HealtheKnowledge

Match the warning signs to the appropriate response. a. Your client has recently experienced a job loss or other major employment setback. b. Your client is threatening to hurt themselves when you meet with them. c. Your client exhibits anxiety, hopelessness, and purposelessness. Choose... 1. Watch for warning signs of suicidality in this client 2. Ask follow-up questions to determine if there is an acute risk for suicidal behavior. 3. Seek immediate clinical supervision and determine how to manage suicide risk with your clinical supervisor.

1. Watch for warning signs of suicidality in this client = a. Your client has recently experienced a job loss or other major employment setback. 2. Ask follow-up questions to determine if there is an acute risk for suicidal behavior. = c. Your client exhibits anxiety, hopelessness, and purposelessness. 3. Seek immediate clinical supervision and determine how to manage suicide risk with your clinical supervisor. = b. Your client is threatening to hurt themselves when you meet with them.

If a study reports a 35% prevalence of the alcohol use disorder in 2009, what would this mean? Select the best option from the list below. Then click on the "Please Check One Answer" button. 35% of those who previously had not had an alcohol use disorder developed one in 2009. 35% of the population had an alcohol use disorder in 2009. 35% of the population used alcohol in 2009. 35% of the population developed an alcohol use disorder in 2009.

35% of the population had an alcohol use disorder in 2009. Correct! Prevalence rates indicated the number of affected persons in the population at that time.

Techniques for addressing stigma in your organization includes: Select one: a.A need to train professional groups separately. b.A commitment to use of person first language. c.A thorough examination of strategies that are the most cost-effective for your organization. d.All of the above.

A commitment to use of person first language.

Grounds for actions of increased intensity include: Select the best option from the list below. Then click on the "Please Check One Answer" button. Presence of multiple direct risk factors for suicide. Presence of a direct risk factor for suicide. A team's judgment that a client is likely to carry our a suicide attempt and expects the attempt to be lethal A counselor's personal judgment that a client is likely to carry out a suicide attempt and expects the attempt to be lethal.

A team's judgment that a client is likely to carry our a suicide attempt and expects the attempt to be lethal Correct! Seriousness of risk determines the appropriate intervention intensity. Seriousness of risk is determined by a team's judgment of if the client is likely to carry out a suicide attempt and expects the suicide attempt to be lethal. Judgements about the degree of risk should be made in consultation with a supervisor and/or treatment team, not by a counselor acting alone. Continue

Which topic does supervision focus on? Ability to identify client concerns and deliver interventions Ability to interact with clients, knowledge, and planning skills Knowledge of ethical standards Ability to interact with clients, knowledge and planning skills, and personal attributes

Ability to interact with clients, knowledge and planning skills, and personal attributes There are four major skill areas, or topics, that supervision focuses on:Process skills- what we do as behavioral health professionalsConceptualization skills- how we think as behavioral health professionalsPersonalization skills- how our personal attributes affect our workProfessional skills- our knowledge and adherence to ethical standards

How is information transmitted within the brain? Select the best option from the list below. Then click on the "Please Check One Answer" button. All listed Electrical impulses carry information through the neurons Neurotransmittors pass information across the synapse between neurons Neurons form pathways which carry information from one area of the brain to another

All listed Correct! Neurons form pathways which carry information from one area of the brain to another. Within these pathways neurotransmittors pass information across the synapse between neurons and electrical impulses carry information through the neurons.

The rationale for conducting a series on stigma and substance use disorders is which of the following? Select one: a.Stigma results in poor access to diagnosis, treatment and outcomes. b.Addressing stigma is a routine part of the way services are delivered, but needs to be expanded. c.Training and educational content currently used in pre-service health care programs needs to be adapted and integrated in the field to address stigma. d.All of the above.

All of the above.

Which are behavioral health professionals responsibilities under the ethical principle of beneficence? Select the best option from the list below. Then click on the "Please Check One Answer" button. Referring clients to agencies who can provide needed services at a comparable cost when our agency's policies limit services and terminating services when they are no longer needed. Maintaining high standards for professional integrity and reporting when we believe another professional is behaving unethically toward a client. Maintaining high standards for professional competence and pursuing ongoing professional education All options listed.

