ASWB Clinical 5

Question 1

A client with Obsessive-Compulsive Disorder has been avoiding touching doorknobs due to contamination fears. The MOST evidence-based treatment approach is:

Accepted Answer

Exposure and Response Prevention (ERP)

Answer

Exposure and Response Prevention (ERP) is the gold-standard behavioral treatment for OCD, involving systematic exposure to feared stimuli while refraining from compulsions.

Question 2

A social worker is seeing a client who abruptly stops a long-term antidepressant. The client reports flu-like symptoms, dizziness, and electric shock sensations. This is most consistent with:

Accepted Answer

Antidepressant discontinuation syndrome

Answer

Antidepressant discontinuation syndrome occurs after abrupt cessation of certain antidepressants and includes flu-like symptoms, dizziness, and paresthesias often described as 'brain zaps.'

Question 3

Which attachment style in adults is characterized by discomfort with closeness, self-reliance, and dismissiveness of the importance of relationships?

Accepted Answer

Dismissive-avoidant

Answer

Dismissive-avoidant attachment involves minimizing the importance of relationships, valuing self-sufficiency, and feeling uncomfortable with emotional closeness.

Question 4

A 35-year-old client presents with grandiosity, racing thoughts, decreased need for sleep, and has spent his life savings in 3 days. Which diagnosis is MOST likely?

Accepted Answer

Manic episode

Answer

A manic episode includes elevated or irritable mood plus three or more symptoms such as grandiosity, decreased sleep, and reckless behavior lasting at least one week.

Question 5

A social worker is legally required to break confidentiality without client consent when:

Accepted Answer

A client makes a credible threat to harm an identifiable third party

Answer

The Tarasoff duty requires clinicians to protect identifiable third parties from credible threats made by clients, which may include warning the potential victim or law enforcement.

ASWB - Association of Social Work Boards Practice Test

ASWB - Association of Social Work Boards Practice Test

ASWB Clinical 5