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Chronic insomnia may be linked to medical or psychiatric conditions (e.g., sleep apnea, thyroid disorders, depression). The first responsibility is to rule out medical causes before providing psychosocial interventions. Sleep hygiene and relaxation techniques may follow once physical conditions are excluded. Social workers do not recommend medication without medical collaboration. This aligns with exam expectations on biopsychosocial assessment.

The NASW Code of Ethics requires maintaining confidentiality unless disclosure is legally mandated (e.g., child abuse, elder abuse, or imminent risk of harm). Past criminal acts without current risk do not meet reporting requirements. Therefore, the social worker should document the disclosure factually and continue working therapeutically. Confronting moral choices or terminating services would violate professional standards. The LCSW exam often tests boundary knowledge around confidentiality, making B the correct answer.

Exposure therapy with coping strategies is the gold standard for agoraphobia. Avoidance maintains symptoms, psychoanalysis lacks immediate evidence, and online shopping reinforces avoidance. The exam emphasizes evidence-based behavioral interventions, making A correct.

Before assuming symptoms are psychological, social workers must consider possible medical conditions (e.g., cardiac or respiratory issues) that can mimic anxiety. Ethical practice requires ruling out medical causes through referral to a physician. Only after medical clearance can psychosocial interventions proceed. This approach is emphasized in LCSW exam assessment questions, where client safety and holistic evaluation always come first.

In late adulthood, Ego Integrity vs. Despair involves reflection and acceptance of life. Integrity brings peace and wisdom, while despair brings regret. Generativity is midlife, Identity adolescence, and Intimacy early adulthood. Correct stage: Ego Integrity vs. Despair.