COU 525 Professional Orientation & Ethical Practice Notes
Multicultural considerations were not given extensive attention in the ACA until.
5th version adopted in 1995
Alice is an LPC, and Thomas is his client. Thomas accomplished sth thanks to Alice and he would like Alice to be part of a ceremony of conclusion. Alice assists. This is an example of:
A boundary crossing.
When a client accuses a counselor of wrongdoing through a complaint with the counselor's licensure board or through a malpractice lawsuit filed in court
A client automatically waives his or her privacy rights and the counselor can reveal private info related to providing counseling services to the client.
The primary difference between a boundary crossing and a boundary violation is
A violation involves a serious breach of the code of ethics and results in a client being harm
Many states have the laws requiring reports of suspected abuse of all the following EXCEPT
Abused spouses or domestic partners.
As a professional counselor, you are required by law in all states to report.
All of the above: A client's threat to commit a burglary. Suspected child abuse or neglect Unethical behavior of a colleague Knowledge that a client has HIV.
The Health Insurance Portability and Accountability Act (HIPAA) requires that
All of the above: Counselors give clients a clear written explanation of how they use, keep, and disclose their healthcare info Clients have access to their records A written process exists for clients to request amendments to their records A written history of most disclosures of client info is available to clients.
Subpoenas are used
All of the above: To obtain copies of records To cause potential witnesses to testify at a deposition, hearing, or trial To ask potential witnesses to respond in writing to written questions To require witnesses to appear at a disposition, hearing, or trial and to bring their records with them
When counselor trainees make audiotapes or videotapes of counseling sessions for supervision purposes.
All of the above: Trainees must retrieve the tapes after the supervisors have reviewed them, and then erase the tapes. Supervisors must handle the tapes appropriately during the time the tapes are in the supervisor's possession. Supervisors should return tapes to trainees after the tapes have been reviewed. The tapes should be labeled simply, in a manner that does not bring attention to the fact that the tapes are confidential records.
With respect to the client's right to choose the time and means of his death, the ACA Code of Ethics.
Allows counselors the option of counseling the client regarding this issue or referring the client to another helping professional.
When counseling a client from a racial, ethnic, or cultural group different from the counselor's, it is important for the counselor to remember that.
Although certain groups share similar traits or beliefs, each individual is unique and may not be alike most others from his or her group.
Disclosure of confidential info is acceptable under all of the following conditions EXCEPT
An attorney sends a counselor a subpoena.
Clients that are minors have:
An ethical right to privacy and confidentiality, but no legal right in most states
Informed consent documents that clients sign before counseling sessions begin.
Are a good way to inform clients of their rights and responsibilities and are required by some federal rules and state laws
Laws in Counseling
Are agreed-upon rules that are set forth by principles allowing people to live together in a society
Internet sites that contain career info that might be helpful to clients.
Are not monitored for content or quality.
When documenting for self-protection
As much detail as possible (ex dates time of events, exact words spoken) should be included
If a subpoena for the counseling records of a client is received, a counselor who works in a mental health agency should
Ask the client's supervisor to obtain a legal opinion as to whether the records should be copied for the attorney who has issued the subpoena
In determining whether a child is a danger to self or others, the counselor should do all of the following EXCEPT
Assure the client about complete confidentiality.
It would be ethically permissible for you to consider entering into a bartering arrangement with prospective clients if
Bartering is an acceptable practice among other professionals in your community
The best statement about the nature of professional ethics in counseling is that:
Because there are few absolute, right answers to ethical practice questions, consultation with counseling colleagues is very important when making ethical decisions
Counselors who function according to mandatory ethics.
Believe that they must comply with the basic "must" and "must not"statements in codes of ethics and nothing more
From the perspective of principle ethics, a counselor who is counseling a client planning a violent act against another person and who intervenes to notify family members is:
By sacrificing client autonomy in order to prevent harm and to do good.
It is vital for counselors to become aware of their own personal needs and values so that they.
Can avoid getting their own personal needs met through their counseling relationship
Boundaries serve to protect the welfare of clients because
Clients are vulnerable in counseling relationships.
The nature of the privacy concepts of confidentiality and privileged communication is
Confidentiality is primarily an ethical issue and privileged communication is primarily a legal issue
Regarding counselor's personal values, counselors
Could disclose their values to the client, if it is possible to do so in a way that conveys to the client that the client's values can be accepted or rejected without risking the relationship
When reporting suspected child abuse in good faith, counselors should review their particular state statute to determine all of the following EXCEPT
Counselor liability for defemination of character
With respect to a counselor's legal liability when a client commits suicide
Counselors are held to the legal standard that they must correctly assess suicide risk
HIPPA rules state that if clients are first informed and given an opportunity to orally object.
