ASWB Clinical Social Worker 5

Question 1

A client with obsessive-compulsive disorder engages in handwashing rituals to relieve contamination fears. The evidence-based treatment of choice is:

Accepted Answer

Exposure and Response Prevention (ERP)

Answer

ERP, a form of CBT, is the gold-standard treatment for OCD, exposing clients to feared stimuli while preventing compulsive responses.

Question 2

A social worker in a hospital setting learns that a terminally ill client has an advance directive refusing artificial nutrition. The family demands the team override it. The social worker's role is to:

Accepted Answer

Advocate for the client's documented wishes and facilitate an ethics consultation if needed

Answer

Social workers are ethicaly obligated to advocate for client self-determination, including honoring advance directives.

Question 3

Which of the following best illustrates the concept of 'triangulation' in Bowen Family Systems Theory?

Accepted Answer

Two parents pulling a child into their marital conflict to reduce tension between them

Answer

Triangulation occurs when anxiety between two people is managed by involving a third person, such as a child, to diffuse tension.

Question 4

A client reports they have been sober for six months and are considering returning to social drinking. Using the Stages of Change model, the client is most likely in which stage?

Accepted Answer

Maintenance

Answer

Considering a return to use while in sustained recovery indicates the client is in the Maintenance stage, where relapse prevention is critical.

Question 5

During a group therapy session, a member begins to talk about another member's personal disclosures outside the group. The group facilitator should FIRST:

Accepted Answer

Address the confidentiality breach directly in the group and reinforce group norms

Answer

Addressing confidentiality breaches openly reinforces group norms and protects all members' trust in the process.

ASWB - Association of Social Work Boards Practice Test

ASWB - Association of Social Work Boards Practice Test

ASWB Clinical Social Worker 5