CNS 780

16. It may be ethically permissible for you to consider entering into a bartering arrangement with a prospective client if a. bartering is a common and accepted practice among other professionals in your community. b. you cannot afford to provide pro bono service. c. you suggest bartering and the client agrees to this arrangement. d. the client does not have mental health insurance. e. you are designing and plan to build a new house and the client is an architect whose skills you can use.

a. bartering is a common and accepted practice among other professionals in your community.

20. In which of the following cases was it concluded that there is a duty to warn if a client poses a serious danger of violence toward others? a. Bruff v. North Mississippi Health Services b. Tarasoff v. Regents of the University of California c. Bogust v. Iverson d. Agnes v. Smith e. Eisel v. Board of Education

b. Tarasoff v. Regents of the University of California

10. Which of the following statements is most appropriate regarding clinical case notes? a. counselors should not take clinical case notes if they are worried about the notes being subpoenaed or later being seen by the client or anyone else. b. counselors should create clinical notes that are needed to function effectively as professionals and ensure quality treatment. c. it is reasonable to assume that clinical case notes will not be read by anyone other than the counselor who wrote them. d. writing illegible case notes is a protection against being called upon to reveal sensitive information pursuant to a subpoena. e. if clinical case notes are kept at the home of the counselor, they cannot be subpoenaed.

b. counselors should create clinical notes that are needed to function effectively as professionals and ensure quality treatment.

18. The primary purpose of diagnosis is to a. label clients. b. facilitate effective treatment. c. help clients gain future employment. d. obtain insurance reimbursement. e. show that a particular client has a verifiable mental disorder.

b. facilitate effective treatment.

11. The Family Educational Rights and Privacy Act of 1974 (FERPA), which issometimes referred to as the "Buckley Amendment," affects all a. community mental health centers in the United States. b. public educational institutions. c. private or parochial educational institutions. d. public hospitals. e. private hospitals.

b. public educational institutions.

14. When a counselor determines that a client may be at risk for harming self or others, the counselor always must a. call the police. b. take the steps necessary to prevent harm. c. call an ambulance to take the client to the hospital emergency room. d. notify individuals with whom the client lives. e. notify the parents of the client.

b. take the steps necessary to prevent harm

1. In all of the following situations it is necessary for counselors to consult EXCEPT a. when engaging in ethical decision making b. when deciding if they should respond to a subpoena c. when feeling sexually attracted to a client d. when feeling afraid or embarrassed to consult e. when assessing potential risk for harm

b. when deciding if they should respond to a subpoena

2. The best statement about the nature of professional ethics in counseling is that a. if counselors study ethical codes and keep current with the professional literature, they can be assured of practicing in an ethical manner. b. in order to practice in an ethical manner, counselors must always be in compliance with federal and state laws. c. because there are few absolute, right answers to ethical practice questions, consultation with counseling colleagues is very important when making ethical decisions. d. because there are few absolute, right answers to ethical practice questions, consultation with lawyers is very important when making ethical decisions. e.the ethical standards have changed very little in the last 50 years, so if counselors learn the rules, they will be able to practice in an ethical manner

c. because there are few absolute, right answers to ethical practice questions, consultation with counseling colleagues is very important when making ethical decisions.

4. The most significant problem within the counseling profession today, according to the Remley & Herlihy, appears to be a. receiving third party reimbursement. b. increasing salaries for master's level clinicians. c. becoming a united and societally recognized profession. d. conducting more experimental designed research studies. e. convincing legislators to make counseling services available to everyone for a reasonable charge.

c. becoming a united and societally recognized profession

17. When it comes to determining who has the right to make decisions regarding a child's life, the law typically favors a. an adult with whom the child is living. b. grandparents, if they are raising the child. c. biological parents. d. the child himself or herself. e. the child's adult sibling.

c. biological parents

7. Cultural competencies in working with LGBTQIQ clients include a. realizing that sexual orientation is likely to be the focus of counseling b. understanding that some clients will need to be referred to a counselor who is more comfortable working with LGBTQIQ issues c. familiarity with and ability to address therapeutically relevant sexual and gender issues d. understanding that both gender and sexuality are dichotomous e. understanding that LGBTQIQ individuals no longer experience a significant degree of societal stigmatization

c. familiarity with and ability to address therapeutically relevant sexual and gender issues

9. It is TRUE that a. most of the complaints filed with state licensing boards against counselors involve claims of breach of confidentiality. b. research clearly demonstrates that counselor assurances of confidentiality encourage client disclosures of personal and intimate information. c. when counselors share confidential client information with other professionals involved in a client's care, the counselors should first obtain client permission to share the information. d. counselors should make the same guarantees of confidentiality in group counseling that they make when counseling individuals.

c. when counselors share confidential client information with other professionals involved in a client's care, the counselors should first obtain client permission to share the information.

