ASWB LCSW Online Practice Questions and Exam Preparation

ASWB LCSW Online Questions & Answers

• Question 151:

  Behavior therapy involves obtaining information from clients pertaining to behaviors that reduce the quality of life or cause stress. Training usually occurs in the form of environmental modifications, relaxation, and desensitization. Clinical social workers can utilize this practice for other psychological conditions such as what?

  A. ADHD
  B. Depression
  C. Obsessive compulsive disorder D. All of the above
  D

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  Clinical social workers can use behaviortherapyto help clients with ADHD, depression, and obsessive compulsive disorder. This practice is also successful in the treatment of certain addictions. The theory behind behavior therapy is to promote positive reinforcement, modeling, and social skills. Information is gathered from clients and temporary changes made in certain actMties.

• Question 152:

  Sarah has been assessed as having a bond with her infant of 6 months old. The mother is eager to give her daughter care and a nurturing environment. However, it appears that Sarah does not hold an attachment to the child. What is missing from the relationship?

  A. Constancy
  B. Desire to maintain closeness
  C. IndMdual replacement
  D. Separation
  B. Desire to maintain closeness

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  Attachment means that there is a bond or connection with the person. With the parent-child relationship, it involves a long-term tie to the indMdual that cannot be replaced by another. When attachment is not established, emotional distress and personality disturbance can occur.

• Question 153:

  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
  D. Lithium

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  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 154:

  In MasIow's hierarchy of needs, the need for love and esteem is referred to as emotional dependency. There are five levels of emotional dependency, all necessary for children to grow into happy indMduals. These levels are safety, esteem, love and belonging and:

  A. External fulfillment
  B. Emotional reciprocity
  C. Psychological dependence
  D. Pyschological growth
  D. Pyschological growth

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  The five levels of emotional dependency are: safety, esteem, love and belonging and psychologilcal growth. All five needs have to be met consistently, or an indMdual will suffer from a lack of fulfillment. Without love and esteem, child ren will not grow emotionally. Without safety, they must focus on their environment rather than be free to focus on their growth.

• Question 155:

  Cerebral palsy affects an indMduaI's ability to maintain balance, achieve posture and move about smoothly. Symptoms can change over a person's lifetime and other disabilities may result, such as poor vision and reading. What is the one factor of cerebral palsy thatdifferentiates it from other disabilities?

  A. There is a cure for the disorder.
  B. IndMduals live a shorter lifespan.
  C. It does not progress or worsen.
  D. It requires corrective surgery.
  C. It does not progress or worsen.

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  Cerebral palsy is a brain abnormality that does not progress over time. Symptoms may change, but the disability stays the same. People who sufferfrom this problem have damage to the part of the brain that controls muscle tone. Often diverse muscles will be affected at different times.

• Question 156:

  Two clinical social workers are discussing a case in an open conference room. One of the colleagues is consulting with the other about a specific request from a client. Not sure how to handle the situation, expertise from another professional seemed like the best answer. Though consultation is ethically recognized, what issue is being violated in this setting?

  A. Confidentiality
  B. Professionalism
  C. Supervision
  D. Informed consent
  A. Confidentiality

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  To maintain confidentiality the workers should discuss the case in an office or other private setting with the door closed. The fact that the conference room is open means anyone walking by, including other clients, can overhear details of the case.

• Question 157:

  When developing a functioning service plan to maintain safety and permanence within a family structure, what type of assessment should be utilized?

  A. IndMdual assessment
  B. Group assessment
  C. Family-centered assessment
  D. Child welfare assessment
  C. Family-centered assessment

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  Family-centered assessment helps identify needs, strengths and resources to determine the best possible assistance for a family. The family unit is seen as a whole and full participation is expected.

• Question 158:

  Borderline personality disorder makes indMduals feel uncertain about their identity and self-image. Those suffering from this problem tend to take little responsibility for their pred icaments and view themselves as victims. This disorder can have long-term chronic patterns, often affecting work and relationships. Which of thefollowing symptoms is not associated with borderline personality disorder?

  A. Impulsiveness
  B. Obsession
  C. Substance abuse
  D. Sexual relationships
  B. Obsession

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  Symptoms of borderline personality disorder include impulsiveness, substance abuse, and irresponsible sexual relationships, but not obsession. Other symptoms include the intolerance of being alone, feelings of emptiness, frequent anger episodes, and self-injury. IndMduals with this problem often avoid real or imaginary abandonment and demonstrate impulsive tendencies. Group therapy is the most successfulwith borderline personality disorder.

• Question 159:

  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
  C. Tourette Syndrome

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  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 160:

  Clinical social workers require the ability to understand their own emotions, limitations, strengths, and motives. This self-awareness prevents confusion between the professional and client. Self-awareness is just one of four components necessary to express appropriate empathy. Which one of the following is not a part of this network?

  A. Mental filexibility
  B. Affective sharing
  C. Emotion regulation
  D. Conscious reaction
  D. Conscious reaction

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  Empathy can only be experienced to its fullest capacity when 4 components come into play:

  self-awareness, mental filexibility, emotion regulation, and affective sharing. Empathy is the ability to envision what another person is thinking or feeling.