All options listed. Maintaining high standards for professional integrity, reporting when we believe another professional is behaving unethically toward a client, maintaining high standards for professional competence, pursuing ongoing professional education, referring clients to agencies who can provide needed services at a comparable cost when our agency's policies limit services, and terminating services when they are no longer needed are all responsibilities which fall under the ethical principle of beneficence.

Which of the following can be grounds for a malpractice law suit? Select the best option from the list below. Then click on the "Please Check One Answer" button. Failure to gather information or recognize warning signs of suicide Failure to follow up on referrals for further assessment or treatment Failure to document actions All options listed.

All options listed; Failure to gather information, such as using standard screening instruments, and failure to recognize warning signs are considered failures in assessment and can be considered malpractice. Failure to follow-up on referrals is considered a failure in treatment, and can be considered malpractice. When these actions are taken, but not documented, it can be very challenging to legally defend your professional behavior. To protect yourself legally, document warning signs, risk and protective factors, client response to referral and follow-up, among other actions.

Which of the following best describes what a behavioral health professional can expect to receive from clinical supervision?

An opportunity to learn scope of practice and develop counseling skills. Clinical supervision provides an opportunity to learn the scope of practice and develop other counseling skills. Administrative supervision provides staff scheduling and ensuring compliance with agency documentation policies. Evaluative supervision involves providing periodic performance reviews.

Who would be included in a cross-sectional sample for the third year of a study measuring the prevalence of substance use disorder in American employees? Select the best option from the list below. Then click on the "Please Check One Answer" button. Only American employees who participated in year one of the study. Any American employees, regardless of previous participation in the study. All American employees. A group of American employees whose age distribution matches that of the population of American employees.

Any American employees, regardless of previous participation in the study. Correct! A cross-sectional sample could include any American employees, regardless of their previous participation in the study. It is a sample, so it will only include a portion of the entire population. Cross-sectional studies only measure subjects at one point, and do not follow them across time as Panel or Cohort studies. A cross-sectional sample may or may not represent the age distribution of the population.

Which of the following could be a variable for the concept "workload"? Select the best option from the list below. Then click on the "Please Check One Answer" button. Number of hours spent with clients per month Number of clients seen per month Any of the options given. Number of appointments per month

Any of the options given. Correct! Number of clients seen per month, number of hours spent with clients per month, and number of appointments per month could all be variables for the concept "workload." Each of the listed items are measurable and would provide insight into the workload of a helping professional.

If chaotic home environment is a risk factor for substance use disorders, this means: Select the best option from the list below. Then click on the "Please Check One Answer" button. A chaotic home environment causes substance use disorder A chaotic home environment is indicative of an already present substance use disorder. Individuals who come from chaotic home environments are likely to develop substance use disorders. Chaotic home environment may increase a person's chance of developing a substance use disorder, but when considered alone, cannot predict if a substance use disorder will develop.

Chaotic home environment may increase a person's chance of developing a substance use disorder, but when considered alone, cannot predict if a substance use disorder will develop. Correct! Risk factors can increase a person's chances for substance use or abuse. Risk factors interact with other variables, but are not the lone cause of substance use disorders, nor are they indicators of a current disorder. Possession of a risk factor does not predict future development of a substance use disorder; it only indicates heightened risk.

To avoid an ethical violation of duel relationship, behavioral health professionals should wait 6 months after ending a professional relationship with a client before beginning a personal relationship with that person. False True

False To avoid an ethical violation of duel relationship, behavioral health professionals should wait at least two years after ending a professional relationship and beginning a personal relationship.

Handling Crisis and Dangerous Situations If one of your client's displays suicidal ideation, hopelessness, and substance abuse, but gives no reason to suspect current suicidal risk upon follow up questioning, which of the following is the most responsible action? Enlist family members or significant others to watch for signs of risk Obtain immediate clinical supervision or consultation while the client is in the office. Consult with your clinical supervisor, consultant or treatment team at the next regularly scheduled meeting. Develop a plan to manage the suicidal risk with the client alone and document this in their file.

