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Quiz Session - Attempts With Random Questions

ASWB Advanced Generalist Exam Questions

Page 7 of 25

121.

Which of the following kinds of records should be stored differently from other records in a client's file?

  • Psychotherapy notes

  • Patient health information (PHI) 

  • Information about STDs

  • Information regarding legal charges

Correct answer: Psychotherapy notes

Psychotherapy notes should be stored separately from other files in a client's record to provide an added layer of security.

The other options are incorrect. PHI could apply to most parts of a client record. Information about STDs, although sensitive, should be kept with other records as a medical issue. Information about legal charges does not require the added layer of security that psychotherapy notes do.

122.

What is the difference between intradisciplinary and interdisciplinary team collaboration?

  • Intradisciplinary teams are made of the same discipline, but interdisciplinary teams are made of varying disciplines

  • Interdisciplinary teams are made of the same discipline, but intradisciplinary teams are made of varying disciplines 

  • The two terms are equivalent in most circumstances 

  • Except for hospital settings, the terms refer to the same thing

Correct answer: Intradisciplinary teams are made of the same discipline, but interdisciplinary teams are made of varying disciplines 

There is an enormous benefit available to both clients and professionals from intradisciplinary teams, but interdisciplinary teams are made of varying disciplines. Intradisciplinary teams are made of the same discipline, while interdisciplinary teams are made of varying disciplines. 

An interdisciplinary team, as in many clinical settings, is generally made up of various clinical professionals who each contribute that discipline's input to a case. An intradisciplinary team, such as a group of social workers or physicians, is usually used to evaluate and improve practice within that discipline.

The terms are not equivalent and refer to different things regardless of setting. 

123.

Which of the following is NEW about the diagnosis of bipolar disorder in the DSM-5?

  • The specifier "with mixed features" was added

  • The specifier "with mixed features" was removed

  • The primary criteria concentrate on mood alone

  • Manic depression is now a specifier

Correct answer: The specifier "with mixed features" was added

In the DSM-5, the specifier "with mixed features" was added to the diagnosis of bipolar disorder.

The other answer options are incorrect. "With mixed features" was not removed. The primary criteria address mood and function, and manic depression is no longer part of the current diagnostic language.

124.

A client who believes the sky is green when it is actually blue is suffering from which of the following?

  • Delusions

  • Delirium

  • Dissociation

Correct answer: Delusions

Delusions are thoughts that one believes are accurate even though there is evidence against them.

Delirium is a state of confusion that is accompanied by hallucinations, delusions, emotional lability, and anxiety. Dissociation is a defense mechanism in which clients have thoughts that do not match the current situation.

125.

A social worker’s obligations to others clash with their private interest. What does this situation characterize? 

  • Conflict of interest

  • Self-determination

  • Confidentiality

  • Malpractice

Correct answer: Conflict of interest

Conflict of interest is when a social worker’s obligations to others clash with their private interest.

Confidentiality is an ethical principle requiring a social worker not to disclose a client’s information without their consent. Self-determination is an ethical principle wherein the social worker recognizes the client’s rights and needs to make choices and decisions. Malpractice is when a social worker violates the code of ethics willfully or negligently.

126.

Which of the following is the best definition of "mindfulness" in a therapeutic context? 

  • An awareness of the here and now

  • An empathic consideration of others 

  • A technique of stress reduction 

  • A technique of conflict resolution 

Correct answer: An awareness of the here and now

Mindfulness in the context of therapeutic work means a heightened awareness of the here and now, including tuning in to one's sensory input and blocking ruminative thoughts in a spirit of self-acceptance. 

It does not explicitly relate to an empathic consideration of others, and it is not a technique of conflict resolution. Although stress reduction is one of its aims, it has a broader purpose regarding self-awareness and existence in the present moment. 

127.

Which of the following perspectives suggests that all human problems can be considered learned behaviors?

  • Social behavioral

  • Social conflict

  • Behavioral conflict

Correct answer: Social behavioral

The social behavioral perspective suggests that all human problems are learned behaviors and that addressing behavior addresses larger issues in personality.

The other answers are incorrect. "Social conflict" and "behavioral conflict" are fabricated terms.

128.

Which of the following tests consists of 550 items used to assess psychopathology?

  • MMPI

  • MBTI

  • TAT

  • BDI

Correct answer: MMPI

The Minnesota Multiphasic Personality Inventory (MMPI) has 550 questions and is used to assess psychopathology.

The other answer options are incorrect. The Meyers-Briggs Type Indicator (MBTI) is a self-report test used to measure dimensions of personality. The Thematic Apperception Test (TAT) is a projective/imaginative test used to assess many aspects of consciousness. The Beck Depression Inventory (BDI) is a 21-question test used to measure the degree of depressive symptoms a person feels.

129.

Which of the following terms describes the "extra" feelings a therapist brings into the helping relationship?

  • Countertransference

  • Transference

  • Hypotransference

  • Hypertransference

Correct answer: Countertransference

Countertransference describes the "extra" feelings a therapist brings into the helping relationship.

The other options are incorrect. Transference refers to the "extra" feelings a client brings to the therapeutic relationship. "Hypotransference" and "hypertransference" are fabricated terms.

130.

Which of the following refers to a process that radicalizes a group?

  • Group polarization

  • Groupthink

  • Group identity

  • Group action

Correct answer: Group polarization

Group polarization refers to the radicalizing of a group that occurs when the group takes on a more extreme position than individuals would adopt on their own.

