Licensed Clinical Social Worker (LCSW) Practice Exam

When evaluating an 86-year-old widower for depression, what should the social worker do FIRST?

1. Suggest engaging in social activities

2. Analyze the client's energy level

3. Acknowledge the client's feelings of loss

4. Refer him for a medical examination

The correct answer is: Acknowledge the client's feelings of loss

When evaluating an 86-year-old widower for depression, the first step should involve acknowledging the client's feelings of loss. This approach is fundamental in social work, especially when dealing with older adults who may have experienced significant life changes, such as the death of a spouse. Validating the client's emotions helps to build rapport and establishes a trusting relationship, which is crucial for effective intervention. Acknowledging feelings of loss not only demonstrates empathy but also opens the door for the client to express themselves further, providing the social worker with valuable insights into their emotional state. It sets a supportive environment for the client to feel heard and understood, which can facilitate more in-depth discussions about their mental health. Addressing emotional experiences in this way is essential before moving onto other evaluations or recommendations, as it may influence the client's openness to treatment and willingness to engage in further discussions about their mental health and coping strategies.