CA

Question 1

If a patient discloses sexual contact with their therapist, the provider should…?

Answer 1

Hand the patient the brochure “Therapy Never Includes Sexual Behaviors”

Question 2

When made aware of elder abuse on a person living at home, who do you report to and when?

Answer 2

Adult Protective Services or Local Law Enforcement immediately

Question 3

When made aware of elder abuse on a person living in a long-term care facility, who do you report to and when?

Answer 3

Local Ombudsman and Local Law Enforcement

immediately within 24hrs or within 2hrs if serious bodily injury occurred

Question 4

When made aware of elder abuse on a person living in a state facility, who do you report to and when?

Answer 4

Investigator at the State Department of State Hospitals or State Department of Developmental Services and local law enforcement, immediately

Question 5

What are the 5 types of elder abuse?

Answer 5

1) physical
2) neglect (including self-neglect)
3) abandonment
4) isolation
5) financial abuse

Question 6

For urgent abuse or neglect cases, you must file a report via [….] and […..] within what timeframe?

Answer 6

Report by phone and online within 36 hours

Question 7

Since 2021, CARES allows online reports for [urgent/non-urgent] reports and [does/doesn’t] require both verbal and written reports

Answer 7

non-urgent reports; doesn’t require both verbal and written reports

Question 8

Malnutrition is what type of neglect?

Answer 8

severe neglect

Question 9

Intentional endangered health by lack of food, shelter, or medical attention is what type of neglect

Answer 9

severe neglect

Question 10

Inadequate food, clothing, shelter, medical care, or supervision, without physical injury is what type of neglect?

Answer 10

general neglect

Question 11

Lewd contact with a child must be reported if the child is the age of [….] and the perp is what age?

Answer 11

1) under the age of 14 and the perp is any age
2) age 14 or 15 and the perp is 10 years older+ than the child

Question 12

If voluntary sex occurred between a child the age of [….] and a perp of age […..], it must be reported

Answer 12

a child is under the age of 16 and the perp is age 21+

Question 13

If voluntary sex occurred between a child the age of [….] and a perp of age […..], it does not have to be reported

Answer 13

a child is 16+ and the perp is age 16+

Question 14

If involuntary sex occurred between a child the age of [….] and a perp of age […..], it must be reported

Answer 14

a child is 16+ and the perp is age 16+

Question 15

Consensual sex between a 15-year-old and a 20-year-old, is unlawful and considered statutory rape. Is this reportable? Why?

Answer 15

Not reportable as child abuse because 1) there was consent and 2) the child was 15 and the perp is less than 10 years older than the child and less than age 21.

Question 16

You must report rape or incest if the child is age […..] and the perp is what age?

Answer 16

child is under 18 and the perp is any age

Question 17

Welfare and Institutions Code Section 5250 states that after a person has been detained for […..], they may be certified for up to […..] of intensive treatment related to the mental disorder

Answer 17

72 hours; 14 days

Question 18

Section […..] of certification may only be implemented if the person has been advised of the need for additional voluntary treatment but has not been willing to accept treatment on a voluntary basis

Answer 18

Section 5250

Question 19

A 5250 hold may only be implemented if the person has been advised of the need for […..] but won’t accept it

Answer 19

A need for additional voluntary treatment but won’t accept treatment on a voluntary basis

Question 20

An involuntary 72-hour hold can be either section […..] or section […..]

Answer 20

5150 or 5585

Question 21

A 14-day hold/certification is which section?

Answer 21

5250

Question 22

A person certified under 5250 is entitled to a certification review hearing within how many days of the date of certification?

Answer 22

4 days

Question 23

What does a certification review determine about a patient on a hold?

Answer 23

Whether there is probable cause that they are a danger to self, others, or have a grave disability

Question 24

A patient who continues to present an imminent threat of suicide may be confined for an additional 14 days under what section?

Answer 24

5260

Question 25

If a patient is still suicidal after a 5250, how long can they be held for?

Answer 25

an additional 14 days (5260)

Question 26

If a patient is still suicidal after a 5260, how long can they be held for?

