Social Work Examination Services (SWES) Individual Practice Test

A physician refers a married female client who has numerous physical ailments with no medical cause found. What is the social worker's first action in this case?

1. Consult with a psychiatrist for medication

2. Work with the physician to refer her to a battered woman's program

3. Encourage her to seek couples therapy

4. Advise her to focus on her physical health

The correct answer is: Work with the physician to refer her to a battered woman's program

In this case, the most appropriate first action for the social worker is to work with the physician to refer the client to a battered woman's program. Given that the client has multiple physical ailments without a clear medical cause, this could signal underlying psychological or emotional distress, potentially related to domestic violence or abuse. Referring the client to a battered woman’s program addresses the possibility of domestic violence, which is crucial for her safety and well-being. Such programs can provide support, resources, and a safe space for individuals who may be experiencing abuse, allowing them to address not only their physical health concerns but also the emotional and psychological impacts of their situation. The other options may not appropriately address the primary issue at hand. Consulting with a psychiatrist for medication might address symptoms but not the underlying issues, particularly those around potential abuse. Encouraging couples therapy may not be safe or effective if there is domestic violence involved. Advising the client to focus solely on her physical health neglects the broader context of her situation and the need for emotional support. Thus, the first step should be to ensure her safety and connect her with appropriate resources that can address both her physical and emotional health needs.