Ethics - COUN 501

Question 1

Confidentiality

Answer 1

Ethical duty
Keep clients identity disclosures secret
Legal duty to honor fiduciary relationship

Question 2

Limits to Confidentiality

Answer 2

• client request release
• court ordered/judge
• litigation against counselor
• state limitations
• duty to warn/protect
• abuse & neglect
• planning future crimes
• HIV+
• near end of life

Question 3

Limits to Privileged Communication

Answer 3

• relevant to issue in proceedings
• Abuse/neglect/litigation against counselor
• court/judge ordered

Question 4

APA Sexual Relationships

Answer 4

• do NOT engage with current clients
• do NOT engage with relatives/S.O. Of client
• do NOT accept clients who are former partners
• 2 year limit with former client

Question 5

Nonmaleficence

Answer 5

• to do no harm.

Avoid behavior that can harm clients

Question 6

Beneficence

Answer 6

• to do good.

Work to do good & promote wellness.

Question 7

Justice

Answer 7

• to act fairly

Recognize dignity of all & strive to avoid bias

Question 8

Autonomy

Answer 8

• respect clients right to choose for themselves.

Foster self-determination

Question 9

Emotional Competence

Answer 9

Ability to emotionally contain & tolerate material the comes up in treatment

Question 10

Ethics

Answer 10

Agreed upon values, norms, customs, that have withstood test of time.

Question 11

Ethical Codes

Answer 11

Codes/behaviors that represent values held within profession & organization that connect members

Question 12

What is Informed Consent

Answer 12

• disclosure of relevant info
• provide client/therapist with adequate understanding of shared work
• inform of confidentiality limits
• inform of changes in treatment

Question 13

Rationale for Ethical Codes

Answer 13

• protect public
• educate professionals of ethical conduct
• ensure accountability
• improve practice
• protect profession from outside regulators
• control internal disagreements
• protect practitioners

Question 14

Multicultural Competence

Answer 14

Possess skills to work effectively & and sensitively with clients from cultural & ethical backgrounds

Question 15

Required Reporting

Answer 15

ND - mandated reporter

• children and vulnerable adults
• report on person responsible for care

Question 16

Criminal Law

Answer 16

Hold individuals accountable for violating principles of coexistence
- brought forth by state

Question 17

Veracity

Answer 17

Truthfulness & obligation to deal honestly with client

Question 18

Fidelity

Answer 18

Faithfulness to promises made (keep work to client), responsibility of trust in counseling relationship

Question 19

Immunity for Liability

Answer 19

• acting in good faith
• no privileged communication when abuse/neglect is present
• legally required to report

Question 20

Four Elements of Negligence

Answer 20

• duty is owed
• duty owed is breached
• causal connection between breach & injury/harm
• injury/harm has occurred

Question 21

Examples of Multiple Relationships

Answer 21

• clients as friends
• therapy to employee
• employ client
• therapy to student/supervisee
• selling goods/products to client
• inviting client to events

Question 22

Multiple Relationship Boundary Dilemmas

Answer 22

• unexpected/unprepared for experience
• pull therapist on needs/desires
• unclear boundary definition
• can cause fear/anxiety

Question 23

Bartering

Answer 23

• paying counselor with something other than money
• common in rural areas
• useful when financial resources are limited

Question 24

Negligence

Answer 24

• civil wrong

- injury/damage to another through breach of duty owed to person

Question 25

Intellectual Competence

Answer 25

- receiving knowledge & info by empirical research, training, education, &a clinical scholarship due to practice with certain population

Question 26

Components of Informed Consent

Answer 26

- understand services provided - qualifications of therapist - training/supervision - reason for receiving counseling - possible limitations - privacy limits/limits to confidentiality - fee/billing - access to counselor - HIPPA

Question 27

Duty to Warn

Answer 27

To reach confidentiality when an individual is believe to have the means to cause significant harm to themselves or to others

Question 28

Duty to Protect

Answer 28

Breaching confidentiality to protect individuals who are incapable of doing so - abuse/neglect of child - abuse/neglect of vulnerable adult

Question 29

Malpractice

Answer 29

Area of tort law, holds professional accountable for harm they may cause to public

Question 30

Civil Law

Answer 30

Members of society enforcing rules of living with each other - determine if someone is liable

Question 31

Ethical Decision-Making

Answer 31

A) maintain personal/professional honesty B) work in best interests of client C) behave without malice/personal gain D) best judgment of what should be done based on current state of profession

Question 32

Model for Ethical Decision Making

Answer 32

1. Develop ethical sensitivity 2. Clarify facts, stakeholders, & sociocultural context 3. Define central issue 4. Refer to professional standard & law 5. Search out ethical scholarship 6. Apply ethical principles to situation 7. Consult 8. Deliberate & decide 9. Inform & document 10. Reflect on experience