Consult with your clinical supervisor, consultant or treatment team at the next regularly scheduled meeting. The client demonstrates three warning signs, follow-up questions indicate that there is no reason to suspect current risk for suicidal behavior, so it is appropriate to obtain consultation at the next regularly scheduled meeting.

Which of the following are needed to determine causality (a cause and effect relationship) exists for substance use and addiction? Select the best option from the list below. Then click on the "Please Check One Answer" button. A research study finding of correlation between substance use and dependence only. Correlation, change in substance dependence rates over time, substance use occurs before development of substance dependence, a theory explaining how substance use causes substances dependence, and examining and ruling out other possible explanations for correlation.

Correlation, change in substance dependence rates over time, substance use occurs before development of substance dependence, a theory explaining how substance use causes substances dependence, and examining and ruling out other possible explanations for correlation. Correct! Change, correlation, time-order, specification, and a theoretical link are required for determination of a relationship of causality for any two variables. Continue

Clients who appear to be using suicidality to get what they want should not be taken seriously. Select the best option from the list below. Then click on the "Please Check One Answer" button. False True

False; All expressions of suicidality indicate significant distress and heightened vulnerability that should be taken seriously. Clients may have many reasons for an act of suicide. Even if a client does not desire to die, they may act on their reports of suicidal ideation if not taken seriously in order to save face.

Which of the following are direct warning signs of suicidality? Select the best option from the list below. Then click on the "Please Check One Answer" button. Talking about wanting to hurt oneself, seeking access to a method, or threatening to kill oneself Hopelessness, withdrawal, recklessness, or thinking about suicide. Recent experience of trauma, family conflict or disruption, and relapse.

Talking about wanting to hurt oneself, seeking access to a method, or threatening to kill oneself

Each health care interaction occurs in the context of the following cultures, EXCEPT: Select one: a.Healthcare provider's lived experiences b.Experiences of person seeking care c.The family experiences of the person seeking care d.Culture of healthcare system itself

Each health care interaction occurs in context of three cultures: the healthcare provider's lived experiences, the experiences of the person seeking care, and the culture of healthcare system itself. The correct answer is: The family experiences of the person seeking care

Which of the following responses to a determined suicide risk would be the least intensive. Select the best option from the list below. Then click on the "Please Check One Answer" button. Enlisting family members in observing indications of a return of suicide risk and arranging for removal of a weapon from the home Arranging for a referral to an emergency provider for risk assessment Involving a case manager or primary care provider and temporarily increasing frequency of care Encouraging the client to increase attendance at 12-Step meetings and providing the client with an emergency hotline number

Encouraging the client to increase attendance at 12-Step meetings and providing the client with an emergency hotline number Correct! Immediacy of action, actions involving many individuals, taking many actions, and interventions which reduce freedom of movement, are expensive, compromise privacy and/or restrict autonomy are considered to be more intense responses. Continue

Variation within cultural groups is quite small, and generalizations about treatment will always be applicable to all individuals within the cultural group. Select one: True False

False Every large cultural group consists of different subgroups, and the variation within each group is large enough that generalizations about any specific culture can lead to erroneous beliefs that can negatively affect judgment, perception, and treatment.

If an adult client initiates a romantic relationship with their counselor, the relationship is not considered to be a violation of ethics. True False

False One of the most clear ethical standards if the addiction profession is that professionals should not have any type of sexual or romantic relationships with clients. It doesn't matter if an adult client initiates the relationship. It is still considered unethical, and the behavioral health professional is held responsible.

