FREE ASWB Clinical Trivia Question and Answers

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Confabulation is a symptom of some severe memory loss disorders that is characterized by a client's filling in of memory gaps with information created during a narrative about history or personal experience, without client intent to deceive, and without recognition or concern when erroneous information is challenged.

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Confabulation is a symptom that can occur in individuals with severe memory loss disorders, such as certain types of dementia or brain injuries. It involves the production of fabricated or distorted information to fill in gaps in memory. Confabulation typically occurs unintentionally, without the individual's awareness or intent to deceive.

A client informs a social worker that he "can't tolerate it longer," but he doesn't think he can make the necessary changes in his life. He talks to the social worker about what his life would be like if he didn't have his problematic behaviors. Which stage of transformation is the client most likely in?

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The best way to understand behavior change is as a process with varying levels of preparation. Most clients alter their behavior gradually over time. They go from being indifferent, unaware of, or reluctant to make a change (pre-contemplation), to thinking about making a change (contemplation), to choosing and preparing to make a change (decision and preparation) (preparation). This is followed by firm action and ongoing efforts to uphold the new behavior (maintenance).
While hesitant about change, a client may assess the advantages vs disadvantages (i.e., time, expense, and effort) of change during the contemplative stage, which marks the beginning of some movement toward change. The patient in the scenario is open to considering how his life might alter. This is reflection.

After years of substance abuse, a man visits a social worker and tells her that he stopped using heroin two days ago because "he has had enough." He says he's been throwing up and can't sleep, and he seems anxious and upset. The social worker should: in order to satisfy his immediate therapeutic needs.

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Health and safety are considered basic needs per Maslow's hierarchy of needs and must be addressed first. Abstinence from drugs like heroin can result in a variety of unpleasant symptoms, including diarrhea, agitation, insomnia, and/or sadness. Before attempting relapse prevention or developing a treatment plan, these symptoms must be treated. Although useful, completing an assessment does not necessarily contribute to "filling his immediate treatment needs," as the question suggests. Safe detoxification is essential, especially following prolonged use like the kind discussed here.

Working with Wendy, a client of the women's shelter where you work. After experiencing a domestic assault and subsequent displacement, Wendy is in distress. With Wendy, you established rapport, provided her with a wealth of resources, convinced her to commit to an action plan, and gave her the time to process her emotions. Wendy left the first session a little early and hasn't come back to the others, despite the fact that you think you did a fantastic job.

What was your initial error?

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Your intentions were good, but you failed to remember that hasty and hurried crisis treatment can really cause harm. The crisis intervention structure will palliate and reassure the client, in this example Wendy, that she can use a stepwise procedure to solve her difficulties by functioning in a logical and ordinal manner. This ensures that the right therapeutic path is also followed.
The information provided in the question does not make it clear how much time was spent building rapport, and we can only assume that if a crisis plan was prepared, some significant issues would be found. To be fully helpful, things must occur in a specific order, and offering psychotherapy in a crisis scenario may not be necessary at all. That is a lot of knowledge and actions to cram into an hour, assuming that this first session with Wendy was an hour long like most do. Instead, take the time to reassure Wendy that she can apply a step-by-step procedure to solve her difficulties.

Which of the following statements concerning violence risk factors is TRUE?

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Risk factors are linked to an elevated chance that a client or community would experience violence or turn into a perpetrator of it. Risk elements might exist at the individual, family, community, and educational levels. Not everyone who is labeled as "at risk" engages in violent behavior. Protective variables have a negative relationship with risk factors (i.e., the more likely that risk factors are present, the less likely that there are existing protective factors).

A social worker at a facility for drug and alcohol abuse is attracted to one of the people she supervises and asks him out on a date. They get married after dating for a while, and the supervisee then gets a position at another organization. The social worker acts as:

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The NASW Code of Ethics forbids social workers from participating in sexual activity or contact with supervisees, students, trainees, or any colleagues over whom they have professional authority (including verbal, written, electronic, or physical communication).
The social worker had an improper dual connection with her supervisee.

Which statement on cultural, racial, and ethnic identities is FALSE?

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The importance of cultural, racial, and ethnic identities cannot be overstated, especially for people who belong to marginalized groups. They could foster feelings of identification with and belonging to a particular group or groups (i.e., shared commitment and values).
Customs, traditions, language, religious beliefs, and cultural values are the means through which cultural, racial, and ethnic identities are passed down from one generation to the next. Popular culture, literature, and current events all have an impact on cultural, racial, and ethnic identities.
As people contact with members of other groups and are impacted by popular culture, literature, and current events, their cultural, racial, and ethnic identities may alter over time..

Ron and James, a couple who are both dealing with addiction, have decided to call it quits on their union, but their split was disastrous and rife with resentment. However, they both trust you as the social worker at the neighborhood community center, so they decide to come to you for advice on how to proceed without getting into any more difficulty.

