Licensed Clinical Social Worker (LCSW) Practice Exam

What should a social worker do if a client expresses concerns over the confidentiality of their sessions?

1. Explain confidentiality limits and the situation where it might be broken

2. Reassure the client without discussing limits

3. Encourage the client to trust the process

4. Suggest they outline their concerns in writing

The correct answer is: Explain confidentiality limits and the situation where it might be broken

When a client expresses concerns over the confidentiality of their sessions, it is essential for a social worker to explain the limits of confidentiality and the specific situations in which confidentiality may be broken. This ensures that the client understands the framework within which their information will be handled, including exceptions related to risks such as imminent harm to themselves or others, abuse reporting, or legal obligations. By providing a clear explanation of confidentiality limits, the social worker helps the client feel secure while also setting realistic expectations about privacy. This transparency is essential in building trust and rapport, as clients can only feel safe sharing their thoughts and feelings when they understand how their information will be protected and the circumstances that could lead to disclosure. Reassuring the client without discussing limits may lead to misunderstandings and could result in a breach of trust if disclosure were to occur unexpectedly. Encouraging the client to trust the process, while well-meaning, does not address their specific concerns and could leave them feeling invalidated. Similarly, suggesting that they outline their concerns in writing may place additional burdens on the client without providing immediate reassurance or clarity regarding confidentiality.