Therapist Development Center Practice Exam 1

During a biopsychosocial assessment, what should the social worker do FIRST when a client often changes topics during conversation?

1. Refer the client for a medical evaluation.

2. Refer the client for psychological testing.

3. Complete a mental status exam.

4. Suggest a family therapy session.

The correct answer is: Complete a mental status exam.

Completing a mental status exam is a crucial first step when a client frequently shifts topics during conversation. This type of assessment provides the social worker with immediate insight into the client's cognitive functioning, emotional state, and overall mental clarity. By assessing the client's thought processes and coherence, the social worker can determine whether these changes in conversation are due to cognitive disorganization, anxiety, or a specific mental health issue. While referring the client for medical evaluation or psychological testing might be appropriate later, it’s important to first establish a clear understanding of the client’s current mental status. This understanding helps to rule out any acute psychiatric conditions that may need immediate attention. Similarly, suggesting a family therapy session might be beneficial in the long run, but it does not directly address the immediate concern of the client’s conversational coherence. Thus, conducting a mental status exam provides a vital first step in addressing the client's needs effectively.