ASWB LCSW Exam (page: 7)
ASWB Clinical Level Social Work Licensing Exam
Updated on: 15-Feb-2026

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Alysha meets with a clinical social worker and discusses self-perceived problems. She reports complex mood swings that last for weeks and sometimes months. Alysha's main concern is that her manic behaviors may one day become life threatening. When the client is in a more sullen mood, she feels sad but somewhat safer. When completing a full assessment, what might the social worker diagnose Alysha as having?

  1. Dissociative identity disorder
  2. Major depressive disorder
  3. Bi-polar disorder
  4. Post-traumatic stress disorder

Answer(s): C

Explanation:

Individuals with bi-polar disorder suffer from both euphoric periods that can lead to risk-taking behaviors and sudden bouts of depression with symptoms of sadness, crying, and a sense of worthlessness.



A clinical social worker is helping a client who has had a tumultuous past. The client's main issue is the way his history has come full circle and now presents current problems. After a thorough assessment, the social worker decides to focus on the here and now. What therapy might she utilize?

  1. Holistic therapy
  2. Brief therapy
  3. Gestalt therapy
  4. Cognitive behavioral therapy

Answer(s): C

Explanation:

Gestalt therapy utilizes the past to solve a current problem. Clients are shown how to expand on their awareness through dialogue and experimental methods. They are taught self-regulation and lead through activities geared toward tackling the past.



Psychoanalysis is part of Sigmund Freud's structural id -ego-superego model of an individual's mind. Practice components focus on pathological development and management of aggressive impulses. How one adapts to reality is called:

  1. Reality theory
  2. Ego functioning
  3. Behaviorism
  4. Cognitive development

Answer(s): B

Explanation:

Freud's theory studies the normal ego functions of judgment, defensive planning, affect regulation, synthesis and object relations. There are two main forces known as external and internal world responses.



Lisa is a clinical social worker who has received a case referred for possible child abuse. She realizes keeping the children safe is her top priority. The household consists of two parents and three children. There are steps to determine if abuse may have occurred or if the family is at -risk. What kind of assessment should she use to determine the best possible assistance for this referral?

  1. Financial assessment
  2. Child welfare assessment
  3. Parent assessment
  4. Family-centered assessment

Answer(s): D

Explanation:

The family-centered assessment focuses on the family as a whole with full participation. All cultures and ethnicities are considered throughout. Families will identify their strengths, needs and resources in an effort to develop a functioning service plan to maintain safety and permanency.



A referral is obtained by a clinical social worker in regards to a female infant. The concerns raised by the informant include a lack of nutrition and improper supervision. Neighbors hear the baby cry at all hours of the night for long lengths of time. The parents leave the home before dark and do not seem to reappear until dawn the next day. Groceries brought into the home are noticeably snack foods and alcohol. What type of abuse is suspected?

  1. Family Neglect
  2. Child Neglect
  3. Substance Abuse
  4. Child Endangerment

Answer(s): B

Explanation:

This is an example of child neglect, rather than child endangerment, which is putting a child in a life-threatening situation.



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