ASWB PRACTICE EXAM 2021/2022. All questions with accurate answers and rationale. Graded A+

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ASWB PRACTICE EXAM 2021/2022. All questions with accurate answers and rationale. Graded A+ A social worker is working with a young child who is a victim of sexual abuse. The social worker has been ... using play therapy techniques for several sessions, but the child is becoming more aggressive and continue to exhibit disturbing behaviors such as bed-wetting and masturbation. The child's foster parents feel that the child is not making progress in therapy and have asked the foster care worker to assign a new social worker. What should the social worker do FIRST? A. Tell the foster care worker that the child is making progress as quickly as can be expected B. Transfer the child to someone who specialized in child cognitive-behavioral therapy. C. Encourage the child to talk freely about feelings and the details of the sexual abuse. D. Educate the foster parents about the effects of child sexual abuse. - ✔✔Rationale: The social worker should FIRST help the foster parents understand the long-term impacts of childhood sexual abuse and the unpredictable treatment progress (D). Option (A) does not provide enough meaningful information to the foster care worker. There is no need to transfer the child (B) because play therapy is indicated for this age group. Encourage a young child to talk to about the abuse (C) is often counterproductive and contraindicated. A social worker meets with a 75-year old client whose wife died six months ago. In the Intake interview, the client reports losing weight, having very little energy, and having difficulty getting motivated to do things. What should the social worker do FIRST? A. Complete a suicide risk assessment of the client. B. Explore available family and community resources C. Suggest that the client schedule an appointment with a doctor. D. Refer the client to a local bereavement group. - ✔✔Rationale: The client's self-report describes depression and suicide risk that warrant further assessment (Key A). Option (B), (C), and (D) are all plausible but not the FIRST action the social worker should take. A social worker meets with a 35-year-old American man who is anxious because his wife is pressuring him to move his mother into a nursing home. He prefers that she live with them. The social worker asks the man if he has any siblings and what his birth order is. This information is important to the social worker's understanding of the man's:A. cultural perspective B. support system C. financial options D. family dynamics - ✔✔Rationale: It is always important for a social worker to understand the cultural context of client situations. Information about siblings and birth order can reveal much about the impact of culture on a client from the broadest perspective (keyA). This information is less likely to provide an understanding of a client's support system (B), financial options (C), or family dynamics (D). A social worker who leads a therapy group plans to begin an extended leave. What should the social worker discuss with the group FIRST? A. Arrangements for continuity of the group. B. The group's progress to date C. Options for transferring to other groups D. Detailed reasons for the leave - ✔✔This is an unscored item. The absence of the regular group lead, even if temporary, can be a highly disruptive event for a therapy group, making it imperative that the leader focus on ensuring continuity by discussing how the group will continue during the absence (key A). It would be inappropriate to discuss detailed reasons for the absence (D). Options (B) and (C) may be possible topics of discussion, but not what the social worker should discuss FIRST. A woman is bedridden in a nursing care facility because of complications from morbid obesity. The social worker is contacted after the woman deliberately twists an aides finger while receiving a bed bath. The woman reports that she was hurt during the bath and that her requests for the aide to stop were ignored. She also frequently hears unkind comments made about her weight by staff members. What should the social worker do FIRST? A. Have the woman transferred to another nursing care facility B. Provide ongoing staff training to deal with the diverse needs of residents. C. Begin individual therapy to address the woman's anger D. Meet with staff membersD - ✔✔Rationale: Initially, the social worker should attempt to mediate between the staff and the woman as the most straightforward approach (Key D). Transferring the woman (A) is not warranted and defers the problem. It is not clear from the information that staff training (B) is needed. It is also unclear at this time how individual therapy (C) might address this problem. During the assessment process, a social worker learns that a client's self-reporting is incomplete. What approach would MOST likely improve self-reporting?A. Guided imagery B. Role Play C. Journaling D. Family input - ✔✔Rationale: Journaling helps the client document and remember pertinent information between sessions (C). Guided imagery (AI) and role play (B) are both interventions that are potentially not relevant to the self-reporting problem. Family input (D) is incorrect because it is collateral reporting and the goal is to improve client self-reporting. A social worker is facilitating a new group for