Licensed Clinical Social Worker (LCSW) Practice Exam

What action should the social worker take FIRST when observing a client in day treatment who avoids socializing?

1. Encourage group participation

2. Begin and sustain conversations, giving feedback about the client's efforts to participate

3. Plan individual sessions to build skills

4. Suggest attending less crowded events

The correct answer is: Begin and sustain conversations, giving feedback about the client's efforts to participate

The most effective initial action for the social worker to take in this scenario is to begin and sustain conversations while providing feedback about the client's efforts to participate. This approach is centered on building rapport and establishing a trusting relationship, which is critical when working with clients who may be hesitant to engage socially. Starting with individual conversations allows the social worker to understand the client's specific barriers to participation and what might be contributing to their avoidance of social situations. By offering positive reinforcement and feedback, the social worker can help the client feel more comfortable and confident in engaging with others. This can serve as a foundation for further interventions aimed at enhancing social skills and encouraging group participation. While encouraging group participation, as mentioned in another option, is important, it may not be the best first step. If a client is struggling significantly with social interactions, directly pushing them into larger group dynamics could increase anxiety or resistance. Similarly, planning individual sessions to build skills would be beneficial, but addressing the client's immediate comfort in conversation can be a more immediate way to foster engagement. Suggesting less crowded events could be a pragmatic approach later, but starting with direct conversation can establish a safe space for the client to express their feelings and fears about socializing. Overall, initiating dialogue reinforces the therapeutic relationship and