Test Information:
Total Questions 250
Test Number: LCSW
Vendor Name: ASWB
Cert Name: ASWB CERTIFICATION
Test Name: ASWB Clinical Level Social Work Licensing Exam
Official Site: https://www.certswarrior.com
For
More Details: https://www.certswarrior.com/exam/lcsw/
Question: 1
The
Diagnostic and Statistical Manual of Mental Disorders Text-revised, 5th Edition
(DSM-5) is utilized by professionals to diagnose psychiatric disorders. Unlike
previous versions of the DSM, it does not use a multi-axis model for diagnosis.
Which DSM-IV-TR axis had its criteria modified and included in the DSM-5, but
not in the list of disorders?
A. Axis I
B. Axis
III
C. Axis IV
D. Axis V
Answer: C
Explanation:
The criteria of Axis IV were modified and included in the DSM-5 as psychosocial
and other contextual issues with significant bearing on the well-being of the
patient. Axes I and III were folded in with Axis II in the list of disorders.
Axis V was dropped completely.
Question: 2
The
American Foundation for Suicide Prevention states that up to 50% of all people
who commit suicide have had failed past attempts. Traumatic life events that
cause a significant amount of stress and clinical depression are known to be
major risk factors behind for suicide. Which of the following is not likely to
be a risk factor for suicide?
A. Family
history of mental disorder
B.
Incarceration
C. Chronic
physical illness
D. Family
diversity
Answer: D
Explanation:
Research shows that 90% of all suicides were by individuals suffering from
clinical depression or other mental disorders. Substance abuse is usually an
additional factor to an already unstable diagnosis. Warning signs that someone
is contemplating suicide may include: risk-taking
behavior,
talking about death, changing a will, and losing interest in things one cares
about. Family diversity has not been shown to be a significant issue related to
suicide.
Question: 3
Alyson was
recently given a promotion at work that has increased the caseload of clients
she sees on a daily basis. Long hours have led to conflicts with her family
life at home. Alyson feels frustrated and pressured, but needs the extra money.
Also, if she asks for a demotion, this would reduce her social status within
the employment agency. Alyson is currently dealing with what kind of stress?
A.
Conflict resolution
B.
Developmental
C.
Biopsychosocial
D.
Homeostasis
Answer: C
Explanation:
The biopsychosocial model of stress involves events within the environment that
lead to the recognition of stress. Common stressors in this model fall within
four main topics: work, social/family, personal and the environment.
Biopsychosocial stress affects self-esteem, social status, and self-worth.
Question: 4
A clinical
social worker is providing services to a woman diagnosed with bipolar disorder.
She experiences frequent manic episodes that include motor hyperactivity,
elation, poor judgment, pressured speech and hostility. To try and bring about
normalization of symptoms, what is the best choice for medication?
A. Effexor
B.
Citalopram
C.
Adderall
D. Lithium
Answer: D
Explanation:
Lithium is used as an anti-mania medication for individuals suffering from
Affective Disorder, Bipolar, and Mania. Studies have demonstrated that lithium
alters sodium transport in muscle and nerve
cells.
Patients given this medication will feel relief of symptoms and demonstrate
normalcy within 1 to 3 weeks. A drug more commonly prescribed is Depakote, due
to the need for ongoing blood level tests with Lithium. Antidepressants can
trigger mania and do not work very well.
Question: 5
Clinical
social workers use assessment as an ongoing process with client participation.
The purpose is to understand people in relation to their environment through
planning, improving and changing. Professionals learn to develop an
understanding of particular social problems, kinds of solutions and possible
consequences. Most social workers define assessment in relation to the five
stages of framework. Which of the following demonstrates this theory?
A. Data
collection, utilizing the data, environmental behavior, outcome, and
consequence
B.
Planning, weighing the data, utilizing the analysis, emotional outcome, and
consequence
C.
Preparation, data collection, weighing the data, analyzing the data, and
utilizing the analysis
D.
Constructing data analysis, planning, analyzing the data, behavior
modification, and empowerment
Answer: C
Explanation:
The five stages of assessment framework include preparation, data collection,
weighing the data, analyzing the data, and utilizing the data. The first stage
is important for determining what data will be relevant and what the limits are
on task. As the data is collected, weighed and analyzed, it comes down to the
final stage of judgment by the clinical social worker.
Question: 6
The goal
in therapy is to build ego strength and ensure a stable identity within the
client. Ego strength is defined as the capacity to cope despite adversity.
Examples include: impulse control, affect-tolerant, frustration-tolerance, and
resistance to aggression. What common test is utilized to determine
characteristics and emotional functioning of clients?
A.
Neuropsychological
B.
Rorschach
C.
Aptitude
D.
