ASWB ASWB Certifications LCSW Questions & Answers

• Question 191:

  Katelyn has sought out the help of a clinical social worker to try and understand why she continues to have poor relationships with others. In gathering information, the social worker discovers that Katelyn has been engaged three times since the age of 19 and just had her 23rd birthday. She has been fired from six differentjobs and could not finish college. The social worker begins therapy for what disorder?

  A. Dissociative disorder

  B. Adult ADD

  C. Bipolar

  D. Anti-social disorder

  Correct Answer: B

  Attention deficit disorder impacts many adults, and its wide variety of frustrating symptoms may hinder everything from relationships to careers. While in child ren the most notable symptoms are distractibility and the failure to pay attention; adult behavior is marked by the inability to hold a job, struggles with relationships, and poor decision-making skills.

• Question 192:

  A clinical social worker named Richard is meeting with a juvenile for the first time. The client has been in a lot of trouble with the law. As Richard goes through the thick file of offenses, he notices that nothing good has ever been mentioned about the teen. Richard does not want to focus on all of the negative experiences, but rather on how he can collaborate in pursuing a better vision for the future. What type of therapeutic technique will be more effective with thejuvenile?

  A. Strengths perspective

  B. Positive reinforcement

  C. Goal oriented

  D. None ofthe above

  Correct Answer: A

  The strengths perspective in therapy helps identify and respect the assets, resources and knowledge of every person. Clinical social workers utilizing this technique view others as having the ability and wisdom to accomplish their goals. It focuses on the right within people instead ofthe wrong.

• Question 193:

  The Richardsons have three children who attend a prominent school within the community. The Richardsons' son has been displaying inappropriate behaviors for the last two years. His parents see it as simply misbehaving and being a boy. The son continuously breaks the rules at school and at home. He acts out and causes distractions when there is an authority figure present. What might a clinical social worker see as the problem?

  A. Attention Deficit Disorder

  B. Oppositional Defiant Disorder

  C. Interpersonal antipathy

  D. Borderline personality disorder

  Correct Answer: B

  Oppositional Defiant Disorder behaviors might be exhibited as inappropriate or disruptive in nature. Symptoms include defiance of authority, deliberately argumentative, blaming others, is constantly in trouble, has few or no friends, and is spiteful and vengeful.

• Question 194:

  Angela is referred to a clinical social worker for unusual displays of attention-seeking behavior, such as dramatic displays of emotion. She has been let go from three different jobs due to frequent anger episodes and impulsive acts towards other employees. Little responsibility is ever taken for these inappropriate behaviors, and most recently Angela has been cutting on her arms. Therapy should focus on what disorder?

  A. Obsessive compulsive disorder

  B. Bi-polar disorder

  C. Anger management

  D. Borderline personality disorder

  Correct Answer: D

  Borderline personality disorder causes an indMdual to feel uncertain about his or her self-image and identity, resulting in feelings of emptiness and fear being alone. Other signs of this problem may include substance abuse, numerous attempted suicides or reported attempts, and inappropriate sexual relationships.

• Question 195:

  Anorexia is a severe eating disorder that may coexist with psychiatric and physical illness. Most people with this problem see themselves as overweight and are ten times more likely to die than those who eat nutritionally. IndMduals suffering with anorexia may exercise extensively, induce vomiting or misuse Iaxatives. Which of the following is not a symptom associated with long-term anorexia?

  A. Loss of menses

  B. Thickening of bone tissue

  C. Drop in internal blood temperature

  D. Brittle hair and nails

  Correct Answer: B

  Thickening of bone tissue is not associated with long-term anorexia; rather, most indMduals suffering from

  anorexia will have a thinning of the bones or osteoporosis. Other symptoms include severe constipation,

  low blood pressure and yellowish skin. Treatment for anorexia involves three components:

  restoring healthy weight, treating psychological problems, and eliminating behaviors leading to the

  disorder.

