100 Question Tutorial PSY 511
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PSY511
Professional Ethics and the Law
T ext:
Authors: Publisher:
Counseling Ethics and Decision Making
3rd Edition, 2007
ISBN: 10: 0131710052; 13: 9780131710054
Robert R. Cottone, University of Missouri, St. Louis
Vilia M. Tarvydas, University of Iowa
Pearson/ Merrill
Study Guide
PSY511 - Professional Ethics and the Law
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Unit 1 Examination
Multiple Choice Questions (Enter your answers on the enclosed answer sheet)
1. When there is a discussion of “theory” as related to judgments of right and wrong the discus- sion is probably one of:
a. philosophical morality b. professional ethics
c. philosophical ethics d. common morality
e. both b and d
2. Which of the following is NOT listed in your text as part of the professional structure which governs ethics for counselors?
a. the courts
b. colleges and universities
c. professional organizations that maintain and enforce a mandatory code of ethics d. professional regulatory bodies that are enforcers of mandatory codes
e. none of the above
3. The BEST place to find up-to-date information of currently accepted ethical practice in the field is:
a. counseling journals b. the Internet
c. state license boards
d. graduate level textbooks e. all of the above
4. can be defined as: the extent and limits of activities considered acceptable by individuals licensed or certified in a profession or specialty.
a. Scope of practice b. Malpractice
c. Accreditation
d. none of the above
5. Which of the following is the accrediting body for professional counseling?
a. AMA
b. AAMFT c. NASW d. ACA
e. CACREP
Unit 1 Examination
6. The oldest established mental health profession is:
a. psychiatry b. social work
c. marriage and family therapy d. psychiatric nursing
e. psychotherapy
7. Which of the following degrees does NOT indicate legitimate doctoral level training to be a licensed Psychologist?
a. Ph.D. b. Ed.D. c. M.D. d. Psy.D
8. Which professional organization represents marriage and family therapists?
a. ACA
b. AAMFT
c. APA
d. ABPS
e. none of the above
9. Which professional(s) can NOT legitimately, by nature of standard training and practice, per- form psychometric assessment?
a. marriage and family therapist b. counselor
c. psychologist d. social worker
e. none of the above
10. The ABPP and ABPS credential applies to which field of mental health specialty?
a. Marriage and family therapy b. Social work
c. Psychiatry
d. Psychiatric nursing e. none of the above
Unit 1 Examination
11. Informed consent generally requires that the counselor should reveal to the client information about:
a. the counselor’s credentials or training. b. alternative treatments.
c. the potential benefits or detriments of treatment. d. all of the above
12. A counselor’s primary responsibility is to the:
a. third party referral source.
b. judge who subpoenas a case file.
c. family of a competent adult client seen in individual counseling. d. professional setting (employer) where the counselor works.
e. none of the above
13. Which of the following IS FALSE?
a. The primary responsibility of the counselor is to the referral source.
b. Nonprofessional counselor-client relationships should be avoided when possible.
c. Services must be fully described and explained to clients before they consent to treat- ment.
d. Sexual intimacy with clients is unethical.
14. Professional competence by definition involves:
a. the quality of provided services b. informed consent
c. confidentiality
d. boundaries of professional activity e. both a and d
15. Which of the following statements is TRUE?
a. Counselors can ethically practice any specialty in counseling, even without appropriate specialty training, if it is within the scope of practice of their license.
b. Cottone and Tarvydas believe the terms “dual” and “multiple” relationships should be abandoned.
c. Avoiding detrimental relationships with clients relates to the ethical principle of justice more than nonmaleficence.
d. People who refuse recommended counseling services must be coerced.
