ASWB Clinical Trivia 2

Question 1

A client diagnosed with borderline personality disorder frequently calls the therapist between sessions in crisis. The BEST clinical response is to:

Accepted Answer

Set clear boundaries around between-session contact while developing a crisis plan

Answer

Maintaining consistent, clear limits while collaboratively building a crisis plan addresses BPD crisis behavior without reinforcing maladaptive patterns.

Question 2

Which defense mechanism involves attributing one's own unacceptable thoughts or feelings to another person?

Accepted Answer

Projection

Answer

Projection is the unconscious attribution of one's own unacceptable thoughts, feelings, or impulses onto another person.

Question 3

A social worker discovers that a colleague is billing Medicaid for services not rendered. The FIRST action should be:

Accepted Answer

Document observations and report to the appropriate supervisor or ethics board

Answer

Fraud must be reported through appropriate channels; documenting and reporting to a supervisor or licensing board is the ethical first step.

Question 4

In motivational interviewing, 'rolling with resistance' means the clinician should:

Accepted Answer

Avoid arguing and reflect the client's perspective without confrontation

Answer

Rolling with resistance involves accepting and reflecting the client's perspective rather than arguing, which reduces defensiveness.

Question 5

Which axis of the former DSM-IV multiaxial system captured psychosocial and environmental stressors?

Accepted Answer

Axis IV

Answer

Axis IV documented psychosocial and environmental problems that may affect diagnosis, treatment, or prognosis.

ASWB - Association of Social Work Boards Practice Test

ASWB - Association of Social Work Boards Practice Test

ASWB Clinical Trivia 2