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Certified Counselor WA Exam for license > CL Study Guide > Flashcards

CL Study Guide Flashcards

1
Q

Key facts about the abuse of a vulnerable adult?

A
  1. Some adults are vulnerable to abuse, neglect, financial exploitation, or abandonment by family members or caregivers.
  2. Vulnerable adults may be unable to represent themselves in court or obtain legal counsel.
  3. They may lack the capacity to consent to necessary services for their well-being.
  4. Health problems may leave them in a dependent position.
  5. The department and other relevant agencies should be ready to receive reports of abuse or neglect.
  6. Protective services should be provided in the least restrictive and appropriate environment.
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2
Q

When do you report abuse of children?

A

Report within 48 hours.

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3
Q

abuse of vulnerable adult

A
  • The following actions are prohibited: abuse, abandonment, neglect, or financial exploitation of a vulnerable adult.
  • Individuals who have committed these actions are not allowed to practice a health care profession in this state until the appropriate disciplining authority has completed proceedings.
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4
Q

acceptable audit documentation

A
  1. To demonstrate compliance, provide course or program certificates of training or transcripts. Consult the rules of your profession for more specific guidance.
  2. Maintain records for 4 years that document attendance and describe the learning.
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5
Q

acceptable continuing education

A

Please remember the following criteria:

  • Content must be related to counseling and contribute to the improvement of professional skills.
  • Instructors or speakers must be approved by a recognized institution.
  • For distance learning, a maximum of 20 hours can be reported per period.
  • The experience is limited to 6 hours per reporting period if it contributes to the professional competence of the counselor or adviser.
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6
Q

agency

A
  1. An agency or facility operated, licensed, or certified by the state of Washington;
  2. A federally recognized Indian tribe located within the state; or
  3. A county.
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7
Q

agency affiliated counselor

A
  • A person registered under this chapter who is employed in counseling by an agency.
  • Agency-affiliated counselors include juvenile probation counselors and juvenile court employees.
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8
Q

application for credential requirements

A
  1. The application must include a description of the applicants orientation, discipline, theory or technique.
  2. Pay a fee.
  3. Have an associates or bachelors.
  4. Pass an exam.
  5. Have a written supervisory agreement.
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9
Q

Are clients liable for any fees or charges rendered prior to receipt of the disclosure statement?

A

No, they must sign the agreement to be held financially responsible.

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10
Q

Are there more fatal suicide outcomes for men or women?

A

Men. (77.97%) vs Women (22.03%).

3.6 male suicides for every female death

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11
Q

At what age can a minor no longer detained?

A

No minor who has been admitted voluntarily or committed under this chapter may be detained after turning 18 unless they have applied for admission to an appropriate evaluation and treatment facility, or unless involuntary commitment proceedings have been initiated.

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12
Q

autism

A
  • Often symptoms appear in the first few years of life (developmental disorder).

Struggle with:
* Difficulty with communication and interaction with other people.
* Restricted interests and repetitive behaviors.
* Symptoms that affect the person’s ability to function in school, work, and other areas of life.

Risk Factors:
* Having a sibling with ASD.
* Having older parents.
* Having certain genetic conditions (For example, people with conditions such as Down syndrome, fragile X syndrome, and Rett syndrome are more likely than others to have ASD).
* Being born with a very low birth weight.

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13
Q

bipolar disorder

A

Usually develop or starts during late adolescence.

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14
Q

borderline personality disorder (BPD)

A
  • Usually develops during adolescence or early adulthood.

Causes:
* Family history.
* Brain Factors.
* Environmental, Cultural and Social Factors.

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15
Q

Can you carry over excess CE?

A

No.

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16
Q

Can you deny a client their records?

A

Yes, if the information would injure the health of the patient.

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17
Q

Can you take the same course more than once in the same reporting cycle for CE?

A

No.