• Question 196:

  Mrs. Johnson's art class is disrupted every day during third period by one student in particular. Jeremiah cannot seem to sit still and is always shrugging his shoulders. He has been heard mumbling under his breath by other students and will sometimes hit himself in the head for no reason. This occurs constantly, and when Jeremiah is confronted, the actions worsen. Mrs. Johnson calls a meeting with his parents and discovers he suffers from what disorder?

  A. MuscIe spasms

  B. Bipolar disorder

  C. Tourette Syndrome

  D. Anti-social disorder

  Correct Answer: C

  Tourette syndrome is a neurological disorder. It is typically characterized by involuntary, repetitive movements called tics. The diagnosis is usually made a year after symptoms arise. Tourette's effects younger children, mostly between the ages of 7 and 10. Tics appear to get worse when anxiety or excitement builds in an indMdual. Improvement starts appearing in the late teen years and adulthood. Ten percent of those diagnosed will be affected bya progression in this disorder.

• Question 197:

  Many indMduals with this mental condition demonstrate symptoms such as confusion, false beliefs, losing touch with reality, mistaken perceptions, hallucinations and depression. False ideas may occur of what is taking place, and indMduals with the condition may see or hear things or have delusions. Which ofthe following mental conditions is described above?

  A. Encopresis

  B. Psychosis

  C. Dementia

  D. Mania

  Correct Answer: B

  Psychosis is a severe mental condition in which there is a loss of contact with reality. Causes for this disorder include alcohol, drugs, brain tumors, dementia, epilepsy, stroke, and bi-polar disorder. IndMduals may also display disorganized thoughts and speech.

• Question 198:

  Nlaxine is an 81-year-old female who was recently diagnosed with dementia. She has been demonstrating difficulty in the areas of language and memory. Maxine's physician states that the cause is low vitamin B12 levels and poor nutrition. Since the disorder was found early, the effects can possibly be reversed. Which ofthe following causes of dementia cannot be treated effectively or cured?

  A. Brain tumors

  B. Medications

  C. AIzheimer's

  D. Blood sugar

  Correct Answer: C

  AIzheimer's disease affects the nervous system and is becoming more frequent in older adults. It is a progressive disorder in which symptoms worsen over time. Eventually, indMduals lose the ability to respond to their environment and carry on a conversation. A|zheimer's disease is the sixth leading cause of death in the United States.

• Question 199:

  Loss of mental functions such as thinking, reasoning, and memory can be associated with this disorder. The symptoms are severe enough to interfere with daily functioning and normally affect the elderly population. In some cases, it can be cured or treated. Untreatable causes include AIDS complex, Parkinson's, and Creutzfeldt-Jakob disease. What is being described?

  A. AIzheimer's

  B. Dissociative disorder

  C. Dementia

  D. Alcoholism

  Correct Answer: C

  Dementia is a group of symptoms ratherthan a disease. It develops when parts of the brain associated with learning and memory are affected by infection or disease. There are as many as 50 known causes, ranging from excessive alcohol use to AIzheimer's. Research indicates that half of all indMduals over the age of 80 have dementia.

• Question 200:

  Timothy is thirteen-yea r-old male being referred to a clinic for treatment by a detention center oounselor. This teenager has been in frequent trouble with the law, demonstrating no regard for right and wrong. He often violates the rights of others, lies, behaves violently, and has a known drug addiction. Timothy is unable to fulfill the responsibilities of family or school. He should obtain treatment for what kind of disorder?

  A. Conduct disorder

  B. Bi-polar disorder

  C. Avoidant personality disorder

  D. Conflict disorder

  Correct Answer: A

  Conduct disorder is a youthful antecedent to anti-social personality disorder. An indMduaI's manner of thinking, perceMng situations and relating to others is abnormal. This disorder is presumed to be caused by a combination of environmental and genetic influences. It is unusual to diagnose someone with antisocial personality disorder as an adult who did not exhibit the traits of conduct disorder in his youth.