Ethics and Boundary Issues

An ethical action that a clinician may take to ensure competence in practice is to a) work only with clients whose cultural backgrounds are the same as the clinician's as the way of managing power differences. b) not work with clients who have problems that the mirror the clinician's own problems. c) implement fringe treatments without appropriate training only in extreme and unusual circumstances. d) attend to issues of diversity in the therapeutic relationship by relying solely on the literature about diverse communities.

b

Group members must be guaranteed that other members will maintain confidentiality. a) True b) False

b

According to Saldana (2001) perhaps the most important component in developing cultural competence is a) knowledge of the client's culture. b) immersion in a practicum setting. c) professional skills. d) personal attributes of the counselor.

d

An ethical behavior with respect to public representations is a) direct solicitation of an individual client. b) describing unique abilities and comparative desirability. c) citing professional affiliations as endorsements. d) listing one's highest degree earned within a practice area.

d

Any use of social media by mental health professionals, either professionally or personally/privately, will likely produce ethical dilemmas related to boundary violations (e.g., increased self disclosure) and multiple relationships. a) True b) False

a

Cultural competence relies on the idea that a clinician is able to accept differences. This is then mandated in ethics codes as standards for providing nondiscriminatory practices. a) True b) False

a

Ethical standards are useful because they are specific and offer guidance relevant to all ethical dilemmas. a) True b) False

a

For various reasons a clinician may encounter clients with limited decision-making capacity. The ethical principles likely to come into conflict are a) justice and integrity. b) autonomy and nonmaleficence. c) integrity and beneficence. d) clinician competency and autonomy.

a

Involuntary treatment violates the ethical principal of a) autonomy. b) beneficence. c) fidelity. d) competence.

a

Professional codes of ethics often add a word like _____ to further emphasize the importance of professional ethics. a) enforceable b) mandatory c) aspirational d) decreed

a

Under HIPAA, patients do not have a right to obtain a copy of a) psychotherapy notes. b) billing statements. c) dates of treatment. d) they have a right to all of the above

a

Discussions about the risks of treatment are a part of assessment and intervention, not part of the informed consent process. a) True b) False

b

In California, the therapist must respond to threats learned of from a client's a) social media. b) family members. c) friends. d) teacher

b

Pope found that harm occurred in at least _____ of the instances in which therapists engaged in sex with a patient after termination. a) 70% b) 80% c) 90% d) 100%

b

The ethical principle that is most connected to public representations (advertising) about psychotherapy services is a) justice. b) integrity. c) beneficence. d) confidentiality.

b

The practice based model, code specific model, and ETHICS model of ethical decision-making all include which of the following steps? a) obtaining consultation from colleagues b) considering all possible courses of action c) informing the client at the end of the process about the dilemma d) anonymously calling a lawyer for advice

b

Which of the following statement about the relationship between ethical principles, professional standards, and codes of ethics is true? a) Each mental health profession needs its own ethics code because there is not significant overlap among ethical principles or professional standards. b) Ethical principles inform and guide the professional standards set forth in various mental health professions' codes of ethics. c) Technically and conceptually principles, standards, and ethics codes are all the same. d) Ethical principles and professional standards are the same as morals and values.

b

Which of the following is NOT an ethical principle? a) beneficence b) competency c) confidentiality d) fidelity

c

Clinicians face an ethical dilemma when they a) do not agree with a client's choice. b) are involved in clinically complex situations. c) implement informed consent and confidentiality practices. d) must take an action that violates an ethical principle or standard.

d

Ensuring that all clients have access to services, resources, and opportunities despite challenges is an example of which ethical principle? a) autonomy b) competency c) non-maleficence d) justice

d

In the 1976 rehearing of the Tarasoff case, the California Supreme Court called for a __________________ for the intended victim. a) Right to accuse b) Right to retribution c) Duty to Notify d) Duty to Protect

d

Informed consent generally includes a) approximate length of the process. b) alternatives to therapy. c) treatment procedures. d) all of the above

d

Which of the following does Fry (2008) list as an "extreme" consequence of boundary violations? a) Co-worker frustrations b) Burnout c) Compassion fatigue d) Loss of professional identity

d

Which of the following is NOT mentioned as a sign of elder abuse for which mandated reporters should be aware? a) Caregiver not wanting elder to be seen on his/her own b) Observable behaviors such as anger and substance abuse c) Dependence of caregiver on elder for financial support d) Caregiver is a minor

d

Which of the following do Pope and Vasquez (2016) refer to as "a process of communication and clarification"? a) therapy b) cultural competence c) informed consent d) advertising

c

Using a cultural humility framework requires clinicians to engage in self-reflection, self-critique, learning, and a commitment to advocacy and institutional change. All of this must be conducted in a manner that a) is on-going, continuous, and lifelong. b) complies with requirements to attend 2 different workshops about diversity. c) reflects an anecdotal knowledge-base of all the cultures they may encounter. d) reinforces to clients the clinician's position of cultural expert.

a

When recognizing an ethical dilemma exists the practitioner must a) identify what ethical principles and standards are in conflict. b) protect the client from knowledge of this conflict. c) terminate treatment immediately. d) report the dilemma to their licensing board

a

"How comfortable am I with uncertainty?" is a question clinicians can ask themselves when they are assessing their own a) competency. b) safety. c) risk tolerance. d) autonomy.

c

A factor in competence NOT mentioned by Pope and Vasquez (2016) is a) knowledge. b) technical skills. c) experience. d) emotional competence.

c

Pope and Vasquez (2016) found that _________ of therapists reported that they have experienced sexual attraction to clients. a) 62% b) 72% c) 82% d) 92%

c