Therapist Development Center Practice Exam 1

A social worker meets an 85-year-old woman after the loss of her husband. What should the social worker do first given the client's reported symptoms?

1. Facilitate a conversation about the client's past life

2. Refer the client to a senior center for social support

3. Refer the client for a medical evaluation

4. Assess the client for additional symptoms of depression and suicide risk

The correct answer is: Assess the client for additional symptoms of depression and suicide risk

The decision to assess the client for additional symptoms of depression and suicide risk is critical in the context of the 85-year-old woman who has experienced the significant loss of her husband. Grief can lead to complex emotional responses, including sadness, isolation, and in some cases, a risk of depression and suicidal thoughts, particularly in older adults who may face additional vulnerabilities such as loneliness or health issues. By prioritizing an assessment for depression and suicide risk, the social worker ensures a comprehensive understanding of the client's mental health state. This step is fundamental in identifying any immediate needs for intervention or support and addressing safety concerns. Assessments can also provide insightful information that can guide subsequent interventions or referrals to appropriate services. Engaging in conversations about the client's past life, referring her to a senior center, or suggesting a medical evaluation, while potentially useful later, do not address the immediate risk factors associated with grief and the psychological impact of loss. Establishing a clear understanding of the client's mental health status is the most prudent first step in ensuring her safety and well-being.