Unit 1 Examination
16. When a judge orders an ex offender to undergo therapy as part of the ex offender’s rehabilita- tion, this is called:
a. expert order of protection b. legal privilege
c. professional responsibility d. compulsory therapy
17. The Supreme Court decision in Jaffee v. Redmond provided what type of assistance to psycho-
therapists in federal court cases?
a. eliminated their responsibility to testify as expert witnesses
b. upheld their ability to maintain confidential information through assertion of legal privi- lege
c. eliminated their ability to assert privilege in communication with clients
d. instructed counselors that privilege only exists between attorneys and their clients, not between counselors and their clients
18. Which of the following is an example of special circumstances that counselors may be faced with in relation to confidentiality and privilege?
a. counseling persons with HIV/AIDS
b. family/couples counseling
c. clients in drug/alcohol treatment d. all of the above
19. An exception to confidentiality for psychologists and counselors serving in the military exists and focuses on which area most clearly?
a. responsibility to report generally negative attitudes of officers and enlisted personnel
b. report threats to military installations, weapons and integrity even when threats to specific persons have not been made
c. to report all counseling activities regardless of the content to their superiors on a regular basis
d. none of the above
20. According to Welch (2003), one of the most common types of malpractice liability in treat- ment services for mental health professionals is:
a. fraudulent billing
b. family treatment and forensic situations c. dual relationships
d. group counseling
Unit 1 Examination
21. According to Arthur and Swanson (1993), clinical records should be written to include which of the following?
a. clear objective statements with behavioral descriptions
b. professional terminology not easily interpreted by legal counsel c. jargon that does not clearly specify behavioral outcomes
d. little objective information; subjective thoughts of the counselor are of most importance
22. When assessing a client’s potential for harm, Beauchamp and Childress recommend the coun- selor assess primarily which elements?
a. probability of harm b. magnitude of harm
c. physical vs. psychological nature of harm d. both a and b are correct
23. Counselor values tend to determine the of counseling. a. content
b. process
c. level of professionalism d. lack of progress
24. Client values determine the of counseling. a. process
b. level of progress c. content
d. all of the above
25. Objectively applying a system of ethical rules and principles that a counselor may use to deter- mine a right or moral decision about an ethical dilemma would be considered .
a. ethics of caring b. virtue ethics
c. principle ethics
d. none of the above
Unit 1 Examination
Written Assignment for Unit One
Be sure to refer to the course syllabus for instructions on format, length, and other information on how to complete this assignment.
Please answer ONE of the following:
1. Examine the evolution of counseling and counseling psychology. Include the similarities, the dif- ferences, and the influence of the development in history over time upon current practice.
2. Analyze the roles of the different professionals within the mental health professions. What are their roles, levels of education, and primary functions in providing mental health treatment? Which professionals may seek specialty certification?
3. Analyze the Jaffee v. Redmond (1996) case and the implications this case has had for commu- nication between counselor and client.
4. Compare the similarities and differences amongst the concepts of Relational Values, Virtues, and Ethics of Care? Give examples that illustrate each concept.
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Unit 2 Examination
Multiple Choice Questions (Enter your answers on the enclosed answer sheet)
1. Why is practice in solving mock ethical dilemmas, as well as working to address actual dilem- mas under supervision of an educator or experienced clinician important?
a. Because ethical decision making skills are very easily learned.
b. Ethical situations happen infrequently and counselors shouldn’t worry so much about them.
c. Ethical decision making skills do not come automatically or easily and require practice, supervision and diligence in learning.
d. Because you will never be able to come up with the “correct” answer.
2. The ethical decision-making model introduced by Cottone is based upon what theoretical model?
a. general psychologically based models b. post-positivism
c. social constructivism d. none of the above
3. What does social constructivism mean to ethical decision making?
a. Decisions cannot be viewed as occurring internally (by an individual in isolation).
b. Decisions must be selected by the counselor weighing internal feelings and cognitions. c. Decisions are best when made by a single individual.
d. Counselors must deliberate over a decision for a lengthy period of time.
4. Ethical decision making models often provide a series of steps for making an ethical choice, however they may fail to describe which of the following:
a. the consequences that can occur when an ineffective course of action is taken
b. how the choice in a specific course of action occurs (an exploratory framework for the deci- sion process itself)
c. how values are weighed by the decision maker d. all of the above are correct
5. In the social constructivism model, the decision to breach an ethical standard or a challenge to a counselor’s professional ethics is a decision that is derived from past and present interac- tions. Which of the following forces come into play in this situation?