Match the prevention strategies to their descriptions. a. Requires careful crafting of a message to get the desired response. Typically has faded impact over time. b. Found to be largely ineffective, this model is based on the assumption that if people know facts about why substance use is bad for them, that they won't use. c. Basis for interventions that expose people to social pressures for use of substances and teach them skills that can be used in similar situations. d. Can affect social group and individual perceptions, attitudes, and behaviors, as well as availability of substances. Programs developed with this strategy have been found to be promising. Choose... Information-based model Fear-based model Environmental strategies Social influence-based model

Fear-based model = a. Requires careful crafting of a message to get the desired response. Typically has faded impact over time. Information-based model = b. Found to be largely ineffective, this model is based on the assumption that if people know facts about why substance use is bad for them, that they won't use. Social influence-based model = c. Basis for interventions that expose people to social pressures for use of substances and teach them skills that can be used in similar situations. Environmental strategies = d. Can affect social group and individual perceptions, attitudes, and behaviors, as well as availability of substances. Programs developed with this strategy have been found to be promising.

According to the developmental model of supervision, what would be signs of development from a level 1 to a level 2 counselor? Movement from a focus on clients to focus on self. Movement from high motivation and desire for autonomy to realistic motivation and secure autonomy. Movement from high motivation and commitment to fluctuating motivation, and movement from high dependence to tension between autonomy and dependence. Movement from focus on self and high dependency to focus on clients and complete autonomy.

Movement from high motivation and commitment to fluctuating motivation, and movement from high dependence to tension between autonomy and dependence. According to the developmental model of supervision, level 1 professionals have high motivation and commitment, primary focus on self, and high dependency on authority figures. Level 2 professionals motivation is described as fluctuating with outcomes and their autonomy is described as fluctuating as well. Fluctuating autonomy creates tension between desire to be autonomous and dependence. Level 2 professionals' focus is on the experiences of their clients.

Consequences of the stigma include the following EXCEPT: Select one: a.Shame b.Increased likelihood of seeking treatment c.Incarceration d.Poor self-image

The consequences of the stigma surrounding substance use disorders can be shame, incarceration, and poor self-image. The correct answer is: Increased likelihood of seeking treatment

What can a supervisee do to get the most out of a supervisory relationship? Focus on what you need from your supervisor and demand it when you don't receive it. Nothing. A supervisory relationship either works or it doesn't. Maintain appropriate boundaries and be alert to possible experience of transference; focus on what you can learn from your supervisor and on planning and problem solving Take responsibility for consequences of your own behavior and ignore differences in culture, race, gender and age

Maintain appropriate boundaries and be alert to possible experience of transference; focus on what you can learn from your supervisor and on planning and problem solving Maintaining appropriate boundaries and being alert to possible experience of transference; focusing on what you can learn from your supervisor, not what you wish they would provide; focusing on planning and problem solving; taking responsibility for consequences of own behavior; being aware of implications of differences in culture, race, gender, and age on your relationship; and using cooperative language when sharing needs are all strategies to get the most out of a supervisory experience.

TRUE or FALSE? Mothers may be more hesitant to seek treatment for substance use disorders for fear of legal and social service involvement. Select one: True False

Mothers may be more hesitant to seek treatment for substance use disorders for fear of legal and social service involvement. The correct answer is 'True'.

Which ethical principles do we uphold when protecting our the confidentiality of our clients? Non-maleficence only Non-maleficence and fidelity Autonomy and justice Autonomy and beneficence

Non-maleficence and fidelity When we protect the confidentiality of our clients, we avoid doing them harm and work to establish a relationship of trust.

In which situation does Federal Confidentiality Law 42 CFR Part 2 allows for disclosure of client information without the client's written consent? If the person seeking the information already has the information None of the options listed. If the person seeking the information has official status. If the person seeking the information is authorized by the state.

None of the options listed. Except under certain specified conditions, 42 CFR Part 2 prohibits unauthorized disclosure of client information, even if the person seeking the information already has the information, has official status, or is authorized by the state.

Which ethical principles do these practices uphold?

Respecting the client's right to make their own choices = Autonomy Avoiding harming the client = Non-maleficence Taking positive steps to help the client = Beneficence Establishing a relationship of trust with the client = Fidelity

Which of the following describes access to health care from the perspective of the patient? Select one: a.Accessibility b.Affordability c.Appropriateness d.All of the above

Social determinants of health describes the three a's as critical to ensuring strong care. The correct answer is: All of the above

Revising social policies to address stigma present in your organization is an example of engagement in addressing which of the following: Select one: a.Interpersonal stigma b.Individual stigma c.Structural stigma d.Self-shame

Structural stigma

If a study examining variables related to substance use in older adults has a sample size of 20 and a response rate of 15%, what might you conclude about the results? Select the best option from the list below. Then click on the "Please Check One Answer" button. Nothing. Knowing the sample size and response rate are not helpful in determining validity. They are of questionable internal validity and the results may not be accurate for the sample studied. There is no reason to question validity based on sample size and response rate, as both are within an appropriate range. They are of questionable external validity and caution should be applied when generalizing findings to other older adults.

