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

What is the best immediate course of action for a social worker when a client presents with anxiety, agitation, and irritability?

1. Consider a diagnosis of hyperthyroidism

2. Refer the client for a psychiatric evaluation

3. Complete a biopsychosocial assessment

4. Refer the client for a medical evaluation

The correct answer is: Refer the client for a medical evaluation

When a client displays symptoms such as anxiety, agitation, and irritability, the best immediate course of action is to refer the client for a medical evaluation. This approach is essential because these symptoms can be caused or exacerbated by various medical conditions, including hormonal imbalances, substance use, or other physical health issues. By obtaining a medical evaluation, the social worker ensures that any underlying health problems that might be contributing to the client's psychological distress are identified and treated. This step is crucial, as medical conditions could potentially mimic or worsen psychological symptoms. While other options such as completing a biopsychosocial assessment or considering a psychiatric evaluation are indeed important steps in understanding and addressing the client's overall functioning and mental health needs, the immediate priority should be to rule out any medical causes for the symptoms. A medical evaluation serves as a foundational assessment that can guide further interventions, whether psychological or social. It's critical for the social worker to adopt a holistic view of the client's well-being, which includes both physical and mental health aspects.