Clinical Practice SWES Practice Exam

Why did Susan, a clinical social worker, suggest changing topics when Carly was distressed recalling her hallucinations?

1. To avoid overwhelming her fragile state

2. Because Susan was uncomfortable with the memories

3. To provide support during discomfort

4. Because the past is not important

The correct answer is: To avoid overwhelming her fragile state

Susan's decision to suggest changing topics when Carly was distressed serves to protect Carly's emotional well-being. When a client is experiencing difficulty processing distressing memories, such as hallucinations, it is vital for the clinical social worker to create a supportive environment that minimizes additional stress or emotional overwhelm. By steering the conversation away from these distressing memories, Susan aims to prevent Carly from becoming more upset and assist her in maintaining an emotional equilibrium. This approach aligns with therapeutic practices that prioritize the client's current emotional state and readiness to engage with challenging content. The goal is to provide a safe space for the client, allowing them to approach sensitive topics at their own pace. While the other options present potential reasons, they do not fully encompass the primary goal of maintaining the client's immediate emotional safety, which is paramount in clinical practice. C, for instance, focuses on providing support during discomfort, but without the specific context of avoiding overwhelming feelings, it does not capture the essence of why changing topics was essential in this situation.