Answer 26

They cannot be held any further

Question 27

At the end of a 14-day hold (5250), a patient who remains gravely disabled may be certified for an additional [.....] days

Answer 27

30 days

Question 28

According to section 5270.15..... At the end of which type of hold, can a gravely disabled patient be certified for an additional 30 days?

Answer 28

5250 (14-day hold)

Question 29

According to section 5270.15, after a 30-day hold for a gravely disabled patient, the patient cannot be involuntary held. What is the exception to this?

Answer 29

A petition for conservatorship has been filed during the hold

Question 30

Section [.....] states that at the expiration of the 14-day hold (5250), a patient who continues to present an imminent threat of danger to others may be confined for up to 180 additional days.

Answer 30

Section 5300

Question 31

Section 5300 states that at the expiration of a 14-day hold (5250), a patient who continues to present an imminent threat of danger to others may be confined for up to [.....] additional days.

Answer 31

180 days

Question 32

Section 5300 states that at the expiration of a 14-day hold (5250), a patient who continues to present an imminent threat of danger to [.....] may be confined for up to 180 additional days.

Answer 32

danger to others

Question 33

Section 5300 **[is/is not]** a newable hold if....?

Answer 33

5300 **is** a renewable hold if the patient is **still an imminent threat of danger to others.**

Question 34

What is the difference between 5150 and 5585?

Answer 34

5150 is a 72-hour involuntary hold of an adult 5585 is a 72-hour involuntary hold of an minor

Question 35

In 2004, Tarasoff changed to include who as someone who may warn?

Answer 35

Family members

Question 36

In 2013, Tarasoff changed from "duty to warn, protect, and predict" to "duty to...?"

Answer 36

"duty to protect" by warning intended victim and police

Question 37

You have how many days to release records to the BOP upon their request?

Answer 37

15 days

Question 38

The BOP request patient records, what is needed to fulfill this request?

Answer 38

Patient's written authorization/ROI to the BOP (not from the provider)

Question 39

A penalty of $....? is issued for each day BOP records request is past due and may result in which disciplinary action(s)?

Answer 39

$1,000; suspension or revocation

Question 40

A summary of treatment records must be completed within what timeframe?

Answer 40

10 days; or 30 days if the patient has an extensive history

Question 41

A therapist has how many days to comply with a records inspection request from their patient?

Answer 41

5 working days

Question 42

Who is permitted to be at a records inspection?

Answer 42

1) client 2) client legal representative 3) one other person of the patient's choosing

Question 43

Records request copies cannot exceed $....? per page

Answer 43

$00.25 per page

Question 44

Records request must be transmitted within how many days of the written request?

Answer 44

15 days of the written request

Question 45

Must keep patient records for how many years if they are adults?

Answer 45

7 years

Question 46

Must keep patient records for how many years if they are minors?

Answer 46

7 years after they turn 18 (25 years old)

Question 47

APA guidelines requires patient records to be kept for [.....] years from the last treatment date or [.....] years after a minor reaches age of majority (whichever is later)

Answer 47

7 years; 3 years

Question 48

A minor cannot have methadone or narcotic replacement drugs without...?

Answer 48

Parental Consent

Question 49

How old must a minor be to consent to medical treatment for substance use issues?

Answer 49

12 or older

Question 50

For a minor seeking care for substance use issues, what must be included in the treatment plan? Be specific in the details.

Answer 50

Parental involvement must be included. Therapist must document date of attempted contact of parent and if contact was successful. Therapist must document a reason why it would not be appropriate to contact a parent.

Question 51

How old must a minor be to consent to medical treatment for IPV issues?

Answer 51

(Intimate Partner Violence) 12 or older

Question 52

For a minor seeking care for IPV issues, do you have to make a report?

Answer 52

Yes BONUS: Do you have to tell the client about the report? Yes

Question 53

When a minor aged 12 discloses being a victim of IPV, are you required to tell the parents?

Answer 53

Yes; you must attempt to tell the parents and document the date of the attempt, if it was successful or not, or state why contacting the parent is not appropriate (such as they are believed to be the attacker)

Question 54

How old must a minor be to receive care related to prevention or treatment of pregnancy?

