August 12, 2015

ASWB Advance Generalist Practice Questions

1. A social worker has been asked to see a couple who report frequent verbal conflicts and who are asking for help in improving their communication skills. The social worker’s FIRST response should be to:

1. Evaluate what the couple means by ‘improved communication.’
2. Review differences in communication styles between men and women.
3. Pursue relevant psychosocial background information.
4. Initiate a role-play experience to explore their communication patterns.

2. A social worker has been working with a client for three months, addressing anger, aggression, and impulse issues. In the midst of a session he becomes angry and stalks out. The social worker then receives a letter indicating that he has cancelled the next appointment, that he has found another therapist, and demanding that the social worker release his records to him immediately. Legal action is threatened if the social worker fails to comply. The social worker is concerned that serious harm may result if they release the records. In keeping with professional ethics, the social worker’s FIRST step should be to:

1. Release the records as demanded.
2. Refuse the release and alert the social worker’s malpractice carrier of a possible lawsuit.
3. Document the patient’s request and the rationale for nonrelease.
4. Seek legal advice.

3. An administrator in a mental health clinic desires to measure the effectiveness of group therapy provided to recently divorced women. The measure of effectiveness is to be their level of social adjustment as derived through a survey instrument. The available population is 40 divorcees. Half are randomly selected to receive eight sessions of group therapy, while the other half is placed on a waiting list. The survey instrument is administered to all at the study outset, and again following the eight sessions or extended waiting. The research design the administrator is using is a:

1. Quasi-experimental design.
2. One-group pre-test/post-test.
3. Static group comparison.
4. Pre-test/post-test control group.

4. McInnis-Dettrick (1994) recommended that public and private program policy research be conducted using a model known by the mnemonic ANALYSIS. The first seven letters stand for: Approach, Need, Assessment, Logic, Your reaction as a practitioner, Support, and Innovation. The last letter (S) represents:

1. Systems response.
2. Social justice.
3. Societal acceptance.
4. Service regulations.

5. According to J.W. Drisko (2009), the five key factors required for a quality therapeutic relationship between client and clinician are: 1) affective attunement; 2) mutual affirmation; 3) joint efforts to resolve missteps; 4) __________; and 5) using varying types of empathy. The fourth key factor is:

1. Use of humor.
2. Accepting criticism.
3. Capacity to trust.
4. Goal congruence.

6. Identify the gender and typical age when the “Electra Complex’ occurs:

1. Female, 3-7 years of age.
2. Male, 3-6 years of age.
3. Female, 8-12 years of age.
4. Male, 6-12 years of age.

7. Presenting symptoms that may appear to arise from mental illness, but which actually arise from specific cultural practices, beliefs, or values, are referred to as:

1. Belief-based symptoms.
2. Iatrogenic symptoms.
3. Factitious syndromes.
4. Culture-bound syndromes.

8. A therapeutic approach that views thoughts and cognition as directly responsible for emotions and behaviors, that sees the change of false beliefs and misconceptions as the primary task, that is highly problem-focused and goal-directed, and that is oriented toward the here and now (as opposed to the past) is BEST described as a:

1. Task-centered approach.
2. Crisis intervention approach.
3. Gestalt approach.
4. Cognitive approach.

9. Most anxiolytics are a subclass of what drug classification?

1. Hallucinogens.
2. Stimulants
3. Depressants.
4. Narcotics.

10. A social worker’s client is a married man who has privately disclosed that he is bisexual. He reveals a lengthy history of sexual liaisons with other men, and most recently has disclosed that he is human immunodeficiency virus (HIV) positive (per repeated confirmatory tests via his primary care physician). During multiple contacts the social worker discovers that he has not disclosed his HIV status to his spouse. When discussing issues of transmission, he specifically notes that he does not use any barrier protection during sexual intercourse. Upon explaining the life-and-death risk to his wife, he still maintains that he won’t change this behavior. He first minimizes the risk, and then claims she would “suspect something’ if he started using a prophylactic. After lengthy counseling he remains unwilling to either reveal his HIV status or to use protection. According to recent interpretations of the “Tarasoff Case’ the social worker’s duty now is to:

1. Continue this as a priority counseling topic.
2. Report the case to the Department of Public Health.
3. Contact the client’s physician to inform him of the problem.
4. Contact the client’s wife to inform her of the danger.

