Licensed Clinical Social Worker (LCSW) Practice Exam

What should a social worker do FIRST when meeting with a 75-year-old man showing signs of depression after his wife's death?

1. Engage the client in light conversation

2. Complete a suicide risk assessment of the client

3. Refer him to a support group

4. Suggest activities to improve mood

The correct answer is: Complete a suicide risk assessment of the client

The foremost action a social worker should take when encountering a 75-year-old man exhibiting signs of depression following his wife's death is to conduct a suicide risk assessment. This is crucial because the grieving process can significantly heighten feelings of despair and loneliness, making vulnerability to suicidal thoughts or behaviors a critical risk. By prioritizing a suicide risk assessment, the social worker ensures the immediate safety and well-being of the client. It allows for evaluating any potential suicidal ideations, plans, or previous attempts, which are vital considerations given the client's age and recent loss. Engaging in a thorough assessment fosters trust and opens lines of communication whereby the social worker can gauge the client's emotional state and specific needs. Only after determining the level of risk can the social worker appropriately guide the client toward further interventions, such as referrals to support groups or suggesting mood-enhancing activities. This approach not only prioritizes the client's immediate needs but also aligns with evidence-based practices in social work that emphasize safety and risk management in vulnerable populations.