a. biological and social forces that affect interactions in one way or the other b. biological forces
c. social forces
d. psychological determinants
Unit 2 Examination
6. Using the social constructivism process in ethical decision making, when consensualizing fails, then parties may engage in reflective interaction to accomplish:
a. an agreement on the decision to be made
b. to determine whether arbitration should be undertaken c. be able to make the decision on their own
d. to hold firm to their original position
7. Cottone’s model of ethical decision making is based on:
a. purely social-relational theory b. purely relational model
c. ethical principles
d. psychologically-based ethical decision making
8. When colleagues engage in bullying, harassment, or emotional abuse of an individual within the workplace, this would be described as:
a. a normal difference of opinion that occasionally occurs within a workplace b. a case of mobbing within an organizational culture
c. relational issues that are normal when people work closely with one another d. individuals who are experiencing conflict due to holding similar values
9. Which of the following characteristics may place a work environment at risk for mobbing?
a. having more staff than is necessary (overstaffing)
b. increased stress in the workplace c. unethical activities
d. both b and c are correct
10. Several states have acknowledged that mental injury can result from excessive stress on the job and this phenomenon has been called:
a. mental health injury b. overstress syndrome
c. organizational mental injury d. occupational mental injury
Unit 2 Examination
11. Which of the following may happen to a counselor that assumes the role of a “whistleblower”?
a. mobbing
b. mixed support from superiors and administration
c. potential life changing experience and increased stress d. all of the above
12. At present there are several corporations that are establishing company policies that support an individual’s right to be employed in an environment that is free from mobbing.
a. True, this is happening at present.
b. False that is something for the future. c. False, it would never work.
d. none of the above are correct
13. The way people would characterize a system’s general practices and procedures, such as the sense of safety or fear or retribution that a counselor may feel when faced with big or small decisions within this context would be described as?
a. climate
b. ethical climate
c. organizational climate d. none of the above
14. To provide a service outside of the realm of medical psychotherapy and then bill it as medical psychotherapy is an example of:
a. sliding fee scales b. fraudulent billing c. double billing
d. all of the above
15. Pro bono publico refers to what?
a. Working as a counselor for the state, or county and serving the general public.
b. Being an expert witness at a criminal trial. c. A Spanish speaking Counselor or Therapist. d. none of the above
Unit 2 Examination
16. This term describes when a diagnosis is more severe than diagnostically justified to ensure adequate insurance payment for the anticipated treatments.
a. double billing b. overdiagnosis
c. fraudulent diagnostics
d. embellishment diagnostics e. none of the above
17. It is standard practice to destroy case records generally years after services have been terminated.
a. 10-12 b. 2-4
c. 5-7
d. none of the above- by law case records are never to be destroyed.
18. Areas of major ethical concern in working with people with HIV include:
a. confidentiality
b. informed consent c. stigma
d. both a and b are correct
19. The Rehabilitation Act of 1973 and the Americans with Disabilities Act do which of the follow- ing for individuals diagnosed with HIV/AIDS?
a. protect individuals who are diagnosed with HIV/AIDS from undue discrimination b. do not protect individuals with HIV/AIDS from undue discrimination
c. protect only individuals with HIV from undue discrimination d. protect only individuals with AIDS from undue discrimination
20. The Tarasoff outcome directs the counselor in which of the following actions when considering the safety of a third party?
a. counselors are not responsible for warning third parties they may be in danger
b. counselors have a responsibility for third parties that they know may be in danger c. cannot breach confidentiality no matter what the situation
d. may breach confidentiality only when suicide is involved
Unit 2 Examination
21. Regarding the ethical issues surrounding complimentary and alternative medicine, which of the following statements is true?
a. The current status quo does not include a “don’t ask/don’t tell” approach. b. CAM advocates may be denying the role of traditional medicine.
c. Managed care typically never reimburses for CAMs.
d. Individuals who choose CAMs as a treatment forfeit their right to autonomy.
22. What percentage of Americans feel that abortion should be legal in some form?
a.
25%
b.
45%
c.
70%
d.
