ASWB Bachelors Assessment 5 — Questions and Answers
Question 1: A social worker is assessing an elderly client for functional impairment. Which tool is commonly used to assess Activities of Daily Living (ADLs)?
- PHQ-9
- Katz Index of Independence (Correct answer)
- Columbia Protocol
- Beck Anxiety Inventory
Correct answer: Katz Index of Independence
The Katz Index of Independence in Activities of Daily Living measures functional status by assessing independence in bathing, dressing, toileting, transferring, continence, and feeding.
Question 2: During an initial assessment, a client from a refugee background appears distressed when asked about family members. The social worker should FIRST:
- Proceed quickly through the assessment to minimize distress
- Acknowledge the difficulty and allow the client to set the pace (Correct answer)
- Refer the client to a trauma specialist before continuing
- Document that the client is non-compliant with the assessment
Correct answer: Acknowledge the difficulty and allow the client to set the pace
Trauma-informed practice requires acknowledging distress and allowing the client to guide pacing, ensuring safety and trust before gathering potentially traumatic information.
Question 3: Which of the following BEST illustrates the use of collateral information in social work assessment?
- Reviewing the client's self-reported history
- Contacting a school counselor with the client's consent to discuss a child's behavior (Correct answer)
- Observing the client's nonverbal communication
- Administering a standardized rating scale
Correct answer: Contacting a school counselor with the client's consent to discuss a child's behavior
Collateral information comes from sources other than the client — such as family members, teachers, or other providers — and supplements the client's self-report with appropriate consent.
Question 4: A social worker assesses that a client lacks stable housing, has untreated diabetes, and is experiencing depression. Addressing the housing issue FIRST is consistent with which theoretical framework?
- Psychoanalytic theory
- Maslow's Hierarchy of Needs (Correct answer)
- Cognitive Behavioral Theory
- Systems Theory
Correct answer: Maslow's Hierarchy of Needs
Maslow's Hierarchy of Needs holds that basic physiological and safety needs (such as housing) must be addressed before higher-order needs can be meaningfully targeted.
Question 5: A client tells the social worker, 'I don't think anyone can help me.' In assessment, this statement is MOST relevant to evaluating the client's:
- Intelligence level
- Motivation and hope for change (Correct answer)
- Social support network
- Cognitive functioning
Correct answer: Motivation and hope for change
Expressions of hopelessness directly inform the assessment of a client's motivation, treatment readiness, and potential barriers to engagement in services.
Question 6: When assessing a client's mental status, 'insight' refers to:
- The client's ability to recall recent events
- The client's awareness and understanding of their own condition (Correct answer)
- The client's orientation to time and place
- The client's judgment about social situations
Correct answer: The client's awareness and understanding of their own condition
Insight in a mental status exam refers to the degree to which a client understands and acknowledges that they have a mental health condition and that it affects their functioning.
Question 7: A social worker completes an assessment and determines that a client has multiple risk factors but also strong protective factors. This balanced view reflects which assessment approach?
- Deficit-based assessment
- Diagnostic-only assessment
- Risk and protective factor assessment (Correct answer)
- Behavioral observation only
Correct answer: Risk and protective factor assessment
Risk and protective factor assessment identifies both vulnerabilities that increase negative outcomes and resilience factors that can buffer against those risks, informing balanced intervention planning.
A social worker is assessing an elderly client for functional impairment.
Which tool is commonly used to assess Activities of Daily Living (ADLs)?