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A single mother seeks the help of a social worker following the death of her mother, who had been her primary childcare provider for her two preschool-aged children. The client shares that since her mother’s passing, she has taken a leave of absence from work to care for her children full-time. She expresses feeling exhausted and overwhelmed, stating that she has no time for herself and is struggling to cope. She shows no signs of clinical depression but appears emotionally drained. What should the social worker do NEXT?
A social worker is tasked with evaluating a 16-year-old youth who has been arrested for armed robbery and has a history of repeated drug-related offenses. The court has ordered a comprehensive assessment to determine appropriate interventions. The youth expresses remorse but exhibits limited insight into the severity of their actions. The family is conflicted about whether the youth should return home due to past behavior issues and safety concerns. Under what circumstances should the social worker recommend placement in a secure residential facility?
A mother brings her three-year-old child to a social worker because of bed wedding. This started just after a new baby was born. What should the social worker do FIRST?
A social worker is working with a client who frequently cancels appointments at the last minute, sometimes fails to show up altogether, and consistently pays fees late. During sessions, the client often describes conflict with friends, expressing confusion about why these fights keep happening. The client appears unaware of how their behavior may contribute to these conflicts. The social worker recognizes that this pattern may also be reflected in the therapeutic relationship. What should the social worker do FIRST?
A 12-year-old client who experienced chronic neglect by a caregiver over a two-year period is meeting with a social worker for an initial evaluation. The client exhibits difficulty trusting adults, struggles to articulate their needs, and appears withdrawn. When assessing the impact of the neglect, what should the social worker prioritize?
A crisis social worker is contacted about a woman who has been observed walking naked through a local park, shouting incoherently, and appearing disheveled and disoriented. Witnesses report that the woman is typically a hard-working and successful individual, making her behavior highly uncharacteristic. Her neighbors express growing concern for her safety and well-being. What action should the social worker take NEXT?
A social worker meets with a 88-year-old man who lost his wife of 43 years one month ago. The client describes recent changes, including increased forgetfulness, difficulty with coordination, pervasive feelings of loneliness and sadness, and a sense of purposelessness. He states, “I’m pretty much the only one left,” when asked about his social supports. What should the social worker do FIRST?
A social worker is working with a 10-year-old child who has been displaying aggressive behavior at school and withdrawing at home. The child’s mother reports frequent episodes of crying and says she feels overwhelmed and unable to manage the child’s behavior. What should the social worker do FIRST?
A social worker at an adoption agency is working with a same-sex couple who have been in a committed relationship for ten years and are interested in adopting a child. The couple has expressed concerns about potential legal and societal challenges they might face during the adoption process. The social worker’s FIRST course of action should be to:
A hospital social worker is working with a client who is noncompliant with diabetes management, stating, “This is God’s will.” How should the social worker respond FIRST?
A social worker at a community-based mental health clinic is working with a client who has multiple unmet needs that the clinic cannot address. What should the social worker do NEXT?
During a biopsychosocial assessment at an outpatient clinic, a social worker observes that the client frequently shifts topics, goes off on unrelated tangents, and is difficult to redirect to the original question. What should the social worker do FIRST?
A hospital social worker is conducting an assessment with a 45-year-old client who was recently admitted for a suicide attempt. The client has a history of major depressive disorder and substance use but reports feeling significantly better since being hospitalized. The client is eager to be discharged, stating they have a “new perspective” and no longer feel suicidal. However, when asked about their future plans, the client provides vague answers and avoids direct eye contact. What should the social worker do FIRST?