90%
23. A type of test administration that especially does not transfer well to computerized assessment is:
a. vocational interest testing b. aptitude testing
c. neuropsychological testing d. personality testing
24. An ethical concern in the area of distance education at present is:
a. lack of an outcome research base comparing traditional and distance education methods b. it has been proven that distance education lacks program integrity
c. grades which are granted for courses d. none of the above are correct answers
25. The most frequent strategies that unethical practitioners use to get around the ethical stan- dards that exist in the area of web counseling are:
a. not holding membership in professional organizations that create standards that are enforceable
b. using unregulated titles or service descriptions to elude regulatory authorities c. not charging a fee for web counseling services
d. both a and b are correct answers
Unit 2 Examination
Written Assignment for Unit T wo
Be sure to refer to this course syllabus for instructions on format, length, and other information on how to complete this assignment. Please answer ONE of the following:
1. You are a member of a professional association such as ACA and have a position on the ethics committee. You have received a complaint from a member that she has been “forced” by her em- ployer to engage in fraudulent billing practices for the last five years. In fact, she reports that other counselors employed by this large for-profit organization have also succumbed to this pressure. The reason this counselor was motivated to contact the ethics committee was due to several complaints over the last month from clients who have threatened to report this behavior to the licensure board. These clients have indicated the inappropriate billing must cease or they will report their knowl- edge of the situation to legal authorities. What kind of information would you as a member of the ethics committee need to determine what sort of sanction should be imposed in this situation? Using the Tarvydas model, work through the decision-making process regarding this situation. What mitigating factors might have been highlighted or influenced by aspects of the decision-making model and how might this have changed the course of events experienced by this counselor and other counselors employed by this company? Explain.
2. If you were in a position to “blow the whistle” on a colleague or institution in which unethical activity or action was transpiring, how would you go about it? What would you do to keep yourself safe?
3. Compare and contrast the difference between business ethics and the ethics that are found in counseling. What are the similarities and what are the differences? How can a counselor working in a purely managed care environment that is grounded in business ethics be true to the need to uphold ethical codes of the professional organizations to which he or she belongs? Discuss.
4. You are employed by a counseling agency that is non-compliant with HIPAA. You did not dis- cover this until you began your work with this agency. What are the sanctions that can be imposed by the Department of Justice? How does HIPAA impact your counseling practice? What plan would you utilize to get the agency in compliance with HIPAA? Would you stay with this agency?
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Unit 3 Examination
Multiple Choice Questions (Enter your answers on the enclosed answer sheet)
1. Counselors should critically examine current ethical codes focusing on multiculturalism to address which of the following?
a. cultural bias and encapsulation
b. professional self regulation and lack of measurable multicultural accountability c. favoritism toward the dominant culture
d. all of the above
2. These terms are outdated and possibly harmful concepts, but were previously used in counselor training programs several decades ago.
a. cultural deficit b. race
c. culturally disadvantaged d. a and c only
e. all of the above
3. The tendency to treat others relative to one’s own cultural perspective with an apparent disregard for cultural differences is called:
a. cultural encapsulation b. cultural deficit
c. multiculturalism d. none of the above
4. As a third generation Japanese American counselor in a downtown mental health center that serves a primarily African American population you are frequently involved in helping relationships with individuals who have a socially constructed worldview that differs from your own. You would be providing this type of counseling:
a. conservative b. transcultural.
c. client centered d. primary
e. cross cultural
5. To educate culturally competent practitioners entering the field, educational programs should strongly consider utilizing the best approach of:
a. offering a course on racism and infusing culturally sensitive content throughout the curriculum
b. offering a course on multiculturalism
c. not concerning themselves with culture and multicultural competencies
d. making sure students have exceptional knowledge of the professional code of ethics e. none of the above
Unit 3 Examination
6. Imperative to the field of marriage and family therapy is the idea of:
a. psychoanylitic theory b. the ‘traditional’ family c. sex therapy
d. none of the above
7. Ethically marriage and family therapists are wise to initially consider their role as an advocate for the:
a. relationship b. child
c. individual
d. all of the above
8. The idea of was affirmed by the Declaration of Helsinki, after Nazi doctors at concentration camps were found to have done harmful experiments on ethnic groups.
