CON 600 - Quiz 2: Ch. 4 & 5

Question 1

Making ethical decisions often involves ____ ?

Answer 1

Ambiguity

Question 2

Nonmalficence

Answer 2

Do no harm

Question 3

What are ways to avoid malficense?

Answer 3

• Multicultural competence
• Self-awareness (own needs and values)
• Avoid dependent relationships
• Do NOT abandon your client

Question 4

What are ways to practice beneficence?

Answer 4

• Use techniques appropriate for client
• Respect client’s rights
• Advocate for clients (when appropriate)
• Terminating services appropriately
• Promote social justice

Question 5

What are several examples of difficult ethical topics?

Answer 5

• Abortion
• Right to die
• Immigration
• Politics
• Any “ism”
• Beliefs and behaviors of cult members, gang members, etc.
• Child or elder abuse/neglect
• Genetic engineering
• Interatial relationships
• Premarital sex
• Extramarital affairs/cheating
• Divorce
• Sexual orientation and/or gender identity
• Polyamorous relationships

Question 6

True or False.

A behavior can be professionally ethical but not morally acceptable to an individual counselor.

Answer 6

True.

Question 7

You are a crisis counselor who has been working with a victim of domestic violence, who reveals a decision to return to the abuser. What do you do?

Answer 7

• Explore options
• Have a safety plan

Question 8

You are a high school counselor working with a bright young student. During a session, he tells you that he has decided not to accept a scholarship to attend Harvard but rather will be moving in with his girlfriend and attending community college. How would you respond?

Answer 8

• Ask how they are feeling about the decision
• What led them to make the decision?

Question 9

True or False.

Multicultural competency is required across all specialties.

Answer 9

True.

Question 10

VABB

Counselors should refrain from referring clients due to personally held ____, ____, ____, and ____.

Answer 10

• Values
• Attitudes
• Beliefs
• Behaviors

Question 11

What harmful message may be sent to a client due to an inappropriate referral?

Answer 11

“Your problem is too big even for me, the professional, to handle.”

They could also feel judged or “put in their place”

Question 12

When might it be unethical for a counselor NOT to refer?

Answer 12

If they due not have the professional comptetence to help the client.

Question 13

At what point to counselors need to get informed consent from their clients?

Answer 13

Before the first session occurs.

Question 14

Why do we gain informed consent from our clients?

Answer 14

• They deserve to know what the process is and what they might experience
• They need to be able to make informed, wise choices

Question 15

What is best practice around providing clients with information about the counseling relationship?

Answer 15

Written materials (could be digital)

Question 16

What additional information does HIPPA require regarding informed consent?

Answer 16

• Proposed treatment plan
• How the plan will be implemented/used
• Informed consent must be signed by client

Question 17

What is a disclosure statement?

Answer 17

• Discloses the counselors qualifications and theoretical orientation.
• Informs about the nature of the counseling relationship
• States client rights
• Confidentiality and its limitations

Question 18

TRUE or FALSE.

Disclosure statements aren’t required legally, but are part of the ACA code of ethics requirements.

Answer 18

FALSE

Question 19

____ is universally viewed as being essential to the counseling process.

Answer 19

Confidentiality

Question 20

Why is confidentiality so important to the therapeutic relationship?

Answer 20

Helps create a safe space for the client

This fosters trust which in turn helps the client disclose more freely

Question 21

What are the limitis of confidentiality?

Answer 21

• If client waives their privelege to confidentiality
• If the client files a malpractice suit against the counselor
• After the death of a client (if required)
• Sharing information with a supervisor or member of a treatment team
• Risk of harm to self or others
• Suspected abuse - child, disabled, or elder (elder not mandated by Wisconsin law)
• Court-ordered disclosure
• Group situations - can’t guarantee
• End of life decisions (if terminally ill)
• Contagious, life-threatening diseases

Question 22

Break confidentiality?

You are a crisis counselor working with a 35-year-old man whose wife has been physically abusing him. He says he is embarrassed and does not want to call the police.

Answer 22

No. Create safety plan. Explore “embarrassment” (shame).

Question 23

Break confidentiality?

You are a school counselor working with a 16-year-old female student who reveals that she has been sexually active but does not want her parents to know.

Question 24

Break confidentiality?

You are a mental health counselor working with a client who says that he feels like punching his boss in the face.

Answer 24

No. No plan.

Question 25

Break confidentiality? You are a mental health counselor working in outpatient therapy. Your severely depressed client reports having thoughts of ending her life, and those thoughts have included a plan of how to do it. She claims that she does not actually want to die but doesn’t feel like she’s in control.

Answer 25

Yes. She has a plan.

Question 26

Break confidentiality? You are a counselor working with terminally ill patients. One of them begins talking about ending his suffering.

Answer 26

Depends. What are laws in state (if person has a plan and not legal, must report). Refer to Code of Ethics.

Question 27

When circumstances require disclosure of confidential information, only ____ information is revealed. This is called ____ \_\_\_\_.

Answer 27

Essential Minimal Discolsure

Question 28

True or False: Clients should normally be informed before their confidential information is disclosed to another party.

Answer 28

True.

Question 29

If faced with a situation where the ethical course of action is not legal, what would you do?

Answer 29

Choose the legal option, unless there is a reason I can justify through the decision-making process that I choose the ethical option.

Question 30

What is priveleged communication?

Answer 30

Legal concept that ensures what is discussed betwee client and therapist cannot be legally revealed (unless certain criteria are met)

Question 31

What items could be included in client records?

Answer 31

* Notes * Assessments * Treatment Plans * Audio/Video * Billing Info

Question 32

When/why should counselors keep records?

Answer 32

* If required by law * If required by agency * For rending counseling services

Question 33

True or False: Counselors need not obtain permission from clients to record sessions if the client has signed the confidentiality agreement which explained recordings might be used in sessions.

Answer 33

False

Question 34

True or False: Counselors don't have to provide clients with their records if they feel they will be harmful to the client.

Answer 34

True.

Question 35

True or False: Client notes can be subpopenaed in litigation.

Answer 35

True.

Question 36

When writing notes, what should you assume?

Answer 36

That someone will read them.

Question 37

What elements are required by HIPPA regarding confidentiality?

Answer 37

* Counselors must given clients a clear **written explanation** of how counselors use, keep, and close their files. * Clients must have **access** to their records. * A **process** must exist and must be in **writing** for clients to request **amendments** to their records. * Counselors must have available a set of **written privacy procedures** that include who has access to files, how it will be used, and when the information would or would not be disclosed to others. * Clients must be **given a means to make inquiries** regarding their counseling records or make complaints regarding the privacy of their records.