Social Work Examination Services (SWES) Human Behavior Practice Test

When a client who is ordinarily rational suddenly shifts topics during an interview, this behavior most likely suggests?

1. The topic has become too anxiety provoking

2. There is an unconscious connection between topics

3. The client is afraid of boring the worker

4. There is evidence of a thought disorder

The correct answer is: The topic has become too anxiety provoking

The behavior of a client who typically engages in rational discourse but suddenly shifts topics during an interview can often indicate that the original subject has become overwhelmingly anxiety-provoking for them. In the context of a therapeutic or clinical setting, it is common for clients to experience discomfort or distress when discussing sensitive or traumatic memories. When faced with difficult topics, a client may instinctively deflect conversation towards a different subject as a coping mechanism to manage their anxiety. This defense mechanism serves to protect the client from experiencing the full emotional impact of what they are discussing. A sudden change in topic can signal that the client is trying to avoid feelings of vulnerability or overwhelm associated with the initial discussion. While other options may suggest alternative reasons for a shift in focus, the most direct and plausible explanation closely aligns with the client's emotional responses. Understanding this behavior is crucial for social workers, as it helps to guide the therapeutic process and allows for the building of a trusting environment where clients may feel safe to eventually explore more challenging topics at their own pace.