Post hsv400 quiz 5


Quiz 5

Question 1

One might argue that taking a(n) _____________________perspective not only raises practitioners’ anxiety but encourages them to focus on avoiding risks to themselves rather than focusing on their ethical obligations and the potential risks to clients .

risk management


pro bono


Question 2

James is in court facing drug-related charges and his therapist was subpoenaed to testify in court regarding any discriminating evidence concerning the case .  His therapist came to court but refused to answer questions regarding the case or produce James’s records .  The therapist used the following legal concept to protect himself from forced disclosure:

confidentiality .

privileged communication .

client privacy .

taking the 5th amendment .

Question 3

__________ , as a matter of law, refers to the constitutional right of an individual to decide the time, place, manner, and extent of sharing oneself with others .


Privileged communication



Question 4

It is illegal and unethical for a therapist to disclose confidential information when:

the client consents to disclosure .

there is a duty to warn or to protect third parties .

an emergency exists .

an employer requests disclosure to determine the mental status of an employee without their consent .

there is a need to obtain appropriate consultations .

Question 5

Ethical guidelines regarding confidentiality require that counselors do not:

allow clerical assistants to handle confidential information .

use client records to consult with experts or peers .

use client case studies to teach or write books even when their clients’ identities are disguised .

disclose client information unless there is clear and imminent danger to the client or others or when legal requirements demand that confidential information be revealed .

Question 6

Susan is quite distressed after finding out that her husband has been unfaithful and tells her counselor that she is so angry that she feels like killing him .  Upon hearing this, the counselor needs to:

question Susan to determine whether she is serious about doing physical harm to her husband .

warn the husband that he is in potential danger .

commit Susan to a hospital until she can overcome her anger .

threaten to terminate services with Susan if she continues to talk about killing her husband .

Question 7

The California court’s ruling that requires that therapists breach confidentiality in cases where the general welfare and safety of others is involved is a result of the:

Bradley Center v .  Wessner decision .

Jablonski v .  United States decision .

Tarasoff decision .

Hedlund v .  Superior Court decision .

Question 8

The law is:

not fact-specific .

fact-specific .

synonymous with “ethics . ”

both a and c .

Question 9

_________________ in a Supreme Court decision ruled that communications between licensed psychotherapists and their clients are privileged and therefore protected from forced disclosure in cases arising under federal law .

Bradley Center v .  Wessner

Jablonski v .  United States

Jaffee v .  Redmond

Hedlund v .  Superior Court

Question 10

Jolene tells her counselor that she is depressed about the break-up of her relationship and “just wishes she could go to sleep and never wake up . ” In this case, the counselor needs to:

immediately commit Jolene to a psychiatric facility .

assess if Jolene is suicidal and intervene if necessary .

recognize that her statement is only a “cry for help” and should not be taken seriously .

see if there is any chance for reconciliation .

Question 11

The following would be an ineffective way of managing a client’s suicidal ideation:

Attempt to secure a promise from the client that he or she will not try to commit suicide .

Immediately hospitalize the client .

Be willing to communicate your caring without setting limits .

Recognize the limits of your competence and know when and how to refer .

Question 12

Two processes that offer safeguards against malpractice liability in suicidal cases are:

consultation and documentation .

assessment and orientation .

individual therapy and group therapy .

diagnosis and informed consent .

Question 13

Schools that receive federal funding are generally bound by the provisions of the

Health Insurance Portability and Accountability Act .

Family Educational Rights and Privacy Act

H1N1 Prevention Act

None of the choices

Question 14

According to the Tarasoff decision, the therapist does not:

need to accurately diagnose the client’s tendency to behave in dangerous ways towards others before notifying authorities .

have a duty to warn the next of kin of suicidal patients .

have the right to break confidentiality even if the client is a threat to self or others .

need to be concerned about liability after notifying authorities of their client’s threat to harm self or others .

Question 15

Privileged communication does not apply in cases of:

clients’ disclosures of personal and sensitive information .

child abuse and neglect .

unfaithfulness in one or both partners in couple’s therapy .

legal proceedings where the therapist is asked to produce a client’s records in court .

Question 16

An African-American woman was interacting with her child in a domestic abuse shelter where she is over-heard to say to her child “Keep touching that and I’m going to whoop you . ” The social worker that heard this statement should:

immediately report the mother to Child Protective Services .

tell the mother that she will be evicted from the shelter if she continues to talk to her child that way .

recognize that what constitutes abuse in one culture may not be viewed as abuse in another culture and not reportable until it is determined that the child is in danger .

remove the child from the mother’s care until the mother can learn how to talk to her child with respect .

Question 17

A single father reports that he had too much to drink and harshly spanked his three-year old son when he wouldn’t stop screaming .  The father feels terrible about the incident and asks his counselor to get some help for him so that it will never happen again .  Acting on the highest level of ethical functioning, the counselor would:

place the child in foster care until the father can learn to deal more constructively with his anger .

consult with a colleague about referring her client to a treatment center .

examine all the factors and special circumstances of this case before acting .

immediately report the incident to Child Protection Services in order to protect the child .

Question 18

A counselor working in an AIDS-related case:

has a legal duty to warn according to the Tarasoff decision .

is obliged to protect all third parties of the threat of HIV transmission according to ethical codes .

must report the case to the Department of Public Health .

has few legal guidelines to help determine when or how to inform a potential victim of the threat of HIV transmission .

Question 19

_____________________________, which is rooted in a client’s______________, is at the core of effective therapy .

The verbal exchange method; right to express himself or herself

Confidentiality; right to privacy

Latent material; unconscious

Uncovering trauma; repressed memories

Question 20

In the case of disclosing confidential information when working with an HIV-positive client, several writers state that the therapist has a duty to protect when the following condition exists:

the client is engaging in safe-sex with a committed partner .

clear and imminent danger must exist .

all potential victims must be warned, even if there have been multiple sexual partners over the years .

all persons who have exchanged needles with the client must be found and warned of possible danger .

Question 21

Laws regarding confidentiality in school counseling:

are exactly the same as laws regarding confidentiality in private practice settings .

require counselors to make their personal records available and disclose the substance of confidential counseling sessions to parents .

a and b

None of the choices

Question 22

Which of the following is not identified in the text as a guideline for counselors using the telephone?

Do not acknowledge that clients are receiving services .

Verify that you are actually talking to the intended person when you make or receive calls in which confidential information will be discussed .

After addressing guideline B and ensuring absolute privacy, counselors may speak to their clients as freely as they desire without fear that their conversations will be used in legal proceedings .

None of the choices

Question 23

0 out of 4 points

In Chapter 6, a six-step ethical practice model for protecting confidentiality rights that places legal mandates in an ethical context is presented .  The six steps include all except

Preparation .

Tell clients the truth “up front . ”

Obtain truly informed consent before making a disclosure .

Have your attorney respond to legal requests for disclosure .

Avoid the “avoidable” breaches of confidentiality .

Question 24

The major type(s) of elder abuse is/are:

financial or material exploitation .

sexual abuse .

physical abuse .

All of the choices

Question 25

In ________________________ the court expanded the practitioner’s duty to warn those in danger to include the circumstance in which a family member communicates to a mental health practitioner a belief that the client poses a risk of grave bodily injury to another person .

Tarasoff v .  Board of Regents of the University of California

Jaffee v .  Redmond

Ewing v .  Goldstein


Petersen v .  McDonald

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