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PRACTICE ASWB EXAM 4 – ASSESSMENT QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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PRACTICE ASWB EXAM 4 – ASSESSMENT QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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PRACTICE ASWB EXAM 4 –ASSESSMENT QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
Question ID #47906: A client is extremely thin, fears becoming fat, has a distorted perception of his body
shape, and has been engaging in binge-eating and purging behavior. What DSM-5 diagnosis is indicated
for this client?
Select one:
A. Avoidant/restrictive food intake disorder.
B. Binge-eating disorder.
C. Anorexia nervosa, binge-eating/purging type.
D. Bulimia nervosa. - ANSWER C is correct: This client appears to meet the diagnostic criteria for anorexia
nervosa. In the DSM-5, the essential features of anorexia nervosa are a restriction of energy intake that
leads to a significantly low body weight for the person's age, gender, developmental trajectory, and
physical health; an intense fear of gaining weight or becoming fat or behavior that interferes with weight
gain; and a disturbance in the way the person experiences his body weight or shape or a persistent lack
of recognition of the seriousness of his low body weight. Although binge-eating and purging behavior
(which this client engages in) are more commonly associated with bulimia nervosa, some people with
anorexia binge eat and/or purge. As such, the DSM-5 distinguishes between two subtypes of anorexia:
Anorexia nervosa, binge-eating/purging type is diagnosed when, during the last three months, the
person has engaged in recurrent episodes of binge eating or purging behavior (e.g., self-induced
vomiting, misuse of laxatives). In contrast, with the "restricting type," weight loss is achieved through
dieting, fasting, and/or excessive exercise and there is an absence of recurrent binge eating or purging
behavior during the last three months.Answer A: Avoidant/restrictive food intake disorder is
characterized by a persistent failure to meet appropriate nutritional and/or energy needs associated
with one or more of the following: Significant weight loss (or, in children, failure to achieve expected
weight gain or slowed growth); significant nutritional deficiency; dependence on oral nutritional
supplements or enteral feeding (delivery of nutrients directly to the stomach, such as through a tube);
and/or marked interference with psychosocial functioning. Like this client, persons with anorexia nervosa
exhibit a number of additional features t
Question ID #48074: A social worker employed at a clinic sees clients for outpatient psychotherapy.
When determining appropriate problem formulations for her clients, this social worker would be MOST
likely to rely primarily on which of the following?
Select one:
A. Mental status exams.
B. DSM-5.
,C. Interviews with clients family members.
D. In-depth interviews with clients. - ANSWER D is correct: The best answer is that the social worker
would rely primarily on in-depth interviews with clients - e.g., listening to what clients say about the
presenting problem, collecting information from them for a biopsychosocial history, and observing their
nonverbal behavior.Answers A and B: The social worker will use these tools when they're needed but,
compared to client interviews, neither one would provide her with as much information about her
clients' biopsychosocial functioning.Answer C: The social worker would want to gather information from
a client's family members when possible (as well as from other collaterals), but she is unlikely to rely
primarily on this source of information. One reason for this is that when social workers see clients on an
outpatient basis, they don't always have access to the clients' family members.
The correct answer is: In-depth interviews with clients.
Question ID #47867: What does "dual diagnosis" mean?
Select one:
A. The person has both a major psychiatric disorder and a substance use disorder.
B. The person has a medical condition affecting his mental disorder.
C. The person has a mental disorder plus a secondary condition, such as a relational problem, that
requires clinical attention.
D. The person has a mental disorder and one or more identifiable psychosocial or environmental
problems are affecting its treatment or prognosis. - ANSWER A is correct: Although the term "dual
diagnosis" can be used in different contexts, it is most commonly applied to patients who have both a
major psychiatric disorder (such as schizophrenia or bipolar I disorder) and a substance use disorder.
(Note, however, that the term "co-occurring disorder" is now used by many professionals to describe
patients who have both a substance use disorder and another mental disorder, regardless of the severity
of the other mental disorder.)
The correct answer is: The person has both a major psychiatric disorder and a substance use disorder.
Question ID #47947: For a DSM-5 diagnosis of panic disorder, the individual must have experienced:
Select one:
A. recurrent unexpected panic attacks.
B. recurrent unexpected or expected panic attacks.
C. at least one unexpected and one expected panic attack.
D. multiple panic attacks. - ANSWER A is correct: For a DSM-5 diagnosis of panic disorder, the individual
must have had two or more unexpected panic attacks.
, The correct answer is: recurrent unexpected panic attacks.
Question ID #47429: A client's symptoms include uncontrollable anger, self-mutilation, and acting out.
These symptoms are MOST suggestive of which of the following DSM-5 disorders?
Select one:
A. Antisocial personality disorder.
B. Conduct disorder.
C. Borderline personality disorder.
D. Intermittent explosive disorder. - ANSWER C is correct: All four disorders are associated with either
episodic or chronic displays of uncontrolled anger or aggression; only a person with borderline
personality disorder, however, would be expected to engage in self-injurious behavior, such as self-
mutilation. Among the potential symptoms of BPD are recurrent suicidal behavior, gestures, or threats,
or self-mutilating behavior; these commonly occur in response to perceived or actual abandonment by
another person. Individuals with BPD are also highly impulsive and often lack control over their anger.
The correct answer is: Borderline personality disorder.
Question ID #48223: A social worker meets with a client whose friend died recently from an
opportunistic illness that developed during the late stage of HIV disease. The client has HIV disease and
has not been taking his medication regularly since his friend died. The client's behavior MOST likely
indicates which of the following?
Select one:
A. Displacement.
B. Grieving.
C. Suicidality.
D. Denial. - ANSWER B is correct: This is the best answer because you know that this client has recently
lost a friend. For some people, the grieving process includes self-destructive (non-suicidal)
behavior.Answer A: When using the defense mechanism displacement, a person transfers an instinctual
drive from its original target to a less threatening target so that the drive can be more safely
expressed.Answer C: This is possible but the client's behavior is only indirectly associated with suicide.
The client is placing himself at risk but this behavior is not an immediate way of killing himself.Answer D:
It may be that client is denying his own illness at this time as a way of coping with his fear following his
friend's death. Concluding this, however, requires us to make assumptions about this client that aren't
directly supported by the question.
The correct answer is: Grieving.
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