Which of the following topics would be appropriate to discuss during the initial
supervisory session?
a. The supervisor’s expectations regarding supervisee preparedness for supervisory
meetings.
b. The supervisor’s expectations regarding formal and informal evaluations.
c. The supervisor’s expectations regarding the structure and/or the nature of the
supervisory sessions.
d. All of the above.
The primary reason that therapy groups fit well into the managed care approach is
because they:
a. can be designed to be brief and cost-effective treatments.
b. provide a sense of community to serve as an antidote to an impersonal culture in
which many clients live.
c. serve the purpose of teaching interpersonal skills.
d. provide a natural laboratory that demonstrates to members that they are not alone and
there is hope for creating a different life.
Non-erotic physical contact with clients:
a. is always unprofessional but not unethical.
b. is unethical.
c. should be made only after deliberating over the correctness, motivations, and
interpretations of the touching.
d. is always appropriate if the therapist uses touching to convey compassion.
How do the authors describe their approach to orienting group members to the group
experience before it begins?
a. They provide minimal structure and little discussion of group guidelines and
expectations.
b. They avoid a discussion of fears so as to not scare timid members.
c. They provide comprehensive preparation.
d. They avoid discussing the limitations of group work, so as to not diminish the power
of the group experience.
e. A, b, and d.
Which of the following is NOT considered to be a critical ethical issue associated with
managed care?
a. informed consent
b. the therapeutic relationship
c. confidentiality
d. utilization review
e. abandonment
According to the American Counseling Association, counselors practice only within the
boundaries of their competence, based on their
A.education and training.
B.supervised experience.
C.state and national professional credentials.
D.appropriate professional experience.
E.All of the choices.
____________________________ is the appropriate and ethical course of action to
take when a client’s needs are outside the scope of your competence.
a. Referral
b. Privileged communication
c. Consultation with an attorney
d. Termination of services
The authors have found that when they attend continuing education workshops on
ethics in clinical practice, the emphasis is often on
a. legal matters and risk management.
b. ethical aspects of practice.
c. addictions counseling.
d. both b and c.
Therapists who work with children and adolescents must:
a. often function as advocates for their under-age clients.
b. know the laws of their state.
c. struggle with dealing with confidentiality issues.
d. be willing to seek consultation in difficult ethical and legal situations.
e. all of the above
Therapists can deal with powerful attractions to clients by:
A.repressing their feelings of attraction.
B.asking the client if the feeling is mutual.
C.terminating the relationship immediately.
D.monitoring boundaries by setting clear limits on physical contact, self-disclosure, and
client requests for personal information.
The term ___________________ is described in the text as a “grab bag of diagnostic
leftovers at the back of the DSM-IV-TR that rarely qualify for reimbursement.”
A.T-codes
B.X-codes
C.Y-codes
D.V-codes
The following is not true concerning therapeutic use of the DSM-IV-TR to diagnose
clients:
a. Emphasis is on pathology, deficits, limitations, problems, and symptoms.
b. The process of determining a diagnosis requires clients to meet a number of criteria
stated in the DSM-IV-TR
c. It is based on the assumption that distress in a family or social context is the result of
individual pathology.
d. It is based on a systemic approach that views the source of distress as being within
the entire system, rather than on the individual.
Most ethical codes specify that therapist 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.
_________________________ implies that counselors involve minors in decisions
about their own care, and that to the greatest extent possible they agree to participate in
the counseling process.
a. Consent to treatment
b. Assent to treatment
c. Self-determination
d. Encouragement
Natalie is a marital therapist who believes that marriage is a sacred institution. She is
dedicated to preserving marital relationships whenever possible. She is working with a
couple who is attempting to resolve their problems even though they have also
considered the possibility of divorce. One could expect that she:
A.would set her values aside and work with any decision that her clients chose to make
about their marriage.
B.would place the primary focus on helping each person examine what is the best
course of action for themselves.
C.might let it be known that she believes in the preservation of marriage and would
urge the couple to work on their issues.
D.would consider divorce as a viable option if the couple is unhappy with their
relationship.
Professional codes of ethics for supervisors agree that:
a. social interaction with supervisees is essential to effective counselor training.
b. all dual or multiple relationships with supervisees are unethical.
c. sexual relationships between supervisors and students are unethical unless the student
freely consents.
d. supervisors occupy a position of power and should not engage in sexual relationships
with the student.