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18
Q

certified advisor

A
  • A person certified under this chapter who is engaged in private practice counseling to the extent authorized in RCW 18.19.200.
  • Must only have an ASSOCIATES.
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19
Q

certified counselor

A
  • Means a person certified under this chapter who is engaged in private practice counseling to the extent authorized in RCW 18.19.200.
  • Must have a BACHELORS.
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20
Q

Certified counselors and hypnotherapist advisory committee is comprised of…

A

The committee is comprised of 7 members:

  • 2 committee members must be certified counselors or certified advisers.
  • 2 committee members must be hypnotherapists.
  • 3 committee members must be consumers and represent the public at large and may not hold any mental health care provider license, certification, or registration.
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21
Q

A certified counselor shall not be a sole treatment provider for clients with GAF score less than…

A

50

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22
Q

Certified counselors may counsel and guide a client in adjusting to life situations, developing new skills, and making desired changes if the client has a global assessment of functioning (GAF) score of 60 or less if:

A
  1. The certified counselor referred the client to seek diagnosis and treatment from a physician, osteopathic physician, psychiatric registered nurse practitioner, or licensed mental health practitioner, as defined by the secretary, and the client refused, in writing, to seek treatment from the other provider.
  2. The certified counselor may provide services to the client consistent with a treatment plan developed by the certified counselor and the consultant or supervisor with whom the certified counselor has a written consultation or supervisory agreement.
  3. A certified counselor shall not be a sole treatment provider for a client with a global assessment of functioning score of less than 50.
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23
Q

confidential communication exceptions

A
  1. With the written consent of that person or, in the case of death or disability.
  2. The person reveal they plan to harm themselves or others.
  3. The person is a minor and the minor was the victim or subject of a crime.
  4. The person waives the privilege by bringing charges against the person registered under this chapter.
  5. In response to a subpoena (RECORDS ONLY)
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24
Q

continuing education documentation

A
  • Transcripts, signed letters from course instructors, certificate of completion, or other formal certification.
  • The credential holder must provide documentation which demonstrates fulfillment of continuing education requirements if requested by the secretary.
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25
Q

continuing education requirements for certified counselor

A
  1. A certified counselor or a certified adviser must complete 36 credit hours of continuing education every 2 years.
  2. At least 6 hours of the 36 credit hours must be in law and professional ethics related to counseling.
  3. Beginning January 1, 2014, at least once every 6 years a certified counselor or a certified adviser must complete three hours of training in suicide assessment, including screening and referral, as specified in WAC 246-810-0298.
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26
Q

counseling

A

Counseling involves using various therapeutic techniques, such as social work, mental health counseling, marriage and family therapy, and hypnotherapy, for a fee. These techniques aim to help individuals improve and adjust their mental, emotional, or behavioral well-being. Counseling also includes methods to enhance self-awareness, sensitivity towards others, and the development of human potential.

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27
Q

The department will protect the identity of a whistleblower by revealing it only:

A
  1. To appropriate department staff or disciplining authority member;
  2. By court order; or
  3. If the complaint is not in good faith.
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28
Q

disciplining authority - documents before and after a case:

A
  1. The disciplining authority shall, upon request, provide the license holder or the person or entity making the complaint or report with a copy of the file relating to the complaint or report, including, but not limited to, any response submitted by the license holder under.
  2. Following completion of an investigation or closure of a report or complaint, the disciplining authority shall, upon request, provide the license holder or the person or entity making the complaint or report with a copy of the file relating to the complaint or report, including, but not limited to, any response submitted by the license holder under.
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29
Q

The disciplining authority may not disclose documents in a file that includes:

A
  1. Contain confidential or privileged information regarding a patient other than the person making the complaint or report; or
  2. Contain information exempt from public inspection and copying under chapter RCW 42.56.
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30
Q

Disclosure statement to provide to clients from certified counselors:

A
  • Name of the certified counselor or certified adviser and the name of their firm, agency, or business, if any.
  • Business address and telephone number.
  • Washington state credential number.
  • Education, training, and experience.
  • The name and description of the types of counseling provided by the certified counselor or certified adviser.
  • The type and duration of counseling expected, if known at the time of providing the disclosure information.
  • Fee information.
  • A statement that clients are not liable for any fees or charges for services rendered prior to receipt of the disclosure statement.
  • Limits of confidentiality.
  • Supervisory or consultation agreement.
  • Disclosure that the certified counselor or certified adviser is not credentialed to diagnose mental disorders or to conduct psychotherapy.

The purpose of the Counselor Credentialing Act, chapter RCW18.19, is to:

  1. Provide protection for public health and safety; and
  2. Empower the citizens of the state of Washington by providing a complaint process against those counselors who would commit acts of unprofessional conduct.
  • Clients have the right to choose counselors who best suit their needs and purposes.
  • A copy of the acts of unprofessional conduct in RCW 18.130.180 and the name, address, and contact telephone number within the department of health for complaints.
  • Signature and date blocks for the client.
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31
Q

disruptive mood dysregulation disorder

A

A childhood disorder marked by severe recurrent temper outbursts along with a persistent irritable or angry mood.

