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Which of the following situations does NOT have the potential to harm or exploit a
client?
a. Entering a business venture with a client
b. Developing a sexual relationship with a client
c. Establishing a social relationship with a client
d. Setting healthy boundaries during the initial visit
Most family therapy training programs employ both didactic and experiential methods
and supervised practice.
Experiential methods include:
a. classroom lectures and readings.
b. both personal therapy and working with one's own family of origin.
c. films and videotapes of family therapy sessions.
d. discussion.
Ethics codes tend to be:
a. reactive rather than proactive.
b. no longer relevant.
c. clear and direct.
d. proactive rather than reactive.
_______________ is a diverse pool of human-service workers whose primary duties
include serving individuals within the community in a variety of community groups and
includes social workers, community organizers and developers, clinical mental health
counselors, psychologists, psychiatrists, nurses, counselors, couples and family
therapists, artists, activists, clergy persons, human-service workers with varying degrees
of education and training, and residents involved in the community.
a. Community perspective
b. Community workers
c. Community agencies
d. Community work
Research has provided evidence that therapists' values influence:
a. every phase of psychotherapy.
b. every phase of psychotherapy except for termination.
c. only the initial phase of psychotherapy.
d. no phase of psychotherapy if it is conducted properly.
Which of the following is NOT an essential piece of information the family practitioner
must provide before each individual agrees to participate in family therapy?
a. The individual who will be identified as the source of the problems
b. The purpose of therapy, what can be expected, and the option to withdraw at any time
c. Typical procedures, rights and responsibilities, and fee structure
d. Risks of negative outcomes and positive benefits and confidentiality and limits to
confidentiality
Most counseling centers and community mental health agencies now have guidelines
regarding the duty to warn and protect when the welfare of others is at stake. These
guidelines generally specify how to deal with:
a. emotionally healthy individuals with non-violent behavior.
b. emotionally disturbed individuals, violent behavior, threats, suicidal possibilities, and
other circumstances in which counselors may be legally and ethically required to breach
confidentiality.
c. documentation and assessment of school children.
d. non-suicidal individuals seeking assistance with living arrangements.
If you possess________________, you are likely to misinterpret patterns of behavior
displayed by group members who are culturally different from you.
a. social justice
b. confidentiality
c. informed consent
d. cultural tunnel vision
The "freedom of conscience" clause states:
a. the client has the freedom to decide where to go in therapy.
b. the therapist has the right to refer clients because of spiritual beliefs.
c. the client has the right to know what the therapist is thinking.
d. mental health professionals will not put their licensure status in jeopardy by denying
services to clients on the basis of sincerely held religious beliefs.
In regards to record keeping, the ________________ states: "Mental health counselors
create, maintain, store, transfer, and dispose of client records in ways that protect
confidentiality and are in accordance with applicable regulations or laws."
a. National Association of Social Workers
b. American Mental Health Counselors Association
c. American Psychological Association
d. Code of Professional Ethics for Rehabilitation Counselors
Obtaining consultation is important because:
a. it creates a safety net when our actions are unethical.
b. it is better to have someone else know who your client is in case something happens.
c. our prejudices, biases, personal needs, or emotional investment creates an inability to
view a situation objectively.
d. the ethical codes state it is important.
Cultural mediators in a school system do NOT serve which of the following functions?
a. Communicating with families and community organizations regarding marital issues
and abuse
b. Facilitating access to community resources and social service agencies
c. Creating and encouraging a supportive and culturally diverse school and community
climate
d. Serving as an information hub for culturally diverse families
A school counselor was working with Quan, whose presenting problem was anxiety
pertaining to academic success in college. This was within the scope of the school
counselor's training. However, during the course of therapy, Quan became very
depressed and engaged in selfmutilation and other forms of selfdestructive behavior.
Quan's counselor recognized that these symptoms and behaviors reflected a problem
area that was outside the scope of his practice. Ethical practice required that the school
counselor:
a. attempt to work with Quan's problems and only refer if he becomes suicidal.
b. have another school employee present in all sessions after the discovery is made.
c. make a referral to another professional who is competent to treat Quan's problems.
d. make a referral to a substance abuse counselor because all client's with these
symptoms are self-medicating.
