Social Work Practices and Interventions, Exams of Social Work

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ASWB practice questions to become LMSW with

Answers & Rationales.

If a client is diagnosed with anxiety which medication will he/she most likely be taking A. Oxicodone (OxiConton) B. Atravastatin (Lipitor) C. Alprazolam (Xanax) D. Haloperidol (Haldol) - ✅C. Alprazolam (Xanax) is the correct answer. A.Oxycodone is used to treat severe pain. B.Atravastatin is used to manage cholesterol. and D. Haloperidol is an anti-psychotic medication typical. A couple meets with a SW about concerns in their relationship. Both partners report the other person does not offer emotional support of affection. What should the SW explore FIRST? A. Gender roles B. Safety risks C. Relationship expectations D. Relationship development - ✅C. Relationship expectations is the correct answer. By first exploring expectations SW is focusing on presenting problem. Gender roles and safety maybe later but make assumptions not known at this point. Relationship development may occur later but is not the first area of exploration. A SW leads a parenting skills group during a session a 3 year old roars like a lion and gestures. The parents appear embarrassed and scold the child. The SW should do what? A. Discuss importance of pretend play. B. Suggest parents take child to the zoo. C. Demonstrate approval of child's behavior. D. Use a animal song to normalize behavior. - ✅A. Discuss importance of pretend play is the correct answer. Educate parents of age appropriate healthy development of 3- year-old's pretend play. A zoo visit or song does not address parents response it demonstrates approval also does not take into account parents reaction. A hospital SW has a client who is non-compliant with management of diabetes. The client believes that the illness is Gods will and God will provide a cure. What should the SW do first. A. Assure the client that God want the client to be compliant.

values. After first exploring with the client the role that religion plays in his beliefs system educating may be the appropriate intervention. A family services agency has a high number of clients that don't keep appointments the agencies SW administration conducts a client satisfaction survey which reveals clients believe the agency is not welcoming to their children. To alleviate the clients concern. What should the administrator do first. A. Create specialized activities for kids. B. Evaluate the need to change agency's programs. C. Obtain consultation to develop an action plan. D. Form a committee of clients and staff to identify solutions. - ✅D. Engaging those who are directly involved is an important first step. Forming a committee. D engages the clients and staff in formulating solutions after forming a committee A B C may follow. A SW facilitated a group for domestic violence perpetrators. A group member is now able to recognize the triggers for anger and is committed to changing resulting reactions. According to the trans theoretical model of change what stage is the group member most likely experiencing. A. Precontemplation B. Contemplation C. Maintence D. Termination - ✅B. Because the group member recognizes triggers and is a committed to change but has not determined action steps contemplation is most likely the stage. To take into account the information processing deficits of clients with schizophrenia what should SW do to best structure group treatment. A. Encourage the free flow of ideas. B. Use expressive therapy tools. C. Enforce a rigid agenda for the group. D. Schedule a variety of brief activities. - ✅D. This item requires understanding of schizophrenia and the information processing deficits that are typically present. Because of characteristics of schizophrenia a free flow of ideas use encouraging of expressive tools and enforcing rigid agenda are not indicated providing a schedule of brief activities is best suited for clients with schizophrenia. A SW who recently graduated begins working at a drug treatment program the SW notices that clients have many needs including medical attention,

mental health services, social services, housing assistance, and employment training. The SW feels overwhelmed. What should the SW do first. A. Establish priorities B. Be aware of countertansference C. Obtain supervision D. Plan to write a grant to hire an additional worker - ✅C. Obtaining supervision is necessary Establishing priorities and being aware of counter transference may occur but not first. Option D assumes that the problem can be resolved with more staffing. It

D. Ask hospital administration to extend the discharge date. - ✅B is the next action. It is the only option related to determining appropriate steps following discharge. A C D occur later based on the outcome of the discharge planning meeting but would not occur next.

A SW is asked to email a clients record to a local physician the client has signed a document legally permitting the release of the records. What should the SW do next? A. Email the records to the physician. B. Hand deliver records to physician. C. Confirm that the info can be securely transmitted. D. Explain that ethical standards prohibit electronic transmission of information. - ✅C as stated in the professional code of ethics the SW has the responsibility to ensure confidentiality of information transmitted through technology. Confirming that the information can be securely transmitted is the only option that respects the request for the records transfer and ensures that transfer will be confidential. A SW is to analyze new social welfare policies that will effect community. What should SW do first. A. Examine impact policies on the community. B Research the historical problems that led to the policies. C. Organize a grassroots coalition to discuss reaction to the policies. D. Look into legal precedents that could potentially nullify the policies. - ✅B This item requires understanding of the basic steps in policy analysis, must first understand historical background of policy before moving to the analysis stage. A C D are steps to take later in process. A woman who is 5 months pregnant speaks with an adoption agency. She lives with her sister and sister's boyfriend who threatening to force her out of home. She says she doesn't feel safe. What should SW do FIRST. A. Call the police. B. Develop a safety plan. C. Try to locate housing. D. Determine the nature of the danger. - ✅D Before taking any action assess the situation first. A B C are all action steps for later. Taking action without assessing the situation involves reaching conclusions without knowing the facts. SW meets with new client who is diagnosed with depression. SW observes client is ambivalent non trusting and passive. What should SW do next. A. Focus on directly engaging client. B. Suggest a task to improve clients mood. C. Encourage client to recall better times. D. Provide info about depression. - ✅A Engaging the client is the only option to help build rapport and supports client self determination. Should be done before taking additional steps such as B C and D.

C. Meet individually with the couples before the next session D. Remind the members of their own first group experiences. - ✅B. This item requires knowledge of group dynamics. Given that the group is the client, it is important to manage the concerns within the group by NEXT discussing the issue with the group. Options A, C, and D may be appropriate steps to take depending on the discussion with the group A parent brings a 13-year old daughter to meet with a SW because of concerns about recent changes in the daughters behavior. the parent indicates that the daughter was playful, outgoing, and social until the last year, when she began to isolate herself at times. The parent is concerned about the daughters choice of friends and feels that her personality seems to have completely changed. The SW would FIRST want to determine whether the daughter is A. stuggling with new development crises B. being unconsciously influenced by early childhood issues C. becoming addicted to drugs or alcohol D. suffering from clinical depression - ✅A. It is FIRST important to determine if the daughters behavior is related to age appropriate healthy development before considering other issues such as the impact of early childhood issues B substance addiction C or clinical depression D. While these may be a factor they should not be a SW's initial focus. A SW is interested in the social cohesion of particular community. What should the SW assess for FIRST A. the rate of unemployment B. the level of trust in neighborhoods C. the high school graduation rate D. the social mobility within neighborhoods - ✅B. the level of trust within the community is most closely linked to social cohesion and thus should be assessed FIRST while unemployment rate, high school graduation rate and social mobility within neighborhoods are related to social cohesion, they would not be assessed FIRST A client who experienced severe neglect by his biological parents during infancy is brought to a SW agency for evaluation. According to records the client lived with several foster families before being adopted at bthe age of five. Despite recieving consistent nuturance from his adoptive family, the client has failed to bond with them. Upon initial assessment a SW notes that the clients inhibitions and ambivalence toward others could indicate the presence of A Rhett syndrome B. Selective mutism

C. Seperation anxiety disorder D. Reactive attachment disorder - ✅D. is the correct answer this is a basic recall of the indicators of reactive attachment disorder. Options A, B, and C could be reasonable but the vignette points more directly to reactive attachment disorder