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professional orientation and ethical practice Flashcards

1
Q

new code of ethics 5 values

A

Enhance human development
Embrace diversity & multicultural factors
Promote social justice
Safeguard integrity of counseling relationship
Practice counseling in ethical manner

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2
Q

6 foundational principles

A

Autonomy- client has the right to control their life
Nonmaleficence- not causing harm
Beneficience- practice for good of client & society
Justice- fairness & equality for clients
Fidelity- counselor keeps promises
Veracity- helper is truthful

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3
Q

NBCC

A

National Certified Counselor. A generic certification for counselors. Lasts for 5 years.

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4
Q

CACREP

A

Counsel for accreditation and related educational programs

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5
Q

APGA

A

American personnel and guidance association (became AACD and then ACA)

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6
Q

NCSC

A

national certification for school counselors

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7
Q

scope of practice

A

counselors should only practice using techniques for which they have been trained. Counselors should not attempt to treat clients for which they have no training.

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8
Q

ethics

A

the standards of conduct imposed by the ACA and NBCC. Not laws or universal principles. Do not spell out penalties for violations.

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9
Q

most ethical dilemmas are related to…

A

confidentiality

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10
Q

Tarasoff v Board of Regents of the University of California 1969

A

illuminated duty to warn a client in “clear and imminent danger”. A report must be made within 24 hours. A responsible helper will warn an intended victim.

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11
Q

suicidal warning signs

A

Repeatedly joking about killing one’s self
Giving away prized possessions
Depressed for extended period
Previous suidie attempt
Very detailed suicide plan for future

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12
Q

suicide stats

A

10th leading cause of death in US.
2nd or 3rd leading cause of death for ages 15-24.
Firearms account for more suicide than all the other methods put together.
More likely in rural areas.
More likely in times of recession.
When a famous person dies by suicide the national rate shows increase.

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13
Q

Privileged communication-

A

information said to counselor will not be divulged outside the counseling setting without the client’s permission. A legal term that implies therapeutic interaction will not be available for public inspection. Client is the holder of the privilege. Not applicable in cases of child abuse, neglect, exploitation; suicide or homicide threats; criminal intentions; clients in dire need of hospitalization; or in cases where counselor is the victim of malpractice lawsuit. Does not apply to minors or those who are mentally incompetent.

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14
Q

exceptions to confidentiality

A

Client requests release of information
A court orders a relaease of information
Supervision
Clerical assistants who process client information
Client raises issue of counselors competence in malpractice lawsuit
Insurance company requests

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15
Q

“Qualified” in regards to privileged communications

A

exceptions may exist. Privileged communication is based on licensure status rather than one’s graduate degree or certification credentials.

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16
Q

When a client’s condition indicates that there is a clear and imminent danger or serious and foreseeable harm to the client and others

A

the counselor must take reasonable personal action or inform responsible authorities.

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17
Q

Hedlund case -

A

suggests that therapist should warn others (i.e. third parties) who also may be in danger.

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18
Q

Legal court order for records

A
  • do not need to get a signed release from client if a) law requires it, b) the client is in clear and foreseeable harm
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19
Q

EPPP

A

examination for professional practice in psychology (counselors do not take this). EPPP is to psychologists what NCE is to counselors.

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20
Q

NBCC can do the following if you have violated professional ethics:

A

revoke your license, remove your name from the list of NCCs in the US, revoke your NCC status

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21
Q

impaired

A

deterioration in the ability to function as a counselor

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22
Q

certification

A

recognizes that you have reached a given level of competence and are authorized to use a given title

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23
Q

sliding fee scales

A

ethical and legal but it’s difficult to administer them in a fair manner.

