ASWB LMSW Practice Exam 2025 | Actual Exam Questions & Verified Answers | Latest (Latest 2025 / 2026 Update) A+ Grade Complete

ASWB LMSW Practice Exam 2025 | Actual
Exam Questions & Verified Answers | Latest
(Latest Update) A+ Grade
Complete

ASWB LMSW PRACTICE EXAM (2025 BLUEPRINT)
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Total Questions: 170 cx cx




Time Limit: 4 Hours cx cx cx




Instructions: Select the best answer for each question. Some questions require you to choose th
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e most likely, first, or best action.
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SECTION I: HUMAN DEVELOPMENT, DIVERSITY, AND BEHAVIOR IN THE ENVIRONMENT (
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Approx. 28 Qs) cx cx




1. A 16-year-
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old client is referred to a social worker for truancy. The client states, "I don't see the point
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of school. I'm going to be a YouTuber anyway." According to Erikson's theory of psychos
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ocial development, this client is most likely struggling with which stage?
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A. Autonomy vs. Shame
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B. Industry vs. Inferiority
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C. Identity vs. Role Confusion
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D. Intimacy vs. Isolation
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2. A social worker is conducting a home visit for a family who recently immigrated from a
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collectivist culture. The grandmother is the primary decision-maker, but the 30-year-
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old son handles all English communication. When discussing a treatment plan for the son'
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s child, the social worker should:
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A. Direct all questions primarily to the son since he speaks English.
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B. Ask the grandmother her opinion first and defer to her authority.
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C. Speak directly to the child to ensure their voice is heard above all.
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D. Ask the son to translate the grandmother's decisions to the worker.
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3. A 45-year-
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old client who is a veteran is diagnosed with Major Depressive Disorder and reports chron
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ic pain. The client's spouse reports increased irritability and social withdrawal. This is best
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understood through which ecological systems concept? cx cx cx cx cx




A. Homeostasis
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,B. Circular causality
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C. Interface between micro and meso systems
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D. Intersectionality of biopsychosocial factors
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4. A social worker is helping a teenager who identifies as non-
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binary. The teen reports that their parents "just don't get it" and frequently use the wron
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g pronouns. The worker notices the teen is becoming increasingly isolated. The social wor
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ker's FIRST priority is to:
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A. Provide psychoeducation to the parents about gender identity.
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B. Refer the teen to a support group for LGBTQ+ youth.
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C. Explore the teen's safety and risk of self-harm.
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D. Advocate for the teen's pronouns with the parents directly.
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5. A client with a history of childhood sexual abuse avoids physical touch and intimacy. Th
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e client is currently in a loving relationship but finds themselves "shutting down" during p
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hysical contact. This defense mechanism is best described as:
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A. Repression
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B. Regression
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C. Reaction Formation
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D. Dissociation
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6. A social worker in a school setting notices that a group of popular students consistently
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ostracize a student with a physical disability. According to Social Learning Theory, this be
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havior is most likely maintained by:
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A. Intrinsic motivation for fairness.
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B. Cognitive dissonance about disability.
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C. Operant conditioning via peer reinforcement.
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D. Unresolved psychosexual conflict.
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7. A couple from a rural area is seeking services. The husband works in agriculture and the
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wife stays home. They have traditional gender roles. The wife reports feeling "invisible" b
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ut is hesitant to challenge her husband. The worker should FIRST:
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A. Validate the wife's feelings and explore her cultural values regarding gender.
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B. Refer the wife to a domestic violence shelter.
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C. Confront the husband about his patriarchal views.
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D. Focus on financial stressors as the primary issue.
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8. A 70-year-
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old client is grieving the loss of their spouse of 50 years. The client tells the worker, "I feel
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like half of me is gone. I don't know what to do with myself." This is most consistent with:
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A. Complicated Grief
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B. Normal Grief response
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,C. Major Depressive Disorder
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D. Dementiacx