Informing students prior to entering a training program that self-exploration will be part
of their training
A.more than satisfies the requirement for informed consent.
B.only minimally satisfies the requirement for informed consent.
C.has little to do with informed consent.
D.is a scare tactic that many programs use to screen out prospective students who are
not serious candidates.
Therapists have an ethical responsibility:
a. to refer a client if they feel at all uncomfortable in the relationship.
b. to refer clients to other professionals when working with them is beyond their
professional training.
c. to refer a client if they have not experienced the client’s problem.
d. all of the above.
In order to distinguish between the ethical and legal aspects of clinical supervision, the
legal aspects involve:
a. supervisors’ qualifications, along with their duties and responsibilities.
b. issues with dual relationships.
c. consent of trainees, clients, and third-party payers.
d. issues related to confidentiality, liability, the supervisor’s duty to protect, and
standards of care.
Schools that receive federal funding are generally bound by the provisions of the
A.Health Insurance Portability and Accountability Act.
B.Family Educational Rights and Privacy Act
C.H1N1 Prevention Act
D.None of the choices
Which of the following is NOT considered an ethical issue related to an ongoing
therapeutic group?
a. the impact of the therapist’s values on the group
b. protecting members from unnecessary risks
c. being alert for symptoms of psychological debilitation in group members
d. maintaining confidentiality
e. making sure the group is homogeneous in population
Social justice addresses issues of
a. oppression.
b. privilege.
c. social inequities.
d. All of the above.
Proponents of using therapeutic contracts emphasize the:
a. collaborative partnership of client and therapist.
b. need for therapists to employ manipulation to uproot client defenses.
c. value of keeping the therapeutic process mysterious.
d. value of therapists promoting client dependence.
e. the need to keep clients passive during the therapy process.
___________________ is a sense of identity that stems from common ancestry, history,
nationality, religion, and race.
a. Ethnicity
b. Multiculturalism
c. Pluralism
d. Commonality
e. None of the above
The authors recommend that therapists who venture outside of the office or engage in
nontraditional activities with clients:
a. make this clear at the outset of therapy during the informed consent process.
b. consult with their insurance carrier about such practices as these activities may have
implications for their liability exposure.
c. be charged with an ethical violation.
d. both a and b.
In their role of ____________________, workers must sometimes educate
organizations to change their culture to meet the needs of the community.
a. change agent
b. professor
c. education specialist
d. psychotherapist
As a part of the process of screening candidates for a therapist training program,
counselor educators should:
A.provide candidates with information about what will be expected of them.
B.encourage candidates to screen the program to ensure a good fit.
C.place a great deal of emphasis on candidates’ GRE scores .
D.both a and b
If clients are encouraged to change the direction of their values without being aware of
what they are doing, they are
a. being counseled properly.
b. being deprived of self-determination.
c. fools.
d. intentionally putting themselves in a precarious position.
Ronald directs his clients toward solutions instead of encouraging them to seek
alternatives for themselves. He is likely to have a strong need:
a. for approval.
b. to feel a sense of achievement and accomplishment.
c. to empower his client.
d. to nurture his client.
A theoretical orientation is best described as:
a. a rigid framework that provides specific steps of how to conduct a counseling
session.
b. a set of general guidelines that counselors can use to make sense of what they are
hearing and what needs to change.
c. a conceptualization of the intrapsychic structures that dictate a client’s behavior.
d. a set of techniques that can be used to promote behavioral changes.
Which of the following are considered benefits of group supervision?
A.Ability to practice techniques in a safe and supportive environment
B.Integration of theory and practice
C.Richer understanding of patterns of group dynamics
D.Personal development through connection with others
E.All of the choices
The following is true concerning the group experience:
a. The group leader can guarantee that all members will respect the
confidentiality rule.
b. Members may experience disruptions in their lives as a result of their work
in group.
c. The legal concept of privileged communication generally applies in a
group setting.
d. Group members need to be coerced into participating in exercises that will
benefit them.
The _______________________ perspective reflects a valuing of fairness and equitable
treatment for marginalized individuals and groups of people who do not share equally
in society.
a. social justice
b. case management
c. ego-psychology
d. social interest