FREE ASWB Clinical MCQ Question and Answers
Bipolar I disorder is the client's current diagnosis, and you are treating him or her for a mood illness. The client is operating slowly and has lost weight as a result of a decreased appetite.
What additional qualifier should be added to the client's diagnosis?
The DSM-5 lists melancholy characteristics as lacking enjoyment in practically all activities or showing no reaction to stimuli that are typically pleasurable, as well as, in some cases, decreased appetite and weight loss.
The alternate choices are false. The presence of mood swings, excessive sleepiness, an increase in hunger, feelings of rejection, and/or heaviness in the arms or legs are considered abnormal symptoms. Extreme inactivity or excessive motor activity characterizes catatonia, which entails a noticeable psychomotor abnormality.
You inquire about the young woman's motivations for seeking treatment during an initial evaluation. The woman talks about her unfulfilling profession, her issues with her marriage, her nervousness, and how she has a negative view of herself.
You most likely would:
Your job in this scenario is to pinpoint the client's preferred major treatment concern. Although it is typical for clients to have multiple issues, there must be a mutually agreed-upon area that therapy will focus on in order to join a social worker-client contract.
The data provided in this question does not suggest that the client would gain more from group therapy than from individual therapy. Instead of assuming what the customer thinks is the most significant issue, you must ask what she feels is the most pressing. It should be left to the client and not your beliefs or bias to decide which topic they want to focus on, though you should provide gentle suggestions.
The 21-question Bricklin Perceptual Scales (BPS) are used to assess depression in people aged 13 and older.
The Beck Depression Inventory (BDI) is a widely used self-report inventory that measures the severity of depression symptoms in individuals aged 13 years and older. It consists of 21 multiple-choice questions that assess various aspects of depressive symptoms, such as mood, pessimism, guilt, and loss of interest.
Natasha, a 15-year-old girl, comes out to her parents as a lesbian during a family therapy session with you. After that, her father adds, "Don't you know what this will do to your grandfather?" and her mother responds, "I simply, I can't believe it."
What should you start
It's crucial and occasionally challenging to keep in mind that opinions toward LGBTQ problems can differ greatly, from complete acceptance to complete denial and rejection. Though our sympathies may naturally gravitate toward those going through trying self-discovery journeys, it's important to keep in mind that the real clinical world is incredibly complex. We frequently work with family systems whose values conflict with our own, and it is our moral obligation to give those clients the same level of dedication we give to those whose interests we share. As a family session, the entire system needs to be involved.
Asking Natasha's parents why they feel the need to say particular things could put them on the defensive and jeopardize the therapeutic relationship. The issue will have moved from therapy to advocacy if you just jump to instant validation by urging her parents to feel a certain way. This deprives Natasha's parents of their essential role in the process and may also stop them from getting to their own conclusions. The most crucial thing is to enable everyone to communicate honestly in a safe and shared setting so that the therapy process can get started. You may offer to meet with Natasha's parents individually in the future.
ACT stands for Assertive Community Treatment. Individuals with severe functional impairments, serious and chronic mental illnesses, or personality disorders, who have avoided or not adequately responded to conventional outpatient mental health care and psychiatric rehabilitation programs, are the clients serviced by ACT. People who get services from ACT may struggle with multiple issues at once, such as homelessness, substance addiction issues, or contact with the legal system.
Assertive Community Treatment (ACT) is an evidence-based model of mental health care designed to support individuals with serious and persistent mental illness or personality disorders who have significant functional impairments. ACT teams provide comprehensive and intensive community-based services to individuals who have not responded well to traditional outpatient mental health care and psychiatric rehabilitation services.
A type of response bias in which a general or initial assessment of a person (or any other thing being evaluated) transfers or spreads into an assessment of more particular traits or qualities, even though there is no logical justification for or connection between the overall assessment and other qualities being judged
The Halo Effect is a cognitive bias where our overall impression or evaluation of a person, object, or event influences our perception of specific traits or qualities related to that person or object, even if there is no logical connection between them.
The degree to which responders can discern what the items are assessing is known as face validity.
Face validity refers to the extent to which respondents can easily understand or discern what a measurement instrument or its items are intended to measure. It is a subjective assessment of whether the items "appear" to measure what they are intended to measure based on their face value.
Which of the following BEST encapsulates the NASW's recommendations for using self-disclosure?
Although self-disclosure is frequently utilized in practice, the NASW advises that it should only be done as a last option. And only if there is no alternative means to accomplish the same therapeutic goal, it must be therapeutically beneficial.
In this case, the basic unfavorability of self-disclosure as a customary practice supersedes informed consent and supervisory power.