15. Factors that can increase counselors' vulnerability to impairment include all of the following EXCEPT a. personal trauma in the counselor's life. b. inadequate self-care. c. working with minors or vulnerable adults d. working with a significant number of traumatized clients. e. having a history of substance abuse or depression

c. working with minors or vulnerable adults

19. If a supervisee is having emotional problems that are interfering with his or her ability to function effectively as a counselor, the clinical supervisor should a. avoid addressing the personal issues in supervision sessions because the focus of clinical supervision should be on the professional services rendered by the supervisee. b. counsel the supervisee to the degree necessary to resolve the issues so that the counselor can function effectively. c. immediately refer the supervisee for personal counseling and suspend supervision until the personal issues have been resolved. d. address the personal issues in relationship to their impact on the supervisee's effectiveness as a counselor, avoid becoming the supervisee's personal counselor, instead assess if a referral for counseling is needed. e. address the personal issues in one session only, and then avoid personal issues in the future.

d. address the personal issues in relationship to their impact on the supervisee's effectiveness as a counselor, avoid becoming the supervisee's personal counselor, instead assess if a referral for counseling is needed.

6. According to Ridley, examples of unintentional racism included all of the following EXCEPT a. avoiding the issue of cultural differences by claiming to be color blind and treating all people as if they were alike. b. assuming that a client's problems are due to the client's cultural background. c. interpreting a lack of trust in the counselor to the fact that the counselor is of a different race than the client d. facilitating co-dependency relationships with ethnic clients out of a need to be accepted e. misinterpreting a client's culturally learned patterns of communicating or behaving.

d. facilitating co-dependency relationships with ethnic clients out of a need to be accepted

8. To avoid being sued by a client for abandonment, counselors are advised to a. terminate a counseling relationship if the client becomes angry with the counselor. b. refer the client if the client gets into a life-threatening crisis situation. c. give notice of termination orally, but put nothing in writing. d. give the client adequate notice that the counselor is terminating the counseling relationship and make appropriate referrals e. continue to see the client if the client refuses a referral to another counselor. f. refer the client if there are conflicts between counselor and client values

d. give the client adequate notice that the counselor is terminating the counseling relationship and make appropriate referrals

3. A core belief that members of the counseling profession hold concerning helping others with their mental health concerns is a. it is important to identify the illness presented by the person asking for assistance. b. the goal is to help the individual return to the level of functioning enjoyed before the illness occurred. c. remediation is the most appropriate means in dealing with emotional and personal problems. d. prevention and early intervention are the most appropriate means to deal with emotional and personal problems. e. giving support often is all that is necessary for people to resolve their personal crises.

d. prevention and early intervention are the most appropriate means to deal with emotional and personal problems.

5. The Council for Accreditation of Counseling and Related Educational Programs(CACREP) a. sets standards for preparing counselors, social workers, and school psychologists b. requires that an individual hold a doctoral degree in order to be CACREP-certified c. encourages faculty who train counselors to have diverse backgrounds as counselors, counseling psychologists, and clinical social workers d. requires that training programs offer a 100-clock-hour practicum and a 300-clock hour internship e. has been generally accepted as the model curriculum for training counselors

e. has been generally accepted as the model curriculum for training counselors

12. Counselors who use social media sites for professional purposes should NOT a. establish an effective method for keeping personal information private c. provide a list of all their licenses and links to the licensing boards d. post a professional photo of themselves on the site e. use the site to advertise their specialty areas f. "friend" their clients and ask clients to post testimonials

f. "friend" their clients and ask clients to post testimonials

13. Counselor competency can be assured if a. a counselor is licensed by his or her state licensure board. b. a counselor has graduated from a CACREP-accredited master's degree program. c. a counselor is a National Certified Counselor (NCC). d. a counselor has earned a master's degree in counseling from a regionally accredited university. e. all of the above f. none of the above

f. none of the above