ASWB ASWB Certifications LCSW Questions & Answers

• Question 241:

  Geriatrics focuses on the promotion of health and prevention of disease or disability in older adults. To assess the needed level of care, a team approach is often utilized. Trained professionals skilled in caring for the elderly work together in preparing an evaluation. These often include: nurses, social workers, nutritionists, and physical therapists. What is the team not considering in their assessment?

  A. Medica| history

  B. ActMties of daily lMng

  C. Support systems

  D. IndMdual problems

  Correct Answer: D

  The team approach to geriatrics looks at the indMdual holistically. Many aspects are taken into account that may overlap into one another. Each member of the team is a skilled health professional that each plays an important role in assessing the care of older indMduals.

• Question 242:

  A clinical social worker meets with a family to gather information that will help identify patterns of parental behavior, both positive and negative, over time. The famiIy's strengths are distinguished to determine protective factors that aid in identifying resources helpful to meeting the househoId's needs. Overall requirements are addressed that affect the permanency and safety of the children. Information gathered through other assessments is also used to help develop a service plan or plan for intervention. What kind of evaluation is being described?

  A. Initial assessment

  B. Safety assessment

  C. Environmental assessment

  D. Comprehensive family assessment

  Correct Answer: D

  The comprehensive family assessment gathers all background information on its members and evaluates the home environment. Contributing factors are discussed, such as domestic violence, lack of employment, alcohol/drug usage, and educational background. A clinical social worker will also collect information on who lives in the home and the parent's culture, health and finances.

• Question 243:

  Phillip is a 24-year-old male who has been in prison on four different occasions. His criminal record includes domestic assault on a girlfriend, stealing a car, setting fire to an abandoned warehouse and drug use. PhiIIip's acts were not premeditated, and he claims to have little control over his actions. What disorder might a clinical social worker set out to treat?

  A. Anger management

  B. Destructive personality disorder

  C. Impulse control disorder

  D. Lack of self-esteem

  Correct Answer: C

  Phillip suffers from impulse control disorder. This problem is defined as a failure to resist spontaneous acts or behaviors that may be detrimental to self or others. The actions are not considered in advance and may include gambling, violence, sexual misconduct, stealing and self-abusive behavior.

• Question 244:

  One test stands out as the most widely used personality assessment. It was developed in the late 1930s and mental health professionals find it quite accurate for diagnosing mental illness. The test is often used in court cases that include custody disputes and criminal offenses. Treatment programs will test their clients with this tool to determine effectiveness. Which exam is being described?

  A. MMPI-2

  B. Psychodynamic assessment

  C. DSM-5

  D. Rorschach

  Correct Answer: A

  The Minnesota Multiphasic Personality Inventory is composed of 567 test questions. Professionals with specific training administer, score and interpret the results. The MMPI-2 can be given indMdually or in groups, designed for indMduals over the age of 18. It is the most researched psychological test in existence.

• Question 245:

  The goal in therapy is to build ego strength and ensure a stable identity within the client. Ego strength is defined as the capacity to cope despite adversity. Examples include: impulse control, affect-tolerant, frustration-tolerance, and resistance to aggression. What common test is utilized to determine characteristics and emotional functioning of clients?

  A. Neuropsychological

  B. Rorschach

  C. Aptitude

  D. Intelligence

  Correct Answer: B

  The Rorschach Test is utilized in diagnosing underlying thought disorders and psychotic thinking. There are 10 official inkblot cards that a client describes. Results are based on what is observed, contents of the response, client comments, and how much time is spent on each card. The results are interpreted using research data on personality characteristics.

• Question 246:

  A clinical social worker is providing services to a woman diagnosed with bipolar disorder. She experiences frequent manic episodes that include motor hyperactMty, elation, poorjudg ment, pressured speech and hostility. To try and bring about normalization of symptoms, what is the best choice for medication?

  A. Effexor

  B. Citalopram

  C. Adderall

  D. Lithium

  Correct Answer: D

  Lithium is used as an anti-mania medication for indMduals suffering from Affective Disorder, Bipolar, and Nlania. Studies have demonstrated that lithium alters sodium transport in muscle and nerve cells. Patients given this medication will feel relief of symptoms and demonstrate normalcy within 1 to 3 weeks. A drug more commonly prescribed is Depakote, due to the need for ongoing blood level tests with Lithium. Antidepressants can trigger mania and do not work very well.

• Question 247:

  Clinical social workers use assessment as an ongoing process with client participation. The purpose is to understand people in relation to their environment through planning, improving and changing. Professionals learn to develop an understanding of particular social problems, kinds of solutions and possible consequences. Most social workers define assessment in relation to the five stages of framework. Which of thefollowing demonstrates this theory?

  A. Data collection, utilizing the data, environmental behavior, outcome, and consequence

  B. Planning, weighing the data, utilizing the analysis, emotional outcome, and consequence

  C. Preparation, data collection, weighing the data, analyzing the data, and utilizing the analysis

  D. Constructing data analysis, planning, analyzing the data, behavior modification, and empowerment

  Correct Answer: C

  The five stages of assessment framework include preparation, data collection, weighing the data, analyzing the data, and utilizing the data. The first stage is important for determining what data will be relevant and what the limits are on task. As the data is collected, weighed and analyzed, it comes down to the final stage of judgment by the clinical social worker.

• Question 248:

  Alyson was recently given a promotion at work that has increased the caseload of clients she sees on a daily basis. Long hours have led to conflicts with her family life at home. Alyson feels frustrated and pressured, but needs the extra money. Also, if she asks for a demotion, this would reduce her social status within the employment agency. Alyson is currently dealing with what kind of stress?

  A. Conflict resolution

  B. Developmental

  C. Biopsychosocial

  D. Homeostasis

  Correct Answer: C

  The biopsychosocial model of stress involves events within the environ ment that lead to the recognition of stress. Common stressors in this model fall within four main topics: work, social/family, personal and the environment. Biopsychosocial stress affects self-esteem, social status, and self-worth.

• Question 249:

  The Diagnostic and Statistical ManuaI of Nlental Disorders Text-revised, 5th Edition (DSM-5) is utilized by professionals to diagnose psychiatric disorders. Unlike previous versions of the DSM, it does not use a multi- axis model for diagnosis. Which DSM-IV-TR axis had its criteria modified and included in the DSM-5, but not in thelist of disorders?

  A. Axis I

  B. Axis III

  C. Axis IV

  D. Axis V

  Correct Answer: C

  The criteria of Axis IV were modified and included in the DSM-5 as psychosocial and other contextual issues with significant bearing on the well-being of the patient. Axes I and III were folded in with Axis II in thelist of disorders. Axis V was dropped completely.

• Question 250:

  The American Foundation for Suicide Prevention states that up to 50% of all people who commit suicide have had failed past attempts. Traumatic life events that cause a significant amount of stress and clinical depression are known to be major risk factors behind for suicide. Which of the following is not Iikelyto be a risk factor for suicide?

  A. Family history of mental disorder

  B. Incarceration

  C. Chronic physical illness

  D. Family diversity

  Correct Answer: D

  Research shows that 90% of all suicides were by indMduals suffering from clinical depression or other mental disorders. Substance abuse is usually an additional factor to an already unstable diagnosis. Warning signs that someone is contemplating suicide may include: risk-taking behavior, talking about death, changing a will, and losing interest in things one cares about. Family diversity has not been shown to be a significant issue related to suicide.