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Quiz Session - Attempts With Random Questions

ASWB Advanced Generalist Exam Questions

Page 8 of 25

141.

Which of the following refers to the set of moral principles for building institutions that allows each person to create a material foundation for a fulfilled and productive life?

  • Economic justice

  • Social justice

  • Remunerative justice

  • Self-determination

Correct answer: Economic justice

Economic justice is the set of principles aimed at creating the basic resources and material foundation for all people to have a fulfilled and productive life.

The other answers are incorrect. Social justice is a much broader concept involving much more than economic concerns. Remunerative justice seeks to address specific grievances. Self-determination is the right of all people to decide things for themselves.

142.

A client asks a social worker to give another client a small present. The client informs the social worker that they were both in the same foster care for a few months, and the other client’s birthday is next week.

How should the social worker handle this situation?

  • Inform the client that they cannot accept the present

  • Inform the client how they can locate the other client

  • Take the present and give it to the other client during their appointment

Correct answer: Inform the client that they cannot accept the present

In order to prevent an ethical violation, the social worker should inform the client that they cannot accept the present.

The social worker would be violating social worker-client confidentiality if they released the other client’s location or acknowledged that the other client was, in fact, seen at this practice by giving the present to the other client during an appointment.

143.

Which of the following is FALSE regarding limit-setting with clients? 

  • Clients generally do not favor boundaries in a therapeutic relationship 

  • Clients do not feel safe in a completely permissive environment 

  • Clients benefit from a therapeutic relationship with firm boundaries

  • Compassion is less important than the establishment of accurate limits

Correct answer: Clients generally do not favor boundaries in a therapeutic relationship 

Clients enter into the therapeutic relationship with expectations but often little expertise. They depend on the therapist to guide them, including the establishment of firm boundaries within the therapeutic relationship. Clients do not feel safe in a completely permissive environment in which there are no rules. Clients benefit from knowing these rules in a therapeutic relationship with firm boundaries. 

Compassion is definitely important, but clients can likely encounter compassion in many places in their lives; the most reliable indicator of good outcomes in therapeutic relationships is not compassion but the quality of the relationship between the therapist and the client. Thus, compassion (although necessary), is less important than the professional trust and structure present in a therapeutic relationship with healthy limits. 

144.

Which of the following family roles distracts from family dysfunction by getting into trouble?

  • Scapegoat

  • Mascot

  • Lost child

  • Family hero

Correct answer: Scapegoat

Within the standard model of the dysfunctional family system, the role of scapegoat distracts attention away from family dysfunction by getting into trouble.

The other options are incorrect. The mascot distracts by developing entertainment skills. The lost child is more remotely connected. The family hero distracts by overachieving.

145.

Which of the following is NOT a traditional disease and moral model?

  • PIE

  • DSM

  • ICD

  • Civil and penal codes

Correct answer: PIE

The Person-in-Environment system was conceived as an alternative to more traditional models such as the DSM series, the International Statistical Classification of Diseases and Related Health Issues (ICD), and civil or penal codes.

The other options are the more traditional systems noted above.

146.

During an initial evaluation, a social worker notes that a client pursues themes of a seemingly unattainable desire for perfection. The client is objectively successful but dismisses the social worker's statements to this effect. 

What type of personality disorder does the client MOST likely have?

  • Obsessive-compulsive personality disorder

  • Antisocial personality disorder

  • Narcissistic personality disorder

  • Schizotypal personality disorder

Correct answer: Obsessive-compulsive personality disorder

Obsessive-compulsive personality disorder is characterized by a desire for perfection, a high degree of conscientiousness, and a struggle for satisfaction with achievements.

Antisocial personality disorder is characterized by irresponsibility, an inability to feel guilt or remorse, frequent conflicts with others, a tendency to blame others, and low frustration tolerance. Narcissistic personality disorder is characterized by excessive egocentrism, grandiosity, feelings of envy, fragile self-esteem, and self-centeredness. Schizotypal personality disorder is characterized by cognitive dysregulation, eccentricity, suspiciousness, and a lack of empathy.

