LCSW Crisis Intervention and Risk Assessment 1 — Questions and Answers
Question 1: What is the primary goal of crisis intervention?
- Provide long-term psychotherapy
- Restore the individual to pre-crisis functioning (Correct answer)
- Diagnose the underlying mental health disorder
- Arrange inpatient psychiatric treatment
Correct answer: Restore the individual to pre-crisis functioning
Crisis intervention aims to stabilize the client and restore them to their previous level of functioning as quickly as possible.
Question 2: Which crisis intervention model consists of seven stages including assessment, ensuring client safety, and providing support?
- Roberts' Seven-Stage Crisis Intervention Model (Correct answer)
- Caplan's Developmental Crisis Model
- Maslow's Hierarchy of Needs Model
- The ABC Model of Crisis Intervention
Correct answer: Roberts' Seven-Stage Crisis Intervention Model
Roberts' Seven-Stage Crisis Intervention Model is the most widely used framework in social work, progressing from assessment through follow-up.
Question 3: A client presents in crisis after an unexpected job loss. What is the social worker's FIRST priority?
- Explore childhood trauma contributing to the crisis
- Assess for immediate safety and suicide risk (Correct answer)
- Schedule a series of follow-up appointments
- Contact the client's former employer
Correct answer: Assess for immediate safety and suicide risk
Safety assessment is always the first priority in crisis intervention before addressing other psychological or practical concerns.
Question 4: Which of the following best describes a 'situational crisis'?
- A crisis resulting from a predictable developmental transition
- A crisis caused by an unexpected external event (Correct answer)
- A crisis stemming from a scheduled life milestone
- A crisis related to a chronic mental health condition
Correct answer: A crisis caused by an unexpected external event
Situational crises are caused by unexpected or extraordinary external events such as accidents, natural disasters, or sudden losses.
Question 5: When conducting a suicide risk assessment, which mnemonic is commonly used to identify key warning signs?
- CAGE
- IS PATH WARM (Correct answer)
- PHQ-9
- GAF
Correct answer: IS PATH WARM
IS PATH WARM (Ideation, Substance abuse, Purposelessness, Anxiety, Trapped, Hopelessness, Withdrawal, Anger, Recklessness, Mood changes) is a widely used suicide warning sign tool endorsed by the American Association of Suicidology.
Question 6: In crisis intervention, what does 'psychological first aid' primarily focus on?
- Administering psychiatric medication on an emergency basis
- Reducing immediate distress and fostering adaptive functioning (Correct answer)
- Conducting comprehensive mental health diagnostic assessments
- Establishing a therapeutic alliance for long-term treatment
Correct answer: Reducing immediate distress and fostering adaptive functioning
Psychological first aid aims to reduce initial distress and promote short-term and long-term adaptive functioning immediately following crises or disasters.
Question 7: A client calls and reports suicidal ideation with a specific, detailed plan. What is the MOST appropriate immediate response?
- Schedule an appointment for the next available opening
- Encourage the client to call back only if the urge intensifies
- Initiate safety planning and coordinate emergency services if needed (Correct answer)
- Refer the client to a psychiatrist for medication evaluation only
Correct answer: Initiate safety planning and coordinate emergency services if needed
When a client presents with a specific suicidal plan, the social worker must immediately initiate safety planning and may need to involve emergency services to ensure the client's safety.
What is the primary goal of crisis intervention?