a. moral responsibility b. confidentiality
c. informed consent d. Hippocratic Oath e. all of the above
9. The ethical codes of which two organizations apply SPECIFICALLY to marriage and family counseling?
a. IAMFC and ASCA
b. APA and ACA
c. APA and ASCA
d. IAMFC and AAMFC
e. IAMFC and AAMFT
10. Values are:
a. imposed by ethical codes on such issues as divorce, sexuality, and family resource management
b. unquestionable professional ethical standards c. the legal rights of clients
d. none of the above
Unit 3 Examination
11. Which is NOT one of the interventions which schools counselors use to provide direct services in their schools?
a. coordination b. consultation c. counseling
d. cooperation
e. none of the above
12. Arnold v. Board of Education of Escambia County (1989) was a court decision regarding what?
a. a counselor giving a student advice on abortion
b. a counselor having inappropriate sexual relations with a student
c. a counselor withholding information about a threat which was made from a client towards another person which resulted in that person’s death
d. a counselor failing to notify authorities of a student’s intent of suicide e. none of the above
13. In determining what action a counselor should take in ethical dilemmas presented by poten- tially detrimental relationships, which step to come to a conclusion is NOT listed in your text?
a. think carefully
b. consult the necessary codes and experts c. identify the ethical issues
d. temporarily suspend the relationship until a conclusion is made e. none of the above
14. The intent of the was to provide parents and eligible students (those older than 18 years of age) the right to inspect their school records and the protection of dis- semination of school records.
a. Drug Abuse Office and Treatment Act
b. Family Educational Rights and Privacy Act c. Education for all Handicapped Children Act d. Individual Education Disability Act
15. Approximately how many states grant students the legal right of privileged communication when communicating with a school counselor?
a.
10
b.
20
c.
30
d.
40
Unit 3 Examination
16. When considering a school counselor’s duty to warn and protect, which of the following state- ments is true?
a. Counselors may be sued if they breach confidentiality, if a student injures themselves or someone else or commits suicide.
b. Counselors cannot breach confidentiality ever.
c. Counselors may be sued by the school if they breach confidentiality with parents. d. Counselors will not be sued unless they breach confidentiality.
17. According to the American School Counselor Association, failure to provide the needed food, care, clothing, housing, medical attention and supervision of a child would be defined as:
a. child abuse
b. corporal punishment c. child neglect
d. child endangerment
18. Managed care is usually a contracted arrangement between a(n):
a. client and a counselor
b. social service agency and a client c. counselor and employer
d. none of the above
19. RUST stands for:
a. Rehabilitation Users Standards of Treatment b. Redefining Undiagnosed or Subtle Terms
c. Responsibilities of Using Standardized Treatments d. Relinquishing Use of Standardized Tests
e. none of the above
20. The evolution of career counseling has been influenced by which of the following?
a. social and cultural forces b. legislation
c. programs created as a result of legislation d. all of the above
Unit 3 Examination
21. Counseling that involves professional helpers who help clients “understand, accept, and resolve their problems” by using “basic counseling techniques so that their clients can lead more satisfying, well adjusted lives” would best define?
a. supportive psychotherapy b. personal counseling.
c. career counseling
d. vocational counseling
22. Which of the following is NOT one of the three required elements of informed consent?
a. capacity
b. comprehension c. confidentiality d. voluntariness
23. As a counselor if the ethical values at your place of employment are in conflict with your professional ethics, what should you do?
a. stay on the job because there are some things you cannot change b. talk with your co-workers about their thoughts
c. seriously consider resigning from your position
d. nothing, for there is nothing you can do about corporate culture
24. According to Pope (1999) when clients first present for career counseling it is important to assess how much involvement of both is needed by the client in their decision making process.
a. former employer and family
b. potential employer and former employer c. significant other and children
d. extended family and community
25. Counselors should be aware of potentially detrimental counselor-client relationships and can safeguard themselves by taking which of the following actions?
a. ongoing discussions to identify and work through conflicts or concerns that develop and documentation of all events
b. consultation with a colleague to guard against overlooking a problem c. supervision if a situation involves a high risk for harm
d. all of the above are safeguards that counselors should consider
Unit 3 Examination
Written Assignment for Unit Three
Be sure to refer to this course syllabus for instructions on format, length, and other information on how to complete this assignment. Please answer ONE of the following:
1. Examine the concept of cultural encapsulation and how it may affect ethical decision making. As a counselor, what steps might you take so you do not remain - or become - culturally encapsu- lated? Discuss.
