ASWB exam 4 - Assessment practice

ASWB exam 4 - Assessment practice Questions with Complete Solutions (Latest 2025)

Question ID #47906: A client is extremely thin, fears

becoming fat, has a distorted perception of his body shape, and has been engaging in binge-eating and purging behavior.What DSM-5 diagnosis is indicated for this client?

Select one:

• Avoidant/restrictive food intake disorder.
• Binge-eating disorder.
• Anorexia nervosa, binge-eating/purging type.

D. Bulimia nervosa. - Correct Answers ✅C is correct: This

client appears to meet the diagnostic criteria for anorexia nervosa. In the DSM-5, the essential features of anorexia nervosa are a restriction of energy intake that leads to a significantly low body weight for the person's age, gender, developmental trajectory, and physical health; an intense fear of gaining weight or becoming fat or behavior that interferes with weight gain; and a disturbance in the way the person experiences his body weight or shape or a persistent lack of recognition of the seriousness of his low body weight.Although binge-eating and purging behavior (which this client engages in) are more commonly associated with bulimia nervosa, some people with anorexia binge eat and/or purge.As such, the DSM-5 distinguishes between two subtypes of

anorexia: Anorexia nervosa, binge-eating/purging type is

diagnosed when, during the last three months, the person has engaged in recurrent episodes of binge eating or purging behavior (e.g., self-induced vomiting, misuse of laxatives). In contrast, with the "restricting type," weight loss is achieved through dieting, fasting, and/or excessive exercise and there 1 / 4

ASWB exam 4 - Assessment practice Questions with Complete Solutions (Latest 2025) is an absence of recurrent binge eating or purging behavior

during the last three months.Answer A: Avoidant/restrictive

food intake disorder is characterized by a persistent failure to meet appropriate nutritional and/or energy needs associated

with one or more of the following: Significant weight loss (or,

in children, failure to achieve expected weight gain or slowed growth); significant nutritional deficiency; dependence on oral nutritional supplements or enteral feeding (delivery of nutrients directly to the stomach, such as through a tube); and/or marked interference with psychosocial functioning.Like this client, persons with anorexia nervosa exhibit a number of additional features t

Question ID #48074: A social worker employed at a clinic

sees clients for outpatient psychotherapy. When determining appropriate problem formulations for her clients, this social worker would be MOST likely to rely primarily on which of the following?

Select one:

• Mental status exams.

B. DSM-5.

• Interviews with clients family members.
• In-depth interviews with clients. - Correct Answers ✅D is

correct: The best answer is that the social worker would rely

primarily on in-depth interviews with clients - e.g., listening to what clients say about the presenting problem, collecting information from them for a biopsychosocial history, and 2 / 4

ASWB exam 4 - Assessment practice Questions with Complete Solutions (Latest 2025)

observing their nonverbal behavior.Answers A and B: The

social worker will use these tools when they're needed but, compared to client interviews, neither one would provide her with as much information about her clients' biopsychosocial

functioning.Answer C: The social worker would want to gather

information from a client's family members when possible (as well as from other collaterals), but she is unlikely to rely primarily on this source of information. One reason for this is that when social workers see clients on an outpatient basis, they don't always have access to the clients' family members.

The correct answer is: In-depth interviews with clients.

Question ID #47867: What does "dual diagnosis" mean?

Select one:

• The person has both a major psychiatric disorder and a

substance use disorder.

• The person has a medical condition affecting his mental

disorder.

• The person has a mental disorder plus a secondary

condition, such as a relational problem, that requires clinical attention.

• The person has a mental disorder and one or more

identifiable psychosocial or environmental problems are affecting its treatment or prognosis. - Correct Answers ✅A

is correct: Although the term "dual diagnosis" can be used in

different contexts, it is most commonly applied to patients 3 / 4

ASWB exam 4 - Assessment practice Questions with Complete Solutions (Latest 2025) who have both a major psychiatric disorder (such as schizophrenia or bipolar I disorder) and a substance use disorder. (Note, however, that the term "co-occurring disorder" is now used by many professionals to describe patients who have both a substance use disorder and another mental disorder, regardless of the severity of the other mental disorder.)

The correct answer is: The person has both a major

psychiatric disorder and a substance use disorder.

Question ID #47947: For a DSM-5 diagnosis of panic disorder,

the individual must have experienced:

Select one:

• recurrent unexpected panic attacks.
• recurrent unexpected or expected panic attacks.
• at least one unexpected and one expected panic attack.

D. multiple panic attacks. - Correct Answers ✅A is correct:

For a DSM-5 diagnosis of panic disorder, the individual must have had two or more unexpected panic attacks.

The correct answer is: recurrent unexpected panic attacks.

Question ID #47429: A client's symptoms include

uncontrollable anger, self-mutilation, and acting out. These symptoms are MOST suggestive of which of the following DSM-5 disorders?

• / 4