Midterm

Sarah the Supervisee is having a hard time deciding whether or not her patient, Peter, should be hospitalized. Peter has recently relapsed into active-phase schizophrenia and expresses thoughts of suicide to escape the fear it instills. Peter, however, does not wish to act on these thoughts, but he hears voices that instruct him to do so. Which part of this is an involuntary commitment commissioner most likely to accept as grounds for hospitalization?

"He hears voices that instruct him to do so."

Which of the following quotes from Curran et al. (2019) reflects a CLIENT FACTOR for the negative outcome of the therapy?

"Particularly after my divorce I felt unattractive and unwanted. I wished to be seen as a viable woman who was worthy of love. I desperately needed to know if Dr. A could see me in such a light. Not to act on it but just to know that he could see those qualities in me (Service user testimony 6)."

Which of the following quotes from Curran et al. (2019) reflects sociocultural factors impacting outcomes of the therapeutic alliance?

"Some survivors also seemed to believe that living in certain areas affected their access to services (Chouliara et al., 2011, p.146)."

Marcie is a new private practitioner. Her client, Patrick, has shown signs of erotic transference (attempts at gift-giving, asking personal questions, flirting) which started about 4 weeks after he broke up with his long-time girlfriend who had cheated on him. In the third session of attempts at flirting, Marcie realized this was not going away and brought the issue to his attention, stating, "Patrick, this might seem awkward, but I've noticed you've been awfully nice to me since your breakup. Since I'm your therapist, I'm concerned about the way your grief is showing up. You already knew I can't take gifts." Patrick breaks into tears and states he feels "completely unlovable - I have all this love to give and nowhere for it to go now. I'm so sorry I offended you. I wish I was dead. The loneliness is unbearable. I lie in bed alone, wondering why I'm not enough, just wishing I would never wake up

"The betrayal you went through hurt enough for you to think of death. There was a lot of grief under the surface of this 'new you.' I'm not angry. We just need to spend our time talking about that suicidal loneliness instead of what we had for breakfast."

Statistically, suicide rates spike within ______ after inpatient discharge. It is strongly recommended that outpatient therapy, counseling, or case management occurs within ____

1 week; 1-2 days of discharge.

Dr. Ell has a caseload of 50. Assuming Dr. Ell is no better or worse than any other psychologist, estimates from the 2000s to 2010s would indicate that roughly ______ of Dr. Ell's patients will be worse off after treatment than they were at intake.

2 to 4

Statistics from the early 2000s indicate that roughly _____% of psychological professionals (including psychologists, psychiatrists, psychiatric nurses, and social workers) have considered suicide at some point in their lives, while roughly _____% have had a client die by suicide.

45% have considered themselves; up to 50% have had a client suicide

Which of the following is an example of a psychologist's obligations with regard to the Tarasoff decision?

A psychologist has a duty to warn or protect a therapy client's neighbor when the client says he is planning to murder the neighbor.

______________________ may occur when members of a cultural minority have negative interactions with members of the dominant culture.

Acculturative stress

Two best friends, Blake and Adam, are in a 7-year doctoral program for clinical psychology. They have vented to each other about their workload for much of the program and have both occasionally missed a few deadlines. About 5 years into the program, Adam's depression rears its head. Blake notices that the "venting" is no longer mutually beneficial, and their conversations turn into Blake giving Adam unofficial therapy sessions. Blake suggests that Adam get treatment since his depression recurred. Adam is angry at the suggestion because "a large part of the problem is not having enough time anyway." Blake notices that Adam doesn't know basic content from their treatment planning class. This is concerning because Adam has a caseload of 16 real clients.

Acknowledge that time is a concern for Adam but that 1 hour of treatment a week is more manageable than 7 hours of depressive dissociation. If Adam refuses, remind him that psychologists have an ethical obligation to get treatment for personal problems affecting their work.

Carmin, a WV supervised psychologist, works at an agency that is not gender-affirming. As a supervised psychologist, she is not authorized to complete pre-surgery evaluations for gender confirming surgeries. Her supervisor, meanwhile, "does not believe" in gender-confirming surgeries. Carmin is being referred a person who, according to her supervisor's chart note, has "depression about his gender." Carmin meets the referral for intake and realizes the client, Jeanne, meets criteria for Gender Dysphoria. Jeanne has been socially transitioned for 5 years and desperately wants surgery. Carmin expresses verbal affirmation of Jeanne's transition but states she is unable to provide evaluations for surgery. She offers to look up and call other professionals and agencies who may be of more help in this area. What did Carmin do wrong?

