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

When a nursing home social worker finds that a client is upset about a family visit, what is the most appropriate immediate action?

1. A. Contact the client's daughter to inquire why she doesn't want to see her

2. B. Inform the daughter she needs to leave and escort her from the premises

3. C. Explore why the client doesn't want her daughter to come in

4. D. Make a report about the daughter's behavior

The correct answer is: C. Explore why the client doesn't want her daughter to come in

The most appropriate immediate action is to explore why the client doesn't want her daughter to come in. This approach centers on understanding the client's feelings and concerns, which is fundamental in social work practice. By taking the time to listen and gather information about the client's perspective, the social worker demonstrates empathy and validation of the client's emotions. Exploring the client's reasons can reveal important insights, such as past experiences, current emotional states, or any conflicts that may be affecting the relationship with the daughter. This understanding is crucial in facilitating better communication and addressing any underlying issues that may be contributing to the client's distress. It reinforces the client’s autonomy and agency in their care and family interactions, ultimately helping to foster a supportive environment in the nursing home setting. This choice prioritizes the client's emotional well-being and respects their wishes, setting the foundation for any further actions that may need to be taken based on what the client shares.