Patricia, a family therapist, has adopted an egalitarian philosophy to guide her practice.
A Korean couple comes to her to address concerns they have about their teenage
daughter. When asked about their home life, they acknowledge that they hold traditional
roles and values and that the household chores are entirely left to the females in the
family. Patricia should:
a. challenge their values immediately since they are probably contributing to the
problems with their daughter.
b. explore with the couple how satisfied they are with the current division of labor.
c. convince the husband to try washing the dishes and cleaning the house.
d. suggest that the females in the family enroll in an assertiveness training group.
________________is concerned with perspectives of right and proper conduct and
involves an evaluation of actions on the basis of some broader cultural context or
religious standard.
a. Ethical conduct
b. Community standards
c. Morality
d. Professionalism
In which form of supervision do supervisors watch their trainees conduct family
sessions from behind a one-way mirror and offer feedback and consultation to them?
a. Vicarious supervision
b. Live supervision
c. Family consultation
d. Online supervision
Which of the following is ethical when referring a client?
a. When a client discloses he or she consents in recreational sex
b. When the client’s values regarding same-gender sex differs from your own
c. When a client discloses he or she is engaging in Internet infidelity
d. When the therapist engages in supervision to diminish the effects of the value
conflict, attempting to help the client in every way, but the client requests a referral
because of his or her value differences
When a therapist believes referring a client to be the appropriate course of action due to
a lack of competence in the client’s issue:
a. it would be considered unethical to not refer to a more competent therapist.
b. it is the client’s choice whether to accept or decline the termination.
c. it is the therapist’s choice to decide when and if termination should take place.
d. the therapist should only refer the client if a conflict has been created.
Which of the following statements on spirituality and religion is true today?
a. They are both ethically appropriate topics to discuss, can play a major part in the
client’s life, and can be a significant source of strength.
b. The role of spirituality in counseling is not considered an appropriate topic for
discussion.
c. Spiritual and religious matters are not therapeutically relevant.
d. The therapist does not need to be sincerely interested in the client’s spiritual beliefs to
utilize them in the therapeutic process.
Martina has been working at a crisis intervention center for three years and is starting to
have nightmares about her work. Despite having a strong work ethic, she dreads her job
because she feels burdened by the lack of power she has in making decisions pertaining
to the treatment of her clients. Martina is experiencing:
a. burnout.
b. institutional countertransference.
c. institutional transference.
d. the precursor to mental illness.
The notion that certain actions will inevitably lead to a progressive deterioration of
ethical behavior is commonly referred to as:
a. the slippery slope phenomenon.
b. therapist decay.
c. the ethical deterioration phenomenon.
d. role erosion.
The process of systemic change can be defined as:
a. increasing personal awareness and making better choices for oneself.
b. increasing public awareness, affecting public policy, and influencing legislation.
c. an impossible and futile goal.
d. replacing one system or method with a new and improved system or method, which
is relatively easy to do.
Ongoing problems associated with the work of helping professionals include all of the
following EXCEPT:
a. stress.
b. burnout.
c. vicarious traumatization.
d. self-care.
__________is the process of distinguishing one form of mental disorders from another
by determining which of two (or more) disorders with similar symptoms the person is
suffering from.
a. Differential diagnosis
b. Psychological diagnosis
c. Assessment
d. Psychometric testing
Linda is considering developing a multiple or dual relationship with her client. It’s
important for Linda to remember:
a. that all multiple relationships should be avoided because they are usually harmful.
b. that absolute answers are available to resolve dual or multiple relationship dilemmas.
c. to be cautious in order to protect herself from censure.
d. to consider whether the potential benefit outweighs the potential for harm.
Empirical research______________ the centrality of the therapeutic relationship as a
primary factor contributing to psychotherapy outcomes.
a. downplays
b. exaggerates
c. consistently supports
d. inconsistently supports
The counselor who asks the questions “Am I doing what is best for my client?” rather
than “Is this situation unethical?” is functioning from which of the following ethical
perspectives?
a. Principle ethics
b. Virtue ethics
c. Value ethics
d. Practical ethics
Nakita is an African-American mother with four children who has had difficulty finding
housing in a safe community.
Lisa, her social worker, suspects that racial discrimination is involved and takes Nakita
to sites that she has previously screened for availability. In this case, Lisa is acting as
an:
a. evaluator.
b. adviser.
c. advocate.
d. ombudsman.
_______________ is a developmentally informed process that provides useful feedback
during one’s training and throughout one’s professional career.
a. Formative assessment
b. Summative assessment
c. Developmentally-informed assessment
d. Technique assessment
________________ involves access and equity to ensure full participation in the life of
a society, particularly for those who have been systematically excluded on the basis of
race/ethnicity, gender, age, physical or mental disability, education, sexual orientation,
socioeconomic status, or other characteristics of background or group membership and
involves addressing the realities of oppression, privilege, and social inequities.
a. Case management
b. Ego-psychology
c. Social interest
d. Social justice
_____________can be incurred when the actions of supervisors are the cause for harm.
a. Breach of confidentiality
b. Breach of informed consent
c. Direct liability
d. Vicarious liability
____________ is a process of presenting basic information about group treatment to
potential group members to enable them to make better decisions about whether or not
to enter and how to participate in a group.
a. Confidentiality
b. Diversity
c. Informed consent
d. Social justice
Denise is a Euro-American social worker who is a former welfare client. A divorcee and
mother of four, she succeeded in completing her degree and getting off the system in
four years. She is now working in a welfare-to- work program and sets similar goals for
her multicultural clients. Denise’s attitude and actions indicate that she:
a. believes in her client’s ability to achieve and live up to her expectations.
b. is well intentioned and willing to challenge her clients.
c. can serve as a model of what her clients can accomplish with their lives–if she could
do it, so can her clients.
d. is operating out of the majority value system and presuming that her clients have the
same goals.