Intelligence
Answer: B
Explanation:
The Rorschach Test is utilized in diagnosing underlying thought disorders and
psychotic thinking. There are 10 official inkblot cards that a client
describes. Results are based on what is observed, contents of the response,
client comments, and how much time is spent on each card. The results are interpreted
using research data on personality characteristics.
Question: 7
One test
stands out as the most widely used personality assessment. It was developed in
the late 1930s and mental health professionals find it quite accurate for
diagnosing mental illness. The test is often used in court cases that include
custody disputes and criminal offenses. Treatment programs will test their
clients with this tool to determine effectiveness. Which exam is being
described?
A. MMPI-2
B.
Psychodynamic assessment
C. DSM-5
D.
Rorschach
Answer: A
Explanation:
The Minnesota Multiphasic Personality Inventory is composed of 567 test
questions. Professionals with specific training administer, score and interpret
the results. The MMPI-2 can be given individually or in groups, designed for
individuals over the age of 18. It is the most researched psychological test in
existence.
Question: 8
Geriatrics
focuses on the promotion of health and prevention of disease or disability in
older adults. To assess the needed level of care, a team approach is often
utilized. Trained professionals skilled in caring for the elderly work together
in preparing an evaluation. These often include: nurses, social workers,
nutritionists, and physical therapists. What is the team not considering in
their assessment?
A. Medical
history
B.
Activities of daily living
C. Support
systems
D.
Individual problems
Answer: D
Explanation:
The team approach to geriatrics looks at the individual holistically. Many
aspects are taken into account that may overlap into one another. Each member
of the team is a skilled health professional that each plays an important role
in assessing the care of older individuals.
Question: 9
A clinical
social worker meets with a family to gather information that will help identify
patterns of parental behavior, both positive and negative, over time. The
family’s strengths are distinguished to determine protective factors that aid
in identifying resources helpful to meeting the household’s needs. Overall
requirements are addressed that affect the permanency and safety of the
children. Information gathered through other assessments is also used to help
develop a service plan or plan for intervention. What kind of evaluation is
being described?
A. Initial
assessment
B. Safety
assessment
C.
Environmental assessment
D.
Comprehensive family assessment
Answer: D
Explanation:
The comprehensive family assessment gathers all background information on its
members and evaluates the home environment. Contributing factors are discussed,
such as domestic violence, lack of employment, alcohol/drug usage, and
educational background. A clinical social worker will also collect information
on who lives in the home and the parent’s culture, health and finances.
Question: 10
Phillip is
a 24-year-old male who has been in prison on four different occasions. His
criminal record includes domestic assault on a girlfriend, stealing a car,
setting fire to an abandoned warehouse and drug use. Phillip’s acts were not
premeditated, and he claims to have little control over his actions. What
disorder might a clinical social worker set out to treat?
A. Anger
management
B.
Destructive personality disorder
C. Impulse
control disorder
D. Lack of
self-esteem
Answer: C
Explanation:
Phillip suffers from impulse control disorder. This problem is defined as a
failure to resist spontaneous acts or behaviors that may be detrimental to self
or others. The actions are not considered in advance and may include gambling,
violence, sexual misconduct, stealing and self-abusive behavior.
Question:
11
The
nation’s leading medical problem is not cancer, lung or heart disease. The
problem has definite causes and effects on one in five adult Americans.
Research suggests genetic, neurological, biochemical, psychological and
environmental origins. What condition is being described?
A. Hearing
loss
B. Vision
loss
C. Mental
illness
D.
Physical disability
Answer: C
Explanation:
More than 57 million Americans, or about one in four adults, suffer from a
diagnosable mental disorder in a given year. The sooner symptoms are recognized
the better. Individuals in fear of losing control of their lives require help.
Symptoms to look for include: depression, excessive sleeping, deterioration of
relationships, unusual behavior, social withdrawal and the inability to express
feelings.
Question: 12
Persistent
unhappiness, loss of appetite, changes in sleep patterns, withdrawal and a
decrease in energy are all symptoms of what mental illness?
A. Chronic
fatigue syndrome
B.
Depression
C.
Bi-polar disorder
D.
Alter-ego
Answer: B
Explanation:
Depression is a mood disorder in which feelings of sadness, frustration, loss
and anger
interfere
with day-to-day life for an extended period of time. Low self-esteem and anger
are common. The degree of depression may be mild, moderate or severe,
determining the amount of treatment required by a professional.
Question: 13
Once a
clinical social worker has assessed a client, they together formulate a
document to address issues that the assessment has identified. This document is
called a
A.
Contract
B.
Collaboration
C.
Treatment Plan
D. Leading
Guide
Answer: C
Explanation:
A treatment plan identifies in a concrete way what goals the client and social
worker will work in what order, using what methods, and by what target dates.
It is also the document most insurance companies, courts, agencies, and anyone
else require who might have interest in the outcome of treatment for the
client.