All of this could have been done over the phone without intake.

Max has a 18-year-old patient, DeDe, with thoughts of suicide and 7 past attempts at exsanguination. DeDe's parents are no help, convinced that this is an attention-seeking phase. When Max tells DeDe he understands her actions are from intense pain rather than attention-seeking, DeDe disagrees. She states, "I open my veins to black out so I don't feel anything, but I do want them to feel something about it." Max's BEST course of action is:

Ask DeDe which family members are most helpful to her so that a release can be signed for them to become partially involved in her treatment plan.

Natalya, a 6-year-old girl with severe OCD, is discharged to your practice after a stint in inpatient care for disturbed youth. Natalya's medical history includes multiple respiratory infections requiring non-psychiatric hospitalization and a current prescription of 200mg of Zoloft daily. When you ask Natalya in the first appointment why her parents want her to talk to you, she says, "because I don't like it here and don't want to be alive." What is your BEST course of action?

Ask Natalya why she doesn't want to be alive and have her parents sign a release for you to talk to her psychiatrist. Safety plan with her and her parents.

Which of the following best describes the requirements of the APA's Ethics Code for bartering?

Bartering for goods or services may be acceptable under certain conditions.

Opal is a supervised psychologist who is interested in DBT practices with her clients. However, she gets paid in packing peanuts and has to put food on the table. What is Opal's BEST option for providing between-sessions services?

Call the clients' insurance companies to ask about coverage for phone-only services.

_______________ is MOST likely to be needed across a wide variety of diverse clients, including racial minorities, those who are poor, rural clients, and immigrants. Please take some time after this quiz to Google how to obtain this for your clients locally.

Case management

The main difference between acute suicidality and chronic (lifetime) suicidality is that...

Chronically suicidal individuals should be trained in self-management, emotion regulation, and resilience strategies.

Countertransference refers to ______.

Emotions in general that the therapist feels toward the client, symbolically transferred from previous relationships

A psychologist with current suicidal ideation is most likely to do harm to a suicidal patient by _____________.

Failing to help due to loss of focus

An LPC colleague tells you he has never had to hospitalize a patient in 25 years of counseling and is alarmed and somewhat offended that you have just submitted a mental hygiene application. What is MOST LIKELY happening?

He doesn't ask because he is afraid of the answer.

You are assessing a child who has lived in the US his whole life. The child's mother is from South Sudan and the child's father is from the US. The mother is the one who meets with you and thoroughly completes the intake interview and new patient form, describing a variety of issues she would like investigated. After she leaves without incident, you notice she identified her child on the new patient form as "White." You do a double-take when you see the form. As a culturally-competent psychologist, your BEST course of action is to....

Identify the child as having a White American father and a South Sudanese mother in the narrative section of the report.

Marcy is a supervisee in Logan County, WV. She receives a referral for a person with apparent dissociative identity disorder. Marcy is not competent to treat this disorder. Under what circumstances could she treat this client for this problem?

If she has prior training in trauma and dissociation, accesses current research, and completes comprehensive continuing education programs while receiving weekly supervision and seeing the client.

Your supervisor needs to take a vacation the week of his wife's birthday. He asks you to cover 1 treatment group meeting for mothers with BPD. He and you both know you are competent to treat BPD, so you accept. A few days before his vacation begins, he gives you the group roster for billing. You notice that the wife of your client is in the group. Your client frequently reports emotional abuse and manipulation by his wife.

Inform the supervisor of the situation and suggest the group be cancelled if a replacement clinician cannot be found.

Jada is very thorough in her clinical documentation. She knows to specify a patient's status in all areas of risk, including suicidal, homicidal, and NSSI risk. Her note reads: "Patient denied suicidal ideation." What, if anything, is wrong with this?

It does not include what the patient said.

Winnie notices that many of her African-American male clients and impoverished White male clients respond to their socioeconomic difficulties by working ridiculous swing shifts and overtime, not taking vacations, and running all errands for their households. They appear to be attempting to cope by way of _____________ and should be encouraged to increase contact with their _____________.

John Henryism; primary care provider

While typically suicidal intent is automatically grounds for hospitalization, there are rare case-by-case exceptions. Identify below a situation where suicidal intent is UNLIKELY to be grounds for hospitalization.

Mary, 73, fully intends to die on her 75th birthday, which was her grandmother's age at death.