While Isabella, an eight-year-old girl, excels in activities like dancing and martial arts, her parents are worried about her conduct and claim that she is "clumsy" and "sloppy" in tasks that call for exact handling and/or positioning of objects (for example handwriting, sewing, setting the dinner table and pouring water).
Which of the following accounts for these differences in Isabella's skills is MOST likely
Children of school age typically have smooth, good-to-very-good gross motor skills. Their fine motor skills, endurance, balance, and other physical aptitudes, however, are more variable and typically develop more slowly. These abilities can impact a child's capacity for precise writing, efficient clothing dressing and fastening, and housekeeping chores including making beds, doing the dishes, pouring liquids without spilling, etc.
These answers are untrue since there is no evidence in the question concerning Isabella's presentation to suggest that she is concerned about her parents' attention or that she has a learning difficulty.
Social connection lengthens lifelong selection processes, and conversing with family members as opposed to friends enhances the likelihood that elderly people's emotional stability will be maintained.
According to the socioemotional selectivity theory, as individuals age, their social goals and preferences shift due to the awareness of the limited time they have left in life. This theory suggests that older adults prioritize emotional satisfaction and seek to maximize positive emotional experiences.
You are meeting Maggie, your client, for her intake meeting. Maggie dislikes meeting with you or anyone else since she has Schizoid Personality Disorder. She says she hears voices urging her to tell you lies. When telling the tale of a family friend who passed away, she similarly shows little emotion. When you try to get to know Margey through regular back-and-forth discussions, she doesn't appear all that interested and instead seems to be asking seemingly harmless questions out of suspicion.
Which of Maggie's aforementioned deeds or behaviors is NOT a sign of schizoid personality disorder?
Any type of hallucination is not a symptom of schizoid personality disorder.
Maggie's Schizoid Personality Disorder diagnosis is characterized by Maggie's lack of empathy, avoidance of people, and dread of intimacy, as well as by her extreme introversion and concern with her
A family that has recently immigrated from Afghanistan requests your case management services so that they can be connected to resources that can help them with some basic requirements. The family's lone speaker of both English and Dari, which is only used by her parents, is the 15-year-old daughter. You accept the referral even though you can only comprehend and speak English.
You should make arrangements for an experienced interpreter/translator because the parents do not speak or comprehend English. It is not suitable to utilize their 15-year-old daughter, regardless of if she is willing or available, as her parents could be reluctant to discuss family needs with a teenager. Additionally, since the daughter will be relaying what you say to the parents in this scenario, information may be lost or misconstrued when coming from the parents.
Social connection lengthens lifelong selection processes, and conversing with family members as opposed to friends enhances the likelihood that elderly people's emotional stability will be maintained.
According to the socioemotional selectivity theory, as individuals age, their social goals and preferences shift due to the awareness of the limited time they have left in life. This theory suggests that older adults prioritize emotional satisfaction and seek to maximize positive emotional experiences.
A group therapy practice called choreographing has a participant take on the role of the protagonist's alter ego.
The correct technique is Doubling
Doubling is a therapeutic technique commonly used in group therapy and some forms of psychodrama. In doubling, a group member or the therapist takes on the role of an alter-ego for the protagonist or another group member. The person acting as the double reflects the thoughts, feelings, or perspectives of the individual being doubled.
A social worker named Anthony has been assisting Jake, who has been in a crisis since being released from prison and has nowhere to go, for about a month. Anthony and Jake are now meeting to create a detailed list of things for Jake to undertake in order to start resolving his issue after the two have grown close and Kai has had an opportunity to explore his feelings (s).
Which of the four crisis intervention objectives does Anthony's strategy BEST illustrate?
Together, Anthony and Jake are about to start developing a crisis plan. The goal of this strategy is to give Jake a route back to normal functioning.
In addition to being educated on how to use his inner coping mechanisms in the here and now, Jake also has to be taught how to develop those mechanisms so that they will be ready to use should any future crises arise. Even though these additional procedures are necessary, they do not demonstrate which of the four crisis intervention aims Anthony's strategy best achieves.
You query Alice, your client, "What do you think your coworkers would say if a future employer asked them what they think about you?" You are evaluating:
How a person views oneself is their self-concept or self-image. You're asking Alice how she is perceived by others while, in reality, you're asking Jenny how she sees herself.
The other choices are inaccurate since they don't match the question's requirements the best. Dependency is when someone depends on other people or objects for their survival or support. A client's capacity to appraise the outside world objectively and tell the difference between it and what is in their own head is known as reality testing.