__________ , as a matter of law, refers to the constitutional right of an individual to
decide the time, place, manner, and extent of sharing oneself with others.
A.Self-disclosure
B.Privileged communication
C.Privacy
D.Confidentiality
Due to the inherent difficulties associated with maintaining confidentiality in online
groups, the authors oppose online group counseling for _______________________
reasons.
A.clinical
B.ethical
C.spiritual
D.a and b
It is illegal and unethical for a therapist to disclose confidential information when:
a. the client consents to disclosure.
b. there is a duty to warn or to protect third parties.
c. an emergency exists.
d. an employer requests disclosure to determine the mental status of an employee
without their consent.
e. there is a need to obtain appropriate consultations.
Which of the statements below is true about the informed consent process in groups?
A.There is no such thing as providing too much information to group members at one
time.
B.Experienced group members have the responsibility of ensuring that new members
become aware of their rights and responsibilities as group participants.
C.Clients should be informed at the outset that informed consent is an ongoing process
rather than a one-time event.
D.A very lengthy informed consent process that emphasizes the legalistic aspects of
group work is ideal.
Screening candidates for a training program can be viewed as:
a. a one-way process.
b. a two-way process.
c. a hoop to jump through.
d. a test of one’s ability to be politically correct.
The following is true concerning dual relationships:
a. There is a clear consensus among practitioners regarding nonsexual relationships in
counseling.
b. Due to the fact that there are clinical, ethical, and legal risks, all blending of roles
must be avoided.
c. Objectivity in counseling is enhanced with dual relationships.
d. Counselors need to make every effort to avoid dual relationships with clients that
could impair professional judgment or increase the risk of harm to clients.
According to the authors, the first order of importance of training family therapists is to:
A.acquire self-knowledge, especially with regard to family-of-origin issues.
B.learn basic counseling techniques to use with families and couples.
C.learn and practice specialties such as systems theory.
D.understand effective intervention techniques used when working with families and
couples.
The authors recommend at least three experiences as adjunct to a training program for
group workers that would notinclude:
A.personal (private) psychotherapy.
B.experience in group therapy, group counseling, or a personal-growth group.
C.recognition that professional codes, legislative mandates, and institutional policies
alone will ensure competent group leadership.
D.participation in a supervision and training group.
Managed care contracts often have
a. “gag clauses” that prohibit practitioners from sharing any negative information about
managed care policies.
b. policies that are inappropriate when applied to health care.
c. policies that can be viewed as a restriction of client advocacy and as a measure of
intimidation.
d. all of the above
e. none of the above
The managed care model:
A.allows practitioners to decide what clients need, how and when to treat them, and
how long therapy will last.
B.stresses time-limited interventions, cost-effective methods, and a focus on
preventative strategies.
C.encourages curative interventions, accurate diagnosis and hospital admissions when
needed.
D.assumes that practitioners will set therapeutic goals of personal growth and
self-actualization for their clients.
The imposition of a counselor’s values on a client is:
a. illegal.
b. generally considered unethical.
c. both illegal and unethical.
d. necessary when the client’s values are in conflict with the counselor’s values.
Referring clients to other professionals is:
a. appropriate when counselors do not have the clinical training or expertise to work
with certain clients.
b. unethical since it leaves the client feeling abandoned.
c. indicative of poor character.
d. illegal in some states.
e. none of the above
The social policy of de-institutionalization, as it applies to mental-health practices,
involves the “least restrictive alternative” which requires that:
a. voluntary commitment be sought only after less restrictive alternatives have failed.
b. professionals commit clients who are delusional.
c. practitioners protect themselves from liability by getting a lawyer.
d. treatment be no more harsh, hazardous, or intrusive than necessary to achieve
therapeutic aims and protect clients and others from physical harm.
When clients wish to leave a group prematurely, the authors believe that these
individuals
a. do not owe the group or group leaders any explanation.
b. have a responsibility to the leader and to other members to explain why they want to
leave.
c. should continue to pay the weekly fees since their termination will decrease the group
facilitator’s income.
d. should be court mandated to return to the group.
The essential elements of the supervisor’supervisee relationship include all of the
following except
A.trust.
B.self-disclosure.
C.understanding transference and countertransference.
D.acknowledging diversity.
E.minimizing boundaries.
The rationale for the conviction that sexual relationships between a therapist and client
is both unethical and professionally inappropriate is that:
a. doing so involves the abuse of the power that therapists have by virtue of their
function and role.
b. it fosters dependency on the client’s part.
c. the objectivity of the therapist is lost.
d. clients are usually psychologically hurt by such practices.
e. all of the above
Robert runs into the office, unprepared and frustrated because he is late for his weekly
appointment with his first client of the day. He is consistently late for his appointments
and his behavior is:
A.immoral.
