Licensed Clinical Social Worker (LCSW) Practice Exam

What is the FIRST step a social worker should take for a four-year-old child experiencing nightmares and terror fantasies?

1. Speak to the child's teacher

2. Do a comprehensive biopsychosocial assessment

3. Dismiss the child's fears

4. Consult with the parents about discipline

The correct answer is: Do a comprehensive biopsychosocial assessment

Conducting a comprehensive biopsychosocial assessment is crucial as the first step in addressing the child’s nightmares and terror fantasies. This type of assessment allows the social worker to gather in-depth information about multiple aspects of the child’s life, including biological factors (such as any medical issues or developmental concerns), psychological elements (such as emotional and mental health), and social influences (such as family dynamics, school environment, and peer relationships). For a young child experiencing distressing dreams, understanding the underlying causes of these symptoms is essential to providing effective support and intervention. The assessment can help uncover any possible traumatic experiences, pressures at home or school, and emotional struggles that may be contributing to the child's fears. Once the social worker has a well-rounded understanding of the child’s situation through the assessment, they can strategize on supportive measures, including potential referrals, therapy options, and parental involvement, which can be crucial in addressing the child's needs. This initial comprehensive assessment ensures that interventions are tailored to the child’s specific circumstances, providing a solid foundation for future steps in the therapeutic process.