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ASWB LCSW Exam (page: 4)
ASWB Clinical Level Social Work Licensing Exam
Updated on: 12-Feb-2026

Viewing Page 4 of 51
LCSW PDF 250 Questions

A clinical social worker needs to be cautious when completing an assessment for oppositional defiant disorder. The problem should be observed at home and school with behaviors occurring in a manner that affects family, social and academic life. Which of the following symptoms need to be displayed in order to correctly diagnose oppositional defiant disorder?

  1. Swears frequently
  2. Won't sit still when it is required
  3. Frequent temper tantrums
  4. Give inappropriate negative comments

Answer(s): C

Explanation:

In order to correctly diagnose oppositional defiant disorder, a clinical social worker must observe a specific set of behaviors, including frequent temper tantrums, hateful language directed at others, and annoyance when interacting with other people. Oppositional defiant disorder affects school-aged children and adolescents. Currently, there are no known causes for this problem.



There is a wide range of symptoms and severity across the autistic spectrum disorders. Given this fact, which observation is most crucial in establishing a diagnosis of autism?

  1. Impairment in social interaction and communication
  2. Impairment in memory and thinking
  3. Impairment in physical abilities
  4. Impairment with directives from authority figures

Answer(s): A

Explanation:

Autism is a spectrum of disorders that describe a set of behaviors that children and adults display in various ways. There is normally little interest in most activities and noticeable delays in spoken language. Nonverbal behaviors such as body posture and facial expressions can become a problem with autism. One third of patients with this diagnosis have an IQ within the normal range.



Sabrina has managed to alienate all of her co-workers with bizarre behaviors. She is constantly stealing other people's food from the refrigerator in the lunchroom, arguing with fellow employees over unimportant issues and most recently showing up for work intoxicated. Sabrina is quick-tempered and has even thrown a stapler at a coworker's computer. She has been ordered to seek help for observable problems. A full assessment will more than likely display what findings?

  1. Judgment disorder
  2. Affect regulation disorder
  3. Attention Deficit Disorder
  4. Impulse control disorder

Answer(s): D

Explanation:

A full assessment for Sabrina will likely have the finding of impulse control disorder. Individuals with impulse control disorder are unable to manage aggressive desires without immediate action. Other symptoms of this disorder include sexual promiscuity and excessive drug use. This is ego function problem is quite common.



Scott has been in and out of traditional therapy with little effect on his problems. He feels the main focus is on the issue rather than the solution, and this tends to place him in a passive, helpless role. He already knows what is wrong but wants to move towards what is right. What goal would a clinical social worker aim for with this in mind?

  1. Empowerment
  2. Positive attitude
  3. Cognition
  4. Structured therapy

Answer(s): A

Explanation:

Solution building should be the main goal when working with Scott. In solution building, a clinical social worker would attempt to change how an individual thinks about a solution and educate them on how to achieve happiness.



As it relates to human behavior in the social environment, the aging process is marked by loss. Older adults lose many things as they age, including their ability to drive, eat or bathe on their own. Which of the following factors influence the extent to which an elderly person will interact with others?

  1. Support services
  2. Abundant relatives
  3. Health and mobility
  4. Friends of the same age

Answer(s): C

Explanation:

As the elderly lose the ability to be mobile within society, their large network of social circles start to grow smaller. Eventually, the only people within an older individual's life tend to be a few close relatives. An assessment will see this withdrawal as beneficial to the community and elderly.



Viewing Page 4 of 51



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