B.illegal.
C.unethical.
D.unprofessional.
Tanya seems to meet some of her personal needs through counseling her clients. This is
A.a win/win situation for Tanya and her clients since it is always a sign of being highly
invested in the process when counselors meet their own personal needs through their
work.
B.acceptable as long as these needs do not assume priority or get in the way of her
clients’ growth.
C.never acceptable under any circumstances.
D.illegal in 42 states.
All of the following are ways in which supervisors can promote the personal and
professional development of their supervisees except for:
a. negotiating mutual decisions, rather than making unilateral decisions, about the needs
of the trainee.
b. performing the role of teacher, counselor, or consultant when needed.
c. avoiding an evaluative role, lest the supervisee feel judged and develop performance
anxiety.
d. assisting supervisees in recognizing their personal limitations so as to protect the
welfare of the clients.
__________ refers to a personal inclination or desire for a relationship with the
transcendent or God.
a. Religion
b. Spirituality
c. Fanaticism
d. Dogmatism
Most professional organizations support efforts to
a. require pro bono work at the rate of at least 20% of the work week for all
professionals.
b. write regulations that encourage competition.
c. make continuing education a mandatory condition of relicensing.
d. require personality tests from all practitioners to ensure that those who enter the field
are in good mental health.
Supervisees in training programs do nothave the right to:
A.be fully informed of their supervisor’s approaches to supervision.
B.continual access to any records maintained during the supervisory relationship.
C.expect that the supervisor will be their personal therapist if needed.
D.confidentiality with regard to disclosure, unless mandated by law.
The rationale for the conviction that sexual relationships between a therapist and client
is both unethical and professionally inappropriate is that:
a. doing so involves the abuse of the power that therapists have by virtue of their
function and role.
b. it fosters dependency on the client’s part.
c. the objectivity of the therapist is lost.
d. clients are usually psychologically hurt by such practices.
e. all of the above
The responsibility for addressing the assessment, remediation, and prevention of
counselor impairment lies with:
a. the impaired counselor.
b. the ethics committee and licensing board.
c. colleagues of the impaired professional.
d. all of the above
e. a and b
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
A counselor working in an AIDS-related case:
a. has a legal duty to warn according to the Tarasoff decision.
b. is obliged to protect all third parties of the threat of HIV transmission according to
ethical codes.
c. must report the case to the Department of Public Health.
d. has few legal guidelines to help determine when or how to inform a potential victim
of the threat of HIV transmission.
Joe has a counseling practice and is also teaching psychology part-time at a university.
He is well liked and trusted by students and some have asked for private counseling.
Joe has decided to wait until semester break before taking them on as clients. Joe would
be:
A.exhibiting ethical behavior by telling his students that he will counsel them at the end
of the semester.
B.in a dual relationship with his students which may cause ethical problems.
C.playing favoritism by not counseling all of his students.
D.not qualified to counsel his students because he is a part-time instructor.
Which one of the following is NOT the responsibility of a clinical supervisor?
a. Supervisors are responsible for the actions of their trainees.
b. Supervisors must check on the trainees’ progress and be familiar with
their caseloads.
c. Supervisors must inform trainees about the goals and process of supervision.
d. Supervisors must be willing to provide personal therapy to trainees when trainees
have personal problems that affect their clients.
The Death with Dignity Act is law in which state?
a. New York
b. Texas
c. Oregon
d. none of the above
According to the authors, a good training program encourages students to:
a. build on their life experiences and personal strengths and provides opportunities for
expanding self-awareness.
b. emphasize skill training without consideration of personal development.
c. achieve a high enough GPA to pursue a doctorate.
d. specialize in one theory with the techniques and strategies that are unique to that
theory.
Which of the following would be least likely to lead to a malpractice suit?
a. Failure to obtain or document informed consent
b. Practicing beyond the scope of competency
c. Unhealthy transference relationships
d. Engaging in a bartering arrangement with a client
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.
Managed care contracts often have
A.”gag clauses” that prohibit practitioners from sharing any negative information about
managed care policies.
B.policies that are inappropriate when applied to health care.
C.policies that can be viewed as a restriction of client advocacy and as a measure of
intimidation.
D.All of the choices
E.None of the choices
Rhonda is a counselor at a drug and alcohol treatment center. She grew up in an
alcoholic home and is not fully aware of the “unfinished business” she has with her
parents. She is still angry and resents her parents for having to grow up in an alcoholic
family system. It is most likely that Rhonda will:
a. be able to understand her addicted clients through her own childhood experiences.
b. examine her unresolved conflicts as she continues to work in the treatment center.
c. obstruct the progress of her clients as they attempt to move towards recovery.
d. feel comfortable with her clients because she is familiar with their behavior.