When a young married woman requests a transfer to another facility, what is the social worker's first action?

Obtaining the client's permission to contact the social worker in the city hospital is the most appropriate first action in this scenario. This choice prioritizes the client's rights and autonomy by ensuring that any communication about her situation is conducted with her consent. It is vital for social workers to respect client confidentiality and have a clear understanding of the client's needs and circumstances before proceeding with any action.

Additionally, contacting the social worker in the city hospital would provide valuable context about the client's history, needs, and any relevant information that could inform the transfer process. This collaborative approach enhances the transition and support for the client, ensuring that all actions taken are in her best interest.

In contrast, other options may not adequately consider the client's autonomy or may act too prematurely without gathering necessary information. For instance, contacting her family could breach confidentiality and trust if the client hasn't consented. Immediate transfer without understanding the reasons behind her request might overlook important clinical considerations. Referring her to outpatient services without a thorough understanding of her circumstances could be inappropriate depending on her needs. Therefore, seeking permission to contact another professional is the most respectful and informed initial step.