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32
Q

Do you report child abuse if the victim is older than 18?

A

If there is reasonable cause to believe other children are or may be at risk of abuse or neglect by the accused.

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33
Q

Do you tell parents about substance use disorder (SUD) treatment for teens?

A

No, unless teen tells you to or is mandated by federal law.

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34
Q

Do you tell parents about voluntary inpatient treatment for teens?

A

Yes, unless it is deemed as unsafe or contact cannot be made in which case it must be noted in the medical record. Notify parents within 24 hours.

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35
Q

During the first 5 years of practice how many hours of supervision do you need?

A

A minimum of 2 hours of supervision is required in any calendar month in which the certified counselor or certified adviser has had 40 or more client contact hours.

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36
Q

eating disorder

A

Although eating disorders often appear during the teen years or young adulthood, they may also develop during childhood or later in life (40 years and older).

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37
Q

exemptions to licensing

A
  1. A person practicing under another license/certification and the person is practicing within their scope.
  2. The practice of counseling by an employee or trainee of any federal agency or the practice of counseling by a student of a college or university ONLY if the the student, employee or trainee is practicing solely under supervision.
  3. A person practicing counseling for NO compensation.
  4. The practice of counseling by persons offering services for public and private nonprofit organizations or charities not primarily engaged in counseling for a fee when approved by the organization.
  5. Evaluation, consultation, planning, policy-making, research, or related services conducted by social scientists for private corporations or public agencies;
  6. The practice of counseling by a person under the auspices of a religious denomination, church, or organization, or the practice of religion itself;
  7. The practice of counseling by peer counselors who use their own experience to encourage and support people with similar conditions or activities related to the training of peer counselors; and
  8. Counselors who reside outside Washington state from providing up to ten days per quarter of training or workshops in the state, as long as they do not hold themselves out to be registered or certified in Washington state.
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38
Q

generalized anxiety disorder

A
  • Develops slowly.
  • Begins in teen years or young adulthood.
  • Runs in the family.
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39
Q

Guns account for what percentage of suicides?

A

50%

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40
Q

Health Care Information Act includes:

A
  1. Health care information is personal and sensitive information that if improperly used or released may do significant harm to a patient’s interests in privacy, health care, or other interests.
  2. Patients need access to their own health care information.
  3. In order to retain the full trust and confidence of patients, their information must be properly handled.
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41
Q

How are credit hours defined for CE?

A

A credit hour is defined as time actually spent in a course or other activities as determined by the regulatory entity as fulfilling continuing education requirements.

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42
Q

How to dispose of records?

A

After the 5-year retention period, the counselor may dispose of the record.

Disposal must be done in a secure and confidential manner that includes:
* Shredding;

  • Deleting, erasing, or reformatting electronic media; and
  • Other readable forms of media that are defaced or rendered unusable or unreadable.
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43
Q

How do abusers control victims?

A
  • Isolation.
  • Emotional abuse.
  • Using children.
  • Dominating finances, family resources and access to healthcare.
  • Physical and sexual assault.
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44
Q

How do you tell where to place a client within an anchor?

A
  • If the client has more severe symptoms put them higher on the scale example 69, 70.
  • If the client has less severe symptom put them lower example 61, 62.
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45
Q

How long does a counselor have to provide the patient a copy of their records?

A

Promptly though no later than 15 working days.

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46
Q

How long does a counselor have to report after notice of a conviction, determination, finding or disqualification constitutes grounds for disciplinary action?

A

30 days

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47
Q

How long does someone have to report a conviction?

A

14 days.

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48
Q

How long should records be kept?

A

5 years.

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49
Q

How many days does the disciplining authority have to respond to a request to reconsider a closure of a complaint file?

A

30 days

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50
Q

How many days within a request can the disciplining authority suspend or restrict a license or certification?

A

14 days.

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51
Q

How many hours of continuing education do certified counselors need?

A

36 hours every 2 years.

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52
Q

How many hours of the CE must be in law and professional ethics related to counseling?

A

At least 6 hours of the 36 hours.

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53
Q

How many sections is the GAF broken into and what are they called?

A

10 sections called anchor points.

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54
Q

How much of supervision can be in group?

A

Up to half of the required supervision time may be supervision of practice in a group setting.

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55
Q

How often and how many hours of suicide assessment does a certified counselor need?

A

3 hours every 6 years.

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56
Q

How often should the supervision agreement be updated?

A

Every 2 years.

