Therapist Development Center Practice Exam 1

When discussing potential arrangements for an elderly father living with his adult daughter and her husband, what factor should the social worker prioritize?

1. Family's cultural background and the value placed on caregiving.

2. Father's decreased risk for suicide since he is living with a family member.

3. Guilt associated with caregivers suggesting that the family member move out.

4. Daughter's ability to withstand the father's negative response.

The correct answer is: Guilt associated with caregivers suggesting that the family member move out.

The option emphasizing the guilt associated with caregivers suggesting that the family member move out highlights a critical emotional aspect often encountered in family dynamics involving caregiving. Guilt can significantly impact the decision-making process regarding the arrangement of care for elderly individuals. When a family member is living with a relative, the caregivers may feel a strong sense of obligation to keep that family member close, fearing that suggesting alternative living arrangements could lead to feelings of abandonment or conflict within the family. This guilt can hinder effective communication and decision-making, leading to potential negative outcomes for both the elderly individual and the caregivers. Addressing this emotional barrier is essential for the social worker, as navigating these feelings can open up pathways for more open discussions about each party’s needs, preferences, and the realities of caregiving. While the other options present valid considerations, such as the cultural background or the father's mental health status, they do not directly address the emotional realities affecting the family’s capacity to make choices about living arrangements. Balancing care responsibilities with emotional well-being is key to developing a sustainable and productive caregiving plan.