The other options are incorrect. Groupthink is the process of group pressure on individual opinion. Group identity and group action are not terms used in this context.

131.

Which of the following tasks LEAST characterizes family-of-origin experiences in terms of the family life cycle?

  • Differentiating

  • Maintaining relationships within the family

  • Completing education

  • Developing foundations for later family life

Correct answer: Differentiating

The family life cycle can go through many stages, the earliest being "family-of-origin experiences." During this time, the emphasis is on maintaining family relationships, completing education, and laying the foundation for future family life. Differentiating is the task of the next stage, "leaving home."

The other options are incorrect, as they are all characteristic of this earliest stage.

132.

Which of the following terms is used when two or more individuals switch roles?

  • Role reversal

  • Role trading

  • Role appraisal

  • Role bargaining

Correct answer: Role reversal

Role reversal refers to when two or more individuals switch roles.

The other choices are all fabricated terms.

133.

Which of the following levels of practice applies to working with individuals at a substance abuse center?

  • Micro

  • Mezzo

  • Macro

  • Mixed

Correct answer: Micro

Micro practice is one in which a social worker helps individual client systems work through their problems.

The other answers are incorrect. Mezzo practice addresses larger groups or communities, and macro targets society as a whole. "Mixed" is not a recognized level of social work practice.

134.

Which of the following conditions has diagnostic criteria that include "possession-form phenomena"?

  • Dissociative identity disorder

  • Schizophrenia

  • Schizophreniform disorder

  • Delusional disorder

Correct answer: Dissociative identity disorder

In the DSM-5, dissociative identity disorder has criteria including "possession-form phenomena."

None of the other options are correct. Schizophrenia, schizophreniform disorder, and delusional disorder do not have diagnostic language referring to possession phenomena.

135.

If an organization can determine whether a goal has been met, what type of goal is it?

  • Measurable

  • Action-oriented

  • Realistic

Correct answer: Measurable

A measurable goal has a measurement method associated with it in order to determine whether it has been achieved.

Action-oriented goals must describe the actions that will be taken in order to achieve the goal. Realistic goals are challenging to meet but achievable.

136.

Do therapeutic interactions require self-disclosure by a social worker? 

  • No, most therapeutic situations require no self-disclosure 

  • Yes, as it is useful in building rapport 

  • No, unless the client requests it

  • Yes, in cases where a client has experienced interpersonal trauma

Correct answer: No, most therapeutic situations require no self-disclosure 

Most therapeutic interactions require little to no self-disclosure on the part of the social worker. Self-disclosure is inherently risky and threatens, rather than enhances, the rapport-building process as it shifts the attention away from the client and blurs professional boundaries. 

Even if a client requests information from the social worker, and perhaps especially under those conditions, self-disclosure is not necessary. The presence or absence of interpersonal trauma does not affect the principle of extreme limitations to personal self-disclosure on the part of the social worker in therapeutic interactions. 

137.

Which of the following is true about research findings on traditional couples therapy?

  • It is contraindicated in cases where abuse is present

  • It is especially helpful in cases where abuse is present

  • It is about as helpful as other kinds of therapy in cases of abuse

  • It is helpful in cases where abuse is present but only if no children are involved 

Correct answer: It is contraindicated in cases where abuse is present

Research on domestic/partner violence has shown that traditional couples therapy is contraindicated and should not be used in cases where abuse is present. Traditional couples therapy used in this context seems to put victims in greater danger of abuse.

The research has not suggested that traditional couples therapy is especially helpful in these cases or as helpful as other modalities. The presence of children does not seem to exert a significant effect in these cases.

138.

Which of the following elements of a SOAP plan would involve a client's blood pressure?

  • Objective

  • Subjective

  • Assessment

  • Plan

Correct answer: Objective

The objective portion of a SOAP format treatment plan is concerned with objective measurements that are not a matter of opinion.

The other options are incorrect. The subjective section is the client's report. The assessment section is the synthesis of subjective and objective elements combined with the therapist's clinical judgment. The plan section is the actual plan that seeks to address the presenting issues.

139.

Do minors have the same rights to confidentiality as adults? 

  • Rights for minors vary by jurisdiction 

  • Yes, as a matter of federal law

  • Rights for minors are based on judicial discretion 

Correct answer: Rights for minors vary by jurisdiction 

The rights of minors are highly variable by jurisdiction and are not a matter of state or federal law. Judges have broad discretion in individual cases, but social workers must learn the laws regarding minor confidentiality in their own area to be competent. 

140.

Which of the following is the MOST accurate statement regarding the participation of a social worker in a therapeutic group?

  • Helping individual members change their behavior through shared experiences 

  • Helping individual members change group behavior through shared experiences

  • Directing individual members to make changes based on shared experiences

  • Directing individual members to change group behavior through group interactions

Correct answer: Helping individual members change their behavior through shared experiences

Although contexts, purposes, and other factors vary, the primary role of a social worker in a therapeutic group is to help individual members change their behavior through shared experiences. The purpose of a therapeutic group is to open the therapeutic process to fruitful peer interactions in which individual members find their paths to personal change.

The purpose of therapeutic groups is not to change group behavior per se but to help individuals within the group with their own issues of focus. Directing individual members to do certain things, such as to make changes based on experience or to change the functioning of the group as a whole, runs contrary to the spirit of a therapeutic group. Group therapy should allow members to work as much as possible without facilitation or direction from a non-peer.

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