Social Work Examination Services (SWES) Human Behavior Practice Test

When a patient shows concerning behaviors associated with depression and hopelessness, which aspect should the social worker prioritize first?

1. Medication evaluation

2. Assessing safety and risk factors

3. Family history of mental illness

4. Long-term therapeutic strategies

The correct answer is: Assessing safety and risk factors

The correct approach in this situation is to prioritize assessing safety and risk factors when a patient exhibits concerning behaviors linked to depression and hopelessness. This focus is vital because, in cases of depression, individuals may experience suicidal thoughts or self-harm tendencies, which can pose immediate threats to their safety and well-being. By assessing safety and risk factors, a social worker can identify any potential imminent risks and take necessary steps to ensure the patient’s safety. This assessment often involves evaluating the person’s thoughts about self-harm, any plans they might have made, and the availability of means to carry out those plans. This proactive measure is crucial for crisis intervention and could even mean the difference between life and death. The other aspects, such as medication evaluation, family history of mental illness, and long-term therapeutic strategies, are important components of a comprehensive treatment plan. However, they should be addressed after ensuring that the patient is safe and that any immediate risks are managed effectively. Addressing safety first sets the foundation for further evaluation and treatment, as it is difficult to engage in therapeutic practices when a patient may be in a life-threatening situation.