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ASWB Clinical Level Social Work Licensing Exam Questions 71–75 (page: 16)

Updated On: 10-Feb-2026

A clinical social worker is establishing services for a family's daughter. She has been in trouble at school for bullying and initiating fights and, according to her parents, ran away from home twice. At the age of 12, she has already been in trouble for truancy and setting fire to a neighbor's garbage can. What do these actions indicate?

  1. Conduct disorder
  2. Oppositional defiant disorder
  3. Obsessive Compulsive Disorder
  4. Delinquency

Answer(s): A

Explanation:

Conduct disorder normally manifests before the age of 13 with serious violations to rules. Although, this problem is more common in boys, it also affects the female population. Children with conduct disorder are often physically cruel to people and animals. They lack a sense of guilt and demonstrate selfishness.



Borderline personality disorder makes individuals feel uncertain about their identity and self -image. Those suffering from this problem tend to take little responsibility for their predicaments and view themselves as victims. This disorder can have long-term chronic patterns, often affecting work and relationships. Which of the following symptoms is not associated with borderline personality disorder?

  1. Impulsiveness
  2. Obsession
  3. Substance abuse
  4. Sexual relationships

Answer(s): B

Explanation:

Symptoms of borderline personality disorder include impulsiveness, substance abuse, and irresponsible sexual relationships, but not obsession. Other symptoms include the intolerance of being alone, feelings of emptiness, frequent anger episodes, and self-injury. Individuals with this problem often avoid real or imaginary abandonment and demonstrate impulsive tendencies. Group therapy is the most successful with borderline personality disorder.



Miranda is a clinical social worker completing a family assessment. As she acquires more information from the parents on a six-year-old son and his behaviors, it becomes obvious that further evaluation will be required. The child's teacher has contacted the parents with complaints about his conduct at school. He does not appear to be able to focus on specific tasks and becomes bored after a few minutes, failing to complete any assignments. Running around the classroom during quiet time is becoming a daily habit, and the child forgets where he puts things. What kind of assessment will the social worker refer for this child?

  1. Learning disability
  2. Oppositional defiance disorder
  3. Conduct disorder
  4. Attention deficit hyperactivity disorder

Answer(s): D

Explanation:

Attention deficit hyperactivity disorder or ADHD cannot be diagnosed unless it has negatively affected at least two areas of the child's life - for example home life, classroom, community or playground interactions - for at least six months. ADHD usually appears in children under the age of seven.



The Mitchell family worries about their four-year-old son, Michael. He has two other siblings, ages six and eight. Michael is quite active but only plays in solitude. Language is delayed and the child would rather point at things he wants. Michael's siblings attempt to hug him or cuddle with him, but he pushes them away. Eye contact is at a bare minimum, and he will wander off if not adequately supervised. What diagnosis would be given to a child with these symptoms?

  1. Anti-social disorder
  2. Mild/Moderate impairment
  3. Narcissistic disorder
  4. Autism disorder

Answer(s): D

Explanation:

Michael is likely suffering from a spectrum disorder ca lled Autism. Symptoms vary according
to a child's chronological age and development. Multiple nonverbal behaviors such as body posture and facial expressions may be a problem. Social interaction and communication is impaired, limiting most activities.



Of the following types of studies, which are concerned with the effects of drugs on behavior, thought, perception, or mood?

  1. Pharmaceutical studies
  2. Psychopharmacological studies
  3. Psychoactive studies
  4. Chemical reactions

Answer(s): B

Explanation:

Psychopharmacology refers to the study of drug-induced changes in thinking, mood and behavior. The most widely studied drugs are those available for treatment of mental disorders. Psychopharmacology is primarily focused on chemical interactions with the brain.



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