The foundation of all ethical practice is promoting the welfare of clients. To overlook
the abilities, strengths, and resources within the community is doing a great disservice
to the individuals we serve. If we hope to bring about significant changes within
individuals and communities, we:
a. need to use community resources as a way to quicken therapy.
b. must change the people who are affected by these conditions so they will accept
them.
c. need to change conditions that affect people rather than merely changing people who
are affected by these conditions.
d. must not work with client problems in their cultural context.
Bonnie became sexually involved with her therapist soon after therapy began. This
action was initiated by the therapist who saw Bonnie’s provocative behavior as an
invitation to become intimate. Which of the following is NOT a possible on-going
consequence for the client being sexually exploited?
a. Experiencing feelings of freedom and peacefulness
b. Experiencing feelings of shame and guilt and Post Traumatic Stress Disorder
c. Experiencing depression, fear, and anger
d. Experiencing isolation, a stronger distrust, and suicidal tendencies
ASGW addresses both ______________ in their guidelines for training group workers
and various other guidelines to increase their knowledge and skills in developing
competence in addressing both these issues.
a. knowledge and skill
b. liability and skill
c. multiculturalism and social justice
d. knowledge and liability
____________is a general term covering the process of identifying an emotional or
behavioral problem and making a statement about the current status of a client.
a. Medical diagnosis
b. Differential diagnosis
c. Psychodiagnosis
d. Cognitive appraisal
Charles, a couples’ therapist, recently met with a new couple seeking his services.
During their initial meeting, Charles learned that the wife and husband are both in
individual therapy. As an ethical practitioner, he should:
a. ask his new clients’ permission to consult with their individual therapists.
b. not ask to consult with their therapists since it is none of his business.
c. not accept them as clients so as to avoid any ethical conflicts.
d. make it a condition that they stop meeting with their individual therapists if they
want his services.
_________________are essentially the same as psychotherapy notes. They address the
client’s transference reactions and the therapist’s subjective impressions of the client.
a. Process notes
b. Progress notes
c. Diagnostic notes
d. Treatment summary
Which of the following situations do NOTjustify the use of remote services consistent
with ethical practice and in keeping with regulatory standards?
a. When service is provided in the context of an existing therapy relationship
b. When inperson treatment is either difficult or impossible to access due to client’s
remote location
c. When remote services offer practical advantages over in-person treatment (i.e., a
client’s busy schedule makes remote sessions more efficient)
d. When the client desires remote sessions and the therapist has insufficient information
about the client
Which of the following statements about differing perspectives on confidentiality with
multiple clients is FALSE?
a. “Hidden agenda” are seen as material that should be brought out into the open during
a couples or family session.
b. Therapists should not divulge in a family session any information given to them by
individuals in private sessions.
c. Therapists should inform clients that any information given during private sessions
will be divulged as they see fit in accordance with the greatest benefit to the family.
d. Family therapists are exempt from reporting information that could harm the family
system, including if there is a concern that a family member will harm him- or herself,
or will do harm to another person.
Therapists have a legal, professional, and ethical obligation to assess whether clients
may:
a. become completely healthy mentally within six sessions of treatment, never needing
therapy again.
b. be covered by insurance only.
c. complete a treatment plan, including their goals for therapy, before the initial
assessment.
d. pose a danger to themselves or others.
Neither the clients’ and therapists’ ___________________nor the interactions between
the two, were significantly associated with the clients’ perceptions of their therapists’
level of multicultural competency.
a. ethnicity
b. multiculturalism
c. cultural empathy
d. unintentional racism
If a therapist is secure in his or her own values:
a. he or she should use them to steer the client toward any direction he or she wants to
in therapy.
b. he or she will not be threatened by really listening to, and deeply understanding,
people who think differently or do not share the same world view.
c. a referral to another therapist may be necessary.
d. he or she will focus on his or her problem rather than the client’s.
The________________ is grounded on strengths, focuses on assets and capacities,
promotes capability and power, changes conditions, and is aimed at prevention. This
approach builds on identifying resources within the individual, the group, or the
community that can be more fully activated.
a. service approach
b. community approach
c. developmental approach
d. individual approach
In the event that a practitioner is sued, he or she should:
a. try to resolve the matter directly with the client.
b. destroy or alter files or reports that may be incriminating.
c. enter into personal therapy.
d. promptly retain an attorney.
Three legal considerations in the supervisory relationship are:
a. supervisors’ qualifications, along with their duties and responsibilities.
b. issues with dual relationships.
c. consent of trainees, clients, and third-party payers.
d. informed consent, confidentiality and its limits, and liability.