TCP 3

A higher level of ethical practice that addresses doing what is in the best interests of clients.

Aspirational ethics

Evaluating the relevant factors in a client's life to identify themes for further exploration in the counseling process.

Assessment

In many mental health settings, clinicians are pressured to use interventions that a. tap into unconscious dynamics. b. are research-supported even if they are lengthy. c. are brief and standardized. d. focus on early

C

Informed consent in counseling can be provided in all of the following forms except: a. w​ritten. b. o​rally. c. t​hrough third party. d. s​ome combination of written and oral form.

C

The analysis and explanation of a client's problems. It may include an explanation of the causes of the client's difficulties, an account of how these problems developed over time, a classification of any disorders, a specification of preferred treatment procedure, and an estimate of the chances for a successful resolution.

Diagnosis

A counselor assumes two (or more) roles simultaneously or sequentially with a client. This may involve assuming more than one professional role or combining professional and nonprofessional roles.

Dual or multiple relationships

To make ethical decisions, consult with colleagues, keep yourself informed about laws affecting your practice, keep up to date in your specialty fi eld, stay abreast of developments in ethical practice, reflect on the impact your values have on your practice, and be willing to engage in honest self-examination.

Ethical decisions

Psychotherapists are required to base their practice on techniques that have empirical evidence to support their efficacy.

Evidence-based practice (EBP)

The view of ethical practice that deals with the minimum level of professional practice. Nonprofessional

Mandatory ethics

A legal concept that generally bars the disclosure of confidential communications in a legal proceeding.

Privileged communication

If you are successful in establishing boundaries in various aspects of your personal life, you have a good foundation for creating sound boundaries with clients.​

True

Informed consent is a positive approach that helps clients become active partners and true collaborators in their therapy.

True

It is a mistake to equate behaving legally with being ethical

True

Privileged communication is a legal concept that generally bars the dis closure of confidential communications in a legal proceeding.

True

The American Counseling Association uses the term "nonprofessional relationships" when referring to dual or multiple relationships.​

True

The central aim of evidence-based practice is to require psychotherapists to base their practice on techniques that have empirical evidence to support their efficacy.

True

The central aim of evidence-based practice is to require psychotherapists to base their practice on techniques that have empirical evidence to support their efficacy.​

True

David is a counselor trainee who is working in a mental health center under the supervision of Dr. Garcia.In order to behave in an ethical manner,David should a. inform his clients at the outset of counseling that he plans to consult with his supervisor Dr. Garcia in order to ensure that he is providing them with high quality care. b. not reveal to his clients that he isa trainee under supervision so as to prevent them from questioning his competence, which could undermine the therapeutic process. c. ask Dr. Garcia to sit in on every session he conducts to ensure that he is developing competence. d. refuse to work with actual clients until he is a highly competent therapist.

A

Kendra is a biracial client who presents as being reserved and passive and who makes minimal eye contact. Her therapist should a. consider that Kendra's behavior and mannerisms may reflect distinctive ethnic and cultural patterns. b. diagnose Kendra as being depressed. c. view Kendra's behavior as resistance to the therapeutic process. d. confront Kendra immediately to ensure that future sessions are more productive.

A

The ACA Code of Ethics stresses that counseling professionals must learn how to a. manage multiple roles and responsibilities in an ethical way. b. eliminate multiple roles altogether in order to keep boundaries from becoming blurred. c. sensitively confront colleagues who are juggling multiple roles. d. file ethics complaints when they witness a colleague engaging in various professional roles.

A

The ethics codes do not mandate that dual or multiple relationships:​ a. ​ should be avoided or that nonsexual multiple relationships are unethical. b. ​ are clearly grounds for revocation of one's professional license. c. ​ are helpful in case of counseling one's friends or relatives. d. ​ are impossible to avoid.

A

What is the primary rationale for conducting a comprehensive assessment of the client as the initial step in the therapeutic process? a. Specific counseling goals cannot be formulated and appropriate treatment strategies cannot be designed until a client's past and present functioning is understood. b. Conducting a comprehensive assessment of the client offers in experienced therapists a concrete framework from which to practice. Seasoned clinicians rarely use this approach since they can quickly assess the client's problem. c. Insurance companies require clinicians to submit a comprehensive assessment of the client in order to fully reimburse them for services.d. Those who conduct comprehensive assessments of their clients are protected from being sued for malpractice.

