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Flashcards in Professional Orientation and Ethics Deck (99)
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1

Which group has been most instrumental in opposing counselor licensure?
a. social workers
b. psychiatrists
c. psychologists
d. AAMFT members

c.

2

In the late 1970s, AACD (known as ACA since 1992) began to focus very heavily on professional credentialing. This led to the formation of the
a. CCMHC
b. NBCC
c. CACREP, formed in 1981
d. APGA, formed in 1952

b. National Board for Certified Counselors

3

By passing the NCE, a counselor can attain ______, given via NBCC.
a. NCC, a generic certification for counselors
b. NCC, a speciality mental health certification for counselors
c. NCC, national certification for school counselors
d. MAC, master addictions counselor

a.

4

Which choice would most likely violate the counseling ethic or law termed "scope of practice"?
a. a counselor who is using good accurate empathy with a client, but fails to confront her about her excessive drinking
b. a licensed counselor who gives the client a DSM diagnosis code for insurance
c. a counselor who is too active-directive with a client
d. a counselor who is conducting a strict Freudian psychoanalysis with the client

d. you must disclose your "scope of practice" to all potential clients

5

Ethical guidelines were first created for the helping professions in 1953 when the American Psychological Association (APA) published their first code of ethics. The National Association of Social Workers (NASW) created their code in 1960, and in 1961, the organization that is now ACA adopted ethics for counselors. Ethics always describe
a. laws
b. universal principles which apply to all helpers
c. standards of conduct imposed by ACA and NBCC
d. all of the above

c.

6

Most ethical dilemmas are related to
a. confidentiality
b. testing
c. diagnosis
d. research

a.

7

The landmark 1969 case, Tarasoff versus the Board of Regents of the University of Cal illuminated
a. difficulties involved in client/counselor sexual behavior
b. ethical issues in relation to research
c. the duty to warn a client in imminent danger
d. the impact of an impaired professional

c

8

State laws can govern title usage and practice, however, they do not govern
a. accreditation
b. counselor licensure
c. psychologist licensure
d. involuntary commitment to state psychiatric facilities

a.

9

An exception to confidentiality could occur when a client is suicidal. Suicidal warning signs include
a. repeatedly joking about killing one's self
b. giving away prized possessions after one has been depressed for an extended period of time
c. a previous suicide attempt and a very detailed suicide plan for the future
d. all of the above.

d.

10

A statement of disclosure could include all except
a. a list of the courses the counselor took in graduate school
b. the counselor's qualifications, office hours, and billing policies
c. emergency procedures and therapy techniques utilized
d. a statement that confidentiality is desirable, but cannot be guaranteed in a group setting

a.

11

Privileged communication refers to the fact that anything said to a counselor by a client
a. can be revealed in a court of law if the counselor decides it is beneficial
b. can be revealed only if a counselor testifies in court
c. is protected by laws in every state.
d. will not be divulged outside the counseling setting without the client's permission

d.

12

In regard to state law and privileged communication, counselors must be aware that
a. privileged communication exists in every state in the union for LPCs
b. laws are unclear and may vary from state to state
c. there are no laws which govern this issue
d. state psychology laws are applicable in this respect

b.

13

When counselors state that privileged communication is "qualified," they actually mean that
a. the counselor must have certification before privileged communication applies
b. privileged communication applies only to doctoral level counselors
c. exceptions may eist
d. all of the above

c.

14

You are a counselor in a state that does not legally support privileged communication. You refuse to testify in court. In this situation
a. ACA will back you for doing the ethical thing
b. NBCC will back you if you and only if you have attained NCC status
c. you need not testify if your case was supervised by a licensed psychologist and/or psychiatrist
d. you could be held in contempt of court

d.

15

An 11-year old child comes to your office with a black eye and tells you she can't remember how she received it. You have reason to suspect abuse. You should
a. be empathic and discuss her feelings regarding the matter
b. drop the matter as it could embarrass her
c. refer her to a medical doctor of your choice
d. call the child abuse/neglect hotline

d.

16

During a counseling session a 42 year old male client threatens suicide. You should
a. keep it a secret as the client is not a minor
b. call the state child abuse/neglect hotline even though he is an adult
c. call his wife and mention that a serious problem but be very careful not to discuss the issue of suicide since to do so would violate the client's confidentiality
d. contact his wife and advise her of possible suicide precautions

d.