They are of questionable external validity and caution should be applied when generalizing findings to other older adults. Correct! A sample size of 20 within a population as large as older adults and a response rate of 15% both raise questions about the external validity of the study's results, and caution should be taken when generalizing these findings to older adults not included in the sample.

TRUE or FALSE? All professional licensing groups mandate content in their standards on structural stigma and substance use. Select one: True False

This is false, as there is no mandate to address stigma - including structural stigma. The correct answer is 'False'.

Effective treatment services, promotion of positive mental health, and prevention of substance abuse are essential to reduce the impact of substance abuse and mental illnesses within communities. Select one: True False

True

All expressions of suicidality should be taken seriously, even when the client appears to be "using" suicidality. Select one: True False

True All expressions of suicidality indicate significant distress and heightened vulnerability that should be taken seriously. Clients may have many reasons for an act of suicide, including desire to die. Even if a client does not desire to die, they may act on their reports of suicidal ideation if not taken seriously in order to "save face."

Maintaining their own personal health is an ethical responsibility of behavioral health professionals. Select one: True False

True Behavioral health professional's capacity for reflection, relationship, clinical decision making and application of knowledge and professional skills are what leads to success in their work. Given the importance of their abilities to relate, reflect and make decisions; impairments in their abilities to do so can result in harm to clients and the profession.

Clients can be harmed by the poor physical or mental health of their behavioral health professional. True. False.

True Behavioral health professional's capacity for reflection, relationship, clinical decision making and application of knowledge and professional skills are what leads to success in their work. Given the importance of their abilities to relate, reflect and make decisions; impairments in their abilities to do so can result in harm to clients, as well as the profession.

After making a referral to another organization for further assessment or treatment, it is your responsibility to confirm that the appointment was kept. Select one: True False

True Failure to follow-up on referrals is considered a failure in treatment, and can be considered malpractice.

Behavioral health professionals experiences of shame, anxiety, and transference can affect their relationship with their supervisor. True. False.

True It is important for behavioral health professionals to be aware of their feelings of shame and anxiety and to deal with them in healthy ways so that they do not negatively affect the supervisory relationship. Transference is common among supervisees as well, and also has effects on the supervisory relationship.

Racism can affect substance use patterns through its impact on self esteem. Select one: True False

True The impact of racism on self esteem is believed to increase vulnerability to substance use in Hispanic/Latinos, African Americans, and other cultural groups.

In order to provide effective counseling to diverse clients, it is critical to have developed awareness of one's own cultural attitudes and beliefs. Select one: True False

True Treatment provider self awareness has been found to improve delivery of services, continuity of treatment, and success rates for culturally diverse clients.

Awareness of learning styles helps us to reframe information we present so it is more accessible to people with different learning styles. Select one: True False

True We tend to present information to others in ways that favor our own learning style. Becoming aware of our personal learning style, and the other learning styles can make us aware of how we typically present information, and ways to reframe information so it is more accessible to people with other learning style preferences.

Under the ethical principle of autonomy, it is a behavioral health professional's responsibility to explain all recommendations for services, including length and expense, to their client before providing services. False. True.

True When we practice informed consent we respect clients' independence and right to make their own choices. When practicing informed consent it is our responsibility to explain all recommendations for services, including length and expense, to the client before providing services.

When gathering information about suicidality from clients, it is important to use open ended questions? T/F

True; Asking closed ended questions can cause the client to react defensively or can give the provider false security about the client's safety.

