strongly suspects he is molesting some of the children. The client is unwilling to
make a report to CPS. What is your BEST course of action?
a. Review mandated reporting laws to ensure you know what is required, inform the client you
must report and terminate services with the client
b. Review mandated reporting laws with the client and your requirements, inform the client you
must report and provide her the opportunity to make the report with you
c. Make the report without informing the client you will do so, knowing she may never learn from
where the report initiated
d. Abide by the client's wishes to not report - the uncle co - ANS-b. Review mandated reporting
laws with the client and your requirements, inform the client you must report and provide her the
opportunity to make the report with you
A client with a history of drug abuse was referred to a social worker by a concerned relative.
The social worker should FIRST:
a. conduct a family interview
b. begin treatment, focusing on the reason for the drug abuse
c. refer the client for substance abuse treatment
, d. evaluate the client's motivation for change - ANS-c. refer the client for substance abuse
treatment
A client with a lifelong drinking history is contemplating sobriety, but he is fearful because he
knows that he is physiologically dependent on alcohol and has been for much of his adult life.
He has attempted to quit many times, but he fears that trying again will end in failure again. You
should FIRST:
-Give clear informed consent
-Normalize his fears, discussing sobriety as a process, not a one-time event
-Assess his medical needs regarding withdrawal
-Refer him to a substance use specialist - ANS-Normalize his fears, discussing sobriety as a
process, not a one-time event
Explanation: The client's primary issue is fear about the complex process of attaining sobriety
when dependent on alcohol. He is afraid of failure, which will reinforce the underlying negative
beliefs he has about himself already. Build rapport and trust in order to move him forward in the
process.
A father presents to discuss his son's new diagnosis of diabetes. As the meeting begins, the
dad starts to cry about his father's death a couple years back from diabetes complications. The
social worker must FIRST:
-Explore the son's relationship with the grandfather
-Educate on advances in the treatment of diabetes
-Address the father's feelings triggered by the son's diagnosis
-Redirect the father to the purpose of the meeting - ANS-Address the father's feelings triggered
by the son's diagnosis
Explanation: The first step is to begin where the dad is, which is feeling overwhelmed, as his
son's diagnosis has triggered memories of his own father's death. Once the emotions are
addressed, he will likely be a good advocate for his son because he is educated on the disease
already. What he needs is support dealing with the new information.
A retired couple is starting their "golden years" when one of them unexpectedly dies in an
accident. She is left feeling stunned. Many friends and family surround her and offer support and
encouragement. One of her friends brings her to you for counseling one month out from the
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