LICSW Crisis Intervention 2

Question 1

A client presents in a domestic violence crisis shelter. According to trauma-informed crisis intervention, which response by the social worker is MOST appropriate?

Accepted Answer

Provide choices and options to restore a sense of control and safety

Answer

Immediately develop a detailed safety plan and require the client to follow it

Answer

Ask the client to explain exactly what happened in chronological order for documentation

Answer

Encourage the client to return home to retrieve personal belongings

Question 2

The Caplan model of crisis theory identifies three types of crises. Which of the following is classified as a maturational or developmental crisis?

Accepted Answer

A teenager leaving home for college for the first time

Answer

Loss of employment due to company downsizing

Answer

Hurricane destroying a family's home

Answer

Unexpected diagnosis of a terminal illness

Question 3

Which of the following tools is MOST widely used by social workers to conduct a structured suicide risk assessment?

Accepted Answer

Columbia Suicide Severity Rating Scale (C-SSRS)

Answer

Beck Anxiety Inventory (BAI)

Answer

PHQ-9 Patient Health Questionnaire

Answer

Adverse Childhood Experiences (ACE) questionnaire

Question 4

A social worker receives a call from a client who states: 'I just can't take it anymore and I've been thinking about ending it all.' What is the MOST clinically appropriate immediate response?

Accepted Answer

Ask directly: 'Are you thinking about suicide?'

Answer

Reflect feelings: 'It sounds like you're really exhausted.'

Answer

Reassure the client: 'Things will get better, I promise.'

Answer

Immediately contact emergency services without further engagement

Question 5

In crisis intervention, a safety plan is distinguished from a 'no-suicide contract' primarily because:

Accepted Answer

Safety plans provide concrete coping steps and resources, whereas no-suicide contracts lack evidence of effectiveness

Answer

Safety plans are legally binding documents while contracts are not

Answer

No-suicide contracts are required by NASW Code of Ethics; safety plans are optional

Answer

Safety plans are only used in inpatient settings while contracts are used outpatient

Question 6

A social worker in a hospital emergency department encounters a client experiencing a psychiatric crisis related to acute psychosis. What is the MOST important initial step?

Accepted Answer

Ensure the environment is safe and the client is not in physical danger

Answer

Conduct a comprehensive biopsychosocial assessment immediately

Answer

Begin psychoeducation about their diagnosis

Answer

Contact the client's family to gather collateral information

Question 7

Which of the following BEST describes 'defusing' in the context of Critical Incident Stress Management (CISM)?

Accepted Answer

An informal, brief group intervention conducted within hours of a critical incident

Answer

A formal group process conducted 24-72 hours after a critical incident

Answer

An individual one-on-one session addressing PTSD symptoms after trauma

Answer

A written debriefing protocol submitted to supervisors after a workplace crisis