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ASWB LCSW Sample Question Answers
Question # 1
Mrs. Humberson is a second grade teacher at NlilMlle Elementary. She makes a referral to a social
worker in regards to a child in her classroom named Emily. Mrs. Humberson has many concerns about
the chiId’s home life and worries she may need medical care. Emily has missed several days of school
and does not give a reason nor does the parent send in an absence note. She comes to school with a
distinct body odor, wearing the same set of clothes for days. During lunch, Emily appears very hungry and
eats everything on hertray; however, she is very thin. What type of abuse may be taking place?
A. MedicaI B. Physical C. Sexual D. Neglect
Answer: D Explanation: Emily is showing signs of neglect. Neglect is a maltreatment characterized by an ongoing pattern of inadequate care, easily observed by indMduals in everyday contact with a child. This is the most prevalent form of child abuse in the United States. 62.8% of children who suffered from abuse were the victims of neglect. 42.2% of child fatalities occur as a result of this maltreatment.
Question # 2
Shayla has never owned a dog and fears them greatly. She grew up in the city and only saw dogs from
afar when walking past the park. The client has ambitions to become a veterinarian’s assistant but cannot
complete the task until she overcomes this one hurdle. Which of the following types of therapies could
Shayla benefit from?
A. Cognitive-Behavioral B.Phobm C. Ego-functional
Answer: A Explanation: Shayla could benefit from cognitive-behavioral therapy. Treatments might include desensitization to help Shayla overcome her phobia. The process would take place in steps and eliminate the need for situational avoidance. Other treatments for Shayla might include desensitization and relaxation training.
Question # 3
Although humanistic therapy takes into account the influences of society and the unconscious are taken
into account, its main emphasis is on freedom of choice in creating one’s experience. Humanistic therapy
also emphasizes fulfillment and growth. Characteristics of this type of therapy include open-ended
responses and tentative interpretations. Which of the following is also an important aspect of humanistic
therapy?
A. Changing behaviors B. Altering ego perceptions C. Refilective listening D. Decision-making
Answer: C Explanation: Humanistic clinical social workers demonstrate refilective listening and empathy. Success is measured by self-examination and creative expression.
Question # 4
Emily is a four-year-old girl referred for services from the Rape and Domestic Violence Center. She and
her mother are currently lMng in a homeless shelter. Emily was present when her mother was severely
beaten by a live-in boyfriend. What kind of child-centered treatmentwill be most successful?
A. Domestic violence therapy B. Anger management therapy C. Play therapy D. All of the above
Answer: C Explanation: Play-based therapy focuses on indMdual needs similar to those found in adult sessions.
Playing comes naturally to children and is ideal for self-expression. Clinical social workers can utilize
directive or non-directive approaches forallowing youngsters to display their feelings.
Question # 5
Shelly seeks the help of a social worker for problems she is having with her personal life. She is married
to John and has two daughters that are just reaching adolescence. The client reports her husband has
been having extramarital affairs for three years. He doesn’t try to hide them, and Shelly is quite aware of
what is going on. She will not leave John because he is the only income provider and her daughters are
very close to their father. What is a good therapy component to use with Shelly?
A. Self-centered B. Reality based C. Grief and loss D. Cognitive
Answer: C Explanation: Affairs typically represent a loss of an ideal, a breach of trust, and a betrayal of the value of the relationship which is being cheated upon. Nluch like the trauma of death, the client must deal with the loss of something valuable to him or her.
Question # 6
IndMduals who suffer from borderline personality disorder feel uncertain about their identity and
self-image. They take little responsibilityfor their actions and view themselves as victims. Many patients
will frantically avoid real or imaginary abandonment. What kind of therapy would a clinical social worker
find most successful for an indMdual with borderline personality disorder?
A. Dialectical behavior therapy B. IndMdual therapy C. Rational emotive behavior therapy D. Task-centered therapy
Answer: A Explanation: Dialectical Behavior Therapy (DBT) combines standard cognitive-behavioral techniques for emotion regulation and reality-testing with concepts of distress tolerance, acceptance, and mindful awareness largely derived from Buddhist meditative practice. DBT may be the first therapy that has been experimentally demonstrated to be generally effective in treating borderline personality disorder.
Question # 7
Cognitive behavior therapy is the ideal treatment for many mental health problems. It was developed by
combining behavior therapy and cognitive therapy. Both practices are utilized for identifying present
issues and finding ways to eliminate symptoms of certain disorders. Another similar intervention which
takes feelings into account as well is called
A. Reality Therapy B. Cognitive Emotion Focused Therapy C. Anchor-based Behavioral Therapy D. Rational Emotive Behavior Therapy
Answer: D Explanation: Rational Emotive Behavior Therapy (REBT), developed by Albert Ellis, focuses on the 79
thought-feeling-action triad. It addresses irrational thoughts/behaviors by connecting them to thinking
errors.