A

When the author uses the term multiple relationships, he is referring to a. dual relationships and nonprofessional relationships. b. the large caseloads of therapists. c. the pattern that some clients have of cheating on their significant others and juggling several relationships at once. d. serial monogamy

A

__________ involves the right of clients to be informed about their therapy and to make autonomous decisions pertaining to it.​ a. I​nformed consent b. C​onfidentiality c. P​rivileged communication d. B​reach of confidentiality

A

__________________ ethics involves a level of ethical functioning at the minimum level of professional practice.​ a. M​andatory b. M​inimal c. P​ositive d. A​spirational

A

According to the text, positive ethics is an approach taken by practitioners: ​ a. ​ who do what is mandated by professional standards. b. ​who want to do their best for clients rather than simply meet minimum standards to stay out of trouble. c. ​ who strive for the highest level of ethical practice. d. ​ who strictly adhere to lengthy ethics codes, even if this is not in the client's best interest.

B

According to the text, the challenge of fulfilling the spirit of informed consent is to: ​ a. ​ tell clients about the nature of confidentiality. b. ​strike a balance between giving clients too much information and giving them too little. c. ​ convince clients that counselors know what they are doing. d. ​ teach clients about state laws that pertain to counseling.

B

Confidentiality must be breached and information must be reported by practitioners when all of the following take place, except: ​ a. ​ clients pose a danger to others. b. ​ a child under the age of 16 requests counseling sessions. c. ​ an older adult is being abused. d. ​ the therapist determines that the client needs immediate, involuntary hospitalization.

B

Dr. Hernandez has been invited to the wedding of her client Cynthia. If she accepts the invitation, a. Dr. Hernandez will be committing a boundary violation. b. Dr. Hernandez will be engaging in a boundary crossing. c. Dr. Hernandez will be acting unethically. d. Dr. Hernandez will be breaking the law and could spend sometime in jail.

B

During her sessions, Justine questions whether she is trying to meet her clients' needs or her own needs. Justine is:​ a. ​ being overly analytical. b. ​ actively working toward expanding her self-awareness and learning to recognize her areas of prejudice and vulnerability. c. ​ self-absorbed and insecure. d. ​ behaving unethically since she is preoccupied during her clients' sessions.

B

Except for , which is unequivocally unethical, there is not much consensus regarding the appropriate way to deal with multiple relationships. a. socializing with clients b. sexual intimacy with current clients c. bartering with clients(e.g., goods for services) d. sexual attraction to clients e. all of these

B

The first step in making an ethical decision is to:​ a. ​ look at the relevant ethics codes. b. ​ identify the problem. c. ​ consider the applicable laws and regulations. d. ​ seek consultation.

B

Which of the following is NOT one of the three pillars of EBP? a. looking for the best available research b. relying on the best available legal advice c. relying on clinical expertise d. taking into consideration the client's characteristics, culture, and preferences.

B

Which of the following statements about diagnosis is NOT true? a. Diagnosis is the analysis and explanation of a client's problems. b. Diagnosis is always a part of the assessment process in counseling. c. Diagnosis consists of identifying a specific mental disorder based on a pattern of symptoms. d. None of these (they are all true).

B

A departure from a commonly accepted practice that could potentially benefit a client (e.g., attending a client's wedding).

Boundary crossing

A boundary crossing that takes the practitioner out of the professional role, which generally involves exploitation. It is a serious breach that harms the client and is therefore unethical.

Boundary violation

Assessment consists of: ​ a. ​ identifying a specific mental disorder. b. ​ forming an explanation of the causes of the client's difficulties. c. ​evaluating the relevant factors in a client's life to identify themes for further exploration in the counseling process. d. ​ gaining an account into how the client's problems developed over time.

C

Both the feminist perspective and the postmodern approaches charge that diagnoses:​ a. ​ are an appropriate part of counseling sessions. b. ​ are generally helpful to women clients. c. ​ ignore societal contexts. d. ​ are an essential part of the medical model they follow.

C

Ethics codes a. are intended to provide ready-made answers for the ethical dilemmas that practitioners will encounter. b. are becoming so specific that they have nearly eliminated the need for practitioners to use critical thinking skills and clinical judgment when faced with ethical issues. c. are best used as guidelines to formulate sound reasoning and serve practitioners in making the best judgments possible. d. are so general that they are of little, if any, use to clinicians.

C

In becoming an ethical practitioner, a crucial task is to: ​ a. ​ learn how to arrive at clear-cut answers for difficult situations. b. ​ identify a specific ethical code as the source of answers to ethical dilemmas. c. ​ exercise prudent judgment when it comes to interpreting and applying ethical principles to specific situations. d. ​ avoid making any mistakes in counseling practice.

