Licensed Clinical Social Worker (LCSW) Practice Exam

When a 75-year-old man refers to feelings of loneliness and uselessness after losing his spouse, what should the social worker do FIRST?

1. Assess the client for depression and suicide risk

2. Provide grief counseling

3. Facilitate a support group

4. Recommend medication for memory problems

The correct answer is: Assess the client for depression and suicide risk

In this scenario, the most appropriate initial action for the social worker is to assess the client for depression and suicide risk. This step is crucial because feelings of loneliness and uselessness can often be indicators of depression, especially in older adults who are dealing with significant losses, such as the death of a spouse. By focusing on this assessment first, the social worker can determine the severity of the client's emotional distress and identify any immediate risks, including suicidal ideation, which requires urgent intervention. Understanding the client's mental health state allows the social worker to tailor subsequent interventions appropriately. For example, if the client is showing signs of severe depression or suicidal thoughts, it would be essential to address those issues immediately before moving on to other supportive strategies, such as grief counseling or connecting him with a support group. Thus, prioritizing the assessment ensures that the client's safety and well-being are attended to while laying the groundwork for effective therapeutic support.