147.

Which of the following is true regarding the release of information in custody hearings?

  • Practices vary by state and jurisdiction 

  • It is a matter of federal law

  • It is a matter of organizational practice

  • Judges make the final determination

Correct answer: Practices vary by state and jurisdiction 

Practices regarding the release of information in custody hearings vary by state and jurisdiction. Although there are broad elements in common, it is not a matter of federal law or up to the practice of an organization. Judges have a great degree of power in individual cases. 

148.

A client who is diagnosed with excoriation would MOST likely do which of the following?

  • Pick at their skin

  • Pull someone’s hair

  • Start a fire

  • Steal something

Correct answer: Pick at their skin

Excoriation is the diagnosis given to someone who picks their skin.

Kleptomania is the diagnosis for someone who steals. Pyromania is the diagnosis for someone who starts fires. Trichotillomania is the diagnosis for someone who pulls hair.

149.

Which of the following is the MOST influential factor in client success?

  • The relationship between a therapist and a client

  • The effort of a therapist

  • The commitment of a client

  • The quality of treatment planning

Correct answer: The relationship between a therapist and a client

The relationship between therapist and client is the most important factor in client success.

Although the effort of the therapist, the commitment of the client, and the quality of treatment planning are all important, they are not as vital as the helping relationship itself.

150.

What is the Gottman Method? 

  • A couples therapy modality 

  • A mediation technique 

  • A stress-reduction technique 

  • A children's therapy modality 

Correct answer: A couples therapy modality 

The Gottman Method is a couples therapy modality based on sharing struggles, admiration, positivity, and commitment. Communication techniques and the avoidance of a sense of stagnation are also part of the technique.

The Gottman Method is not a mediation technique, a stress-reduction technique, or a children's therapy modality.  

151.

In the DSM-5, the specifier "with limited prosocial emotion" applies to which diagnosis?

  • Conduct disorder

  • Antisocial personality disorder

  • Schizophrenia

  • Reactive attachment disorder

Correct answer: Conduct disorder

The specifier "with limited prosocial emotion" was added to the conduct disorder diagnosis in the DSM-5. It describes a condition of limited empathy.

The other choices are incorrect, as they are not diagnoses to which the specifier was added.

152.

Which of the following would be the BEST example of informal organizational power? 

  • An office assistant with 30 years tenure who knows everyone 

  • A CEO with 15 years of tenure who is liked by everyone 

  • A facilities manager with 10 years of experience 

  • A nursing leader who is the best in their field 

Correct answer: An office assistant with 30 years of tenure who knows everyone 

In general, there are two kinds of organizational power. There is the formal type, which is based on position, experience, knowledge, qualification, or industry expertise. There is also the informal type, which is based on relationships rather than official status. An office assistant with 30 years of tenure in the organization who knows everyone is likely to be extremely powerful and able to get things done by exerting power that is not expressed in organizational policies. 

A CEO who is liked by everyone has a blend of both informal power and organizational status. A facilities manager with 10 years of experience has a long tenure, but their power is likely not as great as someone who has a network of powerful relationships. A nursing leader who has a high degree of expertise in their field has technical skill but may or may not have any degree of relational, informal organizational power. 

153.

Which of the following would be used to treat schizophrenia?

  • Abilify

  • Anafranil

  • Asendin

Correct answer: Abilify

Abilify (aripiprazole), an antipsychotic, is used to treat the symptoms of schizophrenia.

The other answers are incorrect. Anafranil and Asendin are tricyclic antidepressants.

154.

Which of the following organ systems is/are MOST likely to be affected negatively by a toxic dose of lithium?

  • Thyroid and kidney

  • Heart and lungs

  • Reproductive system

Correct answer: Thyroid and kidney

Toxic doses of lithium (Lithium Carbonate) are most likely to affect thyroid and kidney functioning.

