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

When assessing a client with multiple risk factors for domestic violence, what is the highest priority?

1. Refer to a doctor for prenatal care

2. Consider couples counseling

3. Assess for domestic violence

4. Develop coping strategies

The correct answer is: Assess for domestic violence

Assessing for domestic violence is the highest priority when working with a client who has multiple risk factors for this issue. Understanding the presence and extent of domestic violence is critical in developing a safe and effective intervention plan. It helps to identify immediate danger to the client and any children involved, allowing for necessary protective measures to be put in place. The assessment process includes evaluating the client's experiences, the dynamics of their relationships, and their current safety situation. This information is vital for guiding the therapeutic response and ensuring that the client has access to appropriate resources, such as shelters or legal assistance, if they are in danger. By prioritizing this assessment, social workers can address the most pressing risks to the client's safety before considering other interventions, such as coping strategies or referrals for medical care. Addressing domestic violence upfront also helps to foster a therapeutic alliance, as clients in such situations often need to feel safe and understood before they can fully engage in therapy or other forms of support.