Social Work Examination Services (SWES) Human Behavior Practice Test

When working with a newly married couple where one partner has schizophrenia, what is the most important initial action for the social worker?

1. Encourage immediate separation

2. Support the couple's relationship

3. Focus on the husband's medication compliance

4. Advise against emotional expression

The correct answer is: Support the couple's relationship

Supporting the couple's relationship is crucial in this context, as maintaining a strong partnership can significantly enhance both partners' well-being. A newly married couple is likely navigating the challenges of their relationship while facing the realities of one partner’s schizophrenia. When social workers prioritize the couple’s relationship, they acknowledge the importance of emotional connection and mutual support, which can be foundational for coping with the mental health challenges presented. Research suggests that strong social support systems can lead to better outcomes in managing mental health conditions. By fostering open communication and understanding, the social worker can help the couple develop strategies to strengthen their bond and address any fears or misunderstandings that may arise due to the diagnosis. This approach sets a positive tone for their married life and helps to normalize their experiences. While medication compliance and other considerations are important, initially emphasizing the couple’s relationship fosters an environment of trust and unity, which can facilitate further discussions about medication and emotional expression in a supportive context.