Licensed Clinical Social Worker (LCSW) Practice Exam

When a client shows fatigue and difficulty concentrating shortly after a traumatic event, what should the social worker prioritize?

1. Develop coping mechanisms for anxiety

2. Address unresolved trauma through exposure therapy

3. Determine the client’s potential for self-harm

4. Explore the client's family dynamics

The correct answer is: Determine the client’s potential for self-harm

When a client experiences fatigue and difficulty concentrating shortly after a traumatic event, prioritizing the determination of the client's potential for self-harm is crucial. This approach aligns with the immediate need to assess the client's safety and well-being in the aftermath of trauma. Traumatic experiences can trigger intense emotional responses, including feelings of hopelessness and despair, often leading to an increased risk of self-harming behaviors. Focusing on safety first is a fundamental tenet of social work practice, especially in crisis situations. By assessing for self-harm, the social worker can identify whether immediate interventions are necessary to ensure the client's safety, such as developing a safety plan or arranging for further support if required. Understanding the client's emotional state and risk factors is vital for creating an effective treatment plan that addresses both immediate needs and long-term recovery. While developing coping mechanisms for anxiety, addressing unresolved trauma, and exploring family dynamics are important aspects of treatment, they may take a back seat if the client is in crisis or at risk of self-harm. Ensuring the client's safety allows the social worker to create a stable foundation from which more specialized or long-term interventions can be implemented later.