Counselors may give health care info to family members or others assisting in the client's care.
Once counselors have disclosed their legal questions to their immediate supervisors and have received a response either from the supervisor or from an attorney who is advising them as to the proper course of action
Counselors need to follow legal advice given to them, even if they do not agree with it
Involuntary clients are required to sign documents waiving their privacy before beginning counseling sessions.
Counselors should carefully explain to clients the limits of their privacy within the counseling relationship
All of the following statements are true EXCEPT:
Counselors should consult with colleagues when they are uncertain about an exception to privileged communication (because this is a legal aspect, consult with a lawyer)
Which of the following statements is most appropriate regarding clinical case notes?
Counselors should take the clinical case notes they need in order to function effectively as professionals.
Counselors with a strong professional identity are able to do all of the following EXCEPT
Demonstrate that they hold a master's degree from a CACREP-accredited program
Graduate degree programs in counseling attempt to ensure their graduates are competent counselors by doing all of the following EXCEPT
Eliminating from graduate programs any students who have their own emotional issues
Because most counselors come from a middle-class background, they
Find it difficult to hear class conditioning when listening to some clients' stories.
To be effective when counseling clients with physical disabilities, counselors should
Focus on client's abilities rather than limitations.
Generally, counselors create clinical case notes
For their own use, so they may be effective counselors.
To avoid being sued by a client for abandonment, counselors are advised to
Give the client adequate notice that the counselor is terminating the counseling relationship.
The term "culturally encapsulated counselor" refers to a counselor who
Has internalized some of society's biases.
Professionalism in counseling includes all of the following EXCEPT
Holding a doctorate in counseling or a related area.
Distressed counselors or counselors suffering from burnout are terms used to refer to
Impaired counselors
Because race, ethnicity, gender, and social class are salient cultural variables for all people.
Indiv. simultaneously experience both privilege and oppression.
When a counselor determines that a gay or lesbian client may have been illegally discriminated against, the counselor should.
Inform the client that perhaps she/he should seek legal advice
Malpractice is a type of civil lawsuit that can be filed against counseling professionals for practicing in a manner that leads to
Injury to a recipient of their services
Because clients may have emergencies between sessions, it is usually wise for counselors to.
Instruct a client to call a 24-hour mental health hotline number or report to a hospital emergency room.
External forces that can support counselors in their efforts to practice ethically include all of the following EXCEPT
Intentionality
The practice of providing counseling services over the internet
Is controversial.
Law and Ethics differ in that:
Laws dictate minimum standards of behavior that society will tolerate whose ethics represent the ideal standards expected by the profession
Which of the following statements regarding counselor competence is FALSE?
Licensure ensures that practitioners are competent to do what their licenses permit them to do.
In return for the privilege of practicing autonomously, counselors must
Limit themselves to practicing within the areas in which they are competent
In order to get a privileged communication statute passed that protects the privacy of clients who are in professional relationships with counselors, legislators must be convinced that.
Making an exception to the general rule that all evidence must be presented in court is vital to the well-being of society.
All of the situations below may lead to client dependency, EXCEPT
Managed care programs that limit the number of counseling sessions
A counselor's self-disclosure in a counseling session
May be acceptable if the counselor believes the disclosure will benefit the client
Parents who object to their childs participation in cousneling
May have the rights to demand the services to be discontinued.
When clients seek counseling related to issues such as abortion, assisted suicide, interracial marriage, premarital sex, or sexual identity, counselors.
Must examine their own values regarding these issues to ensure they can provide counseling services without allowing their own beliefs to interfere
Within the counseling profession, the primary national voluntary certification agency is
National Board for Certified Counselors
School counselors have a legal obligation to do all of the following EXCEPT
Obtain written parental permission before counseling students in most circumstances.
Breaches of client confidentiality by counselors
Occur rarely, and when they do occur usually, they are inadvertent.
All of the following are steps toward professionalization EXCEPT
Offering services that are identical to services offered by other similar professions
A core belief that members of the counseling profession hold concerning helping others with their mental health concerns is
Prevention and early intervention are the most appropriate means of dealing with emotional and personal problems
With respect to a client's privacy, counselors should
Promise the client's privacy, but explain there are exceptions and give a general overview of them.
At their most fundamental level, codes of ethics serve to
Protect and promote the welfare of the client.