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24
Q

FERPA -

A

family educational rights and privacy act (1974 aka Buckley Amendment). A parent can see minor’s education records and an adult can view their own educational records

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25
Q

CRC

A

certified rehabilitation counselor which need at least a maser’s in rehab counseling

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26
Q

CORE

A

council on rehabilitation and education

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27
Q

registry

A

list of providers

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28
Q

abandonment

A

when counselor stops providing services and does not refer the client to another helper

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29
Q

duel relationship now updated to

A

noncounseling roles and relationships

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30
Q

To continue to hold NCC…

A

will need specified amount of continuing education before recertification. 100 hours of professional development during a five-year period.

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31
Q

sexual attraction to client aka

A

countertransference

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32
Q

countertransference

A

indication of unresolved problems on the part of the helper

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33
Q

NBCC code and sexual harrassment

A

ven one inappropriate behavior on the part of the helper constitutes sexual harassment.

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34
Q

sexual harrassment implications

A

loss of licensure, unlikely to be defended by liability insurance; A counselor should never have a sexual relationship with a current client, it is considered illegal in most areas of the country.

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35
Q

PHI

A

protected health information

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36
Q

HIPAA

A

a client can request unencrypted PHI

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37
Q

AACD

A

american assoc. for counseling and development

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38
Q

NBCC

A

1982 formed, national board for certified counselors

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39
Q

CAC

A

computer assisted counseling. having a software program that counsels clients

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40
Q

CMC

A

computer managed counseling. when a computer helps you manage bookeeping, scheduling, billing, etc.

41
Q

negligence

A

failure to perform a duty

42
Q

multiple submission

A

violation of ethics that transpires when a journal article is submitted to more than one journal at a time

43
Q

discrimination

A

the practice of not treating all clients in an equal manner esp. Due to religious, racial, ethnic, sexual, or cultural prejudice on the part of the therapist

44
Q

stereotyping

A

when counselor views all ppl of given classification in a biased manner

45
Q

1977 study of erotic contact in counseling

A

mostly between male therapist & female client, 80% repeated, 5% of male therapists had intercourse with client, .6% of female therapists did so.

46
Q

misrepresentation

A

practicing outside of qualification or education

47
Q

experimental treatment strategies

A

can be used only if disclosed to client and client agrees

48
Q

bartering

A

lient exchanging goods or services for therapy. Generally only allowed if client requests it, a written contract is drafted, doesn’t result in harm, relationship not exploitative

49
Q

consultation

A

a voluntary relationship between a professional helper and a help-needing individual, group, or social unit in which the consultant helps define or help solve problems related to the clients, the client system, or work-related issues. Encourages growth and self-direction for consultee.

50
Q

Counseling that has caused the most ethical concerns

A

behavioral

51
Q

dsm 5 codes

A

four or five digits i.e. 300.3. two diagnoses can share a single code

52
Q

v code diagnosis

A

day to day problems v psychiatric or psychological difficulty

53
Q

superbill

A

verified the nature of counselor-client interaction listing the client’s name, date, ICD dx, CPT code, provider’s name & license

54
Q

referral fees

A

unethical

55
Q

Caplan

A

proposed 4 major types of consultation: client centered consultation, consultee-centered consultation, consultee-centered admin consultation, program-centered adminstrative consultation

56
Q

client-centered consultation

A

consultation that has the ultimate goal to help the client

57
Q

consultee-centered consultation

A

ultimate goal is to help consultee develop & improve skill

58
Q

consultee-centered administrative consultation

A

sharpen consultee’s administrative skills

59
Q

program centered administrative consultation

A

emphasis on creating/designing/evaluating program in question

60
Q

scheins 4 part doctor-patient consultation model

A

entry, diagnosis, implementation, evaluation

61
Q

the first counselors were

A

deans & advisors employed after the Civil war in college settings to watch over young women

62
Q

first psych lab

A

Wilhelm Wundt in Leipzig, Germany 1879. He wanted to measure consciousness. School of thought = structuralism

63
Q

workbook in vocations

A

Proctor, Ross, Benefield & Wrenn. 1931. Seat the stage for popularization of the word counseling

64
Q

PL 94-142

A

education for all handicapped children act. 1975. All children 5-21 assured free education, handicapped ppl are placed in least-restrictive environment, individualized education plan (IEP) developed for each child. Certain sections allowed 18+ to read their own records. 1990 ADA prohibited employers from discriminating against disabled.

