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ASWB Clinical Level Social Work Licensing Exam Questions 56–60 (page: 13)

Updated On: 10-Feb-2026

Angela is referred to a clinical social worker for unusual displays of attention-seeking behavior, such as dramatic displays of emotion. She has been let go from three different jobs due to frequent anger episodes and impulsive acts towards other employees. Little responsibility is ever taken for these inappropriate behaviors, and most recently Angela has been cutting on her arms. Therapy should focus on what disorder?

  1. Obsessive compulsive disorder
  2. Bi-polar disorder
  3. Anger management
  4. Borderline personality disorder

Answer(s): D

Explanation:

Borderline personality disorder causes an individual to feel uncertain about his or her self-image and identity, resulting in feelings of emptiness and fear being alone. Other signs of this problem may include substance abuse, numerous attempted suicides or reported attempts, and inappropriate sexual relationships.



Anorexia is a severe eating disorder that may coexist with psychiatric and physical illness. Most people with this problem see themselves as overweight and are ten times more likely to die than those who eat nutritionally. Individuals suffering with anorexia may exercise extensively, induce vomiting or misuse laxatives. Which of the following is not a symptom associated with long-term anorexia?

  1. Loss of menses
  2. Thickening of bone tissue
  3. Drop in internal blood temperature
  4. Brittle hair and nails

Answer(s): B

Explanation:

Thickening of bone tissue is not associated with long-term anorexia; rather, most individuals suffering from anorexia will have a thinning of the bones or osteoporosis. Other symptoms include severe constipation, low blood pressure and yellowish skin. Treatment for anorexia involves three components:
restoring healthy weight, treating psychological problems, and eliminating behaviors leading to the disorder.



A clinical social worker named Richard is meeting with a juvenile for the first time. The client has been in a lot of trouble with the law. As Richard goes through the thick file of offenses, he notices that nothing good has ever been mentioned about the teen. Richard does not want to focus on all of the negative experiences, but rather on how he can collaborate in pursuing a better vision for the future. What type of therapeutic technique will be more effective with the juvenile?

  1. Strengths perspective
  2. Positive reinforcement
  3. Goal oriented
  4. None of the above

Answer(s): A

Explanation:

The strengths perspective in therapy helps identify and respect the assets, resources and knowledge of every person. Clinical social workers utilizing this technique view others as having the ability and wisdom to accomplish their goals. It focuses on the right within people instead of the wrong.



The Richardsons have three children who attend a prominent school within the community. The Richardsons' son has been displaying inappropriate behaviors for the last two years. His parents see it as simply misbehaving and being a boy. The son continuously breaks the rules at school and at home. He acts out and causes distractions when there is an authority figure present. What might a clinical social worker see as the problem?

  1. Attention Deficit Disorder
  2. Oppositional Defiant Disorder
  3. Interpersonal antipathy
  4. Borderline personality disorder

Answer(s): B

Explanation:

Oppositional Defiant Disorder behaviors might be exhibited as inappropriate or disruptive in nature. Symptoms include defiance of authority, deliberately argumentative, blaming others, is constantly in trouble, has few or no friends, and is spiteful and vengeful.



Katelyn has sought out the help of a clinical social worker to try and understand why she continues to have poor relationships with others. In gathering information, the social worker discovers that Katelyn has been engaged three times since the age of 19 and just had her 23rd birthday. She has been fired from six different jobs and could not finish college. The social worker begins therapy for what disorder?

  1. Dissociative disorder
  2. Adult ADD
  3. Bipolar
  4. Anti-social disorder

Answer(s): B

Explanation:

Attention deficit disorder impacts many adults, and its wide variety of frustrating symptoms may hinder everything from relationships to careers. While in children the most notable symptoms are distractibility and the failure to pay attention; adult behavior is marked by the inability to hold a job, struggles with relationships, and poor decision-making skills.



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