A supervisor approves you to provide cognitive-behavioral services to Payten, a 94-pound 15-year-old with anorexia who is unable to get into eating disorder treatment due to widespread flood damage downstate and a long waitlist at the eating disorder specialist's office. Payten has no primary doctor because her pediatrician's age limit was 14. You see Payten over telehealth and clarify with her and her parents that treatment will likely last 4-6 weeks until the roads are fixed and the waitlist for the eating disorder clinic opens up. In 5 weeks, the flood damage is cleared and Payten's mother gets a call from the eating disorders clinic. Payten really likes you, so the mother tells the clinic to move on to the next person in the waitlist. Payten tells you she wants to continue appointments with you. Payten has neither gained nor lost weight.

Meet with Payten and her mother in-session to explain the need for a specialist. Obtain a full release of information from the mother to be able to call the clinic yourself and explain the situation, and see if they can put Payten back on the waitlist, ideally next in line. See Payten for concluding/transitional sessions until her appointment at the specialty clinic.

According to Cross's Black Racial Identity Development Model, an African American individual in the emersion substage of the immersion-emersion stage will exhibit which of the following?

Rejection of all aspects of White culture

___________ refers to negative attitudes that are based on sexual orientation, whether the target identifies as homosexual, bisexual, or heterosexual.

Sexual prejudice

________ exists on a spectrum, where some is necessary and high levels are associated with impaired ability to practice.

Suicide anxiety

You are assessing a child who has lived in the US his whole life. The child's mother is from South Sudan and the child's father is from the US. The mother is the one who meets with you and thoroughly completes the intake interview and new patient form, describing a variety of issues she would like investigated. After she leaves without incident, you notice she identified her child on the new patient form as "White." You do a double-take when you see the form. As a culturally-competent psychologist, you understand that you must follow up with your supervisor about this particular issue MAINLY because....

Testing norm groups are usually different for White and Black children, and you may have to compare both norms or follow-up with the mother.

Which of the following best describes the provisions of the Ethics Code with regard to sexual relationships with students or supervisees?

The Code prohibits relationships with students over whom a psychologist has or is likely to have evaluative authority.

You are assessing a child who has lived in the US his whole life. The child's mother is from South Sudan and the child's father is from the US. The mother is the one who meets with you and thoroughly completes the intake interview and new patient form, describing a variety of issues she would like investigated. After she leaves without incident, you notice she identified her child on the new patient form as "White." You do a double-take when you see the form. As a culturally-competent psychologist, you deduce that the MOST likely the reason for the mother identifying her child as White is.....

The child would be considered White in South Sudan.

Dr. Ullom meets with a clinical psychology student about personal concerns. Dr. Ullom knows that he is forbidden from requiring disclosure of personal information. Which circumstance would BEST excuse Dr. Ullom for asking personal information?

The student he is meeting with has a mental health concern that could prevent them from performing necessary training or competent clinical work.

Cultural competence and ethical, evidence-based practice are almost always hand-in-hand. However, there are some specific examples where both cannot be enacted concurrently. Dr. Cross states that it is culturally destructive of his supervisee to fail to allow room for Native American traditional healing practices into his treatment plan for a Cherokee client. Which of the following responses from the supervisee best demonstrates a CONFLICT between evidence-based practice and cultural competence?

The supervisee states that the traditional healing practice is contraindicated for OCD because the client is concerned on a daily basis about redoing spiritual tasks until they are "right."

Which of the following best describes a psychologist's ethical requirements with regard to the use of computer-assisted psychological test scoring and interpretation services? Select one:

These services are acceptable but the psychologist is responsible for their appropriate application and use.

Tanya stated that her patient, Larry, was at a moderate risk of suicide and that outpatient therapy was an appropriate level of care. Larry, who denied intent to go through with it in the interview, killed himself the next day. Which of the following scenarios is BEST for Tanya's continued ability to practice?

Thorough documentation detailing her decision-making with evidence, including patient quotes

Part of your job as a licensed psychologist at a mental health clinic is to administer intelligence, personality, and other tests to child, adolescent, and adult clients. To reduce your workload, you train an employee of the clinic to administer many of the tests and to write interpretive reports. The employee is one semester away from a B.A. in psychology and has already been accepted into a Psy.D. program for the following year. Which of the following is true about this situation? Select one:

You are acting unethically because the employee is not qualified to interpret psychological tests.

