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There are three types of________________: health plans, health care clearinghouses,
and health care providers who transmit health information by electronic means.
a. covered entities
b. computer transactions
c. administrative positions
d. HIPAA rules
In___________ sexist attitudes and patriarchal assumptions are examined for their
impact on family relationships.
a. narrative therapy
b. gender-sensitive couples and family therapy
c. reality therapy
d. brief solution-focused therapy
Jan, an incest survivor, is covered for six sessions by her insurance. Her counselor is in
private practice and knows that Jan needs more sessions. She decides to offer Jan her
services pro bono. In making the ethical decision to ensure that her client has equal
access to services, the counselor is using the basic moral principal of:
a. fidelity.
b. justice.
c. nonmaleficence.
d. autonomy.
_____________ aim to change the social environment to meet the needs of the
population as a whole and are carried out by influencing social policy.
a. Direct community services
b. Indirect community services
c. Community organization services
d. Community counseling services
______________ have a position of influence and operate in multiple roles.
a. Co-workers
b. Employees
c. Supervisees
d. Clinical supervisors
When in conflict with clinical needs, context, competence, or consent, even the most
well-intentioned nonsexual physical contact may be experienced as:
a. appropriate, gentle, and wanted contact.
b. aggressive, frightening, intimidating, demeaning, arrogant, unwanted, insensitive,
threatening, or intrusive.
c. passive, soothing, calming, comforting, gentle, and peaceful.
d. completely indifferent for both therapist and client.
_____________is a perception of reality based on a very limited set of cultural
experiences.
a. Cultural awareness
b. Ethnicity
c. Microaggressions
d. Cultural tunnel vision
_________ believe that many symptoms stem from problems within the system rather
than originating in the individual.
a. Cognitive behavioral therapists
b. Cognitive therapists
c. Family systems therapists
d. Psychoanalysts
The purpose in using a technique is to:
a. facilitate movement.
b. impress clients with your creativity and skill.
c. help clients rationalize their feelings.
d. trigger strong emotions.
A_____________ approach to supervision is a necessary dimension of training for
therapists who want to work with families.
a. Adlerian
b. family-of-origin
c. object relations
d. attachment theory-based
Most ethical codes specify that therapists should:
a. be available to their clients even when they are on vacation. b. inform clients that
their records are inaccessible to them.
c. inform clients that a diagnosis can become a permanent part of their file and have
ramifications in terms of cost of insurance, long-term insurability, and employment.
d. alter case notes that are damaging to the client if they are subpoenaed into court.
Termination of the therapy process:
a. can be mandated by ethics codes alone.
b. is regulated by state law.
c. is decided jointly by both the client and the therapist.
d. must always be decided solely by the therapist.
Critics of technology-assisted distance supervision argue that:
a. technology is a part of the future and the ability to supervise many trainees at one
time is important.
b. the inability of distance supervisors to physically assist their supervisees in a crisis
response is unacceptable.
c. it is important for supervisors to become adept at utilizing technology in their
supervisory relationships because it will become a necessity in the near future.
d. all professionals must begin educating on technology-assisted distance supervision
because all states now have regulations for this issue.
The ethics codes of several professional organizations address a group practitioner's
role in ensuring confidentiality in a group setting. Which of the following is NOTone of
these codes?
a. When working with a group, confidentiality and privacy are impossible to adhere to;
therefore, these are both voluntary aspects of a group experience.
b. Group workers define confidentiality and its limits (for example, legal and ethical
exceptions and expectations; waivers implicit with treatment plans, documentation, and
insurance usage). Group workers have the responsibility to inform all group participants
of the need for confidentiality and potential consequences of breaching confidentiality;
and that legal privilege does not apply to group discussions (unless provided by state
statute).
c. Marriage and family therapists, when working with a group, educate the group
regarding the importance of maintaining confidentiality, and are encouraged to obtain
written agreement from group participants to respect the confidentiality of other
members of the group.
d. Social workers have a responsibility to inform participants that confidentiality
agreements cannot be guaranteed because all participants may not honor such
agreements.
Regarding counseling with children and adolescents, informed consent of parents or
guardians may NOT be legally required when a minor is seeking counseling for:
a. difficulties in school or at home.
b. a safe place to discuss normal changes adolescents experience throughout their
developmental process.
c. assistance with planning their educational future.
d. dangerous drugs or narcotics, sexually transmitted diseases, pregnancy and birth
control, and examination following alleged sexual assault of a minor over 12 years of
age.
Which of the following statements about giving or receiving gifts is FALSE?
a. Lavish gifts certainly present an ethical problem; yet, we can go too far in the
direction of trying to be ethical and actually damage the therapeutic relationship.
b. It is important to recognize when accepting a gift from a client is clinically
contraindicated and that you be willing to explore this with your client.
c. In working with culturally diverse client populations, clinicians often discover that
they need to engage in boundary crossing to enhance the counseling relationship.
d. It could be more problematic to accept a gift at a later stage of a counseling
relationship.
