FREE ASWB Clinical Question and Answers
A recent client self-reports to you that she has been using cocaine frequently for a number of years. What should you do first, exactly?
Abuse of any form of substance can be challenging. The reasons why your client uses, her usage history, and the type of therapy she wants are all unique to her and do not apply to everyone who struggles with substance abuse. More information from your client will be required as a result.
A thorough evaluation of the presenting issue will most likely be followed by a recommendation for inpatient care, which will come considerably later. It would be wrong to diagnose her without getting as much information as possible, and it would also be wrong to encourage family support before determining whether it wouldn't be beneficial.
exaggerating health symptoms in order to gain sympathy or play the "sick role"
Factitious disorder, also known as Munchausen syndrome, is a mental health condition where individuals deliberately fabricate or exaggerate physical or psychological symptoms in order to assume the "sick role" or receive sympathy and attention. They may go to great lengths to manipulate medical professionals and seek unnecessary medical procedures or interventions.
The BEST explanation of "translational research" that applies to social work practice is as follows:
The goal of translational research is to transfer knowledge from "basic" or laboratory investigations into real-world applications. The "translational" part of this kind of research derives from the focus on applying findings from meticulously controlled trials to situations where individuals in need of improved/modified models are directly impacted.
The other choices are erroneous since translational research, in spite of its name, has nothing to do with cultural, linguistic, or genetic influences.
The Velasco family shows up to your practice for counseling. Mr. and Mrs. Velasco's children appear to be under rigorous parental control and adhere to strict behavioral guidelines. Despite not having any behavioral issues at school and performing extremely well academically, you realize as therapy goes on that the kids have very poor self-esteem and don't appear pleased.
Which parenting approach best suits the given circumstances?
The kids who answered this question consistently perform well in school and typically have little trouble abiding by rules and respecting authority figures. This type of parenting is characterized by stringent, poorly defined behavioral guidelines, followed by consequences for transgressions. But kids who grow up in so-called authoritarian homes also appear to have poorer self-esteem, are unhappier, and lack social skills compared to other kids.
The other response choices are parenting approaches, but they don't fit the question's definition of the behaviors they are meant to treat.
A condition that may arise in a number of situations and treatment procedures and is brought on by some component of the intervention given to treat the presenting problem.
An iatrogenic condition refers to a condition or disorder that is caused by some aspect of medical intervention or treatment provided to address a presenting problem. The term "iatrogenic" comes from the Greek words "iatros" meaning "physician" and "gennan" meaning "to produce" or "to cause."
The act of showing someone you care and that you're supporting them
Mirroring is a key concept in Bowenian Family Therapy, as it helps to create a safe and nurturing environment within the family system. It allows individuals to feel understood and accepted, which can foster emotional growth and develop healthier relationships. By mirroring, family members can demonstrate their willingness to engage in open and empathetic communication, promoting a sense of togetherness and emotional connection.
Different control and experimental groups rather than random groups
In a quasi-experimental design, participants are not randomly assigned to groups as in a true experimental design, but rather they are assigned based on existing characteristics or circumstances. For example, researchers may compare the outcomes of a treatment group (experimental group) to a non-treatment group (control group) that is matched based on relevant variables such as age, gender, or pre-existing conditions.
Problems like the depletion of natural resources are some examples of how it manifests.
Societal regression, on the other hand, refers to a broader concept related to the decline or deterioration of society as a whole. It often encompasses a range of social, economic, political, and environmental factors. The depletion of natural resources is a complex issue with wide-ranging implications for society and the environment.
A selective serotonin reuptake inhibitor is used to treat anxiety, serious depression, and obsessive-compulsive behavior.
Citalopram is an antidepressant medication that works by increasing the levels of serotonin, a neurotransmitter in the brain, which helps regulate mood and emotions. It is commonly marketed under the brand names Celexa or Cipramil.
What the caregiver learns from the patient's symptoms (like an MD on an interesting case)
Tertiary gain is a concept that originates from psychoanalysis and refers to the unconscious psychological benefits or advantages that individuals may derive from exhibiting symptoms or experiencing illness. It is one of three types of gains associated with the concept of "secondary gains."
The BEST definition of "substitution" is:
Psychological protection Mechanisms are unconsciously used, instinctive methods of calming down. Substitution is a technique that can happen when a goal or feeling that is out of reach is swapped out for one that is more doable.
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.
You are told at a client's initial consultation that the client has previously received care from other social workers. When you inquire about the client's prior therapies, he says they were in the past and he'd like to move on, adding that he would prefer that the records of those therapies not be made public.
You ought to FIRST:
The other choices, such as examining the client's reasons for not wanting his prior therapy explored or informing the client that treatment will only focus on present themes, which may lessen some of the client's worry regarding past treatment, may only be pursued after this recognition. However, you must first acknowledge the client's right to decline consent.
The MOST suitable design for this kind of clinical practice environment is a single topic design:
When employing a single subject design, a social worker should have control over the client's environment; hence, an inpatient mental health facility would be the ideal clinical practice environment.
The other choices are inaccurate because, in an outpatient context like a private clinic or a county health department, a social worker would not have much or any control over the client's environment.
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. With disorganized schizophrenia, there are higher levels/severities of bizarre, aimless behavior, which is frequently accompanied by nonsensical speech that is challenging or impossible for others to understand.
Deborah and Daniele are meeting for their regularly scheduled session. Due to Deborah's striking resemblance to Daniele when she was Deborah's age, their therapeutic alliance is beginning to resemble a casual friendship. Daniele wants to avoid Deborah making the same mistakes she did because Deborah's life circumstances are similar to her own.
What kind of interaction is most likely to occur in this situation?
Overidentification with the client and their problems is a parallel process that closely mimics countertransference. The overemotional participation of the therapist in appropriating feelings from one relationship and transferring them in a therapeutic setting is known as countertransference, though. Another distinction is that the parallel process focuses on the nature of the therapeutic link in a more focused way: the client has problems that the therapist can relate to and address from personal experience.
The word "normalization" is not used to describe interactions between clients and professionals.