LICSW Crisis Intervention 3

Question 1

A school social worker is told by a 14-year-old student that her friend is cutting herself to 'feel something' but has denied any suicidal intent. What is the MOST appropriate response?

Accepted Answer

Conduct a risk assessment of the friend and notify parents and administration per school protocol

Answer

Respect the student's confidentiality and take no further action

Answer

Immediately call 911 and have the friend hospitalized

Answer

Refer the student to a community mental health agency without further assessment

Question 2

Which of the following client statements MOST clearly indicates a potential homicidal threat requiring the social worker to consider the Tarasoff duty to warn?

Accepted Answer

'I am going to kill my neighbor John Smith if he doesn't stop harassing me — I have a gun ready.'

Answer

'I fantasize about hurting people who make me angry sometimes.'

Answer

'I feel like my coworkers deserve bad things to happen to them.'

Answer

'Sometimes I think life would be easier if certain people just disappeared.'

Question 3

A client with a history of bipolar disorder presents in crisis with rapid speech, grandiosity, and reports not sleeping for three days. Which crisis intervention approach is MOST indicated?

Accepted Answer

Prioritize psychiatric evaluation and medication management consultation

Answer

Use cognitive restructuring to address distorted thinking immediately

Answer

Provide supportive counseling using a non-directive approach

Answer

Conduct a detailed trauma history to identify precipitating factors

Question 4

When conducting a violence risk assessment, which acronym tool is commonly used to assess key static and dynamic risk factors?

Accepted Answer

HCR-20

Answer

CAGE

Answer

AUDIT

Answer

GAF

Question 5

A social worker receives a call from a client threatening to harm themselves and is refusing to come in or speak to emergency services. After exhausting all de-escalation strategies, the MOST appropriate action is:

Accepted Answer

Call 911 and provide the client's address for a welfare check

Answer

Document the call and schedule a follow-up for the next business day

Answer

Terminate the call to avoid reinforcing help-seeking behavior

Answer

Consult with a peer colleague and take no action until the next session

Question 6

Which of the following is a key principle distinguishing trauma-informed crisis intervention from traditional crisis intervention?

Accepted Answer

Trauma-informed intervention recognizes that crises may reactivate prior trauma and integrates safety, trust, and empowerment

Answer

Trauma-informed intervention focuses exclusively on stabilization without addressing emotions

Answer

Traditional crisis intervention is more client-centered than trauma-informed approaches

Answer

Trauma-informed approaches do not use standardized risk assessment tools

Question 7

A social worker is helping a client construct a crisis safety plan. Which element is MOST critical to include according to evidence-based safety planning guidelines?

Accepted Answer

Specific warning signs, internal coping strategies, social contacts, and professional crisis resources in sequential order

Answer

A list of the client's psychiatric diagnoses and medications

Answer

A written statement that the client will not attempt suicide

Answer

A detailed account of past crisis episodes for documentation purposes