The major duties of regulating boards include which of the following?
a. Completing investigations into the ethical practice of new members for a short period
to determine the possibility of unethical practice in the future
b. Screening applications to determine appropriate candidates for the professional
organization who will practice ethically and increase the positive image of the
professional organization
c. Determining standards for admission into the profession, screening applicants
applying for certification or licensure, conducting disciplinary proceedings involving
violations of standards of professional conduct as defined by law, and regulating the
practice of psychotherapy for the public good
d. Conducting evaluations of members' financial stability
Cultural differences are:
a. objective, simple, and apathetic.
b. objective, complex, and dynamic.
c. subjective, simple, and apathetic.
d. subjective, complex, and dynamic.
Chong is a legal immigrant who is having post-traumatic stress symptoms as a result of
his experiences in Laos. He may be reluctant to use the available counseling recourses
because of all the following reasons EXCEPT:
a. he harbors the attitude that he should be able to take charge of his own life.
b. he may perceive the resources as culturally insensitive.
c. he may be reluctant to recognize his problems.
d. his access is easy to understand and figure out.
The_____________ is relevant to all communities, but it is particularly relevant to
underserved communities. By addressing the cause of the problem within the
community, we can help change the lives of many individuals not just the one person
sitting in our office or clinic.
a. community workers
b. community agencies
c. community approach
d. community work
According to professional ethical principles on testing, it would be unethical for a
counselor to:
a. perform testing and assessment services for which they have not been adequately
trained.
b. develop, administer, score, interpret, or use assessment procedures that are
appropriate for the situation.
c. test within the client's socialized behavioral or cognitive patterns.
d. consider the validity of a given test and interpret data in the context of the cultural
characteristics of the client.
_______________uses data generated from clients during treatment to inform the
process and outcome of treatment.
a. Practice-based evidence
. Evidence-based practice
c. Follow-up
d. Termination
Client dependence is less of an issue:
a. with the growth of managed care brief treatment and restricted number of sessions. b.
if the therapist is experiencing problems and is unaware of these problems.
c. when the therapist is in control of the session.
d. when the therapist is not practicing self-care.
Many believe it is wise to have a ___________ when counseling couples due to the
complexity of the work.
a. "no secrets" policy
b. attorney
c. hidden agenda
d. three-year contract
Marty believes that premarital sex is morally wrong. He has an agenda to convince his
single clients to avoid having sexual intercourse before they are married. This is
referred to as:
a. value imposition.
b. good sense.
c. value exploration.
d. duty to protect.
Schools that receive federal funding are generally bound by the provisions of the:
a. Health Insurance Portability and Accountability Act (HIPAA).
b. Family Educational Rights and Privacy Act of 1994 (FERPA).
c. H1N1 Prevention Act.
d. Confidentiality and Privileged Communication Act.
Which of the following is NOT described in the text as a method of supervision?
a. Self-report
b. Audiotapes
c. Live supervision
d. Instructional supervision
Which of the following statements is NOT true with respect to counselor competence?
a. Practitioners are required to practice within the boundaries of their competence.
b. Only when the therapist completes a doctoral program are they competent to practice
with all specialties.
c. The practitioner can develop competency by working with professionals with more
experience.
d. Conferences, workshops, and continuing education are means toward developing
competency.
In most cases, therapists will not have advanced warning that a client is dangerous.
Therefore, therapists must be prepared for such an eventuality. Which of the following
is NOT a suggestion from the authors' for preparation?
a. Limit disclosure to all clients until they are deemed safe.
b. Take at least one workshop in the assessment and management of dangerous clients.
c. Know how to contact the legal counsel of your professional organization.
d. Familiarize yourself with professionals who are experienced in dealing with violence
and know how to reach them.
In working with couples and families, opportunities for ethical practice are increased by
combining a systems perspective with traditional approaches. Due to the paradigm shift
in the field of psychology to accommodate the changing needs of service recipients:
a. the family systems perspective must focus on individualism, autonomy, and
independence.
b. systemic approaches must be taught side-by-side with individualistic approaches
because many cultural groups are collectivistic.
c. the idea that the identified client's problem is a symptom of the individual's
maladjustment and psychosocial development must be reinforced.
d. the therapist must view the individual's behavior in the session only.
Potential drawbacks to the co-leadership model include all of the following EXCEPT:
a. leaders who complement and balance each other.
b. competition between leaders.
c. overdependence on the co-leader.
d. ineffective communication.
Which of the following is NOT a controversy of boundary issues?
a. Age, diagnosis, life experiences such as abuse, and culture are key elements of the
therapeutic relationship.
b. An unfortunate reality is that some practitioners have difficulty distinguishing where
appropriate boundary lines shouldbe drawn.
c. The goal of ethical decision making is to take a position where the potential for
exploitation is minimized.
d. Failing to establish clear boundaries can be very dangerous to both the client and the
therapist.
In______________________, a Supreme Court decision ruled that communications
between licensed psychotherapists and their clients are privileged and therefore
protected from forced disclosure in cases arising under federal law.
a. Bradley Center v. Wessner
b. Jablonski v. United States
c. Jaffee v. Redmond
d. Hedlund v. Superior Court
_____________, with regard to family-of-origin issues, is particularly critical for
family therapists.
a. Self-knowledge
b. Learning basic counseling techniques
c. Learning and practicing specialties
d. Understanding effective intervention techniques