You are acting in a

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Since you maintain a neutral attitude and mostly serve as a resource, hopefully you will be able to mediate between the two parties.
The needs of groups and organizations are addressed by change agents, the availability of helpful resources is the focus of brokers, and the rights of others are the focus of advocates.

Working with Wes, a great achiever with extremely high expectations for himself, who has obsessive-compulsive personality disorder, is your client. Even though he may have checked several times that morning, he frequently needs to go back home to make sure he didn't leave his coffee maker on. According to Wes, he likes everything around him to be flawless and doesn't appear to appreciate compliments on his accomplishments.

Which of the following attitudes and actions is the LESS LIKELY to be associated with OCD?

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Obsessive-Compulsive Personality Disorder is listed in section 6 of the DSM-5 under Obsessive-Compulsive and Related Disorders and should be distinguished from Obsessive-Compulsive Disorder.
The clinical locus is the primary distinction. Concern for the entire and complete personality exists in obsessive-compulsive personality disorder. High achievement, a desire for perfection, a need for control, and an absence of satisfaction with one's own accomplishments are its defining characteristics. Obsessive-Compulsive Disorder, a fundamentally different worry from repeated, paternalistic acts and compulsive thoughts, is characterized by having obsessive and ritualized behaviors.

At two different social gatherings, both held in public eateries, you overheard a coworker discussing his clients. The colleague would even mention the clients by name when talking to them.

What step should you TAKE RIGHT AWAY?

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Due to their duty to safeguard clients from dishonest coworkers, social workers may engage in whistle-blowing, or reporting their coworkers to those in positions of responsibility.
You should not act unethically if you see a colleague acting unethically and choose to overlook it or if you threaten them. It makes sense that social workers might feel the need to talk about the difficulties that dealing with challenging clients can bring about. Although doing so in public and using customers' names is immoral, it is also a HIPAA violation.

Without appropriate medical supervision, the following substance has the HIGHEST risk of death during detoxification or withdrawal:

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Alcohol has by far the largest risk of fatalities due to detoxification out of all the drugs listed. Withdrawal may result in potentially fatal consequences.
Although many drugs can cause intense physical and psychological suffering or pain during withdrawal, alcohol is the drug most likely to cause potentially fatal withdrawal-related problems.

You are having your first meeting with a client. What should be taken into account MOST in order to get a successful clinical outcome?

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The therapeutic bond between you and your client is always the most crucial part of treatment to take into account, regardless of what your client is coming with. There is a higher chance that the client will improve in therapy and maintain long-lasting changes if there is mutual respect and trust between you and the client.
Sharing values with the customer can be beneficial in some situations, but it is not a need for the client to achieve success. Although you should not force that clients commit to attending every therapy session, they should be dedicated to attending sessions and working to improve. Furthermore, a client's self-esteem may be discussed in therapy sessions, but whether a client has low or high self-esteem does not always indicate how well they would fare clinically.

Due to her feeling of entitlement and narcissistic personality disorder, Lynn gets irate when she has to wait in line for anything. Her self-expressions are "over the top" and quite dramatic. Lynn was quite disappointed in herself and disturbed when she failed a quiz in a college elective. She is infatuated with the idea of being a well-known singer with adoring fans all over the world and gets agitated and uncomfortable when she is not the focus of attention.

Which of the aforementioned attitudes and actions is the LITTLEST like narcissistic personality disorder?

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The most prominent behavioral pattern associated with narcissistic personality disorder includes inflated self-importance, hypersensitivity to failure, and near-delusional delusions of unending triumph. Excessive attention-seeking is another aspect of this illness.
Dramatic self-expression is not typically seen as a narcissistic personality disorder diagnostic indicator.

A social worker operates in this particular paradigm, emphasizing the significance of economic, historical, sociopolitical, and environmental effects on client functioning and well-being. The interventions are more deeply ingrained in broader systems. Which intervention is being used by this social worker?

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Social workers work to empower their clients and find solutions to interpersonal conflicts. Through the use of three levels of intervention—Micro, Mezzo, and Macro—they succeed in achieving this goal. There is no "small" intervention. The third level of intervention for social workers is the macro intervention. This level emphasizes the significance of environmental, social, historical, and economic impacts on client functioning and well-being. Social workers assess how these variables might help clients flourish or cause issues for them.
In the "Micro" intervention, social workers focus on assisting clients in finding solutions to their issues. Problems with partners/spouses, children, other family members, coworkers, and/or neighbors may be involved. At the micro level, social workers offer direct assistance and counseling to clients in addition to assisting them in obtaining the services they require from other organizations. The "Mezzo" intervention, commonly referred to as "meso," is the second level of intervention for social workers. Mezzo interventions are applicable to larger populations or groups. Social workers try to bridge the micro and macro levels at the mezzo-intervention level.

The degree to which a test samples the behavior that is of interest is known as content validity.

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Content validity refers to the degree to which a test or assessment measures the specific behavior or construct that it is intended to measure.

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?

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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 coming up with a reasonable explanation for why it occurred.

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