Question # 8
Person-centered therapy revolves around the demonstration of empathy, congruence, and unconditional
positive regard. Active listening is very important. In order for the approach to be successful, what kind of
technique should the therapist be including in treatment?
A. Confrontative B. Professional use of self C. Interactive socialization D. Standard psychotherapy
Answer: B Explanation: Professional use of self allows the therapist to be human to the client without violating professional relationship boundaries. All information the therapist shares about him or herself should be done in the context of how it will help the clients.
Question # 9
Task-centered therapy takes place on a short-term basis, usually 6 to 12 weeks. It focuses on problems
and behaviors, not emotions. A clinical social worker does not direct the client; rather, the professional
and client collaborate to define problems and solutions. What assumption is crucial to task-centered
therapy?
A. People do not have adequate resources to solve their problems. B. Financial obligations are an underlying issue to many problems. C. IndMduals do not have the desire to solve their own problems. D. Problems occur within family, indMdual, and environmental systems.
Answer: D Explanation: Task-centered therapy rests on the assumption that people want to solve their issues and have the resources to do so. IndMdual, family and environmental systems may facilitate or block resolution. Behaviors are changed outside ofthe session.
Question # 10
There are more adult children dealing with issues concerning aging parents than ever before. Many
clinical social work professionals specialize in services for senior citizens. They also initiate support
groups for their families and caretakers. There are three main focuses to this practice, two of which
include assessment and coordination. What is the third?
A. Monitoring services B. DissoMng conflicts C. Locating family members D. Providing education services
Answer: A Explanation: Many aging adults require help with everyday needs such as housing, transportation, meals, and long-term care. Clinical social workers provide agency referrals necessary for in-home care and proper medical supplies. They assess the needs of the situation, coordinate solutions, and monitor the implementation.
Question # 11
Cognitive therapy is often used to promote professionalism within a diverse community. Sessions may
involve ego psychology and multicultural perspectives. Which specific practice within cognitive therapy
would be most effective in such sessions?
A. Direct practice B. Self-determination C. Diversity practice D. Indirect practice
Answer: D Explanation: Advancing the social conditions within a community is a method utilized in indirect practice. Psychological counseling, guidance and assistance are often made available to disadvantaged indMduals.
Question # 12
A clinical social worker meets with a client in a quiet spot at the local library. This is a spot the client describes as supportive. Both the client and social worker enjoy reading, finding it relaxing. The social
worker acts as an active listener and demonstrates sensitMty towards the client. Which of the following
types of therapy is described above?
A. Complimentary therapy B. Self-centered therapy C. Person-centered therapy D. Behavioral therapy
Answer: C Explanation: Professionals providing person-centered therapy create a close relationship with their client. The clinical social worker seeks to increase self-understanding and insight through informal questions and to sympathize with the client’s situation.
Question # 13
OlMa sees a professional for post-traumatic stress disorder. She was the victim of a house fire that left
25% of her body scarred and she suffers from recurring nightmares. The clinical social worker has
decided to approach OlMa ’s problem with a technique-driven treatment in a group setting. All members of
the group will focus on present issues and ways to disrupt automatic reactions by developing and utilizing
pattern changes. What type of therapy is being utilized?
A. Stress disorder therapy B. Exposure therapy C. Cognitive behavioral therapy D. Sleep deprivation therapy
Answer: C Explanation: Cognitive behavioral therapy is a psychotherapeutic approach to soMng dysfunctional emotions. It combines behavior therapy and cognitive therapy to provide direct treatment for specific disorders. Rehabilitation can be completed in indMdual or group settings.
Question # 14
A clinical social worker is determining a cIient’s problem in order to develop treatment using a framework
that includes exploration; socialization; and feedback. What kind oftherapy is being described?
A. Cognitive-behavioral B. Group C. Person-centered D. Gestalt
Answer: B Explanation: The purpose of group therapy is to utilize a peer group with common issues to explore together issues and resolutions related to the identified probIem(s). Utilizing socialization as a method, members provide interaction and feedback as part of working toward change.
Question # 15
Angela is providing services to a client with a drug abuse problem. There has been a lot of work focused
on the issue and very little improvement. Which of the following is a likely reason for lack of progress with
this client?
A. The client has been placed in a passive, helpless role B. The client is not adhering to Iegalities C. The social worker is not reinforcing the problem D. The social worker has not focused on withdrawal symptoms
Answer: A Explanation: A client with a drug abuse problem may fail to make progress if he or she is placed in a passive, helpless role. The professional needs to move from discussing what is wrong to emphasizing what is right. Utilizing solution-focused therapy, a client becomes the expert in determining how to achieve success. Clinical social workers need to concentrate on the future and direct the cIient’s thinking.
Question # 16
Covert conditioning, or guided imagery, relies on a person’s capacity to utilize imagery and is often a
component of self-help methods. Psychologists have researched the ability of an indMduaI’s mind to
generate these pictures as a solution to improve typical situation reactions. Guided imagery is an example
of which basic principle?