2. A counselor has practiced in a non-diverse community for more than 20 years. He moved to a new community and accepted a position at an agency that serves diverse populations. How can the counselor develop multicultural competence? Explain and describe a process the counselor could utilize.
3. There are numerous ethical concerns that arise when engaged in couple and family counseling. Which ethical issue: confidentially and privileged communication, informed consent, roles and relationships with clients, counselor competence, and issues of diversity, are you most concerned about as a counselor? Why? What would you do to prepare yourself to deal with ethical issues that may arise in the area you’ve chosen?
4. Describe the counseling process in school counseling and identify each ethical issue that you can think of across the continuum of the counseling process beginning with informed consent and ending with termination of counseling services. For each ethical issue that is identified, state how
a counselor could address this issue in an ethical fashion. Make sure to address informed consent, intervention plan development, group work, evaluation, assessment and interpretation, use of com- puters in counseling, and confidentiality in your answer.
Unit 4 Examination
Multiple Choice Questions (Enter your answers on the enclosed answer sheet)
1. Groups or group process may:
a. differ depending on the national origin of group members
b. be enhanced by the acceptance of differences among group members c. be enhanced by a culturally sensitive counselor
d. all of the above
2. Related to privileged communication and group counseling, privileged communication:
a. can be guaranteed in all cases with a licensed professional b. historically has been respected in group counseling
c. prevents gossip about cases to uninvolved third parties in informal settings d. none of the above
3. Group counseling:
a. is practiced only in private practices
b. is a specialty of counseling meeting all standard criteria for defining a specialty c. always is led by at least two counselors
d. b and c only
e. none of the above
4. If a group of minors is being counseled, the parents of the minors:
a. must respect the counselor/client privilege of confidentiality
b. have the right to information about the nature and content of counseling c. have the right to attend a group session as a chaperone
d. both b and c
e. none of the above
5. The CRC code of ethics clearly asserts that the primary responsibility of counselors is to whom?
a. their employer b. their supervisor
c. individuals with disabilities receiving services d. third party payor
Unit 4 Examination
6. If the counselor holds the culturally dominant high level of value regarding traditional work, he or she may not react positively to individuals who wish to work in which area?
a. factory settings
b. in-home as caregivers
c. only part time to pursue avocational interests d. both b and c are correct
7. Rehabilitation counselors monitor their competence in two areas. Which of the following are the two areas in which counselors monitor their competence?
a. job development, placement and follow-up
b. integration of mental health counseling or diagnostic focus with their usual practices c. competence in the area of assessment
d. both b and c are correct
8. CRCC provides code of ethics enforcement for which of the following?
a. individuals who hold the CRC certification. b. individual members of ACA and ARCA.
c. individual members of NRA and NRCA.
d. individuals who hold a CCM certification.
9. Two major changes within the 2002 CRCC code of ethics had to do with what subject(s)?
a. major emphasis on multicultural considerations b. new continuing education requirements
c. addition of an entire section on electronic communication d. established dollar limits for billing of services
e. both a and c
10. The collaborative consortium of key rehabilitation counseling professional organizations formed in 2004 is the:
a. Alliance for Rehabilitation Counseling b. Rehabilitation Counseling Cooperative c. National Rehabilitation Association
d. American Rehabilitation Counselors United e. none of the above
Unit 4 Examination
11. The two major professional organizations for rehabilitation counselors are:
a. ARCA and NRCA
b. ACA and ARCA
c. APA and NRCA
d. ARCAA and NRC
e. none of the above
12. According to your text, nearly of the U.S. population needed treatment for an alcohol or illicit drug problem in 2003.
a. 8% b. 10% c. 12% d. 15%
e. none of the above
13. This organization is the largest organization serving addiction counselors, educators, and other health care professionals who deal with addiction.