The following client is the LEAST likely to feel better upon discovering they have used irrational thinking to come to their conclusion.

a female client

During trauma-processing with a Black female client who was raped four times in her life, the therapist correctly focuses on exposure, mindfulness, empathy, and de-escalation. What aspect did the therapist miss during the processing?

a focus on the client's resilience

A client you had been seeing in therapy for two months suddenly stopped coming to her sessions. You have been unable to contact her by phone and she owes you for the last three sessions. You are thinking about using a collection agency to collect her outstanding fees. In terms of the requirements of the APA's Ethics Code, the use of a collection agency is:

acceptable as long as you inform her of your intent and give her an opportunity to pay her outstanding fee before doing so.

A typical supervisory process is unlikely to reveal if a supervisee is _____

acting unethically or out of touch with a client's feelings

The BEST method of transportation of an actively suicidal client, even when the other options are more readily available, is _____

an ambulance

From a standpoint of DBT treatment, between-sessions phone-calls with suicidal patients...

are arranged as a free (pro-bono) service

From a standpoint of work-life balance, between-sessions phone-calls with suicidal patients...

are contraindicated for therapists with poor boundaries and interruption skills

According to the APA's Ethics Code, psychologists should discuss fees and other financial arrangements with clients:

as early as is feasible.

Clinicians can reduce, but not eliminate premature attrition after intake with diverse clients by:

asking the client about their expectations first and then explaining the intake and treatment processes

The 5 General Principles of the APA Ethical Principles of Psychologists and Code of Conduct are:

aspirational goals for professional behavior that involve Beneficence/Nonmaleficence, Fidelity and Responsibility, Integrity, Justice, and Respect for Rights

Dr. Burgher is the only psychologist in a small town. His daughter's girl scout leader wants to begin seeing Dr. Burgher to work through some family-related problems. As an ethical psychologist, Dr. Burgher should ___________.

assess the potential for exploitation and loss of objectivity and base his decision about seeing the woman on the outcome of that assessment

Research has supported Helms's (1995) prediction that White therapists whose attitudes and beliefs are consistent with the ________ status are most effective when working with clients from racial/ethnic minority groups.

autonomy

Strube & Barbour (1984) identified common reasons women stay in abusive relationships, including those involving battery, as:

belief they can change the batterer and fear of retaliation against children and themselves

In most situations, the "holder of the privilege" is the:

client.

Your new clients are a family that consist of a husband, wife, and two adolescent girls. They began therapy because one of the girls has started using drugs and the other has signs of an eating disorder. You realize during the first session that you and the parents belong to the same country club. You should:

consider the situation, consulting if necessary, to determine if you can maintain your objectivity with this family

Dr. Everett, a licensed psychologist, has recently started a practice in a small town. He learns from a mutual friend that Dr. Cohen (also a psychologist) has been revealing confidential information about some of her clients to members of the community. Dr. Everett should __________.

consult with a colleague about the situation.

According to post-2010s research, a persistent focus on suicidality in treatment is associated with:

decreased suicidality

Clients with borderline personality disorder can engage in suicidal behaviors in order to:

die or gain attention

Your new client is a 37-year-old woman whose symptoms meet the diagnostic criteria for Major Depressive Disorder. After your third session with her, she tells you that she was in treatment with another psychologist but terminated therapy six weeks ago after the psychologist made sexual advances toward her. She does not want you to discuss this matter with anyone. The best course of action in this situation would be to:

discuss the client's options with her and maintain her confidentiality unless she signs a release.

Dr. Blitz has been seeing a client for four months. The client mentioned that he is very dissatisfied with the progress of therapy in the last two sessions. Dr. Blitz should: Select one:

discuss the matter with the client and provide him with referrals if he desires.

Dr. Goodman has been dating Reginald for seven weeks when she realizes that he is the brother of a client she has been seeing in therapy for nearly three months. Dr. Goodman's best course of action would be to _____________.

discuss the matter with the client as soon as possible

Dr. Lisa Lopez has been treating Glenn G. for depression for three weeks. During their most recent session, Glenn disclosed that he has also been seeing another therapist for several months. As an ethical psychologist, Dr. Lopez should: Select one:

discuss this issue with Glenn and consult with the other therapist after getting Glenn's approval to do so.

