LICSW Crisis Intervention

Question 1

According to the Roberts' Seven-Stage Crisis Intervention Model, what is the FIRST stage a social worker should complete when working with a client in crisis?

Accepted Answer

Assess lethality and safety needs

Answer

Establish rapport and a therapeutic relationship

Answer

Identify the major problems

Answer

Generate and explore alternatives

Question 2

A client calls a crisis hotline stating they have a plan to overdose on medications they have at home. Which intervention should the social worker prioritize FIRST?

Accepted Answer

Facilitate removal or securing of the lethal means

Answer

Explore the client's history of suicidal ideation

Answer

Assess the client's current support system

Answer

Develop a safety plan for future crises

Question 3

Which of the following BEST describes the primary goal of crisis intervention?

Accepted Answer

Restore the individual to at least their pre-crisis level of functioning

Answer

Resolve the underlying psychological issues causing the crisis

Answer

Provide long-term therapeutic support for trauma processing

Answer

Identify and treat the psychiatric diagnosis precipitating the crisis

Question 4

A social worker is using the ABC Model of Crisis Intervention. What does 'B' represent in this model?

Accepted Answer

Beliefs and perceptions the client holds about the event

Answer

Behavior patterns observed during the crisis

Answer

Biological factors contributing to the crisis

Answer

Barriers to accessing community resources

Question 5

Which population characteristic would indicate the HIGHEST level of suicide risk requiring immediate hospitalization consideration?

Accepted Answer

Active ideation with a specific plan, access to means, and stated intent

Answer

Passive suicidal ideation with no plan and strong social support

Answer

History of a single prior attempt with no current ideation

Answer

Chronic suicidal ideation with consistent outpatient engagement

Question 6

A social worker responds to a disaster scene and learns a survivor witnessed the death of multiple family members hours ago. Which intervention approach is MOST appropriate at this phase?

Accepted Answer

Use Psychological First Aid to provide safety, calm, and connection

Answer

Conduct a structured trauma-focused cognitive behavioral therapy session

Answer

Administer a standardized PTSD screening tool

Answer

Facilitate a Critical Incident Stress Debriefing immediately

Question 7

When a client in crisis refuses all offered services and denies suicidal intent but the social worker has significant clinical concern, what is the MOST appropriate next step?

Accepted Answer

Contact law enforcement to initiate an involuntary psychiatric hold if criteria are met

Answer

Accept the client's refusal and close the case per client self-determination

Answer

Schedule a follow-up appointment for the following week

Answer

Notify the client's employer about the situation