ASWB Bachelors MCQ 4 — Questions and Answers
Question 1: A social worker is conducting a home visit with an elderly client and notices signs of self-neglect including spoiled food and unsanitary conditions. What is the MOST appropriate next step?
- Call law enforcement to remove the client immediately
- Conduct a capacity assessment and consider an adult protective services report (Correct answer)
- Document observations and close the case
- Contact the client's family to take over care
Correct answer: Conduct a capacity assessment and consider an adult protective services report
Self-neglect in elderly clients warrants assessing decision-making capacity and reporting to Adult Protective Services if warranted.
Question 2: A social worker learns that a client who was recently discharged from a hospital has stopped attending outpatient appointments. The BEST action is to:
- Close the case due to non-compliance
- Send a certified letter warning the client of termination
- Conduct outreach to re-engage the client and assess barriers (Correct answer)
- Contact the hospital to have the client readmitted
Correct answer: Conduct outreach to re-engage the client and assess barriers
Outreach to understand barriers to engagement reflects a client-centered, strengths-based approach and helps prevent deterioration.
Question 3: Which defense mechanism involves attributing one's own unacceptable feelings to another person?
- Rationalization
- Displacement
- Projection (Correct answer)
- Reaction formation
Correct answer: Projection
Projection involves unconsciously attributing one's own unacceptable thoughts or emotions to another person.
Question 4: A social worker in a hospital setting is working with a client who refuses a life-saving blood transfusion based on religious beliefs. The client is alert and competent. What should the social worker do?
- Advocate for the medical team to proceed with the transfusion
- Support the client's right to refuse and document the informed refusal (Correct answer)
- Seek a court order to override the client's decision
- Contact the client's family to persuade the client to accept treatment
Correct answer: Support the client's right to refuse and document the informed refusal
A competent adult has the legal and ethical right to refuse medical treatment, and the social worker's role is to support that decision.
Question 5: Which stage of Prochaska and DiClemente's Transtheoretical Model is characterized by a client who acknowledges a problem but is not yet committed to change?
- Precontemplation
- Contemplation (Correct answer)
- Preparation
- Action
Correct answer: Contemplation
In the contemplation stage, individuals are aware of a problem and begin considering change but have not committed to action.
Question 6: A social worker is meeting with a client from a collectivist cultural background. The client insists on involving family members in all decisions. The social worker should:
- Gently encourage the client to make independent decisions
- Respect the client's cultural values and include family in the process (Correct answer)
- Meet separately with the family without the client's knowledge
- Refer the client to a social worker from the same culture
Correct answer: Respect the client's cultural values and include family in the process
Culturally competent practice requires respecting collectivist values where family involvement in decision-making is the norm.
Question 7: Which of the following BEST describes the purpose of an eco-map in social work assessment?
- Mapping a client's family history across three generations
- Identifying the quality and nature of relationships between a client and their social environment (Correct answer)
- Tracking the client's progress toward treatment goals
- Assessing a client's eligibility for community resources
Correct answer: Identifying the quality and nature of relationships between a client and their social environment
An eco-map visually represents a client's connections and the quality of relationships with systems in their environment.
ASWB Bachelors MCQ 4
A social worker is conducting a home visit with an elderly client and notices signs of self-neglect including spoiled food and unsanitary conditions.
What is the MOST appropriate next step?