TRUE or FALSE? Misinformation is a form of stigma. Select one: True False

True; Misinformation is a form of stigma. The example from the presentation is, "Babies are born addicted".• Infants may experience withdrawal symptoms due to maternal substance use and abuse, BUT they are not born addicted.• The American Society of Addiction Medicine describes addiction as a "treatable, chronic medical disease involving complex interaction among brain circuits, genetics, the environment, and an individual's life experiences. People with addiction use substances or engage in behaviors that become compulsive and often continue despite harmful consequences." (ASAM, 2019)

Women are at the highest risk of developing substance use disorders during: Select one: a.Adolescence b.Reproductive years c.Late adulthood d.Geriatric years

Women are at highest risk for developing SUDs during reproductive years. The correct answer is: Reproductive years

How can you use the Myers Briggs in your practice? Select one: a.To better understand yourself and ways to manage differences when interacting with others b.To predict your clients' actions based on their classification c.To measure your own personality traits d.All options listed

a. To better understand yourself and ways to manage differences when interacting with others

Why is receiving supervision important to behavioral health professionals? Select one: a.All options given b.It fulfills an ethical duty to clients c.To receive appropriate training and develop skills d.To support their professional growth and welfare Clear my choice

a.All options given Correct! Supervision supports behavioral health professional's professional growth and welfare, provides training and skill development, and fulfills an ethical duty to clients.

Which topic does supervision focus on? Select one: a.All topics listed b.Ability to interact with clients c.Knowledge and planning skills d.Personal attributes e.Ethics

a.All topics listed Correct. There are four major skill areas, or topics, that supervision focuses on:Process skills- what we do as behavioral health professionalsConceptualization skills- how we think as behavioral health professionalsPersonalization skills- how our personal attributes affect our workProfessional skills- our knowledge and adherence to ethical standards

Providing clients with an informed consent process is a means of honoring which ethical principle? Select one: a.Autonomy b.Beneficence c.Justice d.None of the options listed

a.Autonomy Correct! When we practice informed consent, we respect the clients' independence and right to make their own choices.

If one of your clients displays suicide ideation, hopelessness, and substance abuse, but gives no reason to suspect current suicidal risk upon follow up questioning, which of the following is the most responsible action to take? Select one: a.Consult with your clinical supervisior, consultant, or treatment team at the next regularly scheduled meeting b.Develop a plan to manage the suicide risk by yourself c.Obtain immediate clinical supervision or consultation while the client is in the office d.Documentation of the warning signs and responses to the follow-up questions is sufficient action.

a.Consult with your clinical supervisior, consultant, or treatment team at the next regularly scheduled meeting Correct! While the client demonstrates three indirect warning signs, follow-up questions indicated that there is no reason to suspect current risk for suicidal behavior, so it is appropriate to obtain consultation at the next regularly scheduled meeting.

According to the developmental model of supervision, what would be the characteristics of the next stage of development for a behavioral health counselor who has high motivation and commitment, but a high dependency on authority figures. Select one: a.Fluctuating motivation and tension between autonomy and dependence b.Maintained motivation and increased autonomy c.Realistic motivation and increased autonomy d.Decrease in motivation and maintained dependence

a.Fluctuating motivation and tension between autonomy and dependence Correct! According to the developmental model of supervision this behavioral health professional would be classified as level 1. Level 2 professionals motivation is described as fluctuating with outcomes and their autonomy is described as fluctuating as well. Fluctuating autonomy creates tension between desire to be autonomous and dependence.

The concept of the Medicine Wheel guides many therapeutic approaches specific to American Indian and Alaskan Native Cultural Groups. What concept communicated by the medicine wheel has been applied in these therapeutic approaches? Select one: a.Importance of balance and holistic wellness b.Primary importance of spirituality c.Role and responsibility of the self within an interdependent group d.Connection between people and nature

a.Importance of balance and holistic wellness Correct! One of the Medicine Wheel's symbols communicates that when the four components of the self are in balance, wellness exists, while imbalance between components can cause disorder and ill health. These concepts of balance and holistic wellness have been applied in the Red Road Approach and the Wellbriety Movement, with a focus on holistic healing.

