Assignment: Behind Document 1 Assignment: Behind Document 1
Assignment: Behind Document 1
Assignment: Behind Document 1
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Assignment: Counseling Ethics and Decision Making
3rd Edition, 2007
ISBN: 10: 0131710052; 13: 9780131710054
Authors:
Publisher:
Robert R. Cottone, University of Missouri, St. Louis Vilia M. Tarvydas, University of Iowa
Pearson/ Merri II
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PSY511 – Professional Ethics and the Law
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 band d
Assignment: Behind Document 1
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. +hs I ntp-rn”,t
C. state I icense 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
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PSY511 – Professional Ethics and the Law
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 I icensed Psychologist?
a. Ph.D.
b. Ed.D.
c. M.D.
d. Psy.D
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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
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PSY511 – Professional Ethics and the Law
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. r-roresstonai competence by definition involves:
a. the quality of provided services
b. informed consent
c. confidentiality
Assignment: Behind Document 1
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 counsel ing, 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 non maleficence.
d. People who refuse recommended counseling services must be coerced.
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PSY511 – Professional Ethics and the Law
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
Assignment: Behind Document 1
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 HIVIAIDS
b. family/couples counseling
c. clients in drug/alcohol treatment
d. all of the above
19. An exception to confidential ity for psychologists and counselors serving in the mi litary 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
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PSY511 – Professional Ethics and the Law
21. According to Arthur and Swanson (1993), clinical records should be written to include which of the followi ng?
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
Assignment: Behind Document 1
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 primari Iy which elements?
a. probabi I ity 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
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PSY511 – Professional Ethics and the Law
6. According to 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 band 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
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PSY511 – Professional Ethics and the Law
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
Assignment: Behind Document 1
d. all of the above
15. Pro bono publico refers to what?
a. Worki ng as a cou nselor for the state, or cou nty and servi ng the
general public.
b. Being an expert witness at a criminal trial.
c. A Spanish speaking Counselor or Therapist.
d. none of the above
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PSY511 – Professional Ethics and the Law
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. rne Renabilitation Act Of 1973 and the Americans With Disabilities Act do which of the following for individuals diagnosed with HIVIAIDS?
a. protect individuals who are diagnosed with HIV/AIDS from undue discrimination
b. do not protect individuals with HIVIAIDS from undue discrimination
c. protect only individuals with H IV 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
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c. cannot breach confidentiality no matter what the situation
d. may breach confidentiality only when suicide is involved
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PSY511 – Professional Ethics and the Law
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 testi ng
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 standards 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
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PSY511 – Professional Ethics and the Law
Multiple Choice Questions (Enter your answers on the enclosed answer sheet)
Assignment: Behind Document 1
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 conly
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 cu Itural
5. To educate culturally competent practitioners entering the field, educational programs should strongly consider uti I izi ng the best approach of:
a.
b.
c.
d.
e.
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offering a course on racism and infusing culturally sensitive content throughout the curriculum
offering a course on multiculturalism
not concerning themselves with culture and multicultural competencies
making sure students have exceptional knowledge of the professional code of ethics none of the above
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PSY511 – Professional Ethics and the Law
6. Imperative to the field of marriage and family therapy is the idea of:
a. psychoanalytic 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. relationsh i p
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
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PSY511 – Professional Ethics and the Law
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 band c are correct
7. Which of the following are areas in which rehabilitation 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 band 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. Major change within the 200112002 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
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PSY511 – Professional Ethics and the Law
11. The two major professional organizations for rehabi I itation 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 confidential ity
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
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PSY511 – Professional Ethics and the Law
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 delivered?
a. outpatient setting
b. residential
c. hospital
d. all of the above are settings listed
18. How many of the criteria for substance dependence must be present for the diagnosis of alcohol 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
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PSY511 – Professional Ethics and the Law
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
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PSY511 – Professional Ethics and the Law
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 conly
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