Psychotherapy Chapter 3 - Ethical Issues in Counseling Practice

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1

In becoming an ethical practitioner, a crucial task is to: ​

a. ​ learn how to arrive at clear-cut answers for difficult situations.
b. ​ identify a specific ethical code as the source of answers to ethical dilemmas.
c. ​ exercise prudent judgment when it comes to interpreting and applying ethical principles to specific situations.
d. ​ avoid making any mistakes in counseling practice.

c

2

According to the text, the challenge of fulfilling the spirit of informed consent is to: ​

a. ​ tell clients about the nature of confidentiality.
b. ​ strike a balance between giving clients too much information and giving them too little.
c. ​ convince clients that counselors know what they are doing.
d. ​ teach clients about state laws that pertain to counseling.

b

3

The ethics codes do not mandate that dual or multiple relationships:​

a. ​ should be avoided or that nonsexual multiple relationships are unethical.
b. ​ are clearly grounds for revocation of one's professional license.
c. ​ are helpful in case of counseling one's friends or relatives.
d. ​ are impossible to avoid.

a

4

Privileged communication applies to: ​

a. g​roup counseling.
b. c​ouples counseling.
c. f​amily therapy.
d. i​ndividual counseling.

d

5

Confidentiality must be breached and information must be reported by practitioners when all of the following take place, except:

a. ​ clients pose a danger to others.
b. ​ a child under the age of 16 requests counseling sessions.
c. ​ an older adult is being abused.
d. ​ the therapist determines that the client needs immediate, involuntary hospitalization.

b

6

Which of the following statements is not true about guidelines for ethical practice in counseling and psychotherapy? ​

a. ​ Most professional organizations provide broad guidelines.
b. ​ Therapists ultimately have to discover their own guidelines for reasonable practice.
c. ​ Practitioners are free to formulate any ethics they choose.
d. ​ Ethical issues should be periodically reexamined throughout your professional life.

c

7

A therapist should consult with colleagues or specialists under all circumstances except: ​

a. ​ when multiple relationships are potentially problematic.
b. ​ when facing an ethical problem.
c. when losing objectivity.
d. ​ when discussing past life choices.

d

8

Clients have a right to know about __________ before making highly personal disclosures. ​

a. ​ their therapist's qualifications and personal information
b. ​ the general goals of the therapist during personal counseling
c. ​ the approximate length and details of the therapist’s personal relationships
d. ​ limits of confidentiality

d

9

Both the feminist perspective and the postmodern approaches charge that diagnoses:​

a. ​ are an appropriate part of counseling sessions.
b. ​ are generally helpful to women clients.
c. ​ ignore societal contexts.
d. ​ are an essential part of the medical model they follow.

c

10

Marcus, a therapist in a community agency, recently divorced his wife and seems to be harboring anger towards women in general. His colleagues, who have noticed a change in his attitude and behavior lately, have encouraged him to seek personal counseling to work through his issues. They are:

a. ​overreacting to his anger and are overstepping the boundaries by suggesting he go to counseling.
b. ​unwise to suggest counseling since he will not benefit from it because he is a therapist and already knows how to deal with his problems.
c. ​acting ethically by recommending counseling for Marcus; as counselors, they recognize that personal issues that have not been worked through are likely to be projected onto clients.
d. ​being unsupportive colleagues; since they are aware of his situation, they should offer to provide counseling to him and not refer him to a professional outside of the agency.

c

11

According to the text, positive ethics is an approach taken by practitioners: ​

a. ​ who do what is mandated by professional standards.
b. ​ who want to do their best for clients rather than simply meet minimum standards to stay out of trouble.
c. ​ who strive for the highest level of ethical practice.
d. ​ who strictly adhere to lengthy ethics codes, even if this is not in the client's best interest.

b

12

During her sessions, Justine questions whether she is trying to meet her clients’ needs or her own needs. Justine is:​

a. ​ being overly analytical.
b. ​ actively working toward expanding her self-awareness and learning to recognize her areas of prejudice and vulnerability.
c. ​ self-absorbed and insecure.
d. ​ behaving unethically since she is preoccupied during her clients' sessions.

b

13

Assessment consists of: ​

a. ​ identifying a specific mental disorder.
b. ​ forming an explanation of the causes of the client's difficulties.
c. ​ evaluating the relevant factors in a client's life to identify themes for further exploration in the counseling process.
d. ​ gaining an account into how the client's problems developed over time.

c

14

Assessment consists of: ​

a. ​ identifying a specific mental disorder.
b. ​ forming an explanation of the causes of the client's difficulties.
c. ​ evaluating the relevant factors in a client's life to identify themes for further exploration in the counseling process.
d. ​ gaining an account into how the client's problems developed over time.

a

15

__________________ ethics involves a level of ethical functioning at the minimum level of professional practice.​

a. M​andatory
b. M​inimal
c. P​ositive
d. A​spirational

a

16

__________ ethics focuses on doing what is in the best interest of clients.​

a. M​andatory
b. M​inimal
c. P​ositive
d. A​spirational

d

17

The first step in making an ethical decision is to:​

a. ​ look at the relevant ethics codes.
b. ​ identify the problem.
c. ​ consider the applicable laws and regulations.
d. ​ seek consultation.

b

18

__________ involves the right of clients to be informed about their therapy and to make autonomous decisions pertaining to it.​

a. I​nformed consent
b. C​onfidentiality
c. P​rivileged communication
d. B​reach of confidentiality

a

19

Informed consent in counseling can be provided in all of the following forms except:

a. w​ritten.
b. o​rally.
c. t​hrough third party.
d. s​ome combination of written and oral form.

c

20

__________ is a legal concept that protects clients from having their confidential communications revealed in court without their permission.

a. I​nformed consent
b. P​rivacy
c. C​onfidentiality
d. P​rivileged communication

d

21

true or false

It is optional for therapists to inform their clients that they may discuss certain details of the relationship with a supervisor or a colleague.

false

22

true or false

Confidentiality can be considered an absolute.​

false

23

true or false

Contemporary therapy approaches are grounded on a core set of values, which are neither value-neutral nor applicable to all cultures.​

true

24

true or false

Overemphasizing cultural differences is always appropriate in a counseling context.​

false

25

true or false

A diagnosis provides a working hypothesis that guides the practitioner in understanding the client.​

true

26

true or false

Clinicians who work in community mental health agencies, private practice, and other human service settings are generally expected to assess client problems within the framework of the National Association of Social Workers’ Diagnostic and Assessment Protocol Manual (3rd ed.).​

false

27

true or false

The central aim of evidence-based practice is to require psychotherapists to base their practice on techniques that have empirical evidence to support their efficacy.​

true

28

true or false

Human change is complex and difficult to measure beyond such a simplistic level that the change may be meaningless.​

true

29

true or false

The only setting in which one might be forced to manage multiple roles is in community mental health centers.​

false

30

true or false

The ethics codes mandate avoidance of all dual or multiple relationships.​

false

31

true or false

Multiple relationship issues can be resolved with ethics codes alone.​ f

false

32

true or false

If you are successful in establishing boundaries in various aspects of your personal life, you have a good foundation for creating sound boundaries with clients.​

true

33

true or false

A boundary crossing could potentially benefit a client.​

true

34

true or false

Becoming an ethical practitioner is not a final destination but a journey that will continue throughout your career.​

true

35

true or false

The American Counseling Association uses the term “nonprofessional relationships” when referring to dual or multiple relationships.​

true