Social Work Examination Services (SWES) Individual Practice Test

During the initial interview with a 14-year-old with a severe eating disorder, what must the social worker ensure?

1. The client has a family support system

2. That the client is receiving ongoing medical supervision

3. The client understands the nature of her condition

4. The client is willing to participate in therapy

The correct answer is: That the client is receiving ongoing medical supervision

The emphasis on ensuring that the client is receiving ongoing medical supervision is critical in the context of a severe eating disorder. Such disorders can lead to serious physical health complications, including malnutrition, organ failure, electrolyte imbalances, and other life-threatening conditions. Medical supervision is necessary to monitor and manage these risks appropriately, as the social worker's role often intersects with healthcare to promote the holistic well-being of the client. Maintaining a healthcare provider's involvement ensures that the client receives the appropriate interventions, such as dietary regulation, medical assessments, and potential hospitalization if needed. This collaborative approach is vital in treating eating disorders, which require not only therapeutic support but also careful medical oversight to address the complex interplay between physical and psychological health. Although understanding the nature of her condition, having family support, and willingness to participate in therapy are also important factors in the overall treatment plan, they hinge significantly on the stability and safety provided by ongoing medical supervision. Without this foundation, the risks associated with a severe eating disorder may overshadow other therapeutic efforts, making this element of care paramount.