FREE ASWB Clinical Assessment Question and Answers
You get a demand from a client named Charlie stating that you must provide him access to his records or he will sue you. However, you last saw Charlie two months ago, and during that visit, he was not only incredibly nasty but also spent the majority of it either pacing or standing above you while speaking loudly. You believe that if you gave him access to the records, it may possibly result in serious harm.
Which of the following would be the BEST course of action to pursue to prevent breaking the law?
A social worker shall restrict a client's access to their data if there is evidence that doing so could result in substantial harm, as stated in Section 1.08(a) of the NASW Code of Ethics. According to the information provided in the inquiry, the social worker in this case thinks that disclosing the records will have a negative impact. Because of this, it is best to note the rationale in the client's file if the social worker decides to deny a client's request.
The remaining answer choices don't give the social worker enough protection to prevent breaking the law.
Which of the following does not have to be done in order to get the client's informed consent?
The NASW Code of Ethics states that 1999—1.03 Prior to obtaining services or taking part in research, clients must be informed of specific conditions and provide their consent. This is known as informed consent. These terms are frequently mentioned directly on a form that the client signs and dates. However, getting informed consent does not depend on the need for and storage of the form in a client's file.
A client who will take part in clinical treatments is set to have an interview with a social worker. Which service-related form should be used to request the client's permission to carry out these services?
Any time a client is hired for a service, permission from the client must be sought before the service is provided. An "informed consent for services" is the service-related document that should be used the most to get consent from clients. The client may engage and use services after obtaining and signing this document.
Before disclosing any information to a third party, obtain consent for its release (other than mandatory report). Such disclosures require the review and signed consent of the clients. An advanced direction with a specific focus is a DNR order. A DNR is a declaration that a client does not need cardiopulmonary resuscitation (CPR) if their heart stops beating or if they cease breathing. Medical workers will attempt to revive those in these circumstances unless otherwise instructed. In acute care medical settings, this form is primarily utilized. A legal document known as an advance directive enables clients to decide in advance how their medical and end-of-life care will be handled. When a client is unable to express their wishes, they offer them options to do so.
Natasha and Boris are receiving couples therapy. You ask them to participate in a research-based analysis of their communication style while also attempting to diffuse stalemate in a dispute by fostering greater understanding and empathy.
Which of the following approaches MOST SUITABLY reflects this approach?
Dr. Julie Schwartz and John Gottman created the couples therapy technique known as the Gottman Method. It focuses on evaluating a couple's relationship while seeking to foster more affection, break down boundaries, and foster empathy.
There is no such thing as the Bryant Method. Both Behavior Modification in couples therapy and Freud's "method" for couples therapy did not approach these issues in a methodical manner.
Clients might employ a variety of self-defense techniques to keep themselves safe during therapy sessions. Which of the following BEST characterizes the "substitution" defense mechanism?
Unconscious, automatic strategies known as psychological defense mechanisms help people cope with anxiety. A client could substitute an achievable aim for an unachievable goal as a defensive strategy.
When there is a reason why the initial target is not allowed or not available, displacement is the transfer of actions to a substitute target. When a client makes drastic efforts to address an issue, that is compensation. When something happens that we find difficult to accept, we rationalize it by inventing a plausible explanation for why it occurred.
Except for the below, the following comprise the fundamental steps in ethical problem-solving in social work practice:
The crucial actions in social work practice's ethical problem-solving. Since the NASW Code of Ethics, not the Advanced Social Worker, defines ethical standards, Answer A is not one of the required steps. Social workers cannot rely on their managers or fellow employees to uphold the highest ethical standards. When looking up the ethical requirements of the social work profession, social workers should first consult the Code of Ethics.
The therapeutic intervention that would be LEAST helpful to use with an older client is:
Due to their limited time and propensity to avoid talking about mortality, elderly clients are typically not a suitable fit for nondirective treatment.
Actually, the insight-oriented method is the one that is applied to senior therapy the most frequently. Because everyone needs and values assistance, supportive therapy is also an excellent strategy. Elderly clients benefit greatly from the use of multidisciplinary teams since they may have physical constraints or health issues.
The LEAST probable diagnostic indicators of "disorganized" schizophrenia are:
The "disorganized" kind of schizophrenia is regarded by the DSM-5 as having the highest degree of chronicity, typically the worst prognosis, and considerably greater severity of impairment in a range of functional domains (self-care, social conduct, thought/cognition, and affective behavior). This particular kind of psychotic disorder is typically characterized by pervasive/chronic problems of thinking, affect, and behavior and is not typically cyclic in the sense that functional and dysfunctional periods alternate.
There are some "disorganized" type psychotic symptoms that are also present in other forms of schizophrenia. The difference is that disorganized schizophrenia is characterized by increased levels/severity of bizarre, aimless behavior, frequently accompanied by incomprehensible speech that is challenging or impossible for others to understand.
