Social Work Examination Services (SWES) Individual Practice Test

In a psychiatric emergency situation involving a depressed patient, what is a primary focus for the social worker?

1. Assessing the patient's family background

2. Determining the patient's suicidal intent

3. Creating a long-term care plan

4. Discussing treatment options with the psychiatrist

The correct answer is: Determining the patient's suicidal intent

In a psychiatric emergency situation, particularly with a depressed patient, determining the patient's suicidal intent is paramount. This focus is essential because assessing suicidal intent directly influences the immediate safety and well-being of the patient. Depression can severely impair an individual's judgment and lead to thoughts or plans for self-harm, making it critical for a social worker to engage in a thorough assessment of any suicidal ideation or behaviors that may be present. Addressing suicidal intent helps identify the level of risk the patient may be facing. Once this is established, the social worker can take necessary actions to ensure the patient's safety, such as initiating crisis intervention strategies, coordinating with psychiatric services, or considering hospitalization if necessary. While assessing the patient's family background, creating a long-term care plan, and discussing treatment options with the psychiatrist are all important components of comprehensive care, they are not the immediate priorities in a crisis situation. Those actions can follow once the patient's safety and risk factors have been adequately assessed and addressed.