Licensed Clinical Social Worker (LCSW) Practice Exam

What is the best course of action for a social worker when evaluating an elderly widower who opposes assisted living?

1. Insist on an immediate placement in assisted living

2. Offer an in-home evaluation, with assurance to keep in touch with the daughters if he consents

3. Encourage the daughters to override the father’s wishes

4. Immediately contact elder services for assistance

The correct answer is: Offer an in-home evaluation, with assurance to keep in touch with the daughters if he consents

The best course of action in this situation is to offer an in-home evaluation while ensuring that there is a commitment to maintain communication with the daughters if the elderly widower consents to this assessment. This approach respects the elderly man's autonomy and his right to make decisions about his own living situation. It acknowledges his opposition to assisted living while also taking proactive steps to address his needs. By suggesting an in-home evaluation, the social worker is allowing for a comprehensive assessment of the man's living conditions and capabilities, as well as identifying any support systems that may be needed to help him remain safely in his home. This option promotes a collaborative relationship between the social worker and the elderly individual, fostering trust and openness about his concerns and preferences. Moreover, keeping the daughters informed—should the widower agree—ensures that family dynamics are considered and that there is support available if changes to his living situation are necessary in the future. Engaging both the client and his family respects family involvement in care planning, which is crucial in social work practice. This approach ultimately aligns with social work values, including client self-determination and empowerment, which are essential in effectively helping clients navigate their options and challenges.