Privilege communication status
Protect clients from having confidential communications with their counselors disclosed in a court of law without their permission.
Because counselors have a fiduciary relationship with their clients, counselors must
Protect the best interest of their clients and not benefit inappropriately from the counselor-client relationship
The Family Educational Rights and Privacy Act of 1974 (FERPA) which is sometimes referred to as the "Buckley Amendment"affects all
Public educational institutions
Registration is the form of state regulation of a profession that
Requires members of a professional to sign up with the government if they practice the profession in the state, but anyone may sign the registry without a review of their credentials.
When counseling clients who have been sexually exploited by a previous mental health professional counselor should
Respect the client's decision to take action or not to take action against the offending professional
When a counselor discovers that a client holds values that are dramatically different from the counselor's own values, the counselor should.
Respect the client's values even though the counselor disagrees with them.
When a counselor uses a computer for the storage of confidential info on clients, the counselor must
Set up a system that requires a password to access the files.
Friendship with former clients
Should be avoided because they could be considered unethical by some
Dual relationships in school setting
Should be avoided to the extent possible
When a husband subpoenas a counselor to reveal info in a court hearing that was provided by the wife in a joint couples counseling session, and the wife objects to the information being revealed, the counselor.
Should consult with an attorney because laws and court cases vary as to whether the counselor will have to reveal the info over the wife's objection.
To be a culturally sensitive counselor, when a client from a different culture offers a counselor a gift, the counselor
Should evaluate the meaning the client attaches to the offering of the gift
When a counselor determines that a client may be at risk for harming self or others, the counselor always must.
Take the steps necessary to prevent harm.
Counselors who work with female clients should have an understanding of the high-prevalence problems and issues experienced by women, including each of the following EXCEPT
Tendency to be a passive aggressive.
All of the following statements about advertising one's services in an ethical manner are true, EXCEPT
The ACA Code of Ethics imposes strict criteria and restrictions on advertising
When uncertain about the privileged status of info requested for disclosure through a subpoena, a counselor should consult with.
The attorney who represents the counselor or the agency he or she works for.
When it comes to determining who has the right to make decisions regarding a child's life, the law favors.
The biological parents
Legal principles view the contents of the counseling records about a client as belonging to.
The client
The most important resource for counselors to use in learning about different racial, cultural, or ethnic groups is
The client
It is ethically permissible for counselors to terminate a counseling relationship for all of the following reasons EXCEPT
The client experiences a crisis.
When a counselor communicates with a client using e-mail.
The client should be advised that e-mail messages can always be retrieved and that e-mail systems are not as secure as other means of communication.
If a counselor is asked to disclose privileged info about a client who cannot be located, then the obligation to assert the privilege rests with
The counselor
When the client is deceased and there is no statutory language with privilege and the death of the holder, the individual who usually is allowed to assert the privilege is
The executor of the client's estate
An argument AGAINST licensing specialties within the counseling profession (such as marriage and family counselors) is
The other professions, such as medicine and law, license professionals to practice their profession generally, and those who are licensed decide which areas they are competent to practice in.
Legislators agree to license a professional group, such as counselors, only when it can be shown that
The public cannot determine which practitioners are competent, and they might be harmed by incompetent members of that profession.
Regarding dual relationships between counselors and clients
There is no consensus among professionals as to which dual relationships are acceptable and which are not
Counselor competency can be assured if
There is no way to assure counselors competency.
Certification is a process
Through which official state agencies certify individuals as qualified to hold certain state jobs
If a Southeast Asian client refuses to seek police assistance when he has a been victim of a crime, the client's counselor should.
Understand that the client may have negative feelings toward police because of police oppression in her native country
Counselors who practice from a developmental perspective
View most problems people encounter as natural and normal because all developmental stages of life bring challenges
It is TRUE that:
When counselors share confidential client info with other professionals involved in the client's care, the counselors should first obtain the client's permission to share the info.
All of the following are situations in which it is necessary to consult with colleagues EXCEPT
When deciding whether to respond to a subpoena
While principle ethics asks "What should I do?", virtue ethics asks the question.
Who should I be?
Factors that can increase a counselor's vulnerability to impairment include all of the following EXCEPT
Working with a significant number of clients who have managed healthcare plans
Counseling aims to help clients
be empowered to problem-solve independently.
When attempting to make an ethical decision, it is recommended that counselors take all of the following steps EXCEPT
consult with an attorney.
Within the counseling profession, the primary goal of counseling is to
help client accomplish wellness.
