Monday, October 1, 2012

License Exam: Service Delivery (9%)

Service Delivery (9%)

License Exam: Practice Questions

ASWB License Exam Practice Questions 

More Links for Questions

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NOTE: Answers are displayed in the same color font as the background, in order to hide them as you try to answer the question on your own. Select the paragraph under the heading "ANSWER:" in order to read the answer as highlighted text.

1. QUESTION: Your client has been diagnosed with schizophrenia and has been prescribed an antipsychotic drug - a phenothiazine called Thorazine (Chlorpromazine). Which of the following side-effects is the client MOST LIKELY to experience as a result of taking this medication? 

A. Clouded consciousness.
B. Drowsiness.
C. Agitation.
D. Dizziness.

B is correct: Antipsychptic drugs are also called "major tranquilizers."  Thorazine (or Chlorpromazine) will cause sedation and drowsiness in about 40 percent of people, especially during the first two weeks. The other sjde effects may occur when taking phenothiazines but in very small percentages (under 10%).

2. QUESTION: You are conducting an initial session of family therapy with your new clients.  The mother tells the daughter that she is the cause of the family's problems.  What would be the FIRST APPROPRIATE action?

A. ask the daughter to step outside

B. reschedule a session with the mother and father
C. ask the mother about her feelings
D. ask the father about his opinion

C is the first appropriate action to take.  A family is a unit and therefore should not exclude the daughter from sessions.  When family therapy is appropriate, the family functions together and must address its issues as a whole.  Asking the mother to elaborate about her feelings surrounding her statement will help the family to clarify its challenges so they can address them.  A father was not discussed in the question and must not be assumed to be a member of this family, as families come in all types of configurations.

This answer is a good example of how to use the Social Work Intervention Model / Problem-Solving Method
ENGAGE >; COLLECT INFO > ASSESS / DIAGNOSE > SET GOALS and PLAN TREATMENT > EVALUATE > TERMINATE.  In this stage of the treatment, social workers engage and collect info in order to make an assessment of the family's needs.

3. QUESTION: The reliability coefficient of a set of scores is 0.75.  What does this coefficient mean?

A. 25% of variability is due to true score differences
B. 75% of variability is due to true score differences
C. 25% of reliability is due to true score differences
D. 75% of reliability is due to true score differences

B is the correct answer.  In statistics, reliability is the consistency of a measure. A measure is said to have a high reliability if it produces consistent results under consistent conditions. For example, measurements of people’s height and weight.  Reliability does not imply validity. That is, a reliable measure that is measuring something consistently, may not be measuring what you want to be measuring.  Reliability theory shows that the variance of obtained scores is simply the sum of the variance of true scores plus the variance of errors of measurement[5]. The reliability coefficient \rho_{xx'} provides an index of the relative influence of true and error scores on attained test scores. In its general form, the reliability coefficient is defined as the ratio of true score variance to the total variance of test scores.  Unfortunately, there is no way to directly observe or calculate the true score, so a variety of methods are used to estimate the reliability of a test.  Some examples of the methods to estimate reliability include test-retest reliability, internal consistency reliability, and parallel-test reliability.  

4. QUESTION: A client of yours has episodes of intense temper.  This symptom is part of which DSM-IV-TR diagnosis?

A. Borderline Personality Disorder
B. Antisocial Personality Disorder
C. Narcissistic Personality Disorder
D. Dependent Personality Disorder

The answer is A.  The DSM criteria for diagnosis of Borderline Personality Disorder (BPD) is indicated by 5 or more symptoms related to a pervasive pattern of instability of interpersonal relationships, self-image, and emotions/affects, such as number 8: inappropriate, intense anger.  Other symptoms deal with fear of abandonment, impulsive self-damaging behaviors, suicidal threats and gestures, and chronic feelings of emptiness.  People with BPD may have a tendency to themselves and others as all good or all bad, with no grey areas; this is termed “splitting.”