ASWB Clinical MCQ 4

Question 1

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

Accepted Answer

Exposure and response prevention (ERP)

Answer

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

Question 2

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

Accepted Answer

Explore the client's preferences and integrate family involvement appropriately

Answer

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

Question 3

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

Accepted Answer

Blurred boundaries and excessive emotional closeness between family members

Answer

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

Question 4

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

Accepted Answer

Explore the client's feelings within the therapeutic relationship

Answer

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

Question 5

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

Accepted Answer

Trauma symptoms resulting from indirect exposure to clients' traumatic material

Answer

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

ASWB - Association of Social Work Boards Practice Test

ASWB - Association of Social Work Boards Practice Test

ASWB Clinical MCQ 4