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

How should a social worker address the concerns of an elderly client whose children insist on assisted living after the loss of his spouse?

1. By assessing the client’s capacity to manage his own care

2. By scheduling a family meeting to discuss concerns

3. By directly challenging the children's point of view

4. By confirming the client's desire to live independently

The correct answer is: By confirming the client's desire to live independently

Addressing the concerns of an elderly client, particularly in emotionally charged situations such as the recent loss of a spouse, involves supporting the client's autonomy and respecting their wishes. Confirming the client's desire to live independently is essential, as it acknowledges their feelings and preferences during a vulnerable time. Empowering the client to express their desire for independence can help reinforce their sense of agency and dignity, which is crucial in eldercare scenarios. Involving the client in the decision-making process fosters trust and can lead to a more satisfactory outcome. This approach also ensures that the social worker is aligning with the ethical principles of client-centered practice, acknowledging the individual's right to make their own choices regarding their living arrangements. Other methods, such as assessing capacity or scheduling family meetings, may also be appropriate in certain contexts. However, these actions should follow after understanding and validating the client's wishes. Challenging the children's perspective directly may lead to conflict and further distress rather than fostering a cooperative environment that prioritizes the client's needs.