Association of Social Work Boards (ASWB) Clinical Practice Exam

A harm reduction approach prioritizes minimizing the negative consequences of behaviors such as binge drinking rather than insisting on complete abstinence. Advising prearranged alternative child care while drinking aligns with this philosophy by encouraging the client to find safer and more responsible ways to manage their binge drinking. This reflects an understanding of the client’s current behavior and aims to reduce any potential harm that could arise from binge drinking, particularly if children are in the picture. By ensuring that alternative care is in place, the social worker is promoting a practical and immediate strategy for mitigating risks associated with the client's drinking behavior.

The other options, while they may contain elements of care and concern, do not directly align with the harm reduction philosophy as effectively. Seeking a medical evaluation or drug evaluation might be appropriate in different contexts but could be seen as more punitive or prescriptive, potentially alienating the client rather than supporting them through their current behaviors. Advising on the risks might raise awareness but does not offer a practical step to reduce harm in the context of their existing behavior. Thus, the chosen advice fosters a supportive environment that recognizes the client's autonomy while still addressing safety concerns.