ASWB Bachelors 2 — Questions and Answers
Question 1: A BSW social worker is meeting with a client who reveals they have been stockpiling prescription medications. What is the MOST appropriate first response?
- Contact the client's prescribing physician immediately
- Assess the client's intent and level of risk for self-harm (Correct answer)
- Call 911 to have the client hospitalized
- Document the disclosure and continue the session
Correct answer: Assess the client's intent and level of risk for self-harm
Before taking any action, the social worker must assess the client's intent and lethality to determine the appropriate level of intervention.
Question 2: Which of the following BEST describes the concept of 'dual relationship' in social work practice?
- Having two clients in the same family system
- A worker who holds both clinical and administrative roles
- A situation where the social worker has both a professional and personal relationship with a client (Correct answer)
- Providing services in two different settings simultaneously
Correct answer: A situation where the social worker has both a professional and personal relationship with a client
A dual relationship occurs when a social worker engages in a secondary role with a client outside the professional relationship, creating an ethical boundary concern.
Question 3: A client from a collectivist culture refuses to make any decisions without consulting their extended family. The BSW social worker should:
- Encourage the client to practice individual decision-making skills
- Respect this cultural value and involve the family in the process as appropriate (Correct answer)
- Document the client's dependence as a clinical concern
- Refer the client to a social worker from the same cultural background
Correct answer: Respect this cultural value and involve the family in the process as appropriate
Cultural competence requires social workers to respect and incorporate clients' cultural values, including collectivist decision-making norms.
Question 4: Under the NASW Code of Ethics, social workers' primary obligation is to:
- Their employing agency
- Society at large
- Their clients (Correct answer)
- The social work profession
Correct answer: Their clients
The NASW Code of Ethics establishes that social workers' primary ethical responsibility is to promote the well-being of clients.
Question 5: A BSW is working with an older adult whose adult children want to place them in a nursing facility against the client's wishes. The client has capacity. The social worker should FIRST:
- Arrange a family meeting to discuss placement options
- Support the client's right to self-determination (Correct answer)
- Assess whether the home environment is safe
- Contact Adult Protective Services
Correct answer: Support the client's right to self-determination
When a client has decision-making capacity, self-determination is paramount and must be respected before exploring other interventions.
Question 6: Which of the following is an example of a macro-level social work intervention?
- Providing individual counseling to a homeless veteran
- Facilitating a support group for survivors of domestic violence
- Advocating for policy changes to expand affordable housing (Correct answer)
- Conducting a biopsychosocial assessment for a new client
Correct answer: Advocating for policy changes to expand affordable housing
Macro-level practice focuses on systems change, including policy advocacy, community organizing, and legislative reform.
Question 7: A social worker discovers that a colleague is billing Medicaid for services never rendered. The MOST appropriate action is to:
- Confront the colleague privately and ask them to stop
- Report the behavior through appropriate agency or regulatory channels (Correct answer)
- Document the concern and wait to see if it continues
- Discuss the situation with other colleagues to get their perspective
Correct answer: Report the behavior through appropriate agency or regulatory channels
Social workers have an ethical obligation to report colleague misconduct through proper channels, as fraud harms clients and public trust.
A BSW social worker is meeting with a client who reveals they have been stockpiling prescription medications.
What is the MOST appropriate first response?