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Quiz Session - Attempts With Random Questions

ASWB Advanced Generalist Exam Questions

Page 10 of 25

181.

Which of the following is a new diagnosis in the DSM-5?

  • Social anxiety disorder

  • Social phobia

  • Dysthymia

  • Manic depression

Correct answer: Social anxiety disorder

Social anxiety disorder is a new diagnosis in the DSM-5, replacing social phobia.

The other options are incorrect. Social phobia, dysthymia, and manic depression are all obsolete diagnoses.

182.

What is the MOST accurate statement regarding gender identity and hormone/surgery involvement?

  • Transitioning persons may or may not choose these treatments 

  • Transitioning persons usually opt for either hormone or surgery treatments 

  • Gender identity is unrelated to hormone/surgery involvement 

  • Hormone/surgery treatments are the last step in a long transitioning process 

Correct answer: Transitioning persons may or may not choose these treatments 

A person's chosen gender identity is a deeply personal matter that each individual approaches differently, particularly during the phase of transition from one identity to another. Although some choose hormone therapy/surgery as a part of this transition, many do not, and their gender identity should be considered as valid as those who have. 

Even though it is not necessary for a gender identity transition, hormone/surgery involvement is related to this topic, as without such a desired transition these treatments would likely not take place. There is no set time at which such treatments can or should take place.

183.

Which of the following MOST requires blood tests periodically to prevent toxicity?

  • Lithium

  • Luvox

  • Paxil

Correct answer: Lithium

Lithium (lithium carbonate) is used as a mood stabilizer. Its level in the blood should be tested periodically to prevent a toxic dose.

The other answers are incorrect. Blood tests for Luvox and Paxil (SSRIs) would be to determine the therapeutic level, not to assess toxicity.

184.

A client pretends she is Jennifer Aniston because Jennifer is beautiful and never seems to have any problems in life.

What type of defense mechanism is the client MOST likely using?

  • Idealization

  • Intellectualization

  • Rationalization

  • Projection

Correct answer: Idealization

Idealization is a defense mechanism that is an overestimation of another person or their specific attributes.

Projection is a defense mechanism used by clients who choose to reject the unacceptable aspects of their personality. Projection occurs when someone assigns their insecurities to others and, in the process, alienates themselves.

When someone rationalizes something, they try to explain it away. People often use rationalization to push away their insecurities or remorse after doing something they regret. To make themselves feel better, they shift the blame.

In intellectualization, people think away an emotion or reaction that they do not want to feel. Although they are not denying that an emotional event occurred, they are not thinking about its emotional consequences.

185.

Which of the following BEST describes "hypomania"?

  • A manic episode that falls short of full mania

  • A manic episode of short duration

  • A manic episode followed by a depressive episode

Correct answer: A manic episode that falls short of full mania

Hypomania is a manic episode that is of a lesser degree than an episode of full mania. Clients show no serious disturbance in functioning or psychosis.

The other answers are incorrect, as they do not describe a manic episode falling short of full mania.

186.

A foster parent asks the social worker who is treating their 15-year-old foster child if the social worker knows if the foster child is using narcotics.

What should the social worker do FIRST?

  • Explain that all sessions are confidential

  • Ask the foster child for permission to discuss the sessions with the foster parent

  • Have the foster child sign a release-of-information form

Correct answer: Explain that all sessions are confidential

Social worker-client relationships are kept confidential and must be maintained; therefore, the social worker should first remind the parents of this.

The social worker may discuss with the foster child the possibility of signing a release of information form, but this would not be the social worker’s first action.

187.

Which of the following is FALSE regarding paraphilic disorders in the DSM-5?

  • There is no diagnostic distinction between behavior and disorder 

  • Qualitative diagnostic criteria are not enough for a diagnosis 

  • Negative consequences must be present for a diagnosis 

  • Sexual sadism disorder and sexual masochism disorder are differentiated 

Correct answer: There is no diagnostic distinction between behavior and disorder 

The diagnosis of paraphilic disorders in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) is somewhat different from other diagnoses. In order to be diagnosed with paraphilia, qualitative diagnostic criteria are not sufficient; negative consequences must also be present. The DSM-5 distinguishes between behavior and disorder in this category; simply put, there is a broad range of unusual or subdiagnostically paraphiliac sexual behavior that does not qualify as a disorder.

There are many different types of paraphilia. Sexual sadism disorder is not the same as sexual masochism disorder.

188.

While assisting a family with a therapeutic objective, you have already helped them set their goals and action plans.

What is the NEXT step to take in this process?

  • Recommend resources

  • Monitor the family’s success

  • Initiate the use of resources

  • Define their problem

Correct answer: Recommend resources

You have already helped the family set their goals and action plans, which means the problem has been defined; therefore, the next step would be to recommend the resources needed.

After recommending the necessary resources, you can initiate the use of the resources and then monitor the family’s success. 

189.

Which of the following is the age of majority in most states? 

  • 18

  • 21

  • 17

Correct answer: 18

The age of majority is the threshold of adulthood as recognized by law. In most parts of the United States, this age is 18 years.

190.

A social worker referred a client to another agency, and the receptionist at the other agency recognized the client as someone who lived in her neighborhood. The receptionist read the client’s confidential report and shared the information with her neighbors. The client found out from a neighbor that the receptionist was spreading rumors about them and reported the incident to their original social worker.

How should the social worker respond?

