ASWB LCSW Exam (page: 9)
ASWB Clinical Level Social Work Licensing Exam
Updated on: 25-Dec-2025

Viewing Page 9 of 51

Clinical social workers may utilize a therapy that is similar to the existential approach. An emphasis is on fulfillment and growth through self-perception. The presumption is that everyone's true nature is good.
Which of the following therapies is described above?

  1. Self-centered therapy
  2. Gestalt therapy
  3. Realty therapy
  4. Humanistic therapy

Answer(s): D

Explanation:

Humanistic therapy is based on self-mastery and self-examination. It focuses on the belief that humans want to improve and reach high levels of success. A clinical social worker will still consider the influences of society and the unconscious.



Clinical social workers utilize an approach to working with clients that often has a good fit with the client because it can be tailored to their needs. What kind of approach is it?

  1. Eclectic
  2. Ambivalent
  3. Straightforward
  4. Harm Reduction

Answer(s): A

Explanation:

An eclectic approach to therapy draws from many theories and methods to address client issues in a variety of ways that can be tailored to fit the beliefs, needs, and abilities of the client.



A clinical social worker is helping a client named Beth with phobia issues that surface when she is in dark places. The problem has occurred since the client was young, and she sleeps with every light on in her home. Most nights, Beth dozes on the couch, and the lack of sleep is interfering with her home and social life. Which of the following approaches would be most effective in combating Beth's anxiety issues?

  1. Self-actualization
  2. Systematic desensitization
  3. Cognitive behavioral therapy
  4. Family therapy

Answer(s): B

Explanation:

Systematic desensitization educates a person to overcome an avoidance pattern. It helps effectively with phobias and anxiety by exposing the client to the fear gradually until it can be tolerated.



When utilizing cognitive therapy as a form of direct practice, a clinical social worker's main goal is to bring about which of the following changes in behavior?

  1. Diminishing anger
  2. Becoming more aggressive
  3. Controlling mood swings
  4. Controlling emotional responses

Answer(s): D

Explanation:

Cognitive therapy helps one overcome difficulty by identifying and making changes to behaviors, emotional responses and dysfunctional thinking.



A family has asked for help with their son. Adrian is an active nine year old who is always on the go. His past behaviors have been blamed on high energy levels and the need to be expressive. Lately, these behaviors have become a problem for Adrian's teachers. There have been three conferences between parents and school staff in the last three months pertaining to the child questioning rules and talking back inappropriately. When he is confronted, Adrian displays resentment towards authority figures. What might the child be assessed for by the clinical social worker?

  1. Bipolar disorder
  2. Oppositional defiant disorder
  3. Anti-social disorder
  4. Mood disorder

Answer(s): B

Explanation:

Oppositional defiant disorder affects approximately 16% of school students. It is often
recognized as an ongoing pattern of hostile, uncooperative and defiant behaviors displayed towards authority figures. Symptoms must be observed at home and school to be correctly diagnosed.



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