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Chapter 2: Ethics, Confidentiality, and Professional Responsibility
1: When making a clinical decision, counselors should consider ethical standards:
after completing assessment.
before making any decision.
after discussing case at case conference.
after reviewing referral data and initial interview.
2: Which of the following issues must always be discussed when consulting with outside agency professionals?
Confidentiality
Documentation of client problems
Client aftercare plan
Level of commitment to follow through
3: The two most common uses of a consent form are:
to get permission to talk to family and to employers.
to share information with colleagues and to use in supervision.
to allow continuity of care and report compliance.
to allay client’s fear of mistreatment and make the client feel secure.
4: According to Lowenberg and Dolgoff, which of the following ethical principles has priority over all the others?
Fostering equality
Protecting rights to privacy
Truthfulness
Protecting human life
5: It is OK for a counselor to decide on ethical issues without consulting a supervisor.
TRUE
FALSE
6: The Federal Confidentiality and Drug Abuse Patient Records are also known as:
the Omnibus Bill of 1967.
42 CFR Part 2.
ATRA.
HIPPA.
7: You are having difficulty with a client early on in a case. The best thing for you to do is:
transfer the client to another counselor.
let the relationship develop and try and work it out.
challenge the client about his or her resistance.
seek out supervision with a colleague or supervisor.
8: There is a duty to warn and break confidentiality in all of the following situations, except:
a client presents a clear danger to harm someone else.
a client confesses to past crimes.
a client threatens to kill himself or herself.
a client has physically hurt a child.
9: Confidentiality:
is not limited to the time of treatment.
ends when client terminates treatment.
ends if the client does not show up for an initial appointment.
ends when client dies.
10: Information about clients shared within a qualified agency should:
be on an open-ended basis.
be on a nee- to-know basis.
be for a crisis-only situation.
never be allowed.
11: The Child Abuse and Protection Act mandates confidentiality:
that prohibits reporting.
about names and addresses.
about the specifics of the chills abuse case.
regarding information on who is reporting the case.
12: Which of the following is not an exception to the confidentiality laws?
Medical emergencies
Family and legal guardians
Qualified service organizations
In-service training and supervision
13: It is acceptable for counselors to refer clients to a private practice they may have.
TRUE
FALSE
14: To develop a promising new therapeutic approach, a client may unknowingly be placed into an experimental treatment modality.
TRUE
FALSE
15: An agency should never give the impression that it is an AA agency.
TRUE
FALSE
16: A client says to you, “ I’m getting to like you very much and I would like to get a lot closer to you.” You should first:
terminate the client’s treatment.
talk openly about the transference issues.
reciprocate your true feelings, but only if you are attracted to him or her.
refer the client to another professional.
17: A single mother with three young children enters treatment. She tells you that she has left her children home for several days to be taken care of by an 8-year-old. What do you do?
Contact children’s services to report this incident.
Explain the limits of confidentiality regarding drug use.
Admit her for treatment and arrange for childcare.
Contact law enforcement to have her arrested for child abuse and neglect.
18: Which of the following cases sets precedent for mandatory duty to warn?
Browne v. Board of Education
Jones v . State of Maryland
Tarasoff v. Regents of University of California
Faragher v. City of Boca Raton
19: Ability to identify __________ is a clinical and ethical imperative.
that one is completely capable of handling any counseling situation
one’s limits of competency
and share your personal experience with recovery
your value system and educate clients about it
20: Many state certification boards state that recovering counselors must:
report their recovery status.
abstain from addictive substances.
report their drug history to state officials.
take off for a month if they use addictive substances.
21: Which of the following documents covers counselors competency?
TAP 21
TIP 46
TAP10
TIP 26
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