A. Positive reinforcement B. Stimuli C. Behavior modification D. Ancillary conditioning
Answer: C Explanation: Guided imagery is an example of behavior modification. This technique is utilized in mental health treatment to improve cIients’ inner experiences and has been proven to be effective with sex offenders. Guided imagery relies on an indMduaI’s ability to use imagery for mental rehearsal.
Question # 17
Rachel is receMng therapy to help her confront negative internal forces and learn to act and think
responsibly. Her clinical social worker stresses the belief that each indMdual is responsible for making his
or her own meaning out of life. What kind of principle is the therapist utilizing?
A. Empowerment B. Cognitive-behavioral therapy C. Humanism D. Collaboration
Answer: A Explanation: The social worker is utilizing the principle of empowerment to help Rachel confront negative internal forces.
Question # 18
Person-centered therapy focuses on increasing an indMduaI’s insight and self-understanding. Three
attitudes necessary for success in person-centered therapy are positive reaction, unconditional positive
regard, and:
A. Collaboration B. Congruence C. Empathy D. Formality
Answer: B Explanation: A clinical social worker practicing person-centered therapy will demonstrate emotional understanding towards the cIient’s point of view. The professional will listen and give their full attention. The client will determine the direction of therapy.
Question # 19
Pamela has wanted to be a teacher her whole life. She completed the required courses in college, but by
her senior year, she was still terrified of walking into an actual classroom for her internship. Pamela feels
she has made a huge mistake and may need to look into other career options. She has severe inhibitions
about performing in front of people. What kind of therapy would benefit Pamela the most?
A. Shyness awareness therapy B. Anti-social therapy C. Group therapy D. Career-based therapy
Answer: C Explanation: Pamela would benefit most from group therapy. The goal of group therapy is to remove discomfort from situations invoMng collaboration. It helps build confidence and serves as a bridge for interaction in a safe environment.
Question # 20
Which of the following therapies has not been found to be effective with indMduals suffering with drug and
alcohol abuse?
A. Biomedical therapy B. Behavioral therapy C. Humanistic therapy D. Homeopathy
Answer: D Explanation: Clinically, an intervention that has not been backed by academic research is not considered a viable and proven treatment. Homeopathy is an alternative medicine treatment using highly diluted preparations of ingredients that cause the patient to exhibit similar symptoms to their existing medical issues. Clinical studies have not found homeopathy to be effective treatmentfor any disease or disorder.
Question # 21
Group therapy helps bridge the gap between indMduals and the social world. It provides security while
building a comfort level when working with several people. Which of the following is not helpful when
initiating this type of therapy?
A. Provide a safe social environment B. Goal setting and risk taking C. Avoidance techniques D. GMng and receMng feedback
Answer: C Explanation: Avoidance techniques are not a useful tactic when initiating group therapy. Group therapy is productive when working with indMduals who suffer from social anxiety. They learn interpersonal skills such as initiating conversations, eye contact and relating to authority. Positive refilection helps build confidence through feedback and appreciation.
Question # 22
What type of professional interacts with indMduals to bring about change in their thoughts, behaviors and
feelings through adaptation?
A. Case manager B. Agency administrator C. Clinical social worker D. Probation officer
Answer: C Explanation: The only professional in this list that works directly with change to thoughts, feelings, and behaviors is a clinical social worker. The otherthree choices are concerned with client management.
Question # 23
Self-determination is described as being the behavior a person demonstrates due to his/her wishes,
desires and decisions. Clinical social workers are taught throughout their profession to pro mote and
respect this trait. When would it be in the client’s best interest to limit their right of self-determination?
A. When the decisions do not benefit others B. When the wishes and desires hinder therapy progress C. When the social worker feels the client has an underlying mental disability D. When the cIient’s decisions poses a risk to themselves or others
Answer: D Explanation: A clinical social worker has to use their professional judgment in determining whether a client’s self-determination will become a serious risk. While the social work profession emphasizes the need for indMdual liberties, the general welfare ofthe client and others is more important.
Question # 24
Clinical social workers are often part of power imbalances due to a client needing the professionaI’s
services. There is a vulnerability of the client due to his/her trust in the social worker. Occasionally a
professional will put their needs above those ofthe client to gain personally. This is known as what?
A. Boundary violation B. Discrimination of power C. Power of limitations D. Non-disclosure
Answer: A Explanation: Boundary violations occur when a professional breaches the trust of the client to gain personally or professionally. When clinical social workers step outside their boundaries, the results may include adjudicated violations, arbitration processes, or even criminal court. Professionals are responsible for maintaining a healthy, safe relationship with the client.
Question # 25
An MSW graduate in Social Work can provide treatmentwithout a state license.
A. True B. False
Answer: B Explanation: False. In this case it is about more than just the degree. You must also have experience and supervision fora minimum of4000 hours, plus pass the clinical exam.
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