57
Q

How soon must a record be changed after a client’s request?

A
  • 10 days.
  • If the record is unavailable the client must be let know and the record must be changed within 30 days.
58
Q

If a background check reveals any information related to unprofessional conduct that has not been previously disclosed to the disciplining authority, the person must provide:

A
  1. A full set of fingerprints.
  2. Submit any information required by the state patrol.
59
Q

indefinite suspension

A
  • May be imposed in default and waiver of hearing orders.
  • If indefinite suspension is not imposed in a default or waiver of hearing order, the disciplining authority shall impose sanctions determined according to these rules.
60
Q

Information disclosure to clients includes:

A
  1. The rights to refuses treatment.
  2. The responsibility of clients for choosing the provider and treatment modality that best suites the client.
  3. Extent of confidentiality.
  4. Supervisory agreements.
  5. Relevant education and training.
  6. Therapeutic orientation of practice.
  7. The proposed course of treatment (when known).
  8. Referral resources.
  9. Financial requirements.
  10. A statement that notes that under this chapter does not include a recognition of any practice standards, nor necessarily imply the effectiveness of any treatment.
  11. Certified counselors must disclose they are not credentialed to diagnose mental disorders or to conduct psychotherapy.
61
Q

The intent of the Uniform Disciplinary Act is…

A

Providing a uniform disciplinary act with standardized procedures for the licensure of health care professionals and the enforcement of laws the purpose of which is to assure the public of the adequacy of professional competence and conduct in the healing arts.

62
Q

It is within the authority of disciplining authority to:

A
  1. Adopt, amend, and rescind rules.
  2. Investigate all complaints or reports of unprofessional conduct.
  3. Hold hearings.
  4. Issues subpoenas and administer oaths.
  5. To take or cause depositions.
  6. To compel attendance of witness at hearings.
  7. To conduct practice reviews and to issue citations and assess fines for failure to produce documents, records, or other items.
  8. To take emergency action ordering summary suspension of a license, or restriction or limitation of the license holder’s practice pending proceedings by the disciplining authority.
  9. To conduct show cause hearings.
  10. To use a presiding officer as authorized in RCW 18.130.095(3) or the office of administrative hearings as authorized in chapter RCW?34.12 to conduct hearings.
  11. To use individual members of the boards to direct investigations and to authorize the issuance of a citation.
  12. To enter into contracts for professional services determined to be necessary for adequate enforcement of this chapter.
  13. To contract with license holders or other persons or organizations to provide services necessary for the monitoring and supervision of license holders who are placed on probation, whose professional activities are restricted.
  14. To adopt standards of professional conduct or practice.
  15. To grant or deny license applications, and in the event of a finding of unprofessional conduct by an applicant or license holder.
  16. To restrict or place conditions on the practice of new licensees.
  17. To designate individuals authorized to sign subpoenas and statements of charges.
  18. To establish panels consisting of three or more members.
  19. To review and audit the records of licensed health facilities’ or services’ quality assurance committee decisions in which a license holder’s practice privilege or employment is terminated or restricted.
63
Q

A license holder does not have to report another license holder when:

A
  1. A member of a professional review organization as provided in WAC 246-16-255.
  2. Providing health care to the other license holder and the other license holder does not pose a clear and present danger to patients or clients. Or
  3. When one license holder is participating in a federally funded substance abuse program, an approved impaired practitioner program, or a voluntary substance abuse program, and the other license holder is participating in treatment, as long as they do not pose a clear and present danger to patients or clients.
64
Q

Limitations of the abuse of children chapter:

A
  1. This chapter shall not be construed to authorize interference with child-raising practices, including reasonable parental discipline, which are not injurious to the child’s health, welfare, or safety.
  2. Nothing in this chapter may be used to prohibit the reasonable use of corporal punishment as a means of discipline.
  3. No parent or guardian may be deemed abusive or neglectful solely by reason of the parent’s or child’s blindness, deafness, developmental disability, or other disability.
65
Q

Mandated reports must include the following information:

A
  1. The name, address, and telephone number of the person making the report.
  2. The name, address, and telephone number(s) of the license holder being reported.
  3. Identification of any patient or client who was harmed or placed at risk.
  4. A brief description or summary of the facts that caused the report, including dates.
  5. If court action is involved, the name of the court, the date of filing, and the docket number.
  6. Any other information that helps explain the situation.
66
Q

notice of information practices

A

The health care provider shall place a copy of the notice of information practices in a conspicuous place in the health care facility, on a consent form, or with a billing or other notice provided to the patient.

