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
A client with alcohol use disorder reports they have not had a drink for 48 hours and now presents with tremors, diaphoresis, and confusion. The social worker should FIRST:
Answer: Arrange immediate medical evaluation for alcohol withdrawal
Alcohol withdrawal can be life-threatening; delirium tremens presenting with tremors and confusion requires immediate medical intervention.
A social worker using a strengths-based perspective would MOST likely focus on:
Answer: Amplifying the client's existing capacities and resources
The strengths-based perspective, pioneered by Saleebey, centers on identifying and mobilizing clients' existing assets, resilience, and community resources.
Under HIPAA, a covered entity may disclose protected health information without client authorization in all of the following EXCEPT:
Answer: Disclosing records to a client's employer upon employer's request
HIPAA does not permit disclosure to employers without client authorization; employment-related disclosures require written consent.
A social worker using solution-focused brief therapy (SFBT) would MOST likely ask:
Answer: 'Suppose you woke up and the problem was solved—what would be different?'
The 'miracle question' is a hallmark SFBT technique that helps clients envision a preferred future and identify existing solutions.
A client who recently immigrated reports social isolation, grief over leaving family, and difficulty adjusting to US culture. The MOST appropriate initial intervention is:
Answer: Connect the client with culturally matched community resources and conduct psychosocial assessment
An initial psychosocial assessment and connection to culturally relevant community supports addresses the acculturation stressors before pathologizing normal adjustment responses.
The concept of 'informed consent' in clinical social work practice requires that clients understand all of the following EXCEPT:
Answer: The social worker's personal theoretical orientation history
Informed consent requires disclosure of treatment nature, risks, benefits, alternatives, and client rights—not the clinician's personal theoretical biography.
A social worker is treating an adolescent and the teen discloses occasional marijuana use but begs the worker not to tell their parents. The MOST appropriate action is to:
Answer: Assess severity of use and determine whether it constitutes a danger, then act accordingly
Confidentiality with minors requires nuanced assessment; occasional marijuana use may not meet the threshold for mandatory disclosure, but a safety and risk assessment must guide the decision.