You hear a rumor that one of your co-workers has a habit of flirting with the younger female employees. You start paying closer attention to his behavior and discover that the rumors are not unfounded. Your best course of action in this situation would be to ____________________________________.

discuss your observations and the rumors you have heard with the co-worker

Sandy S. is considering filing a claim of sexual harassment against her boss, Bertrand B., because he frequently comments on her physical appearance by telling her how "great she looks" and often tells her that, "if I weren't your boss, I'd be chasing after you." Sandy decides to tell Bertrand that she finds his comments offensive and, when she does so, he apologizes and says he'll stop if that's what she wants. This situation:

does not represent a legal claim for sexual harassment as long as Bertrand actually stops making offensive comments

Dr. Baum requires students in his introductory psychology class to participate in a university-sponsored research project as a requirement for the course. This is:

ethical as long as students are given a choice of completing an equitable alternative assignment.

Male friendships are often marked by

exchanging of jokes, topics of interest, and advice

Black women are 70% less likely to die by suicide than White women. This is MOST likely due to this culture's emphasis on:

feminine strength and resilience

Grounding techniques are

fundamental therapeutic skills

Sue and Sue (2003) describe "worldview" as consisting of two dimensions—locus of control and locus of responsibility. Within this framework, the culture of the White middle class in the United States is best described as reflecting an:

internal locus of control and internal locus of responsibility.

Hospitalization typically ______

is expensive for the client or their family

Past research suggests that a therapist who adopts the role of ___________ may have more success when working with some Asian identified clients.

knowledgeable expert

One of Rick's drives to die is that he is soon to be homeless. He only has 25 days left with a roof over his head and wants to look at options. His therapist, Blake, is unsure of what resources are available in the area for a situation like this. Blake should...

look up resources in-session

A Chinese-American client tells you that he doesn't identify with either Chinese or White culture. In terms of Berry et al.'s (1987) model of acculturation, this client is best described as:

marginalized

A colleague of yours has just attended a seminar on Culture and Ethics where several experts argued that it is inappropriate for psychologists to attempt to obtain a signed written informed consent from members of certain cultural groups prior to their participation in therapy. As an ethical psychologist, you tell your colleague that it __________.

may be acceptable to document an informed consent from therapy clients in an alternative way, especially when a signed consent would be inappropriate for the client

Your former client, Caleb Cash, has failed to pay the balance of an unpaid bill. Although you have given Caleb numerous opportunities to respond to your written requests for payment and have informed him of your intention to turn this matter over to a collection agency, he has not made any attempt to resolve this matter. One day, you receive a call from another therapist who is currently working with Caleb. She asks you to forward a copy of Caleb's records and faxes you a copy of a signed release from Caleb. She informs you this is an emergency. According to the APA's Ethics Code, you:

must comply since his records are needed for emergency treatment.

Research investigating the effectiveness of cognitive-behavioral therapy as a treatment for depression for older adults suggests that:

older adults benefit from cognitive-behavioral therapy, especially when it is conducted at a slower pace.

Even if a minority client and a majority clinician agree on the list of detailed presenting problems they developed, the pair's different worldviews may create a sharp difference between them regarding _________ of those problems

prioritization

An advantage of using treatment manuals in clinical practice is that they:

provide the clinician with concrete examples that illustrate the appropriate application of an intervention.

Dr. Rita Ryan is a psychotherapist in a small town. She receives a phone call from a man she was sexually involved with several years ago. The relationship lasted for only four months and ended amicably. The man is now married and is having problems unrelated to his relationship with Dr. Ryan. He has called to see if he can begin seeing her in therapy. Dr. Ryan should: Select one:

refer the man elsewhere.

Taylor, an intern, notices that a young adult male client she was just referred frequently jokes and makes small talk with her. He behaves as if he has a crush. Taylor's BEST option is to...

review boundaries with the client and keep most conversation focused on treatment goals

You have been seeing Alonzo Alvarez in therapy for over six months and believe he is no longer benefitting from his sessions with you. However, when you discuss the possibility of ending therapy, he says he's very happy with the progress he is making and wants to continue. As an ethical psychologist, you: Select one:

see if additional goals for treatment can be identified but, if not, set a date for termination and provide Alonzo with referrals if appropriate.

Dr. Cecelia Cooper, a licensed psychologist, is planning a longitudinal study to identify environmental contributors to drug abuse. Her study will involve interviewing drug and non-drug users and their families several times over a five-year period and will require that she maintain participants' names, addresses, and phone numbers in her files. Dr. Cooper is concerned about the confidentiality of her participants, especially if she is ever called to testify about any of them in court. Dr. Cooper:

should inform her participants of the possible limits of confidentiality as part of the informed consent process.