9. A social worker is facilitating a group for formerly incarcerated individuals. One membe
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r constantly interrupts others and monopolizes the conversation. The worker should:
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A. Ask the group how they feel about the interruptions.
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B. Immediately redirect the member to the topic at hand.
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C. Speak to the member privately after the session.
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D. Ignore the behavior to avoid confrontation.
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10. A client who is a refugee from a war-
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torn country reports nightmares and hypervigilance. The client avoids talking about their
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past. The MOST effective initial intervention is:
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A. Cognitive Behavioral Therapy (CBT) focusing on cognitive restructuring.
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B. Trauma-focused CBT with psychoeducation about trauma responses.
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C. Medication management referral only.
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D. Insight-oriented therapy to explore childhood conflicts.
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SECTION II: ASSESSMENT, DIAGNOSIS, AND TREATMENT PLANNING (Approx. 40 Qs)
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11. A client presents with a persistently depressed mood, anhedonia, significant weight lo
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ss, insomnia, psychomotor agitation, and difficulty concentrating. These symptoms have l
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asted for 3 weeks. The most likely diagnosis is:
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A. Bipolar I Disorder
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B. Major Depressive Disorder, Single Episode
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C. Adjustment Disorder with Depressed Mood
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D. Persistent Depressive Disorder (Dysthymia)
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12. A 24-year- cx cx




old client reports feeling "on top of the world" for the past week. During this period, they
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slept only 3 hours a night, spent thousands of dollars on credit cards, and started multiple
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ambitious projects. However, they have no history of depressive episodes. This is most co
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nsistent with: cx




A. Cyclothymic Disorder
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B. Bipolar I Disorder, Manic Episode
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C. Bipolar II Disorder, Hypomanic Episode
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D. Schizoaffective Disorder
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13. A client describes having recurrent, intrusive thoughts about contamination. They rep
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ort engaging in excessive handwashing until their skin is raw to reduce anxiety. The diagn
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osis is: cx




A. Illness Anxiety Disorder
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, B. Obsessive-Compulsive Disorder
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C. Generalized Anxiety Disorder
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D. Specific Phobia
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14. A social worker is using the DSM-5-
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TR to diagnose a client. In addition to the diagnostic criteria, the worker should consider:
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A. The client's insurance coverage for specific diagnoses.
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B. Cultural formulation and cultural concepts of distress.
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C. The worker's own clinical intuition over the criteria.
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D. The need to diagnose only one condition at a time.
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15. A client presents with a history of turbulent relationships, intense anger, chronic empti
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ness, and self-harming behavior (cutting). These symptoms are most characteristic of:
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A. Antisocial Personality Disorder
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B. Histrionic Personality Disorder
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C. Borderline Personality Disorder
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D. Dependent Personality Disorder
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16. A 16-year-
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old is brought to the ER by police after running away from home. They are disheveled, mu
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mbling to themselves, and appear to be responding to internal stimuli. The ER physician s
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uspects substance use or psychosis. The social worker's PRIMARY role is to:
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A. Diagnose the client using the DSM-5.
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B. Conduct a biopsychosocial assessment and gather collateral information.
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C. Begin individual therapy immediately to address the trauma.
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D. Refer the family to a long-term residential facility.
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17. A social worker is creating a treatment plan with a client diagnosed with Alcohol Use
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Disorder. Which goal is MOST appropriate for the "Initial Phase" of treatment?
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A. Abstinence from all substances for 1 year.
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B. Resolving underlying trauma causing the addiction.
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C. Developing a relapse prevention plan and identifying triggers.
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D. Increasing self-esteem and social functioning.
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18. A child presents with difficulty paying attention in school, often makes careless mistak
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es, frequently loses items, and is easily distracted. The child does NOT display hyperactivit
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y. The most likely diagnosis is:
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A. Attention-Deficit/Hyperactivity Disorder, Predominantly Inattentive Presentation.
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B. Attention-Deficit/Hyperactivity Disorder, Combined Presentation.
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C. Specific Learning Disorder.
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D. Intellectual Disability.
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19. A client is diagnosed with Post-
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Traumatic Stress Disorder (PTSD) following a car accident. Which symptom is NOT a diagn
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