Association of Social Work Boards Masters (ASWB MSW) Practice Exam

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In the precontemplation stage of change, how should a social worker engage with a client?

  1. By arguing with the client to acknowledge the problem

  2. Establishing a rapport and recognizing the client's concerns

  3. Forcing the client to attend more appointments

  4. Ignoring the client's resistance

The correct answer is: Establishing a rapport and recognizing the client's concerns

In the precontemplation stage, the client is not yet aware or accepting of their problem and may feel defensive or resistant. Therefore, trying to argue with or ignore the client's resistance would not be effective and could potentially harm the therapeutic relationship. Instead, the best approach is to establish trust and rapport with the client, actively listen to their concerns, and validate their feelings without trying to force them to change. This can help the client feel understood and more open to considering change in the future.