ASWB Clinical Evaluation, Supervision & Administration Practice Questions
Evaluation, Supervision & Administration makes up 4 of every 50 questions on a Tigertest ASWB Clinical practice test. Here are 10 of the 16 questions on it, each with the answer and the reason.
Updated by the Tigertest team. Based on the ASWB Clinical content outline (2026 Examination Guidebook). Original questions; 50 per test, weighted like the real exam. Not affiliated with ASWB.
1. A clinician gives each client a brief symptom measure every session and uses the scores to adjust treatment. This practice is called:
- A.Utilization review
- B.Measurement-based care
- C.Summative evaluation
- D.Process recording
Answer: B. Measurement-based care uses routine, standardized outcome measures to track progress and guide treatment decisions session by session. It improves outcomes compared with clinical judgment alone.
2. A study finds a treatment lowered depression scores by a statistically significant 1 point on a 63-point scale. A clinician should note that:
- A.The study proves the drug is safe
- B.The sample must have been small
- C.The treatment must work for everyone
- D.The change may lack clinical meaning
Answer: D. Statistical significance shows a result is unlikely due to chance, not that it matters in clients' lives. Clinical significance asks whether the change is large enough to make a real difference.
3. Clients chosen because they scored extremely high on an anxiety scale score lower on retest even without treatment. This is MOST likely due to:
- A.Regression to the mean
- B.Strong treatment effects
- C.Selection of a control group
- D.High test reliability
Answer: A. Extreme scores tend to move toward the average on a second measurement. Without a comparison group, this can be mistaken for a treatment effect.
4. Program staff work harder and clients report more improvement simply because they know they are being studied. This threat is called:
- A.Maturation
- B.Instrumentation
- C.Reactivity
- D.Attrition
Answer: C. Reactivity, sometimes called the Hawthorne effect, is a change in behavior caused by awareness of being observed or measured, not by the intervention itself.
5. A program compares the cost of two treatments per client who stays sober for a year. This is:
- A.A needs assessment
- B.A process evaluation
- C.Cost-effectiveness analysis
- D.Cost-benefit analysis
Answer: C. Cost-effectiveness analysis compares costs per unit of outcome, such as per sober client. Cost-benefit analysis converts both costs and benefits into money.
6. In a program logic model, the number of counseling sessions delivered is an example of:
- A.An output
- B.An outcome
- C.An impact
- D.An input
Answer: A. Inputs are resources, activities are what the program does, outputs are the direct products such as sessions held, and outcomes are changes in clients, such as reduced symptoms.
7. An evaluator checks whether therapists deliver a manualized treatment the way it was designed. This is a measure of:
- A.External validity
- B.Construct validity
- C.Statistical power
- D.Treatment fidelity
Answer: D. Fidelity is the degree to which an intervention is delivered as intended. Low fidelity makes it hard to know whether a poor result reflects the model or its delivery.
8. A depression scale's items all correlate strongly with one another. This shows good:
- A.Face validity
- B.Internal consistency
- C.Test-retest reliability
- D.Predictive validity
Answer: B. Internal consistency, often reported as Cronbach's alpha, shows that a scale's items measure the same construct. Test-retest reliability is stability over time.
9. An accrediting body's outside review of an agency's records, policies and outcomes is an example of:
- A.Participatory research
- B.Quality assurance
- C.Clinical supervision
- D.A needs assessment
Answer: B. Quality assurance includes program reviews, audits and accreditation by external bodies that check whether services meet set standards.
10. A new supervisee is anxious, dependent on her supervisor and focused on doing things right. In the integrated developmental model, she is MOST likely at:
- A.Level 3
- B.Level 3i
- C.Level 2
- D.Level 1
Answer: D. In Stoltenberg's integrated developmental model, Level 1 supervisees are highly motivated, anxious and dependent, Level 2 swing between confidence and confusion, and Level 3 work with stable autonomy.
Practice all 16 evaluation, supervision & administration questions, and the rest of the 200-question bank, in the free ASWB Clinical training sets. Questions you miss come back until you have mastered them.
Start practicingFree to start. No account needed.