Licensed Clinical Social Worker (LCSW) Practice Exam

When a retired client expresses boredom and feeling worthless, what should the social worker FIRST inquire about?

1. The client's past hobbies and interests

2. Other symptoms that might indicate depression

3. Social interactions with family and friends

4. The client's retirement plans

The correct answer is: Other symptoms that might indicate depression

Inquiring about other symptoms that might indicate depression is crucial because it helps to assess the client's mental health status. When a retired client expresses feelings of boredom and worthlessness, these emotions can sometimes be indicators of underlying depressive symptoms. Recognizing and investigating these symptoms early on is essential for proper evaluation and intervention. This approach ensures that the social worker can identify whether the client's feelings are part of a larger depressive episode that may require more intensive support or intervention. Understanding the context of the client's emotional state is vital for developing a comprehensive treatment plan. Additionally, assessing other depressive symptoms, such as changes in sleep patterns, appetite, energy levels, or interest in activities, can lead to a more thorough understanding of the client's overall well-being and help the social worker determine the appropriate next steps to support the client. While exploring past hobbies, social interactions, or retirement plans may provide valuable insight into the client’s life and potential sources of fulfillment or connection, these inquiries are secondary to assessing for depression. Depression can significantly affect a person’s interests and interactions, making it essential for the social worker to prioritize understanding the mental health dimension first.