a. NAADC
b. ACA
c. APA
d. NAADAC
e. none of the above
14. Confidentiality in treatment of chemical dependency is unique due to:
a. state statute confidentiality
b. national professional certification c. state professional certification
d. none of the above
15. The 12-step approach of Alcoholics Anonymous has been:
a. discredited by the majority of professionals because of the religious nature of the program b. shown to ONLY be effective when combined with professional interventions
c. proven to be effective not only with treating alcoholism, but with other addictions as well d. none of the above
Unit 4 Examination
16. What is the NBCC specialty designation for counseling professionals who work primarily with addiction?
a. MACC b. NBCCA c. NAADAC
d. none of the above
17. Which is NOT a setting listed in your text in which substance abuse treatment may be deliv- ered?
a. outpatient setting b. residential
c. hospital
d. all of the above are settings
18. How many of the criteria for substance dependence must be present for the diagnosis of alco- hol or drug dependence?
a. two
b. three c. four d. five
e. none of the above
19. The ACS identifies content areas that training in clinical supervision must include.
a.
5
b.
9
c.
13
d.
26
20. Related to potential ethical situations, supervisors often have which of the following concerns?
a. most code of professional ethics have limited information regarding supervision
b. the supervisor must constantly examine the ethical issues that impact both the client and the supervisee
c. regulations for clinical supervisors provided are ambiguous from a legal perspective d. both a and b are correct
Unit 4 Examination
21. A student counselor is providing services to a client and audiotapes each of the sessions for individual review with their supervisor and group review with their fellow students. The client was not informed that their counselor was a student in training or of the purpose of the audio- taping. The supervisor and supervisee have violated which of the following?
a. client informed consent b. client confidentiality
c. supervisee confidentiality d. both a and b are correct
22. A student is completing an internship at a work re-entry center. The student is female and worked with a male client whom she knew was attracted to her. During his rehabilitation he frequently brought her flowers, candy and cards of thanks. The student did not accept the gifts, rather placed them in a central location for all to benefit from. The student discussed this situation with her supervisor and followed agency policy and her supervisor’s directives
during the entire time she was providing services to the client. Upon discharge the client asked the student for her phone number for the purposes of a social/romantic relationship. The stu- dent gave the client her phone number and began dating the client two weeks after he was dis- charged. Another agency personnel saw the two in the community in a close embrace and reported this to the student’s supervisor. Upon hearing this information, the supervisor went
to the student’s office, packed her belongings and left them at the front desk with a note that her internship was terminated. The action of the supervisor violated the supervisee’s:
a. due process
b. confidentiality
c. informed consent
d. professional identity e. none of the above
23. Which of the following are effective suggestions for supervisors to consider to avoid malprac- tice lawsuits?
a. possess appropriate knowledge, skill and work habits b. foster healthy, respectful relationships
c. have keen knowledge of self d. all of the above
24. After a hearing, a license board makes a decision which could include consequences. Which of the following is NOT a consequence as listed in your text?
a. revocation of a license b. paying a fine
c. probation d. reprimand
e. none of the above
Unit 4 Examination
25. Which of the following sources of ethical information has been given the highest rating by certified counselors?
a. ACA ethical code
b. APA Ethics Committee
c. ACA Journal of Counseling and Development
d. all of the above e. a and c only
Unit 4 Examination
Written Assignment for Unit F our
Be sure to refer to this course syllabus for instructions on format, length, and other information on how to complete this assignment. Please answer ONE of the following:
1. Within a group setting you are working with two individuals who are employed by the same employer, but work in different departments of the company. Despite repeated directives that group content is confidential, you find that one employee has been leaving the group to go home and call several other employees of the company and share confidential information about the other group member with company employees. What ethical dilemma does this pose? How would you effective- ly handle this situation? Would you deal only with the individual involved or address it in group?
2. You are working in a state vocational rehabilitation agency with a counselor who is not a member of ACA or NRA. Further, this counselor has not completed the CRC examination. This counselor
is refusing to provide services to persons with mental illness. What ethical dilemmas are present within this situation? What would you do to resolve the dilemma?
3. Compare and contrast the NAADAC standards to the ACA code of ethics. Identify the multiple relationships that can exist in supervision. Identify situations in which relationships could be iden- tified as detrimental and what you could do to avoid becoming involved in a detrimental relation- ship. If you find yourself involved in a detrimental relationship, what should you do?
4. What competencies must a counselor have to provide supervision? Is being a good counselor enough to provide supervision? Can a counselor of average abilities become an exceptional super- visor? Why or why not? Discuss.
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