17

A 39 year old female secretary you are seeing in your assertive training group reveals that she is plotting to shoot her husband. Based on the Tarasoff case you should
a. warn the husband
b. keep it confidential because an assertiveness training group is decidedly not the same as one-to-one counseling
c. make a police report in the city in which the husband resides
d. tell a supervisor, administrator, or board member is one exists, but do not contact her husband

a.

18

You pass your exam and now have NCC status. During a staff meeting a clinical director explains to you that, from an ethical standpoint, your primary duty is to the agency. Most experts in the field of counselor education would
a. agree with this position with very few reservations
b. disagree inasmuch as professional ethics emphasize that your primary responsibility is to your clients
c. disagree inasmuch as professional ethics emphasize that your primary responsibility is to the ACA
d. say that, according to "aspirational ethics" your agency comes first

b.

19

One impetus for counselor licensing was that
a. ACSW wanted to restrict counselors
b. politicians demanded that counselors be licensed
c. psychology licensure bodies sought to restrict the practice of counselors so counselors could not receive third party payments from insurance and managed care companies
d. insurance companies pushed strongly for it

c.

20

A counselor who possesses a graduate degree wishes to become a licensed psychologist. Which statement most accurately depicts the current situation?
a. Any counselor can easily become a psychologist if he or she can pass the EPPP
b. A counselor can become a licensed psychologist by taking three graduate credit hours in physiological psychology and then passing the EPPP
c. In nearly every case individuals trained in counseling departments would not be allowed to sit for the EPPP and thus could not becomes licensed psychologists
d. A counselor with a doctorate in counseling could be licensed as a counseling psychologist if he or she has a degree from a recognized department of counseling.

c.

21

A woman who is in private practice mentions in her phone book advertisement that she is a licensed counseling psychologist. This generally means that
a. she has a doctorate from a counselor education program
b. she has a graduate degree from a psychology department
c. she has a degree from a CACREP program
d. she has a degree in counseling but is trained in projective testing

b.

22

One major difference between the psychology versus the counseling movement seems to be that
a. the psychologists are working to eliminate practitioners with less than a doctorate, while the counselors are not
b. counselors are working to give up tests for licensure
c. psychology boards are made up primarily of psychiatrists
d. in most states psychologists do not need to take an exam

a.

23

APA is to psychologist as ACA is to
a. APGA
b. certified clinical mental health counselor
c. counselor
d. NCC

c.

24

You have achieved the status of NCC. NBCC, nevertheless, feels you have violated professional ethics. NBCC can do any of the following except
a. revoke your state counseling license
b. remove your name from the list of NCCs in the US
c. revoke your NCC status
d. note in their newsletter that your NCC status has been revoked

a.

25

A counselor who is alcoholic and suffering from burnout could best be described as
a. a mesomorph
b. an impaired professional
c. a paraprofessional
d. a counselor who is wise enough to use his own experiences to help others

b.

26

Counselor certification
a. is synonymous with licensure
b. is synonymous with program certification
c. recognizes that you have reached a level of competence and thus are authorized to use a title
d. is primarily a legal process

c.

27

A woman comes to you for help with an eating disorder. You have no experience or training in this area. Ethically you should
a. refer this client to a colleague who is indeed trained and experienced with this type of client
b. keep the client and work on her general lack of self esteem
c. tell the client you will do a comprehensive Internet search on the topic and then begin seeing her
d. explain to the client that a symptom such as eating or not eating is not the real problem and that counseling focuses on real underlying issues.

a.

28

Virginia was the first state to license counselor in 1976. The APGA (later AACD and now ACA) division that was initially the most instrumental in pushing for licensing was the
a. American College Personnel Association
b. American School Counselor Association
c. Association for Specialists in Group Work
d. American Counselor Education and Supervision

d.

29

The problem with income sensitive or sliding fee scales (based on the client's ability to pay) is that
a. scales of this kind are unethical
b. scales of this nature are illegal
c. it is difficult to administer them in a fair manner
d. scales like this are used frequently; however, they are unethical and illegal

c

30

One possible negative aspect of counselor licensure is that
a. counselors would receive more third-party payments
b. counselors might be accepted as providers by insurance companies
c. counselors may not be as creative during their graduate work and simply take courses aimed at fulfilling the requirements to take the licensure exam
d. it will take business away from psychologists

c