CACREP AREA: Professional Counseling Orientation and Ethical Practice Flashcards
Which group was most instrumental in opposing counselor licensure?
Psychologists
In the late 1970s, AACD (known as ACA since 1992) began to focus very heavily on professional credentialing.
This led to the formation of what organization?
NBCC (National Board for Certified Counselors)
By passing the NCE, a counselor can attain the ___?___ given via NBCC.
NCC, a generic certification for counselors
HINT: the NCC crednetial constitutes a generic ceritification
Which choice would most likely violate the counseling ethic or law termed “scope of practice”?
A counselor who is conducting a strict Freudian psychoanalysis with the client
HINT:
Scope of practice = suggests that counselors should only practice using techniques for which they have been trained
Most counselors are not trained in classical analysis
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 what?
standards of conduct imposed by the ACA and NBCC.
Most ethical dilemmas are related to…?
Confidentiality
The landmark 1969 case, Tarasoff v. the Board of Regents of the University of California illuminated what?
the duty to warn a client in imminent danger.
HINT: This case is cited as an example of a professional helpers duty to warn a person of serious and foreseeable harm
A counselor reveals information that is extremely damaging to a client’s reputation.
This counselor could be accused of…?
defamation
State laws can govern title usage and practice, however, they do not govern what?
Accreditation
HINT: Informed consent is another way of referring to a statement of disclosure
Accreditation does NOT equal law
Accreditation applies to programs, NOT individual counselors
An exception to confidentiality, or what is termed as “relative confidentiality”, could occur when a client is suicidal.
Suicidal warning signs include…?
HINT: Multiple answers
1) repeatedly joking about killing one’s self.
2) giving away prized possessions after one has been depressed for an extended period of time.
3) a previous suicide attempt and a very detailed suicide plan for the future.
A statement of disclosure could include all except:
A list of the courses the counselor took in graduate school.
Privileged communication refers to the fact that anything said to a counselor by a client…?
will not be divulged outside the counseling setting without the client’s permission.
HINT:
Priviliged communication = a legal term that implies that a theraputic interaction (verbal or written) will not be available for public inspection
The client (not the counselor) can choose not to have confidential info revealed during a legal proceeding
THE CLIENT IS THE HOLDER OF THE PRIVILEGE
In regard to state law and privileged communication, counselors
must be aware about what?
That laws are unclear and may vary from state to state.
HINT: Privileged communication legislation varies from state to state
When counselors state that privileged communication is “qualified,” they actually mean that…?
exceptions may exist
You are a counselor in a state that does not legally support privileged communication. You refuse to testify in court.
In this situation, what is true?
you could be held in contempt of court.
HINT: Client in this situation would not have the “privilege” to say no if you are asked to testify
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…?
call the child abuse/neglect hotline.
HINT:
Counselors are MANDATED REPORTERS for child abuse; it is legal and ethical to break confidentiality
During a counseling session a 42-year-old male client threatens suicide.
You should do what?
contact his wife and advise her of possible suicide precautions.
A 39-year-old female secretary you are seeing in your assertiveness training group reveals that she is plotting to shoot her husband.
Based on the Tarasoff case you should do what?
warn the husband
HINT:
Tarasoff = the responsible helper will warn an intded vicitim
Here is where professionals adhere to the principle of minimal disclosure, which suggests revealing only what is neccesary
You pass your exam and now have NCC status. You perform a battery of tests on your client.
After you complete the testing you discover your client is in imminent danger. You receive a legal court order to turn over the test scores.
In this scenario, what should you do?
you must turn over the test records complete with the test scores.
HINT:
A counselor MUST turn over client record IF
1) there is clear imminent danger
2) there is legal requirement/mandate by a government agency or court order
One impetus for counselor licensing was that…?
psychology licensure bodies sought to restrict the practice of counselors so counselors could not receive third-party
A counselor who possesses a graduate degree wishes to become a licensed psychologist.
Which statement most accurately depicts the current situation?
In nearly every case, individuals trained in counseling departments would not be allowed to sit for the EPPP and thus could not become licensed psychologists.
HINT:
EPPP = Examination for Professional Practice in Psychology.
EPPP is to psychologists as the NCE is to counselors.
A woman who is in private practice mentions in her phone book advertisement that she is a licensed counseling psychologist.
This generally means that she has a…?
She has a graduate degree from a psychology department.
HINT:
The term “psychology” can only be used if the helper is a licensed psychologist, even if the person specializes in counseling.
One major difference between the psychology versus the counseling movement seems to be what?
The psychologists are working to eliminate practitioners with less than a doctorate, while the counselors are not.
APA is to psychologist as ACA is to…?
counselor
You have achieved the status of NCC. NBCC, nevertheless, feels you have violated professional ethics.
NBCC can do any of the following except:
Revoke your state counseling license.
HINT:
A certificaiton board cannot revoke your license BUT they reserve the right to contact your state licensing board in which your state board may decide to take your license.
A counselor who is alcoholic and suffering from burnout could best be described as
an impaired professional.
What is true of counselor certification?
They recognize that you have reached a given level of competence and thus are authorized to use a title.
A woman comes to you for help with an eating disorder. You have no experience or training in this area.
Ethically you should do what?
refer this client to a colleague who is indeed trained and experienced with this type of client
Virginia was the first state to license counselors in 1976. The APGA (later AACD and now ACA) division that was initially the most instrumental in pushing for licensing was the…?
American Counselor Education and Supervision (ACES)
The problem with income-sensitive or sliding fee scales (based on the client’s ability to pay) is that…?
it is difficult to administer them in a fair manner
One possible negative aspect of counselor licensure is that counselors…?
counselors may not be as creative during their graduate work and simply take courses aimed at fulfiling the requirements to take the licensure exam.
A client wants his records sent to a psychiatrist he is seeing.
You should…?
first have the client sign a dated release of information form that stipulates whether the information can be released once (or for what period of time it can be released) and THEN you can send the information.
You are a licensed professional counselor in one state but vill thon relocate to another state.
The new state informs you that they will grant you reciprocity or so-called endorsement.
You will thus…?
be permitted to practice in the new state based on your current credentials without taking another exam.
HINT:
Reciprocity occurs when one state or organization accepts the license or credentials of another state or organization.
According to the Family Educational Rights and Privacy Act (FERPA) of 1974 (also known as the Buckley Amendment)
HINT: Multiple answers
1) a parent can see his or her daughter’s middle school record.
2) an 18-year-old college student can view his or her own educational record.
You are a school counselor who wishes to refer a student with an orthopedic disability to a private therapist.
In general, the best referral would be to…?
CRC (certified rehabilitation counselor)
A registry would be a…?
HINT: Multiple answers
1) list of licensed psychologists in the state of Illinois.
2) a list of CRCs in the United States.
HINT: A registry is always a list of providers
A counselor wins the lottery and closes her practice without telling her clients.
This counselor’s course of action is best described as…?
abandonment
You are counseling your first cousin for depression.
This is what?
generally unethical as it would constitute a dual or so-called multiple relationship.
A counselor who sports NCC after her name will…?
will need a specified, amount of continuing education contact hours before she can be recertified, or she will need to take the NCE again.
You find yourself sexually attracted to a client. This is known as…?
countertransference.
