Licensed Clinical Social Worker (LCSW) Practice Exam

When a client is resistant to taking medication suggested by their social worker, what is the next appropriate step for the colleague?

1. Persuade the client to take the medication

2. Explore with the client her resistance to taking medication

3. Ignore the issue for now

4. Refer the client to a psychiatrist

The correct answer is: Explore with the client her resistance to taking medication

The most appropriate next step when a client is resistant to taking medication is to explore their resistance with them. This approach allows the social worker to understand the underlying reasons for the client's reluctance, which may include concerns about side effects, previous negative experiences, fears, or a lack of understanding of the medication's benefits. By engaging the client in a dialogue about their feelings and beliefs regarding medication, the social worker can provide education, address misconceptions, and foster a sense of collaboration and trust. Encouraging the client to express their thoughts can also promote empowerment and autonomy, important principles in social work practice. This exploration can help the social worker to better tailor their approach to the client's needs and make informed decisions moving forward that respect the client's values and preferences. In contrast, simply persuading the client or ignoring the issue may exacerbate resistance and create a power struggle, ultimately damaging the therapeutic relationship. Referring the client to a psychiatrist could be appropriate later, but initial exploration of their feelings about medication is essential for understanding and addressing any barriers they face in adherence.