ASWB Masters Exam Prep FREE Sample Exam — Fixed Set

An agency wants a culture that supports self-care. Which policy change BEST reflects that goal?

A poster reminding staff that self-care is their sole responsibility

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Requiring staff to log personal wellness activities for review

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Awarding prizes for never taking sick days

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Protected lunch breaks, realistic caseload standards, and leadership modeling of leave use

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A client who submits claims herself asks the practitioner to list a different, better-reimbursed service on her superbill than the one provided. What should the practitioner do?

Comply, because the client bears responsibility for her own claims

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Refuse to give her any superbill in the future

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Provide a superbill that accurately describes the services, dates, and diagnoses supported by the record, and explain why it cannot be altered

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Change the dates instead, which is less serious

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A private-practice client is surprised at her third session by a cancellation fee and an out-of-network deductible never mentioned earlier. What standard was breached?

Fees may be introduced whenever the practice updates its policies

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Fees, billing practices, and payment expectations must be disclosed and agreed as part of informed consent before services begin

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Surprise charges are acceptable if they are customary in the area

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Clients are responsible for discovering all fees on their own

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A supervisee hides a documentation mistake from her supervisor, who also writes her annual evaluation, fearing it will end her career. The dynamic MOST illustrates how:

Supervisees generally prefer to work without oversight

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Documentation errors are too minor to discuss in supervision

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Evaluative power can suppress the disclosure supervision needs in order to protect clients

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Supervisors should never evaluate their own supervisees

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A client’s supervisor has warned him about Monday absences; his wife reports he drinks nightly until he falls asleep, has tried to cut down twice, and becomes irritable and shaky on mornings he does not drink. Taken together, these details indicate:

Indicators of an alcohol use problem, including unsuccessful efforts to cut down, role impairment, and possible withdrawal symptoms

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Normal social drinking that his wife is exaggerating

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A sleep disorder that explains every reported feature

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That he simply needs a less demanding job

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Before asking a new client about alcohol and drug use, a practitioner says, “I ask everyone about this because it affects health and planning.” This preamble serves to:

Guarantee the client will answer fully

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Satisfy a billing requirement for the session

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Test whether the client is paying attention

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Normalize the inquiry and reduce the sense of being singled out or judged

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Evidence on modality selection for moderate-to-severe major depression generally supports:

Psychotherapy alone in all cases regardless of severity

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Delaying any treatment until one modality clearly outperforms the other

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Supportive listening only, avoiding referral for medication evaluation

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Considering combined medication and psychotherapy, coordinated between prescriber and therapist

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Trying a small step comes next after a client agrees to make one phone call about childcare before the following visit, with a review of what happened. The main purpose of that review step is to:

Determine whether the client complied with the worker's instructions

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Learn from the attempt, including partial success or obstacles, and adjust the plan accordingly

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Assign a grade to the client's effort for the progress note

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Confirm that the original problem definition was correct all along

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Screening a primary care patient, a worker uses a brief validated questionnaire about drinking quantity and consequences, then discusses the score with the patient. This activity is part of:

Diagnosis of alcohol use disorder by questionnaire alone

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A legal determination of intoxication

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Mandatory reporting

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Screening within a brief intervention and referral framework using a validated tool and feedback

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Applying for replacement benefit cards, confirming a pharmacy transfer, and verifying a bus pass are all arranged before a patient leaves a psychiatric unit. Attending to these details in discharge planning prevents:

Continuity failures in the first days after discharge, when lapsed basics can undo clinical stabilization

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The need for any follow-up appointment after discharge

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Disagreement among team members about the discharge date

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The patient from ever requiring readmission in the future

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Instead of counting only how many clients were served, funder guidelines require a shelter program to report how many residents moved into stable housing and remained housed six months later. The funder is emphasizing what?

Outputs that tally service volume

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Inputs such as staff hours and budget size

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Outcomes reflecting lasting change in client status

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Activities performed during staff training

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Staff at a rural program regularly drive clients to medical appointments in personal cars, sometimes for hours, with no agency guidance. Which policy response BEST minimizes the risk involved?

Set clear requirements for approved drivers and vehicles, verified insurance, trip authorization, and what to do in an emergency

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Advise staff informally to drive carefully and avoid discussing the arrangement

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Require clients to sign a note absolving the agency of any responsibility

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Ban clients from attending appointments that require transportation

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ASWB Masters Exam Prep FREE Sample Exam — Fixed Set

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