Licensed Clinical Social Worker (LCSW) Practice Exam

In assessing an adolescent who has been sexually abused, which aspect of the client's life should the social worker be MOST concerned with?

1. Psychosocial functioning

2. Academic performance

3. Family relationships

4. Physical health

The correct answer is: Psychosocial functioning

The focus on psychosocial functioning in the context of assessing an adolescent who has experienced sexual abuse is vital because this area encompasses a broad range of psychological and social factors that can be significantly impacted by the trauma of abuse. Psychosocial functioning includes emotional regulation, social interactions, self-esteem, and the ability to cope with stress, all of which may be profoundly affected in a young person who has endured such an experience. In cases of sexual abuse, adolescents may exhibit symptoms of trauma, anxiety, depression, or behavioral issues that can disrupt their overall psychological health and social integration. Assessing psychosocial functioning provides insight into how the abuse affects the adolescent's day-to-day life, relationships with peers and family, coping mechanisms, and overall well-being. While academic performance, family relationships, and physical health are also important and can certainly be influenced by the experience of sexual abuse, they are often part of the broader psychosocial context. For instance, poor academic performance may be a symptom of underlying psychosocial difficulties, such as a lack of concentration due to emotional distress. Likewise, family dynamics could be affected by the trauma and the social worker would benefit from understanding how these elements interplay in the adolescent’s overall functioning. By prioritizing psychosocial functioning, the social