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After ruling out medical issues, the next step is to evaluate substance use, as stimulants, caffeine, and withdrawal can mimic panic. Psychosocial exploration follows later. On the exam, assessment follows a hierarchy: medical → substance → psychosocial. Correct answer: A.

The NASW Code of Ethics requires first attempting to address concerns directly with the colleague, if appropriate and safe. If the issue continues, escalation to supervisors or licensing boards follows. Ignoring or avoiding responsibility violates ethics. Correct answer: A.

Evidence-based interventions for social anxiety include cognitive restructuring (challenging distorted beliefs) and exposure therapy (gradually facing feared situations). Avoidance reinforces anxiety, while psychoanalysis is less targeted. Family reliance does not build autonomy. The ASWB exam emphasizes practical, empirically supported interventions, making A the correct choice.

Chest symptoms may indicate medical emergencies such as heart problems. Before labeling as panic, the social worker must rule out medical conditions. Relaxation and breathing come after clearance. Correct answer: A.

Erikson’s Autonomy vs. Shame and Doubt (ages 1–3) centers on independence and self-control. Success leads to autonomy, while failure or criticism fosters shame. Trust vs. Mistrust occurs in infancy, Initiative vs. Guilt in preschool years, and Industry vs. Inferiority in middle childhood. The child’s behavior fits Autonomy vs. Shame and Doubt.