Licensed Clinical Social Worker (LCSW) Practice Exam

In a session, a woman diagnosed with a psychotic disorder presents with paranoid delusions about her husband wanting to kill her. What should the social worker do FIRST?

1. Call her husband to discuss her concerns

2. Arrange for a psychiatric evaluation

3. Call the police to warn of the client's plan

4. Suggest a relaxation technique

The correct answer is: Call the police to warn of the client's plan

In situations where a client presents with paranoid delusions that involve the potential for harm to themselves or others, the priority is ensuring safety. When a woman expresses beliefs that her husband wants to kill her, this situation warrants immediate attention to assess the risk involved. The appropriate initial action involves contacting law enforcement to address any potential imminent danger. This is crucial as the safety of the client is paramount; if they are at risk of harm or if there’s a credible threat to their safety or the safety of others, it is essential to intervene quickly. This response not only helps in protecting the client but also initiates a process where mental health professionals and authorities can work together to ensure a thorough assessment of the situation. While other actions such as arranging for a psychiatric evaluation may be necessary, they can occur after the immediate safety concerns have been addressed. Discussing concerns with the husband or suggesting relaxation techniques may not address the urgent nature of the situation where there is a perceived threat to life. Therefore, ensuring safety through the involvement of police is the critical first step.