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Chest pain may indicate a medical condition (e.g., cardiac issue). The priority is ruling out physical causes before psychosocial interventions. Relaxation and exposure therapy follow after clearance. Correct answer: A.

In Autonomy vs. Shame and Doubt (ages 1–3), toddlers develop independence. Tantrums occur when autonomy is restricted. Trust vs. Mistrust occurs in infancy, Initiative vs. Guilt in preschool, and Industry vs. Inferiority in school-age children. The behavior aligns with Autonomy vs. Shame and Doubt.

The NASW Code of Ethics requires protecting client confidentiality unless explicit, informed consent is obtained. For educational purposes (such as teaching, training, or presentations), social workers may use case material but must disguise identifying information so that confidentiality is preserved. Simply providing details without names can still risk recognition in small communities. A blanket refusal isn’t necessary if information is de-identified properly. The most ethical practice, aligned with LCSW objectives, is to summarize and disguise details so that confidentiality remains intact.

Secure attachment is characterized by distress when separated but comfort when reunited. Avoidant attachment shows little distress or interest in reunion. Ambivalent attachment reflects clinginess and difficulty calming, while disorganized attachment involves contradictory, fearful behaviors. This scenario best reflects secure attachment.

Depressive symptoms may indicate risk for suicide. The first step is assessing suicide risk to ensure safety before therapy or referrals. The LCSW exam prioritizes safety over treatment. Correct answer: A.