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What client factor MOST likely determines the scope and
focus of an assessment?
A. Needs of the client
B. Motivation of the client
C. Family systems
D. Social network
Answer- A. Needs of the client
Rationale: The needs of the client (key A) must determine
the focus of the assessment. Family systems (C) and
social network (D) may be included in the assessment,
but they should not be the primary factor for the
assessment. Motivation (B) is more directly related to
how the social worker would proceed in an intervention.
,A social worker is contacted by a client whose initial
complaint is depression. The client reports symptoms of
insomnia, headaches, inability to eat, vomiting, and neck
aches. What should the social worker do FIRST?
A. Obtain a detailed social history on the client
B. Probe for a substance abuse problem
C. Ask the client to obtain medical consultation
Answer- C. Ask the client to obtain medical consultation
Rationale: The described physical symptoms suggest a
potential medical issue, which indicates the FIRST action
is to obtain medical consultation (key C). Obtaining a
social history (A) and
assessing for a substance abuse problem (B) may also be
done later. It is important to FIRST rule out medical
issues
A client who is depressed mentions plans for suicide to a
social worker. Privacy and confidentiality had been
,discussed early in the treatment process. The social
worker believes that the threat is serious. What should the
social worker do NEXT?
A. Respect the client's right to confidentiality
B. Consult with an agency supervisor
C. Develop a safety contract with the client
D. Discuss the need for hospitalization with the client
Answer- D. Discuss the need for hospitalization with the
client
Rationale: Discussing the need for hospitalization (key D)
is the NEXT step after the social worker has determined
the existence of a serious threat. Consulting with a
supervisor (B) would be
appropriate but only after first discussing the plan for
hospitalization with the client (key D). Rights to
confidentiality (A) are superseded by the seriousness of
the threat. A safety contract (C) is not known to be an
effective intervention for suicide prevention when a client
has developed a plan.
, During a therapy session, a client reveals to the social
worker that she has difficulty managing her three-year-old
child. The client reports that her child ran into traffic and
was nearly hit by a car.
What should the social worker do FIRST?
A. Report the possible neglect to child protective services
B. Work with the client to develop a safety plan
C. Consult with the social work supervisor
D. Refer the client to a parenting class
Answer- B. Work with the client to develop a safety plan
Rationale: Developing a safety plan (key B) is the FIRST
action that a social worker would take upon learning of
the client's concerns. While the social worker might
consult with a supervisor (C)
and refer the client to a parenting class (D), these would
occur only after attending to the client's immediate issues.
There is no evidence of child abuse or neglect (A).