C

Marcus, a therapist in a community agency, recently divorced his wife and seems to be harboring anger towards women in general. His colleagues, who have noticed a change in his attitude and behavior lately, have encouraged him to seek personal counseling to work through his issues. They are: a. ​overreacting to his anger and are overstepping the boundaries by suggesting he go to counseling. b. ​unwise to suggest counseling since he will not benefit from it because he is a therapist and already knows how to deal with his problems. c. ​acting ethically by recommending counseling for Marcus; as counselors, they recognize that personal issues that have not been worked through are likely to be projected onto clients. d. ​being unsupportive colleagues; since they are aware of his situation, they should offer to provide counseling to him and not refer him to a professional outside of the agency.

C

What does the acronym DSM stand for? a. Deviance and Sociopathy Manual b. Developmental and StatisticalMeasurement of Mental Disorders c. Diagnostic and StatisticalManual of Mental Disorders d. Diagnostic and StatisticalMeasurement Reference Guide

C

Which of the following accounts for more of the treatment outcome? a. the therapist's theoretical orientation b. the therapeutic method employed c. client factors d. the duration of treatment

C

Which of the following statements is not true about guidelines for ethical practice in counseling and psychotherapy? ​ a. ​ Most professional organizations provide broad guidelines. b. ​ Therapists ultimately have to discover their own guidelines for reasonable practice. c. ​ Practitioners are free to formulate any ethics they choose. d. ​ Ethical issues should be periodically reexamined throughout your professional life.

C

This is an ethical concept, and in most states therapists also have a legal duty not to disclose information about a client

Confidentiality

A therapist should consult with colleagues or specialists under all circumstances except: ​ a. ​ when multiple relationships are potentially problematic. b. ​ when facing an ethical problem. c. when losing objectivity. d. ​ when discussing past life choices.

D

Clients have a right to know about __________ before making highly personal disclosures. ​ a. ​ their therapist's qualifications and personal information b. ​ the general goals of the therapist during personal counseling c. ​ the approximate length and details of the therapist's personal relationships d. ​ limits of confidentiality

D

Generally speaking, the concept of privileged communication doesNOT apply to a. group counseling. b. couples counseling and family therapy. c. child and adolescent therapy. d. all of these

D

Paula recently discovered that two of her clients that she sees individually had a stormy relationship in the past. She is wondering whether she can remain objective in working with them. Paula shoulda. look at the relevant ethics codes for general guidance on the matter.b. brainstorm various possible courses of action.c. discuss options with other professionals to get their perspectives.d. all of these.

D

Privileged communication applies to: ​ a. g​roup counseling. b. c​ouples counseling. c. f​amily therapy. d. i​ndividual counseling.

D

__________ ethics focuses on doing what is in the best interest of clients.​ a. M​andatory b. M​inimal c. P​ositive d. A​spirational

D

__________ is a legal concept that protects clients from having their confidential communications revealed in court without their permission. a. I​nformed consent b. P​rivacy c. C​onfidentiality d. P​rivileged communication

D

Clinicians who work in community mental health agencies, private practice, and other human service settings are generally expected to assess client problems within the framework of the National Association of Social Workers' Diagnostic and Assessment Protocol Manual (3rd ed.).​

False

Confidentiality can be considered an absolute.​

False

In reasoning through any ethical dilemma, there is usually just one course of action to follow.

False

Informed consent is an ethical requirement that is an integral part of the therapeutic process; however, it is not a legal requirement

False

It is optional for therapists to inform their clients that they may discuss certain details of the relationship with a supervisor or a colleague.

False

It is unethical for us to meet our personal needs through our professional work

False

Looking at the relevant ethics codes for general guidance is the last step one should take when faced with an ethical problem

False

Mandatory ethics is a higher level of ethical practice that addresses doing what is in the best interests of clients

False

Multiple relationship issues can be resolved with ethics codes alone.​

False

Overemphasizing cultural differences is always appropriate in a counseling context.​

False

Professional codes of ethics educate counseling practitioners and the general public about the responsibilities of the profession and provide a basis for accountability.

False

The ethics codes mandate avoidance of all dual or multiple relationships.​

False

The only setting in which one might be forced to manage multiple roles is in community mental health centers.​

False

The right of clients to be in formed about their therapy and to make autonomous decisions pertaining to it.

Informed consent

Additional relationships with clients other than sexual ones.

Nonprofessional interactions

An approach taken by practitioners who want to do their best for clients rather than simply meet minimum standards to stay out of trouble.

Positive ethics

Using data generated during treatment to inform the process and outcome of treatment.

Practice-based evidence

A boundary crossing could potentially benefit a client.​

True

A diagnosis provides a working hypothesis that guides the practitioner in understanding the client.​

True

Becoming an ethical practitioner is not a final destination but a journey that will continue throughout your career.​

True

Contemporary therapy approaches are grounded on a core set of values, which are neither value-neutral nor applicable to all cultures.​

True

Human change is complex and difficult to measure beyond such a simplistic level that the change may be meaningless.​

True