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In working with a 14-year-old with an eating disorder, what is the most important action for a social worker during the initial interview?

  1. Discuss family dynamics that may contribute to the disorder

  2. Ensure that the client is receiving ongoing medical supervision

  3. Focus on dietary habits and nutritional education

  4. Establish a plan for therapy sessions

The correct answer is: Ensure that the client is receiving ongoing medical supervision

In the context of working with a 14-year-old who has an eating disorder, ensuring that the client is receiving ongoing medical supervision is of utmost importance during the initial interview. This is because eating disorders can lead to serious physical health complications, including malnutrition, electrolyte imbalances, and other potentially life-threatening conditions. A social worker must prioritize the client’s safety and health at this stage, recognizing that medical intervention from qualified healthcare professionals is essential for effective treatment. While considering family dynamics, focusing on dietary habits, or establishing a therapy plan are significant aspects of comprehensive treatment, they are secondary when the immediate health of the client is at risk. Without stable medical supervision, any interventions that address psychological or educational aspects may not be effective or may even exacerbate the client's condition. This emphasis on medical supervision ensures that the social worker is acting in the best interests of the client’s well-being, providing a foundation for future therapeutic work.