LMSW Practice Test

Rose, a crack cocaine and alcohol user, appears at the HMO clinic complaining of frequent stomach pains. Rather than getting the painkillers she wants, she is surprised to learn that she is at least nine weeks pregnant. In addressing Rose's pregnancy, the social worker interviewing her should first seek to?

1. arrange admission to a half-way house

2. discuss the pregnancy with Rose's family and ask for their help in forcing her to stop using drugs and alcohol, at least during her pregnancy

3. help Rose understand the health consequences of drugs and alcohol on her body and the developing fetus

4. refer Rose for psychiatric care

The correct answer is: arrange admission to a half-way house

Helping Rose understand the health consequences of drugs and alcohol on her body and the developing fetus is a crucial first step in addressing her situation. This option focuses on educating her about the potential risks and impacts of her substance use during pregnancy, which is vital for both her health and that of her unborn child. By providing this information, the social worker can create an environment where Rose feels supported and informed, which may encourage her to consider making healthier choices. Understanding the effects of her substance use can be a motivating factor for her to seek treatment and change her behavior, ultimately benefiting her and her child's well-being. This approach emphasizes the importance of individual empowerment in health decision-making. While involving family or referring for psychiatric care could be important later, the immediate priority should be to address Rose’s understanding of her health situation. Additionally, arranging admission to a halfway house may not be suitable until she is fully informed and motivated to change her substance use behaviors.