Licensed Clinical Social Worker (LCSW) Therapist Development Center Practice Exam

A therapist should first refer a restless, agitated client for what type of evaluation?

1. Psychoeducational evaluation

2. Substance abuse evaluation

3. Medical evaluation

4. Cognitive assessment

The correct answer is: Medical evaluation

Referring a restless, agitated client for a medical evaluation is appropriate because physical health issues can significantly impact mental health. Medical conditions, such as thyroid problems, neurological disorders, or other physical ailments, can contribute to changes in mood and behavior, including restlessness and agitation. Before assuming that the cause of the client's symptoms is psychological, it is essential to rule out any underlying medical issues. A medical evaluation can provide a comprehensive assessment of the client's physical health, ensuring that any medical conditions are identified and treated appropriately. This foundational step enables the therapist to understand the full scope of the client's situation and subsequently determine the best course of action for treatment, whether that involves therapy, further evaluations, or referrals to specialists. In contrast, other evaluations like psychoeducational assessments, substance abuse evaluations, or cognitive assessments may be relevant in the context of the client's issues but would not address potential medical causes first. Prioritizing a medical evaluation ensures that the therapist is considering all aspects of the client's well-being.