The other answers are incorrect, as they do not describe organ systems that are as likely to be affected by a toxic dose of lithium.

155.

Which of the following refers to when the role expectations of others differ from one's own?

  • Role discomplementarity

  • Role dysfunction

  • Role disparity

  • Role suppression

Correct answer: Role discomplementarity

Role theory contains many different terms and definitions. Role discomplementarity refers to when the role expectations of others differ from one's own.

The other options are all fabricated terms.

156.

A mother attends a meeting with her daughter’s social worker. The daughter is addicted to cocaine. The mother feels that her daughter’s problems are simply depression.

What type of defense mechanism is the mother demonstrating?

  • Denial

  • Rationalization

  • Projection

  • Intellectualization

Correct answer: Denial

This mother is denying that her daughter has a cocaine addiction by stating that her daughter is just depressed. Denial can be considered a "generic" defense mechanism because it underlies many of the other defense mechanisms. When someone uses denial, they simply refuse to accept the reality of a fact or experience. An example of denial is saying, "I'm just a social drinker."

When someone rationalizes something, they try to explain it away. People often use rationalization to distance their insecurities or remorse after doing something they regret. To make themselves feel better, they shift the blame. Since the mother is not acknowledging her daughter’s cocaine addiction, she is not demonstrating rationalization.

In intellectualization, people try to distance cognitively an emotion or reaction that is uncomfortable. Although they are not denying that an emotional event occurred, they are not thinking about its emotional consequences. Since the mother is not acknowledging her daughter’s cocaine addiction, she is not demonstrating intellectualization.

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. This mother is not using projection, as she is not attaching unacceptable facets of her personality to others.

157.

A client has an anger problem and wants to act physically aggressive most of the time. In order to avoid hurting others, he sketches when he feels angry.

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

  • Sublimation

  • Projection

  • Compensation

  • Displacement

Correct answer: Sublimation

Sublimation is a defense mechanism that allows an individual to act out unacceptable impulses or desires by converting these behaviors into a more acceptable form. Sublimation develops over a long period.

Displacement is a defense mechanism in which a client transfers actions from a desired target to a substitute target when the first target is not permitted or not available.

Compensation is a defense mechanism in which an individual tries to make up for imaginary characters that are considered undesirable.

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

158.

Which of the following is TRUE about dual relationships and the NASW Code of Ethics?

  • They are sometimes unavoidable

  • They are prohibited

  • They are not explicitly discouraged

  • They are not discussed in the most recent version of the NASW Code

Correct answer: They are sometimes unavoidable

The NASW Code of Ethics goes into detail about the nature of dual relationships, partly because (in small communities, for example) they are sometimes unavoidable.

The other options are incorrect. Dual relationships are not prohibited but are discouraged, and they are dealt with in the current edition of the NASW Code.

159.

Which of the following is the MOST accurate statement about self-disclosure in practice?

  • It can be useful in rapport-building

  • It is prohibited in most settings

  • It serves the therapist more than the client

  • It most often leads to inappropriate relationships

Correct answer: It can be useful in rapport-building

Self-disclosure in practice should always be carefully considered, as it is laden with possibilities for things to go wrong. However, it can be useful, particularly in rapport-building and if the topics are light.

The other options are incorrect. Self-disclosure is not prohibited in most settings, although general rules of engagement may apply by location or theoretical perspective. Most self-disclosure does not lead to inappropriate relationships. Even though one of the pitfalls of self-disclosure is the "flipping" of the therapeutic relationship, there is no evidence to suggest this is the rule rather than the exception.

160.

Psychoanalytic theory suggests that neurosis is characterized by which of the following?

  • Internal conflict

  • Emotions

  • Impulses

Correct answer: Internal conflict

"Neurosis" is a term used to describe persistent anxiety but is not a formal diagnosis in the DSM-5. The anxiety that is derived from neurosis is said to be a way of handling internal conflict.

Emotions and impulses do not characterize neurosis.

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