ASWB Practice Exam Questions
1. A therapist is meeting with a client for an initial evaluation. The client reports feeling moody and has been having many headaches. The client states that she lost a lot of weight recently and has noticed a decrease in appetite. The clinician should FIRST:
A. Assess the client for suicidality
B. Refer the client to a psychiatrist
C. Complete a mental status exam
D. Refer the client to a MD
2. A therapist has been conducting a closed 10-week group for men living with AIDS. After the 3rd session, a group member reports to the leader that they are feeling frustrated and disconnected with other members of the group. They question whether or not they want to continue. The social worker should FIRST:
A. Initiate an individual session with this group member to address their feelings of frustration and disconnect
B. Tell the group member that it isn’t possible to leave the group at this time due to the closed nature of the group
C. Encourage the group member to bring this up in the next group session
D. Use the next group session to explore how other group members are feeling and whether anyone relates to how this group member is feeling in order to encourage cohesiveness
3. Studies that collect and analyze data from the whole study population at one point in time is called:
A. Single Subject Design
B. Cross-sectional Studies
C. Retrospective Study
D. Case Study
4. A father recently noticed an upswing in the amount of gun violence in his neighborhood. As a result he reaches out to other members of the neighborhood to hold a meeting and discuss the impact this is having on each individual, while also looking at the ways that each member can contribute to creating change. This is an example of:
B. Program Development
C. Community Organizing
D. Social Planning
5. A social worker is developing a program that assists youth who are coming out of the juvenile justice system in finding a job. The social worker has already conducted a needs assessment and identified goals for the program. Which of the following should be the NEXT step?
A. Create an action plan along with a timeline for implementation
B. Create a planning team which includes identifying key staff
C. Put the identified goals in action to ensure they are productive and accurate based on the identified population
D. Using the identified goals, implement an action plan and evaluate progress as needed
6. A 15-year-old client was recently referred to a therapist at a community counseling center for an initial assessment after throwing a chair at another student at school. The mother reports this is the first incident of this type, but that the client’s parents recently divorced a month ago. In order to develop the therapeutic relationship, the therapist must FIRST:
A. Go over the limitations of confidentiality with the client
B. Complete a biopsychosocial assessment
C. Play a game to lessen the stress of the first session
D. Get a release of confidentiality from the mother to talk to the client’s teacher
7. A therapist receives a court order to release the records of a client who is going through a custody disagreement with his partner. The therapist is worried about releasing certain aspects of the record believing that it will be harmful to the client, so the therapist advocates to release only limited aspects of the record. The judge denies the request. The therapist SHOULD:
A. Release the records to the court immediately
B. Release only aspects of the records that the therapist believes aren’t harmful
C. Speak with a lawyer
D. Speak with the client about the subpoena
8. During an assessment a client reports a low mood, lack of sleep, and trouble concentrating. The client reports this has been going on for the past three years. The client shares they were sexually assaulted seven years ago, but reports that they, “don’t really think about it anymore.” The client’s MOST likely diagnosis is:
A. Major Depressive Disorder
B. Persistent Depressive Disorder
C. Cyclothymic Disorder
D. Acute Stress Disorder
9. A therapist is developing a website to promote her private practice. It would be unethical to do which of the following:
A. Highlight the therapist’s expertise
B. Share extensive information about the therapist’s training and background
C. Include information about the therapist’s fees and sliding scale
D. Collect clients’ testimonials highlighting the effectiveness of treatment
10. A social worker is doing a home visit for a family with three kids who recently lost their mother in a car accident. The family was living in a homeless shelter and recently moved into a new home. When the social worker arrives, the social worker sees the father push one of his children on the ground and begins to punch the wall next to the child. The social worker’s FIRST response should be to:
A. Call the police
B. Make a CPS report
C. Intervene with the father
D. Take pictures of the event
ASWB Practice Exam Rationales
1. For this ASWB exam practice question, the correct answer would be D. The FIRST thing we need to do is make sure there isn’t a medical reason for the client’s recent physical symptoms. A lot of people choose A due to the client’s report of moodiness. The keyword here is what should the therapist do FIRST? It doesn’t mean we wouldn’t do the other answer options at some point during this session, but we need to first address the client’s medical symptoms.
2. The correct answer here is C. When working with groups we want to make sure we keep any issues that come up around the group within the group. So in this case, it’s important to encourage the client to address their feelings with the group. A would not keep the issue within the group, and B would not be appropriate because a group member has the right to leave a group. D could be done at some point, but not before we give the client an opportunity to share his own feelings with the group.
3. This is a recall question based on the ASWB exam. B is the correct answer because cross-sectional studies collect data at a single point in time from participants who are a variety of ages to see how change occurs as a person ages.
4. C is correct because community organizing involves engaging with groups, organizations, and communities in order to bring about positive changes within the community and to solve social problems identified by members of the community. For this ASWB practice test question, the key aspect here is that the social problem has been identified by the father, who is a member of the community. A, B, and D would all be described differently.
5. Since the social worker has already conducted a needs assessment and identified the goals for the program, they NEXT need to create a team of people who are able to plan, develop, and implement the program. Therefore, for this ASWB practice question, B is correct. A, C, and D would be done once the social worker has created a team of people who can then oversee that the goals are put into action.
6. On this ASWB practice exam, the best answer here is A. It’s important for the client to be aware of the limits of confidentiality before starting therapy. B, C, and D would all be options to do NEXT, but not until the therapist has addressed confidentiality with the client.
7. The best answer here is A. Since the subpoena is coming from a court directly, we must provide the court with the records. The therapist has already advocated for only part of the record to be released and since the request was denied we can’t do B. We could do C and D at a later point, but not before releasing the records to the court. Between the time we receive the initial request and advocated for limited release we should have already been discussing with the client the next steps in case that request is denied.
9. D is correct because it is unethical for the therapist to collect testimonials for previous or present clients. A, B, and C are all areas that are ok for the therapist to highlight on their website.
10. On this ASWB exam practice question, the FIRST option here is A. Anytime immediate danger is happening the social worker needs to call the police. B would be done after A has been done. C would put the social worker in danger and should not be done. D would not be done by the social worker, as the police would take pictures of the event as needed.
We hope this ASWB Practice Exam was helpful. Our ASWB exam prep program has a 95% success rate. We are passionate about helping people pass the ASWB clinical exam. Click here to learn more about programs at TDC. The Therapist Development Center team looks forward to helping you develop the strategies you need to pass with confidence!