  • Inform the client that they should consider filing a formal complaint against the receptionist

  • Contact the appropriate regulatory body and report the receptionist

  • Discontinue using the agency as a referral source

  • Inform the client that no recourse is feasible at this time

Correct answer: Inform the client that they should consider filing a formal complaint against the receptionist

Since the social worker does not have any firsthand knowledge about the situation, the social worker needs to inform the client that they will need to be the individual responsible for addressing the alleged breach of confidentiality.

If the social worker discontinues using the agency as a referral source or informs the client that they cannot do anything, it ignores the problem. The social worker should encourage the client to make a formal complaint, rather than the social worker, as the client has firsthand knowledge of the situation.

191.

Which of the following LEAST characterizes Margaret Mahler's power struggle stage of couple development?

  • Practicing

  • Differentiation

  • Conflict

  • Acceptance

Correct answer: Practicing

Margaret Mahler's power struggle stage of couple development is when differences are worked out, conflict emerges and is resolved, and issues of differentiation emerge. Practicing is Mahler's term for the critical stage of learning individuation during infant development.

The other choices are incorrect, as they are all characteristic of the power struggle stage of couple development.

192.

Which of the following is MOST concerned with cause and effect?

  • Internal validity

  • External validity

  • Dependability

Correct answer: Internal validity

Internal validity is concerned with the validity of cause-effect relationships in an experimental design.

The other options are incorrect. External validity is concerned with the generalizability of results. Dependability is more concerned with instruments in an experiment.

193.

Which of the following options would be considered an unethical action by a social worker?

  • Receiving referral fees from another professional

  • Participating in both private practice and employment with an agency

  • Establishing rates that are higher than the rates of other professionals

Correct answer: Receiving referral fees from another professional

A social worker may not receive fees for referring clients to another professional.

The remaining options are incorrect. A social worker may choose to hold two different practices and what to charge for their services.

194.

A client shares concerns about his wife’s recent behavior. The client states that his wife is working long hours, is irritable with him and the children, and constantly wants to be left alone. The client reports having a hard time dealing with his wife’s behavior because he knows that it is emotionally hurting their children.

What is the FIRST thing the social worker should do?

  • Discuss the intricacies of the client’s immediate situation

  • Explore why the client's wife may be reacting in this manner

  • Discuss additional family support for the children

  • Assess the wife’s mental health history

Correct answer: Discuss the intricacies of the client’s immediate situation

In order to improve the client’s problem, the social worker should discuss the intricacies of the client’s immediate situation before taking further action.

The other options may be appropriate steps for the client’s treatment, but they are not helpful not until the social worker understands the details of the immediate situation.

195.

Which of the following BEST represents tertiary prevention?

  • Clinical intervention

  • Early identification

  • Social insurance programs

  • Recreational parks

Correct answer: Clinical intervention

An example of tertiary prevention is the rehabilitation efforts by a social worker to assist a client who has already been diagnosed with a problem. Examples of tertiary prevention include most forms of clinical intervention.

Early identification is an example of secondary prevention. Social insurance programs and recreational parks are examples of primary prevention.

196.

If a social worker receives an incomplete and inaccurate request for a client’s information from another agency, what should they do FIRST?

  • Contact the requesting agency and ask for a new form

  • Review the request with their supervisor

  • Forward the client’s information to the requesting agency

  • Refuse the agency’s information request

Correct answer: Contact the requesting agency and ask for a new form

A request for information will become a permanent document in the client’s file; therefore, the request needs to be complete and accurate. In order to obtain a complete and accurate request, the social worker simply needs to contact the requesting agency and ask for a new form.

It would be unacceptable to send the client’s information without a complete and accurate form, and a social worker should not need to consult their supervisor when the issue is straightforward. The requesting agency’s request should not be refused unless the agency refuses to send complete and accurate information.

197.

Which of the following theorists is associated with behaviorism?

  • Skinner

  • Bandura

  • Maslow

  • Piaget

Correct answer: Skinner

B.F. Skinner is one of the founders of the behaviorist approach.

The other answer options are incorrect. Bandura is associated with social learning. Maslow is associated with humanism. Piaget is associated with cognitive theory.

198.

Which of the following is NOT a stage in the achievement of ethnic identity?

  • Rapprochement

  • Preencounter

  • Immersion-emersion

Correct answer: Rapprochement

The achievement of ethnic identity proceeds through four recognized stages: pre-encounter, encounter, immersion-emersion, and internalization/commitment.

Rapprochement does not refer to a stage in the achievement of ethnic identity.

199.

Which of the following is LEAST likely in a group that is dealing with groupthink?

  • Originality

  • Unanimity

  • Rationalization

  • Censorship

Correct answer: Originality

The concept of groupthink applies in some way to all groups. Groups form an identity that stresses consensus functions, such as unanimity, rationalization, and censorship. By contrast, originality and differentiation are discouraged or even punished to uphold the integrity of the group.

The other options are incorrect, as they are all likely in a group that is dealing with groupthink.

200.

Which of the following is NOT a function of the social institution of education?

  • To promote and prevent social change

  • To transmit culture

  • To transmit functional skills

  • To evaluate competent individuals

Correct answer: To promote and prevent social change

Social institutions bear the responsibility for certain social functions. The social institution of education is responsible for, among other things, the transmission of culture, the transmission of functional skills, and the evaluation of competent individuals. Promoting and preventing social change are not part of the primary responsibilities of education as a social institution.

The other answers are incorrect, as they are all functions of education.

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