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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.
Counselors who work in the community need to recognize that it would be an error to:
a. use community resources as a way to enrich therapy.
b. believe that certain groups within the community are less deserving than others of
receiving services.
c. work with client problems in their cultural context.
d. attend to the network of the client's support systems.
Which of the following would NOT be considered a risk management practice for
supervisors?
a. Maintain a working knowledge of ethics codes, legal statutes, and licensing
regulations.
b. Use a single method of supervision.
c. Have a feedback and evaluation plan.
d. Verify that your professional liability insurance covers you for supervision.
Of the following steps in making an ethical decision, which one step would most likely
be the initial step taken by a practitioner in resolving an ethical dilemma?
a. Enumerate the consequences of various decisions.
b. Consider possible and probable courses of action.
c. Obtain consultation.
d. Identify the problem, or dilemma.
e. Review the relevant ethical guidelines.
Written consent forms should not include:
a. a discussion of how a managed care system will affect the treatment, if applicable.
b. a detailed description of what will occur in therapy and a guarantee that the client
will resolve their issues.
c. a statement describing the counselor's theoretical orientation and how this will affect
treatment.
d. clarification pertaining to fees and charges and procedures for filing for insurance
reimbursement.
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.
Which of the following would be the last step when making an ethical decision?
a. Obtain consultation.
b. Decide on what appears to be the best course of action.
c. Enumerate the consequences of various decisions.
d. Identify the potential issues involved.
e. Check with an attorney to prevent a malpractice suit.
Inappropriate socialization with clients, burdening clients with a counselor's personal
problems, and putting clients in awkward business situations are examples of:
a. inappropriate crisis intervention.
b. established therapeutic practices.
c. inappropriate boundaries.
d. seeking balance in the counseling relationship.
James and Mary were in counseling for marital problems. The counselor decided to
meet each partner in an individual session before meeting them as a couple. James
confided that he was HIV-positive and was not going to tell his spouse because she
would know that he had been unfaithful. The counselor decided to break confidentially
after attempts to encourage James to inform his wife of his condition were
unsuccessful. The counselor's action:
a. was illegal and may result in sanctions.
b. may be considered ethical, yet the practitioner could be in violation of a legal
standard.
c. was unethical since confidentiality was broken.
d. was ethical and meets the American Counseling Association standard regarding
contagious diseases which states that practitioners must report when a client is HIV
positive.
James is in court facing drug-related charges and his therapist was subpoenaed to testify
in court regarding any discriminating evidence concerning the case. His therapist came
to court but refused to answer questions regarding the case or produce James's records.
The therapist used the following legal concept to protect himself from forced
disclosure:
a. confidentiality.
b. privileged communication.
c. client privacy.
d. taking the 5th amendment.
The ______________ phase of group therapy tends to be the one that facilitators handle
most ineptly.
A.initial
B.transition
C.working
D.termination
Of the following, which factor(s) is/are crucial to therapy outcomes?
A.the client's motivation
B.severity of the client's symptoms
C.client-therapist relationship factors
D.All of the choices
Gender sensitive models of training family therapists are aimed at:
a. raising consciousness concerning the role of cultural and ethnic factors in influencing
the outlooks and behaviors of individuals and families.
b. overcoming trainee gender bias and sex-role stereotyping.
c. understanding the collaborative nature of family therapy.
d. direct clinical contact with all members of the family system.
Process notes are synonymous with
a. progress notes.
b. psychotherapy notes.
c. a client assessment.
d. a treatment plan.
e. a client's journal entries.
A common reaction of therapists who realize that they have sexual feelings towards
their clients is to:
a. feel angry at themselves.
b. speak openly about the matter to the client.
c. investigate to see if the client feels the same.
d. feel guilty and fearful of losing control and being criticized.
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
Which of the following ethics codes mention the practitioner's responsibility to
recognize the special needs of diverse client populations?
a. Feminist Therapy Institute's code of ethics
b. Canadian Counselling Association's code of ethics
c. Code of Professional Ethics for Rehabilitation Counselors
d. All of the above
e. None of the above
A(n) __________________________ 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
E.both c and d
The authors view referrals
a. as the best option when they face a clash of values with their clients.
b. as a moral imperative.
c. as the last resort.
d. both a and b.
Which of the following models of ethical decision making focuses primarily on the
social aspects of decision making and redefines the process as being interactive rather
than intrapsychic?
A.social constructionist model
B.transcultural integrative model
C.feminist model
D.sociocultural model
If counselors are working with families, and if their program did not prepare them for
competence in family therapy, they are:
a. vulnerable to a malpractice suit.
b. doing what they must do under the circumstances.
c. on safe ground as long as the family knows about their limited training.
d. doing the appropriate thing if an individual client requests family therapy sessions.
An African-American woman was interacting with her child in a domestic abuse shelter
where she is over-heard to say to her child "Keep touching that and I'm going to whoop
you." The social worker that heard this statement should:
A.immediately report the mother to Child Protective Services.
B.tell the mother that she will be evicted from the shelter if she continues to talk to her
child that way.
C.recognize that what constitutes abuse in one culture may not be viewed as abuse in
another culture and not reportable until it is determined that the child is in danger.
D.remove the child from the mother's care until the mother can learn how to talk to her
child with respect.
The current trend in training for group workers focuses on learning group process by:
a. didactic course work.
b. becoming involved in supervised experiences.
c. administering psychological tests to trainees.
d. all of the above
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 he:
a. harbors the attitude that he should be able to take charge of his own life.
b. may perceive the resources as culturally insensitive.
c. believes that it is only for people who have extreme symptoms.
d. all of the above
Counselors can influence their clients' values by:
a. paying attention and reinforcing certain aspects of what their clients disclose.
b. their nonverbal behavior.
c. asking leading questions.
d. all of the above
Disclosures should be given in
A.plain language in a culturally sensitive manner and must be understandable to clients,
including minors and people with impaired cognitive functioning.
B.elevated language that will impress consumers and give them confidence in the
services they are about to receive.
C.writing, that makes it unnecessary to discuss informed consent during sessions.
D.several languages since we live in a multicultural society.
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.
When we are unaware of our needs and personal dynamics,
a. we cannot harm our clients.
b. we are like most clinicians practicing today.
c. we are likely to satisfy our own unmet needs or perhaps steer clients away from
exploring conflicts that we ourselves fear.
d. it is quite possible that we are suffering from a personality disorder.
Susan is in a counselor training program and is infatuated with her supervisor. She has
indicated that she is interested in pursuing an intimate relationship. In order to provide
adequate supervision for Susan, her supervisor would need to:
a. clearly define and maintain ethical, professional, and social relationship boundaries
with Susan.
b. adopt the role of counselor and work with her therapeutically.
c. suggest that she transfer to another training program.
d. let Susan know that there is no possibility for intimacy until she graduates from the
program.
Which of the following is not considered to be one of the characteristics of diversity
sensitive group work?
a. Group counselors respect members' religious and spiritual beliefs and values.
b. Group counselors respect the roles of family and community hierarchies within a
client's culture.
c. Group counselors treat all members as if they are the same and have the same values.
d. Group counselors acquire the knowledge and skills necessary for working with
diverse clients.
Which of the following statements has/have been supported by research?
a. Therapy is helpful to the majority of clients.
b. Most people achieve some change relatively quickly in therapy.
c. Generally speaking, therapies achieve similar outcomes.
d. all of the above
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.
A sense of identity that stems from common ancestry, nationality, religion, and race is
defined as:
a. culture.
b. ethnicity.
c. minority group.
d. multicultural.
e. ethnic-sensitive practice.
