Licensed Clinical Social Worker (LCSW) Practice Exam

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In a scenario where a therapeutic group is discussing boundaries, what is a good practice for the social worker when a confidentiality breach occurs?

  1. Briefly address it and continue

  2. Ask the member to leave the group

  3. Facilitate a discussion about confidentiality and boundaries

  4. Ignore the issue entirely

The correct answer is: Facilitate a discussion about confidentiality and boundaries

Facilitating a discussion about confidentiality and boundaries is essential when a breach occurs in a therapeutic group. This practice not only addresses the immediate issue but also provides an opportunity for education and reinforcement of the significance of confidentiality within the group dynamic. Discussing the breach helps members understand the importance of maintaining confidentiality, exploring how breaches can affect trust and the group's overall functioning. It is crucial in a therapeutic setting to ensure that all members feel safe and secure in sharing their personal experiences, which can only be upheld in an environment where confidentiality is respected and understood. Addressing the situation openly fosters an atmosphere of transparency, encourages accountability, and allows the group to collectively establish clearer boundaries moving forward. Engaging the group in this dialogue supports the therapeutic process and helps prevent future breaches, nurturing a healthier group dynamic and reinforcing the foundational principles of trust and respect in therapy.