11. A child described as “latency aged” will be between the ages of:

1. 12-16 years old.
2. 3-6 years old.
3. 6-12 years old.
4. Under three years old.

12. The term “deinstitutionalization” refers to:

1. Helping a client accommodate to a community living environment after having been institutionalized for an extended period (usually, years).
2. Creating a treatment program that serves the needs of the client, as opposed to the needs of the institution.
3. Changes in policy and law that led to the release of many mental health patients who would have otherwise remained in institutional settings.
4. A philosophy of client-therapist collaboration in treatment, as opposed to hierarchical therapist-driven treatment.

13. If a client has difficulty working with a particular social worker because the social worker reminds her of her father, and the social worker is struggling to work well with the client because she has strong traits reminiscent of those of his ex-spouse, the client and the social worker (respectively) are experiencing issues known as:

1. Individuation/separation conflicts.
2. Separation/individuation conflicts.
3. Transference/countertransference conflicts.
4. Countertransference/transference conflicts.

14. Human behavior is engaged and modified primarily by two forms of conditioning. One form of conditioning is used to train autonomic responses and to associate a stimulus that normally wouldn’t have any effect with a stimulus that would. The second form of conditioning creates an association between a behavior and a consequence (also called “response-stimulus” conditioning). In the order presented here, name these two forms of conditioning:

1. Autonomic conditioning and learned conditioning.
2. Neurological conditioning and cognitive conditioning.
3. Classical conditioning and operant conditioning.
4. Trained conditioning and planned conditioning.

15. Social service programs can be categorized in three ways. All of the following are valid categories of social service programs EXCEPT:

1. Exceptional eligibility programs.
2. Means tested programs.
3. Universal programs.
4. Selective eligibility programs.

16. A social worker is to meet with a 20-year-old male college student who was referred for evaluation by his family. They note that over the last several months he has increasingly avoided contact and/or talking with family members and friends, that he often seems intensely preoccupied, and that his hygiene and grooming have become very poor. In talking with him, the social worker notes that he seems very guarded, that his affect is virtually expressionless, and that he resists talking. When the social worker is able to coax him to speak, his speech is very tangential, easily derailed, and even incoherent at times. He and his family both deny substance abuse. The MOST likely diagnosis would be:

1. Major depression with psychotic features.
2. Schizophrenia.
3. Bipolar disorder.
4. Somatization disorder.

17. Certain exceptions to confidentiality exist. These include: 1) mandated reporting issues; 2) subpoenas or other court orders; 3) treatment continuity (cross-coverage by other agency staff); and all but one of the following:

1. Disclosures for insurance coverage purposes.
2. Disclosures at a client’s written request.
3. Disclosures to an employer providing insurance coverage.
4. Disclosures regarding a child (e.g., mandated reporting, violations of the law, etc).

18. Identify the four steps (in order) that Albert Bandura formulated to operationalize Social Learning Theory:

1. Attention, retention, reproduction, motivation.
2. Attention, motivation, retention, reproduction.
3. Motivation, retention, reproduction, attention.
4. Reproduction, motivation, attention, retention.

19. A social worker meets with a client and when exploring his concerns, he begins to divulge important personal information about his marital situation. At one point he seems to be having difficulty finding adequate words to express his emotions, fears, and concerns. After two or three efforts to express a particularly sensitive issue, he seems unable to find the words to continue and a long pause ensues. At this juncture the social worker should:

1. Attempt to further the discussion by suggesting what he might have been trying to say.
2. Press the client to continue so as not to lose the momentum of the conversation.
3. Discuss with him the difficulty he is experiencing, and encourage him to take more time.
4. Ignore the pause and remain quiet no matter how long it takes.

20. A social worker meets with a client concerned about an abusive relationship with her boyfriend. She acknowledges that he has been verbally abusive, including put-downs, name-calling, and frequent angry outbursts. Both family members and friends have encouraged her to terminate the relationship, but she struggles with strong feelings of affection and attraction for him. The social worker’s FIRST step should be to:

1. Offer reading material on abusive relationships.
2. Confront the client with the reality of the abuse.
3. Explore the client’s other relationships, past and present.
4. Acknowledge the strong ambivalent feelings she is feeling.

ASWB Advance Generalist Practice Questions Answer Key and Explanations