65
Q

major trends impacting counseling mvmt 1980

A

professionalism, certification, licensing

66
Q

major trends in 1950s

A

developmental psych

67
Q

major trends in 1960s

A

group psychology

68
Q

“counselor in a changing world”

A

1960s Wrenn. urged counselors to emphasize developmental concerns rather than merely crises

69
Q

1958 national defense education act

A

provided financial aid for grad. Education in counseling, expanded school guidance services, improved guidance for gifted children

70
Q

Conversion therapy AKA

A

reparative therapy (& is unethical)

71
Q

Bartering

A

not always ethical, cultural considerations must be taken into account

72
Q

Pro bono definition (current)

A

includes adjusting fees to not cause client hardship

73
Q

value of gifts accepted by counselors

A

$20 or less

74
Q

third party file

A

clients must know if their information is stored in one

75
Q

modalities counselors can practice

A

evidence-based only

76
Q

confidentiality entitlement of prospective client

A

same as onboarded client

77
Q

in case of counselor incapacitation

A

counselor must have plan relating to client records and client contact

78
Q

MAC

A

master addictions counselor

79
Q

confidentiality of the deceased

A

counselors responsible for protecting this

80
Q

defamation types

A

written is libel, verbal is slander

81
Q

in 2022 applicants for NCC credential will need…

A

to be graduates of CACREP institutions

82
Q

disclosure statement

A

includes qualifications, office hours, billing policies, emergency procedures and therapy techniques utilized, and a statement that confidentiality is desirable but cannot be guaranteed (esp. In group setting).

83
Q

Informed consent

A

procedure of giving client disclosure statement, reviewing and signing.

84
Q

Minimal disclosure

A

reveal only what is necessary if you must break confidentiality

85
Q

Clients want records sent to psychiatrist he’s seeing

A

first have the client sign a dated release of information form that stipulates whether the information can be released once or for what period of time it can be released, then you can send the information.

86
Q

limits of a release

A

If you or your agency did not collect the information, don’t share with third party even with a release form

87
Q

Release of information aka

A

consent to disclose or transfer records

88
Q

Reciprocity or endorsement

A

when one state or organization accepts the licensure or credentials of another state or organization

89
Q

when attraction is present

A

but it’s not hindering counseling - seek supervision

When attraction hinders counseling process - explain to client and the refer client to another provider

90
Q

When a colleague is being unethical

A

attempt to rectify the condition via institutional channels and if this fails report it to regulatory organizations

91
Q

Narcan/naloxone

A

opioid blocker

92
Q

Superbill

A

verified the nature of counselor-client interaction listing the client’s name, date, ICD dx, CPT code, provider’s name & license

93
Q

Testimonials from clients

A

unethical to elicit

94
Q

First psychology laboratory

A

Wilhelm Wundt in Leipzig, Germany 1879. He wanted to measure consciousness. School of thought = structuralism.

95
Q

Workbook in Vocations

A

Proctor, Ross, Benefield & Wrenn. 1931. Seat the stage for popularization of the word counseling.

96
Q

Counseling and Psychotherapy

A

Carl Rogers 1942.

97
Q

PL 94-142 (the education for all handicapped children act) - 1975

A

All children 5-21 assured free education, handicapped ppl are placed in least-restrictive environment, individualized education plan (IEP) developed for each child. Certain sections allowed 18+ to read their own records. 1990 ADA prohibited employers from discriminating against disabled.

98
Q

Psy.D

A

doctor of psychology focus more on practitioner skills than research

99
Q

Intrapsychic processes

A

processes within one’s mind or psyche

nce (9 decks)

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