What can a supervisee do to get the most out of a supervisory relationship? Select one: a.Respect individual differences and take responsibility for consequences of own behavior b.Maintain appropriate boundaries and be alert to possible experience of transference c.In challenging situations, focus on planning and problem solving and use cooperative language when sharing needs d.All practices listed e.Focus on what you can learn from your supervisor, not what you wish they would provide

d.All practices listed Correct! Respecting individual differences; taking responsibility for consequences of own behavior; maintaining appropriate boundaries and being alert to possible experience of transference; focusing on what you can learn from your supervisor, not what you wish they would provide; and focusing on planning and problem solving and use cooperative language when sharing needs in challenging situations, are all strategies to get the most out of a supervisory experience.

You are a behavioral health professional who works at an addiction treatment center. You find yourself making excuses for the client and defending their actions. In talking with a fellow team member, you discover that the client reminds you of a younger sibling and that you are experiencing counter-transferance. What principles will be important to consider when making an ethical decision about how to continue the clients therapy? Select one: a.Non-discrimination, beneficence, and state and agency policies related to boundary issues b.None of the options listed c.Informed consent, scope of practice, duty to warn, and non-discrimination d.Duty to warn, client's right to confidentiality, mandatory reporting, and boundary issues

a.Non-discrimination, beneficence, and state and agency policies related to boundary issues Correct! It will be important to consider how transference affects your treatment of the client, and how that fits with the standard of non-discrimination. It will also be important to consider how it effects your ability to take positive steps to help the client (beneficence). Since counter-transference is a boundary issue, it will also be important to consider state and agency policies related to boundary issues.

Documenting a client's consent before releasing any information and presenting only relevant, necessary and verifiable information are important because they maintain which ethical principles? Select one: a.Non-maleficence and fidelity b.Autonomy and Justice c.Autonomy and Beneficence d.None of the options listed

a.Non-maleficence and fidelity Correct! When we protect the confidentiality of our clients, we follow ethical principles of non-maleficence and fidelity.

How can the caregiver role affect treatment for women with substance use disorders? Select one: a.The caregiver role can both motivate and act as a barrier to seeking and completing treatment. b.The caregiver role can motivate women to seek and complete treatment. c.The caregiver role can act as a barrier to seeking and completing treatment. d.The caregiver role has no impact on treatment of women.

a.The caregiver role can both motivate and act as a barrier to seeking and completing treatment. Correct! The caregiver role can be a strong motivator for women to receive and complete treatment, as pregnant women want to care for their developing baby and mothers want to maintain or regain custody of their children. The caregiver role can also act as a barrier, if entering treatment could put their custody in jeopardy, or as family responsibilities can interfere with treatment engagement and attendance.

What is the first question that should be asked to resolve an ethical dilemma? Select one: a.What facts should be considered? b.Which action results in the best overall consequences? c.What laws, ethical codes and institutional policies apply to this situation? d.Which action best respects the moral rights of the people involved?

a.What facts should be considered? Correct! Verification and collection of facts important to the issue can go a long way in establishing clarity of the issue. We need to be careful not to assume that we have all the facts and not to get ahead of ourselves by weighing values before we have all the facts of the situation.

Documentation of information gathered about a client's suicidality, consultation, or supervision obtained, actions taken to address warning signs, and follow-up provided serves as: Select one: a.A medical account only, which will be important when providing client referrals b.A legal account only, which will protect you from litigation c.Both a medical and legal account d.Neither a medical or legal account

c.Both a medical and legal account

Which is true of working with community coalitions? Select one: a.Involvement builds a shared knowledge based on unique experiences and understanding of addiction b.Involvement can foster community ownership and participation in prevention efforts c.Involvement can ensure that efforts meet needs felt by the community d.All options listed

d.All options listed Correct! Through involvement in community coalitions, individual entities can build upon each others knowledge to gain a more complete understanding of the issues related to addiction within the community. Based on this shared knowledge, they can both identify needs that are felt by the community as a whole and select initiatives best suited to the community. Selection of goals and strategies through community involvement can lead to community ownership of the programs and actions of the coalition and can increase participation and support.