Answer 54

Any age

Question 55

How old must a minor be to consent to medical treatment for sexual assault issues?

Answer 55

Any age

Question 56

If a minor is sexually assaulted, do you have to tell the parents?

Answer 56

If under 12, yes (as long as the parent is not thought to be the attacker) If 12+, no

Question 57

If a minor is raped, do you have to tell the parents?

Answer 57

If under 12, yes (as long as the parent is not thought to be the attacker) ​ If 12+, you cannot tell the parents without the minor's consent

Question 58

How old must a minor be to consent to outpatient mental health treatment **without** parental consent?

Answer 58

12 years old; you must attempt to tell the parents and document the date of the attempt, if it was successful or not, or state why contacting the parent is not appropriate (such as they are believed to be the attacker)

Question 59

If a 12-year-old gives consent for outpatient mental health treatment without parental consent, is the parent liable for payment?

Answer 59

No

Question 60

If a 12-year-old gives consent for outpatient mental health treatment without parental consent, is the parent able to access their treatment records?

Answer 60

No; requires the minor's consent

Question 61

How old must a minor be to consent to a residential shelter **without** parental consent?

Answer 61

12-years-old; you must attempt to tell the parents and document the date of the attempt, if it was successful or not, or state why contacting the parent is not appropriate (such as they are believed to be the attacker)

Question 62

A self-sufficient minor is at least [.....] years old, living [.....] parents, and managing their [.....]

Answer 62

A self-sufficient minor is at least **15** years old, living **apart from their parents**, and managing their **own finances**

Question 63

What source of income does a minor need to have to qualify as self-sufficient?

Answer 63

Any income source, so long as they can manage their finances on their own

Question 64

A parent **[is/not]** liable for the therapeutic care of a self-sufficient minor and the therapist **[can/cannot]** contact the parents without the minor's consent

Answer 64

is not liable; can contact parents without minor's consent

Question 65

An emancipated minor is considered an adult in terms of which three elements of care?

Answer 65

1) confidentiality 2) privilege 3) consent to treatment

Question 66

A legally married minor is considered...?

Answer 66

Emancipated

Question 67

A minor enlisted in the military is considered...?

Answer 67

Emancipated

Question 68

An emancipated minor is at least [.....] years old, living [.....] parents, and managing their [.....]

Answer 68

An emancipated minor is at least **14** years old, living **separate from parents with consent**, and managing their their own finances

Question 69

What source of income does a minor need to have to qualify as emancipated?

Answer 69

Legal source of income

Question 70

Under which three circumstances do you **not** have to report a minor is receiving substance use treatment to a parent?

Answer 70

1) minor is self-sufficient 2) minor is emancipated 3) if telling the parent would discourage the minor from receiving treatment

Question 71

If a client invokes privilege the therapist must **[obey/disobey]** the subpoena requests

Answer 71

Obey the subpoena requests, but assert privilege on patient's behalf and the judge will decide next steps

Question 72

Privilege Code 1027

Answer 72

No privilege if the patient is under 16 and has been a victim of a crime and disclosure is in the best interest of the child.

Question 73

According to Privilege Code 1027, can a minor under 16 who is victim to a crime invoke privilege if disclosure is deemed in their best interest? Can their parents invoke privilege on their behalf?

Answer 73

No and no

Question 74

Which Privilege code states that a patient under 16 is a victim of a crime and disclosure is in the best interest of the child, no privilege can be invoked?

Answer 74

Privilege Code 1027

Question 75

Privilege Code 1026

Answer 75

No privilege when a therapist or patient makes a report that is open to the public

Question 76

Which Privilege Code states there is no privilege when a therapist or patient makes a report that is open to the public?

Answer 76

Privilege Code 1026

Question 77

Privilege Code 1020

Answer 77

No privilege in cases of breach of duty/malpractice suits or nonpayment. The therapist may use records as their defense.

Question 78

According to which privilege code may a therapist use patient records as their defense of malpractice?

Answer 78

Privilege Code 1020

Question 79

Privilege Code 1024

Answer 79

No privilege is allowed in cases where breaking confidentiality would prevent danger (including legal proceedings)

Question 80

Breaking confidentiality to prevent danger is permitted under which privilege code?

