Assessment, Diagnosis, and Treatment Planning
(ASWB Clinical Exam) Questions with correct
Answers
Focuses of the Social Work Assessment Correct Answer--Intrapsychic
dynamics, strengths, and problems
-Interpersonal dynamics, strengths, and problems
-Environmental strengths and problems
-The interaction and intersection of intrapsychic, interpersonal, and
environmental factors
Social Worker's Role in the Assessment Process Correct Answer-Ask
questions, for elaboration and description in client's response, observe
client's behavior/affect, and organize data to create a meaningful
psychosocial or diagnostic assessment.
Steps of the Initial Social Work Assessment Correct Answer-1. Schedule
an interview and review pertinent documents
2. Utilize a theoretical framework as the basis for the assessment
3. Utilize a standard form
4. Ask open-ended questions and utilize active listening
5. Develop a problem list of things that may require intervention
6. Outline interventions to assist with resolving the client's problems
7. Assist the client to develop specific time-sensitive goals and outline
the client's responsibilities
,8. Summarize the findings of the assessment and review the summary
with the client
9. Set up a follow-up interview
Biopsychosocial History Includes: Correct Answer--Appearance of the
client
-Previous hospitalization and experiences with healthcare
-Psychiatric history
-Chief complaint
-Use of complementary therapies
-Occupational and educational background
-Social patterns
-Sexual patterns
-Interests and abilities
-Current and past substance use
-Ability to cope
-Physical, sexual, emotional, and financial abuse
-Spiritual/cultural assessment
-Mental status
Mental Status is gleaned from the following: Correct Answer--General
attitude
-Mental activity
-Speech profile
,-Emotional state
-Level of consciousness
-Orientation
-Thought processes
-Judgement
-Mood
-Insight
-Memory
Three Levels of Observaition Correct Answer-1. Casual informational
observation
2. Guided observation
3. Clinical level
Casual Informational Observation Correct Answer-The provider gleans
information from watching the client during unstructured activities
throughout the day.
Guided Observation Correct Answer-An intentional style of direct
observation accomplished with a checklist or rating scale to evaluate the
performance or behavior seen.
Clinical Level Correct Answer-Observation is done in a controlled
setting for a lengthy period of time most often accomplished on the
doctoral level with applied instrumentation.
, Instruments Used During the Observation Process Correct Answer--
Checklist
-Rating scale
-Anecdotal report
Checklist Correct Answer-Used to check off behaviors or performance
levels with a plus or minus sign to indicate that the behavior was
observed or absent.
Rating Scale Correct Answer-More complex checklist that notes the
strength, frequency, or degree of an exhibited behavior. Likert scales
applied.
Anecdotal Report Correct Answer-Used to record subjective notes
describing the client's behavior during a specified time or in a specified
setting and is often applied to evaluate a suspected pattern.
Information Sources for Assessment Correct Answer--Social services
agency
-Employer
-Medical records
-Psychological records
-Legal records
-School records
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