California Registered Dental Hygienist (RDH) Law and Ethics exam

If a client reveals intentions to harm themselves or others, what is the most ethical action for a social worker to take?

1. Maintain confidentiality and continue therapy

2. Report the client to law enforcement

3. Notify the client’s family immediately

4. Assess the level of risk and ensure safety measures are in place

The correct answer is: Assess the level of risk and ensure safety measures are in place

When a client expresses intentions to harm themselves or others, the most ethical action for a social worker is to assess the level of risk and ensure safety measures are in place. This approach prioritizes the immediate safety of the client and others, recognizing the serious implications such disclosures can have. Conducting a risk assessment allows the social worker to gauge the likelihood of the client acting on their intentions, understand the context of the situation, and develop an appropriate intervention plan. Implementing safety measures could include developing a crisis intervention strategy, involving mental health professionals, or creating a safety plan with the client to manage their thoughts and behaviors. This ethical obligation emphasizes a commitment to both the well-being of the client and the safety of others, adhering to guiding principles in social work that stress the importance of acting in the best interests of clients while also adhering to legal and ethical responsibilities. This response underscores the necessity of a thoughtful and informed approach to handling such delicate situations rather than relying solely on external reporting or confidentiality maintenance, which may not adequately address immediate risks.