As defined in the APA's Ethics Code, a psychologist would be violating test security when he:

shows a parent the questions from a standardized test when discussing the child's test results.

White urban and White suburban clients are generally more "cooperative" during ________ than other populations.

standard intakes

A patient experiencing chronic pain tells you that her physician has prescribed an opioid analgesic. She also says she doesn't want to take the drug because her brother is an ex-drug addict and she has had problems with alcohol in the past. You should ________________________________.

suggest that you discuss the issue with her physician and obtain a waiver of confidentiality so that you can do so

To be consistent with ethical requirements, when a psychologist realizes that a dual (multiple) relationship is unavoidable, the psychologist should _________.

take reasonable steps to resolve the issue in a way that protects the best interests of the affected person

You have a client, Nellie, who is paraplegic. She is completely reliant on her daughter for all care. The only thing she can do independently is talk. She states she is a burden and spends most of her sessions discussing plans to die that she is physically unable to carry out. What is your BEST course of action in the next session?

task her with making someone else smile each day

You have a suicidal client, age 20, who is "very online." Your client rebuffs all advice and homework about healthy behaviors and coping strategies and plays video games all day. When he is not playing video games, he is cutting himself or asleep. His days have looked essentially the same for 6 years. What is the BEST homework below?

task him with helping another player in his game at least once a day

You have been seeing Sal Smythe in individual therapy for several months, and the work-related issues he originally sought therapy for are nearly resolved. During your current session with Sal, he mentions that his 14-year-old son has been getting into trouble in school lately and asks if you would be willing to see the boy in individual therapy. You should:

tell Sal that you cannot see his son in therapy and provide him with several referrals

A client is in therapy with you as part of the requirements for her probation. During the third therapy session, she tells you that she wants to quit therapy. You should _________________________.

tell her that she can quit but that she needs to consider the legal ramifications of doing so

Critical thinking: An UNUSUAL point of data extraction in a meta-analysis would be _______.

testimonies against psychotherapy from blogs and autobiographies

When your coworker is doing something unethical the first person you contact about the issue is _________ unless it involves immediate danger or sexual exploitation.

the coworker

You are doing an intake on a Mexican couple. The wife made the appointment. She states that both of them are at fault for having poor communication, which she has been studying on women's blogs, but overall blames her husband for emotional unavailability. The husband is objectively rude to you (i.e., by both your and his culture's standards). He states that he came because he was "threatened with divorce otherwise" and that "The man solves the problems in his own home, not some woman shrink fresh out of college." He scoffs throughout the interview. According to Prochaska and DiClemente (1984)...

the husband is in the precontemplative stage of change and the wife is in the preparation stage of change

Diverse clients, including rural and Appalachian clients, have high dropoff rates after intake. This is likely due to:

the intrusive nature of intakes, shame, and distrust

Psychologists are ethically required to provide _______ feedback to their students and supervisees.

timely, accurate, and transparent

When you get annoyed by a client's behavior, the BEST INITIAL course of action to take is:

to imagine yourself in their shoes

A 40-year-old therapist becomes attracted to a 38-year-old client and soon realizes that the feelings are mutual. They discuss the situation and agree to terminate therapy and begin dating immediately. This is: Select one:

unethical because the therapist can not begin dating a former client immediately after terminating therapy.

You have made an arrangement with another psychologist to exchange a nominal payment of $25.00 for referrals to each other. In terms of the requirements of the APA's Ethics Code, this is:

unethical if the payment of $25.00 is based on the referral only.

When a person admits they want to die, the BEST initial response is to:

use reflections

A client you have been seeing in therapy for seven weeks tells you that her ex-husband is threatening to kill you because he blames you for her unwillingness to get back together with him. From your conversations with the client, you know that the man has a history of violent behavior and that his threat against you must be taken seriously. As an ethical psychologist: Select one:

you may terminate therapy with the client and may contact the police to obtain protection with or without the client's consent to do so.

While treating a client, you decide that you want to consult with a colleague to discuss a specific aspect of the case that is giving you trouble. According to the Ethics Code:

you must obtain a release from the client only if you will be revealing the client's identity to the consultant.

You are preparing to send materials for your Oral Examination to the Board of Examiners of Psychologists. You have to provide materials about your competence. Competence refers to ________.

your ability to practice with a certain population or to use certain therapies