FREE ASWB Licensed Clinical Social Worker Question and Answers

Question 1

You learn that Derek, a male client with a sexual addiction, fondled his nephew, who is seven years old, while he was taking care of him during a session. Derek agrees to report this incident to the proper authorities after the session when you tell him that he must do so.

What should you DO NEXT when the session is over?

Accepted Answer

Contact the appropriate authorities to report Derek's self-reported disclosure

Answer

When a client discloses child abuse, especially involving a minor, the social worker has a legal and ethical obligation to report it to the appropriate authorities immediately. This duty to protect vulnerable individuals overrides client confidentiality in cases of child abuse. Even if the client agrees to report it, the social worker cannot delegate this responsibility and must ensure the report is made directly.

Question 2

Jessica acknowledges that she dislikes being touched and becomes quite tense if it seems like someone is going to touch her. Jessica is most likely impacted by:

Accepted Answer

Haphephobia

Answer

Haphephobia is the specific phobia characterized by an irrational and intense fear of being touched. Jessica's description of disliking being touched and becoming tense at the prospect directly matches the definition of haphephobia. The other options, acrophobia (fear of heights), algophobia (fear of pain), and agoraphobia (fear of open spaces/crowds), do not align with her stated symptoms.

Question 3

You are seeing Olivia for individual therapy because she is exhibiting signs of a psychotic condition. She claims that although her psychiatrist recently gave her a prescription for Haldol, Olivia is really reluctant to take it.

Which action should you take first?

Accepted Answer

Acknowledge Olivia's feelings and explore the reasons behind her reluctance to take the medication.

Answer

In a client-centered approach, the first step when a client expresses reluctance about treatment is to understand their perspective. Acknowledging Olivia's feelings and exploring her reasons for not wanting to take Haldol builds rapport, respects her autonomy, and provides crucial information needed to address her concerns effectively. This collaborative approach is more likely to lead to compliance than simply providing information or mandating treatment.

Question 4

You run into Helen in the grocery store; she was a client you terminated effectively a year ago. You hook up with her and discover that she has opened her own pool cleaning company. Since you need someone to clean your pool for the summer, you pay her to do so.

How would YOU BEST describe this circumstance?

Accepted Answer

A nonacceptable dual relationship

Answer

A dual relationship occurs when a social worker has both a professional and another relationship (e.g., business, personal) with a client or former client. Even though the therapy terminated a year ago, entering into a business relationship with a former client creates a potential conflict of interest, blurs professional boundaries, and can exploit the power imbalance inherent in the therapeutic relationship. This is generally considered unethical and non-acceptable in social work practice.

Question 5

A social worker who uses the family systems model to provide family therapy would not agree with the following:

Accepted Answer

Treating the "identified patient" will help the entire family to change

Answer

The family systems model views the 'identified patient' (the person exhibiting symptoms) as a symptom bearer for underlying family dysfunction, not the sole source of the problem. Therefore, simply treating the identified patient in isolation is not considered sufficient to bring about lasting change in the entire family system. This model emphasizes that change must occur within the family's relational patterns and dynamics.

ASWB - Association of Social Work Boards Practice Test

ASWB - Association of Social Work Boards Practice Test

FREE ASWB Licensed Clinical Social Worker Question and Answers