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ASWB LCSW Exam Questions
ASWB Clinical Level Social Work Licensing Exam (Page 7 )

Updated On: 17-Feb-2026
Page 7 of 51
PDF with 250 Questions

A local hospital refers a regular patient to the facility's clinical social worker. Madeline is considered a "frequent flyer" by the nurses due to her high number of visits for a wide variety of physical complaints. The patient exaggerates or creates symptoms of illness in an effort to seek treatment, attention, and sympathy. What disorder will the social worker want to focus on for intervention?

  1. Factitious disorder
  2. Psychological trauma
  3. Munchausen syndrome
  4. Hypochondriasis

Answer(s): A

Explanation:

Most individuals who suffer from fictitious disorders are quite knowledgeable about the practice of medicine. They are able to produce symptoms resulting in lengthy medical analysis. Risk factors include childhood trauma and inattentive parents.



A mother of three small children has sought help with parenting skills. The clinical social worker will gather family history, using this to help set goals for the client. It is important not to set these too high or beyond reach. The mother is educated on a positive view of human nature with the focus on controlling one's own fate instead of becoming a victim to it. This intervention is part of what kind of therapy?

  1. Life skills training
  2. Cognitive-behavioral therapy
  3. Interactive peer modeling
  4. Empowerment

Answer(s): D

Explanation:

Empowerment is a core element of social work interventions It puts the locus of control in the client's realm and it is the motivation utilized by clinical social workers to set goals, deal with tasks, and maintain social interest.



Dependent personality disorder is often defined as the need to be taken care of by others. Individuals with this problem have low levels of confidence in their own intelligence and abilities. How is dependent personality disorder different from avoidant personality disorder?

  1. Dependent personalities are oversensitive to criticism.
  2. Avoidant personalities fear rejection and will withdrawal.
  3. Dependent personalities are passive and nonassertive.
  4. Avoidant personalities are easily influenced and taken advantage of.

Answer(s): B

Explanation:

Both disorders are characterized by a frequent need for assurance, feelings of inadequacy and oversensitivity. Individuals with avoidant personality disorder have such a fear of rejection that they will withdrawal until acceptance is certain. Dependent personalities will seek out contact with others until they get approval.



People with Munchausen are aware they are exaggerating medical issues. What is the difference between that disorder and hypochondriasis?

  1. Hypochondriacs believe they actually have a medical problem.
  2. Munchausen sufferers actually get treatment.
  3. Hypochondriacs do have a medical problem.
  4. There is no difference.

Answer(s): A

Explanation:

Hypochondriacs have an excessive preoccupation with contracting a serious illness. They tend to be alarmed about any medical symptom they suspect, even minor ones. This disorder persists although a doctor may state there is no medical illness.



This theory, unlike most psychological and behavioral theories , focuses on the inner relational transactions between systems. All existing elements play an equal role in maintaining balance. Which theory describes individuals as being surrounded by supportive networks?

  1. Environmental systems approach
  2. Strength-based theory
  3. Nature vs. nurture theory
  4. Ecological systems perspective

Answer(s): D

Explanation:

The ecological perspective is based on the idea that people are in continual interaction with their environment. Individuals are always creating, restructuring, and adapting. The ecological theory looks at people, families, cultures, politics, and community as a way to identify systemic strengths or weaknesses.






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