How long does it take for someone to meet the requirements for insomnia disorder before they have trouble getting to sleep or staying asleep?
Complaints of discontent with the quality of sleep or problems starting/maintaining sleep are symptoms of insomnia disorder. To be diagnosed with insomnia disorder, the symptoms must appear at least three nights each week for a minimum of three months.
You have been requested to help a couple who were convicted of abusing their kids physically and psychologically. During the first session, your MAIN responsibility is to:
A helpful relationship with them. The couple's reactions to being referred for treatment should also be investigated, since they may feel resentment or even some hostility toward the agency that stepped in.
Your goal should not be to push the couple to accept accountability at the first session because if you did so right away, it might put your chances of building a good rapport with the pair in jeopardy. It is too soon to make a decision about whether the kids should go back home, therefore you should hold off on doing so until you have built up a rapport with the couple—hopefully a good one—in order to find out what motivates them.
At his first session, Jacob, who was suggested by his mother, causes a commotion by declaring that he doesn't need to see you and that the entire procedure is "completely ludicrous and idiotic."
What should you start by doing?
By letting Jacob know that he is welcome to talk about his problems throughout his session, you can reassure him that you will pay attention to anything he has to say and demonstrate the social work principle of meeting clients where they are, which will help you build rapport with them.
After letting Isaiah know that he can make his point during his session and in private, you could want to ask him why he thinks the entire procedure is ludicrous and/or stupid. The other two responses wouldn't be ideal for a first interview since they can come across as angry or combative, which could hurt the first impression or take longer to establish rapport.
You will be seeing the Shalom family for family therapy. Although Mr. and Mrs. Shalom believe that two of their three children are well-adjusted, Wednesday frequently causes trouble at school and shuns family interaction. Additionally, she has a generally challenging demeanor. Mr. and Mrs. Shalom attribute their marital problems to Wednesday.
Wednesday might be considered the:
A family member who is singled out for being different and frequently inciting strife among other family members is known as the "family scapegoat." Mr. and Mrs. Shalom are attributing the issues in the family to Wednesday in this query. In order to enhance the family dynamics and Wednesday's symptoms, you should assist the parents in realizing that Wednesday is not the cause and in enhancing their own connection.
Homeostasis is a state of equilibrium within the family, yet it is not caused by any one particular family member. As was already mentioned, even if Shalom might think Wednesday is to blame for all of the family's problems, this is a dysfunctional perspective that needs to be changed for healthy functioning to take place. The facts provided in the question do not imply that the third child is a bully.
An example of a situation in which family counseling is NOT advised is as follows:
It is believed that a social worker cannot work with family members who are dishonest with one another.
Despite boundary violations and/or help resistance in dysfunctional families, these circumstances may not preclude a family from receiving effective therapy.
You often take the same bus as a mother who appears to be carrying her child to school while you commute to work every day in a big city. You have seen her act in ways toward the child during the rides that you believe to be abusive (threatening to hit the child if he misbehaves, turning the child's head toward her by pulling his hair, pinching him), and you have also, less frequently, seen her drag the child off the bus by lifting him up by one arm.
Which of the following best describes your position as a required reporter?
Regardless of their professional position or relationship with the subject(s) of the report, mandated reporters are required by law in many states to file reports at all times. All adults in such jurisdictions are now required to report any suspicions of child abuse or neglect as of March 2013. Suspicions involving loved ones, close acquaintances, neighbors, and others noticed through casual interaction must be reported in those places. The remaining states and territories restrict reporting to situations where the subject(s) of the report are part of a professional function or connection.
However, people are free to choose to disclose any suspicions, and authorities are required to consider information from any source. It might not be suitable in this circumstance for you to approach the woman in public and give information/assistance because you do not have a professional relationship with her.
Individuals who endure protracted periods of significant physical disease in their early years are almost often found to have the following:.
Although many children with ongoing or previous serious chronic illnesses exhibit delays and/or relative weaknesses in academic achievement and social skills, access to experiences that foster cognitive/social development is likely to be restricted due to the time and resources required for medical treatment. Multiple elements, such as the nature of the illness itself, social, familial, environmental, and internal/individual forces, modulate the long-term effects of the aforementioned.
Serious physical sickness in childhood does not always imply that there will be long-term issues with somatic complaints, that there would be a detrimental impact on family ties, or that the patient will have a lower-than-average tolerance for stress.
Typically, prazosin is prescribed to treat:
Anxiety, panic disorder, posttraumatic stress disorder (PTSD), and high blood pressure are all conditions that are treated with the drug prazosin. Since it blocks alpha-adrenergic receptors, it can lessen the frequency of nightmares, which is one of PTSD's symptoms.
The other choices are inaccurate since prazosin cannot be prescribed for them.