Question: 14
When
developing a functioning service plan to maintain safety and permanence within
a family structure, what type of assessment should be utilized?
A.
Individual assessment
B. Group
assessment
C.
Family-centered assessment
D. Child
welfare assessment
Answer: C
Explanation:
Family-centered assessment helps identify needs, strengths and resources to
determine the best possible assistance for a family. The family unit is seen as
a whole and full participation is expected.
Question: 15
A clinical
social worker meets with the Robertson family to determine parental behavior by
completing a comprehensive family assessment. Information will be collected on
who lives in the home, health history, employment and stability. Which of the
following possible contributing factors should the social worker consider?
A. Social
Skills
B. Bank
Account
C.
Education
D. Sibling
Status
Answer: C
Explanation:
When completing a comprehensive family assessment, the clinical social worker
should consider possible contributing factors, including domestic violence,
alcohol/drug usage, educational background, and employment status. All of these
concerns are addressed to ensure the permanency and safety of the children. A
clinical social worker cannot determine a working service plan without this
information.
Question: 16
A clinical
social worker needs to be cautious when completing an assessment for
oppositional defiant disorder. The problem should be observed at home and
school with behaviors occurring in a manner that affects family, social and
academic life. Which of the following symptoms need to be displayed in order to
correctly diagnose oppositional defiant disorder?
A. Swears
frequently
B. Won’t
sit still when it is required
C.
Frequent temper tantrums
D. Give
inappropriate negative comments
Answer: C
Explanation:
In order to correctly diagnose oppositional defiant disorder, a clinical social
worker must observe a specific set of behaviors, including frequent temper
tantrums, hateful language directed at others, and annoyance when interacting
with other people. Oppositional defiant disorder affects school-aged children
and adolescents. Currently, there are no known causes for this problem.
Question:
17
There is a
wide range of symptoms and severity across the autistic spectrum disorders.
Given this fact, which observation is most crucial in establishing a diagnosis
of autism?
A.
Impairment in social interaction and communication
B.
Impairment in memory and thinking
C.
Impairment in physical abilities
D.
Impairment with directives from authority figures
Answer: A
Explanation:
Autism is a spectrum of disorders that describe a set of behaviors that
children and adults display in various ways. There is normally little interest
in most activities and noticeable delays in spoken language. Nonverbal
behaviors such as body posture and facial expressions can become a problem with
autism. One third of patients with this diagnosis have an IQ within the normal
range.
Question: 18
Sabrina
has managed to alienate all of her co-workers with bizarre behaviors. She is
constantly stealing other people’s food from the refrigerator in the lunchroom,
arguing with fellow employees over unimportant issues and most recently showing
up for work intoxicated. Sabrina is quick-tempered and has even thrown a stapler
at a coworker’s computer. She has been ordered to seek help for observable
problems. A full assessment will more than likely display what findings?
A.
Judgment disorder
B. Affect
regulation disorder
C.
Attention Deficit Disorder
D. Impulse
control disorder
Answer: D
Explanation:
A full assessment for Sabrina will likely have the finding of impulse control
disorder. Individuals with impulse control disorder are unable to manage
aggressive desires without immediate action. Other symptoms of this disorder
include sexual promiscuity and excessive drug use. This is ego function problem
is quite common.
Question: 19
Scott has
been in and out of traditional therapy with little effect on his problems. He
feels the main focus is on the issue rather than the solution, and this tends
to place him in a passive, helpless role. He already knows what is wrong but
wants to move towards what is right. What goal would a clinical social worker
aim for with this in mind?
A.
Empowerment
B.
Positive attitude
C.
Cognition
D.
Structured therapy
Answer: A
Explanation:
Solution building should be the main goal when working with Scott. In solution
building, a clinical social worker would attempt to change how an individual
thinks about a solution and educate them on how to achieve happiness.
Question: 20
As it
relates to human behavior in the social environment, the aging process is
marked by loss. Older adults lose many things as they age, including their
ability to drive, eat or bathe on their own. Which of the following factors
influence the extent to which an elderly person will interact with others?
A. Support
services
B.
Abundant relatives
C. Health
and mobility
D. Friends
of the same age
Answer: C
Explanation:
As the elderly lose the ability to be mobile within society, their large
network of social circles start to grow smaller. Eventually, the only people
within an older individual’s life tend to be a few close relatives. An
assessment will see this withdrawal as beneficial to the community and elderly.
Test Information:
Total Questions 250
Test Number: LCSW
Vendor Name: ASWB
Cert Name: ASWB CERTIFICATION
Test Name: ASWB Clinical Level Social Work Licensing Exam
Official Site: https://www.certswarrior.com
For
More Details: https://www.certswarrior.com/exam/lcsw/
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