Answer 80

Privilege 1024

Question 81

A 14-day hold (5250) is linked to which Privilege Code?

Answer 81

Privilege Code 1024

Question 82

Privilege Code 1018

Answer 82

No privilege if therapist was sought/used to commit or escape from a crime

Question 83

Privilege Code 1019

Answer 83

No privilege regarding communication relevant to an issue between parties who all claim through a dead patient

Question 84

Which privilege code states there is no privilege when communication relevant to an issue between parties who all claim through a dead patient?

Answer 84

Privilege Code 1019

Question 85

Privilege Code 1021

Answer 85

No privilege regarding a dead patient's deed, will, or **intent** affecting interest in property

Question 86

Privilege Code 1022

Answer 86

No privilege regarding a dead patient's deed, will, or **validity** affecting interest in property

Question 87

What is the difference between Privilege Codes 1021 and 1022?

Answer 87

**1021**indicates the **intent** of a dead person's deed, will, or property **1022** indicates the **validity** of a dead person's deed, will, or property

Question 88

Privilege Code 1017

Answer 88

No privilege if psychologist is appointed by court or Board of Prison Terms

Question 89

Privilege Code 1023

Answer 89

No privilege if defendent in criminal suit is requesting sanity determination or competence

Question 90

Privilege Code 1025

Answer 90

If a psychological exam is used to help a defendant/their lawyer to strategize for a defense, that information is confidential

Question 91

The information from a psychological exam that is used to help a defendant/their lawyer to strategize for a defense is confidential. Which privilege code is this?

Answer 91

Privilege Code 1025

Question 92

If a defendant seeks a psychologist to determine their competence or sanity for a criminal case, this information is not privileged. Which privilege code is this?

Answer 92

Privilege Code 1023

Question 93

Which privilege code states that there is no privilege when a court or Board of Prison Terms appoints a psychologist to a client?

Answer 93

Privilege Code 1017

Question 94

In couples and family therapy, when one person waives privilege, this **[does/does not]** affect the other patients' right to claim privilege

Answer 94

does not

Question 95

When there is no holder of privilege, the psychologist **[is/is not]** required to claim privilege

Answer 95

Is not

Question 96

Privilege Code 1016

Answer 96

No privilege exists in court proceedings where a patient raises the issue of their mental or emotional condition (e.g., worker’s compensation suit). Thus, their patient records are to be disclosed.

Question 97

What is the exception to Privilege Code 1016?

Answer 97

A therapist must disclose a patient's records if ordered to by a judge, court of law, depostion, or administrative hearing **unless** the patient is only seeking compensation for physical damages

Question 98

According to which privilege code does privilege not apply and the therapist must release records of a patient due to the request of judge, court of law, deposition, or administrative hearing?

Answer 98

Privilege Code 1016

Question 99

Other than the patient, who else is the holder of their privilege (able to claim privilege)?

Answer 99

1) their guardian or conservator if the patient is not legally capable 2) personal representative if the patient is dead 3) current and former psychotherapists

Question 100

When can a psychologist disclose information to a patient's employer?

Answer 100

1) upon specific written request and at the expense of the employer 2) psychologist may only share mental health related limitations if relevant in a lawsuit, not a diagnosis 3) patient must sign ROI for all legal proceedings

Question 101

Welfare Code 5238

Answer 101

Can share confidential information without patient consent with other professionals who are employed in the same treatment facility or who are responsible for the same patient's care.

Question 102

Welfare Code 5328.4

Answer 102

Must disclose to governmental law enforcement agencies when a serious crime (e.g., murder, rape) has been committed by or perpetrated upon a hospitalized patient

Question 103

Which code allows for a therapist to disclose patient information with other professionals without the patient's consent?

Answer 103

Welfare Code 5328; only to professionals who are treating the patient and/or employed at the same facility

Question 104

Which code requires therapists to report to local government agencies if a hospitalized patient has commited or is victim of a serious crimes (e.g., murder, rape)?

Answer 104

Welfare Code 5328.4