Marty is counseling with an Asian client who recently returned from a trip to Japan to
visit relatives. His client wants to give him an inexpensive souvenir. It is important for
Marty to:
a. refuse the gift on ethical grounds.
b. explain that the gift would change their relationship and create a conflict of interest.
c. be aware that accepting the gift may be culturally appropriate with this client.
d. explain that he cannot accept the gift until the counseling relationship is over.
All of the following are true about bartering EXCEPT:
a. bartering can be a dignified and honorable form of payment for those who are cash
poor but talented in other ways.
b. bartering is a healthy norm in many cultures.
c. bartering is illegal and unethical.
d. bartering can be part of a clearly articulated treatment plan; like other interventions,
bartering must be considered in light of the client's needs, desires, situation, and cultural
background.
In the______________, the court held that a faculty may require students to complete
special requirements as long as
requirements are not arbitrary.
a. Board of Curators of the University of Missouri v. Horowitz
b. Shuffer v. Trustees of California State Universities and Colleges
c. Jablonski v. the United States
d. Hedlund v. Superior Court
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.
In the case of disclosing confidential information when working with an HIV-positive
client, several writers state that the therapist has a duty to protect when the following
condition exists:
a. the client is engaging in safe-sex with a committed partner. b. clear and imminent
danger must exist.
c. all potential victims must be warned, even if there have been multiple sexual partners
over the years.
d. all persons who have exchanged needles with the client must be found and warned of
possible danger.
Those who are responsible for educating and training mental health professionals are
ethically and professionally obligated to:
a. focus exclusively on mentoring trainees.
b. invest all of their efforts into mentoring trainees and being advocates for them and
their clients.
c. balance their roles as advocate and mentor of trainees with their gatekeeping role.
d. focus exclusively on their gatekeeping responsibilities.
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.
Brief and commonplace daily verbal, behavioral, or environmental indignities (whether
intentional or unintentional) that communicate hostile, derogatory, or negative racial
slights and insults toward people of other races is the definition of:
a. racial microaggressions.
b. cultural diversity.
c. cultural pluralism.
d. social justice work.
Ethics codes are________________ for exercising ethical responsibility.
a. unnecessary
b. necessary, but not sufficient
c. cookbooks
d. non-limiting
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 explore the members' expectations, clarify goals and objectives, discuss
procedural details, explore the possible risks and values of group participation, and
discuss guidelines for getting the most from a group experience.
d. They avoid discussing the limitations of group work so as to not diminish the power
of the group experience.
Rather than focusing on best practices, many ethics courses focus on:
a. creating the safest environment for professionals to work.
b. the unethical practices of university professors.
c. record keeping guidelines.
d. laws, disciplinary codes, and risk management strategy.
The skills and training required to effectively and appropriately treat clients in a
specific area of practice, and is both an ethical and legal concept, is the definition for:
a. formative assessment.
b. summative assessment.
c. therapist competence.
d. techniques.
It is important to understand the common ____________used in your profession, even
if you choose not to use them in your practice.
a. diagnoses
b. assessment tools
c. confidentiality
d. informed consent
Susan is quite distressed after finding out her husband has been unfaithful. She tells her
counselor that she is so angry that she feels like killing him. Upon hearing this, the
counselor needs to:
a. question Susan to determine whether she is serious about doing physical harm to her
husband.
b. warn the husband that he is in potential danger.
c. commit Susan to a hospital until she can overcome her anger.
d. threaten to terminate services with Susan if she continues to talk about killing her
husband.
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 and/or to feel a sense of achievement and accomplishment.
b. to allow the client to come up with solutions.
c. to empower his client.
d. to nurture his client.
___________________refers to individual differences on a number of variables that
place clients at risk for discrimination based on age, gender, gender identity, race,
ethnicity, culture, national origin, religion, sexual orientation, disability, language, or
socioeconomic status.
a. Diversity
b. Multipluralism
c. Discriminatory variables
d. Oppression
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.