teenage fathers. The goal of the group is to support and encourage the young fathers to become engaged with their children. After reviewing the rules of the group and eliciting introductions, what should the social worker do NEXT? A. Ask each group member to describe the circumstances of the child's life B. Invite members to discuss how they view their roles as young fathers C. Identify barriers that prevent the members from being more involved fathers. D. Ask each member to express his personal expectations of the group experience - ✔✔Rationale: This is an unscored item. This item requires knowledge of the stages of group formation. Engaging group members in discussion of expectations early on helps to establish group norms and will help to guide subsequent stages of group development (key D). Options (A), (B) and (C) focus more on individual member concerns and experiences which should occur only after group norms have been established. A 14-year-old Asian American student is referred to a family agency because of the student's recent poor academic performance and behavioral changes, including lack of paying attention and social withdrawal. During the second family therapy session, the student angrily says that she is tired of the painful physical punishment from her father for trying to fit in with her friends at school. The father notes that the punishment is necessary to prevent his daughter from imitating the behaviors of her American friends and thus bringing shame to the family. What should the social worker do FIRST? A. Assist the parents in exploring alternative modes of discipline. B. Inform the parents that their behavior requires a report of suspected abuse C. Attempt to determine the severity of the physical punishment D. Help the daughter understand her parents' behavior as culturally appropriate. - ✔✔Rationale: The social worker must FIRST gather more information about the details of the punishment (key C). Alternative modes of discipline (A) might be appropriate after the social worker has a better understanding of the situation. Informing the parents that a report must be made (B) is premature at this time. Option (d) ignore the possibility that the behavior could be abusive.A social work director is revising the process of orienting new staff to the agency. The revised process includes a day of training. The training will include time to tour the agency and review agency policies and procedures. To be MOST effective in helping staff to succeed , what should the program include? A. Time to meet with a board member. B. Group discussion about treatment methods C. A session on clinical documentation requirements D. Presentation of the agency's philosophy and values. - ✔✔Rationale: Presenting the agency's philosophy and values (key D)) establishes what is expected of all staff in accordance with the agency's mission. Meeting with a board member (A), group discussion about treatment methods (B), and training on clinical documentation (c) should occur, but these activities reflect only parts of the overall agency culture. It is MOST important to ensure that all staff understand the agency's overall philosophy and values. A social worker is working with a client who has been told that she must lose weight because her health is being affected by her obesity. She reports that all the diets she has had have not worked because she lacks the willpower to control her eating. She ends by saying how lonely she feels even with family and friends. She says that she feels like a "big fat failure. "What should the social worker do FIRST? A. Encourage the client to set up a realistic exercise program B. Refer the client for a nutrition consultation C. Suggest that the client join a self-help group. D. help the client explore the dynamics of the eating problem - ✔✔Rationale: The FIRST thing the socila worker should do is to help the client gain an understanding of the connection between her self-esteem and her eating problems (key D). After exploring the dynamics, an exercise program (A), a nutrition consultation (B), or a self-help group (c), could be suggested. Discussed earlier, these suggestions may be set-up for further failure. A social worker is working with a family whose adolescent son who is acting out. During the assessment, the mother confides that she was sexually abused as a child by her stepfather. She has never addressed her past abuse and is interested in treatment. What type of group would be most helpful to the mother at this time? A. A structured therapy group focusing on trauma issues. B. An extended family therapy group to help the mother confront her abuser. C. A mutual aid group for parents with adolescents.D. A psychodynamic therapy group focusing on current relationships. - ✔✔Rationale: A group focused on trauma issues is most appropriate because it targets the presenting problem that the mother disclosed (key A). Options (B), (C), and (D) are not consistent with what the mother is asking for. All of the following elements are components of a mental status examination EXCEPT: A. level of reality testing. B. behavior during the interview C. Knowledge of general information D. ego strengths - ✔✔Rationale: This is a straightforward recall item that requires knowledge of the components of the mental status exam. The correct answer is ego strengths (key D). [Show More]

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