Ethics Chapter 6

Two processes that offer safeguards against malpractice liability in suicidal cases are: A) Assessment and Consultation B) Orientation and Supervision C) Diagnosis and Prescription Drugs D) Group Counseling and Hypnosis

A) Assessment and Consultation

According to the text, ________________, which is rooted in a client's right to privacy, is at the core of effective therapy. A) Confidentiality B) Latent material C) Uncovering trauma D) the verbal exchange method

A) Confidentiality

This was passed by congress to promote standardization and efficiency in the health care industry and to give patients more rights and control over their health information: A) Health Insurance Portability and Accountability Act (HIPAA) B) none of these C) Family Educational Rights and Privacy Act D) H1N1 Prevention Act

A) Health Insurance Probability and Accountability Act (HIPAA)

A California court's ruling requires that therapists breach confidentiality in cases where the general welfare and safety of others is involved. This court case created a "duty to exercise reasonable care to protect the foreseeable victim" from serious danger of violence. Which case created this duty? A) Tarasoff decision B) Hedlund v. Superior Court decision C) Jablonski v. United States decision D) Bradley Center v. Wessner decision

A) Tarasoff decision

Which of the following is the least likely example of reportable abuse in regards to protecting children, the elderly, and dependent adults from harm: A) a child reports that he is being disciplined in school with timeouts. B) a caregiver reports that she has neglected her elderly mother. C) a client reports that severe neglect is suspected by her mother toward her brother. D) an adult reveals that he has abused his child.

A) a child reports that he is being disciplined in school with timeouts.

Which is NOT a type of elderly abuse? A) a lack of empathy toward a loved one. B) psychological abuse C) financial exploitation D) abandonment

A) a lack of empathy toward loved one

If you breach confidentiality in an unprofessional manner (in the absence of a recognized exception), you open yourself up to which of the following legal and ethical sanctions: A) All of these B) loss of certification C) expulsion form professional organization D) license revocation E) malpractice suit

A) all of these

Even if clients argue that they can do what they want with their own lives, including ending them, therapists with suicidal clients have a legal: A) duty to protect B) privileged communication issue C) duty to warn D) privacy issue

A) duty to protect

In this case, the court found that a therapist could be held liable for injuries sustained by the intended victim's child if the violent act was carried out. This case determined that a therapist must consider the welfare of the intended victim as well as the welfare of persons in close relationship to the victim: A) the Hedlund Case B) the Tarasoff Case C) the Bradley Case D) the Jablonski Case

A) the Hedlund Case

In dealing with dangerous clients, some practical risk management guidelines are suggested in dealing with duty to warn and protect situations. They include which of the following: A) document all the actions you take, those you reject, and the rationale behind each of your decisions. B) all of these C) know and follow the policy of your institution. D) inquire about a client's access to weapons, homicidal ideation, and intentions.

B) all of these

Jolene tells her counselor that she is depressed about the break-up of her relationship and "just wishes she could go to sleep and never wake up." In this case, the counselor needs to: A) see if there is any chance for reconciliation. B) determine if she is at risk for serious harm to self and then take appropriate action to protect Jolene. C) recognize that her statement is only a "cry for help" and should not be taken seriously. D) immediately commit Jolene to a psychiatric facility with no further discussion.

B) determine if she is at risk for serious harm to self and then take appropriate action to protect Jolene.

__________ as a matter of law, refers to the constitutional right of an individual to be left alone and to control his/her personal information: A) privileged communication B) privacy C) informed consent D) self-disclosure

B) privacy

James is in court facing drug-related charges and his therapist was subpoenaed to testify in court regarding any discriminating evidence concerning the case. His therapist came to court but refused to answer questions regarding the case. The therapist used the following legal concept to protect himself from forced disclosure of confidential communications: A) privacy B) privileged communication C) confidentiality D) pleading the 5th amendment

B) privileged communication

According to a study cited in the text about legal issues encountered by school counselors, the most prevalent legal issue involves school counselors determining: A) grade point average B) whether students are suicidal C) parental custody D) whether students will be successful in college

B) whether students are suicidal

All of the following are legally mandated exceptions to confidentiality and privileged communication except when: A) clients pose a danger to others or to themselves. B) statutes involving child abuse mandate disclosure. C) an employer requests disclosure to determine the mental status of an employee without his/her consent. D) disclosure of confidential information is ordered by a court.

C) an employer requests disclosure to determine the mental status of an employee without his/her consent.

There are exceptions to confidentiality that make it permissible to share information with others in the interest of providing competent services to clients. All of the following are examples of these exceptions to confidentiality except: A) when the client requests a release of information B) when the counselor is working under supervision C) when the counselor is stressed and needs to process with his/her spouse regarding the details of a difficult client D) when other professional are involved in a treatment team and coordinate care of client.

C) when the counselor is stressed and needs to process with his/her spouse regarding the details of a difficult client.

Which of the following is not identified in the text as a tip for therapists regarding email: A) Consider including a confidentiality declaimer notice stating that the information in the email is confidential and should not be shared with others without authorization from the sender B) Do not email clients on a public computer for privacy and security reasons C) Remember that anything sent via email to clients ends up in their possession and may be shared with third parties at their discretion D) Counselors may interact via email with their clients as freely as they desire without fear that their conversations will be used in legal proceedings

D) Counselors may interact via email with their clients as freely as they desire without fear that their conversations will be used in legal proceedings

_________________ is a Supreme Court decision that ruled that communications between licensed psychotherapists and their clients in the course of diagnosis or treatment are privileged and therefore protected from forced disclosure in cases arising under federal law. A) Bradley Center v. Wessner B) Hedlund v. Superior Court C) Jablonski v. United States D) Jaffee v. Redmond

D) Jaffee v. Redmond

A counselor who is considering breaching confidentiality due to danger posed to others by an HIV-positive client should: A) Should speak directly and openly with their clients about their concerns regarding the danger of certain behaviors and the risk to third parties B) Follow the statutory guidelines and safeguard the client's privacy as much as possible C) Should keep current with regard to relevant medical information related to the transmission of HIV. D) all of these

D) all of these

The chapter presents a six-step ethical practice model for protecting confidentiality rights that places legal mandates in an ethical context. The six steps include all of the following except: A) tell the clients the truth "up front" B) preparation C) obtain truly informed consent before making a disclosure D) avoid the "avoidable" breaches of confidentiality E) avoid talking about confidentiality with clients

E) avoid talking about confidentiality with clients