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Clinical MCQ Flashcards

7 cards from real ASWB practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Clinical MCQ flashcards as text

  1. A social worker is treating a client with obsessive-compulsive disorder. The EVIDENCE-BASED treatment of choice is:

    Answer: Exposure and response prevention (ERP)

    Exposure and response prevention (ERP) is the gold-standard, evidence-based treatment for OCD, supported by extensive clinical research.

  2. A client from a collectivist cultural background defers all clinical decisions to a family elder. The culturally competent social worker should:

    Answer: Explore the client's preferences and integrate family involvement appropriately

    Culturally competent practice requires understanding the client's cultural values around decision-making and adapting the approach accordingly.

  3. In structural family therapy, the term 'enmeshment' refers to:

    Answer: Blurred boundaries and excessive emotional closeness between family members

    Enmeshment describes family systems where boundaries are diffuse, individuation is discouraged, and members are over-involved in each other's lives.

  4. A social worker notices a client has developed romantic feelings toward them and begins bringing gifts. The MOST appropriate initial response is to:

    Answer: Explore the client's feelings within the therapeutic relationship

    Exploring erotic transference in a non-shaming, therapeutically boundaried way is the first clinical step before considering other interventions.

  5. Which of the following BEST describes 'secondary traumatic stress' in clinical social workers?

    Answer: Trauma symptoms resulting from indirect exposure to clients' traumatic material

    Secondary traumatic stress (vicarious trauma) refers to PTSD-like symptoms that develop in clinicians through empathic engagement with trauma survivors.

  6. A social worker is conducting an initial assessment and the client reports hearing a voice that instructs them to harm others. The PRIORITY concern is:

    Answer: Assessing the command hallucination and duty to protect potential victims

    Command hallucinations with violent content require immediate assessment of risk to others, triggering potential duty-to-protect obligations.

  7. The ASWB Clinical exam tests knowledge at which level of social work practice?

    Answer: Clinical diagnosis and treatment

    The ASWB Clinical exam specifically assesses competencies in clinical diagnosis, assessment, treatment, and direct therapeutic practice with individuals, families, and groups.