67
Q

obsessive compulsive disorder (OCD)

A

OCD symptoms tend to emerge in childhood, around age 10, or in young adulthood, around age 20 to 21, and they often appear earlier in boys than in girls.
Most people are diagnosed with OCD by the time they reach young adulthood.

Causes:
* Genetics
* Biological Factors
* Childhood trauma

68
Q

outpatient treatment of adolescent

A

Adolescents can request and receive outpatient treatment without parental consent. However, parental or legal guardian authorization is needed for outpatient treatment for minors under the age of 13.

69
Q

oversite

A
  • Period during which the respondent must consistently take affirmative actions to encourage rehabilitation and ensure public safety.
  • It also involves the disciplining authority actively monitoring compliance.
  • Simply the passage of time without new complaints or violations, with or without paying a fine or costs, does not count as oversight by itself.
70
Q

panic disorder

A
  • Panic disorder often begins in the late teens or early adulthood.
  • More women than men have panic disorder. But not everyone who experiences panic attacks will develop panic disorder.
  • Multiple panic attacks

Causes:
* Possible genetics

71
Q

permanent revocation

A

May be imposed when the disciplining authority finds the license holder can never be rehabilitated or can never regain the ability to practice safely.

72
Q

psychotherapy

A

Diagnosis of mental disorders according to the DSM and the development of treatment plans for counseling based on the diagnosis of mental disorders in accordance with established practice standards.

73
Q

Qualifications for a Supervisor are:

A
  1. Have held a Washington state credential in counseling-related fields for a minimum of 5 years and be in good standing.
  2. The supervisor or consultant may not be a blood or legal relative or cohabitant of the credential holder, or someone who has acted as the credential holder’s counselor within the past 2 years.
  3. Must provide the certified counselor or certified adviser with a declaration on a form provided by the department.
  4. Must have completed education and training.
74
Q

Qualifications to be on the advisory committee are

A
  1. Must be a resident of Washington State.
  2. May NOT hold an office in a professional association for their profession.
  3. Must NOT be employed by the state of Washington.
  4. Each professional committee member must have been actively engaged in their profession for 5 years immediately preceding appointment.
  5. The consumer committee members must represent the general public and be unaffiliated directly or indirectly with the professions credentialed under this chapter.
  6. Committee members must be compensated.
  7. The committee shall elect a chair and vice chair.
75
Q

record requirements

A
  1. Client name;
  2. The fee arrangement and record of payments;
  3. Dates counseling was received;
  4. Disclosure form, signed by counselor and client;
  5. The presenting problem(s), or purpose of counseling;
  6. Notation and results of formal consults, including information obtained from other persons or agencies through a release of information;
  7. Progress notes sufficient to support responsible clinical practice for the type of theoretical orientation/therapy the counselor uses.
  8. If a client requests that no treatment records be kept, and the counselor agrees to the request, the request must be in writing and only the following must be retained:
  • Client name;
  • Fee arrangement and record of payments;
  • Dates counseling was received;
  • Disclosure form, signed by counselor and client;
  • Written request that no records be kept.
  1. The counselor may not agree to the request if maintaining records is required by other state or federal law.
  2. All records must be kept for a period of five years following the last visit.
76
Q

Registration is required

A

A person may not practice counseling without being registered.

77
Q

Reporting of unprofessional conduct is not required by:

A
  1. Any entity with a peer review committee, quality improvement committee.
  2. An impaired practitioner program or voluntary substance abuse monitoring program.
78
Q

Requirements to report suspected abuse or neglect of a child or vulnerable adult:

A
  1. All counselors must report suspected abuse or neglect of a child, when they have reasonable cause to believe that such an incident has occurred.
  2. Abandonment, abuse, financial exploitation, or neglect of a vulnerable adult has occurred.
  3. The report must be made to the local law enforcement agency or to the department of social and health services within 48 hours.
79
Q

The rights of minors undergoing treatment:

A

Absent a risk to self or others, minors treated under this chapter have the following rights, which shall be prominently posted in the evaluation and treatment facility:

  1. To wear their own clothes and to keep and use personal possessions;
  2. To keep and be allowed to spend a reasonable sum of their own money for canteen expenses and small purchases;
  3. To have individual storage space for private use;
  4. To have visitors at reasonable times;
  5. To have reasonable access to a telephone, both to make and receive confidential calls;
  6. To have ready access to letter-writing materials, including stamps, and to send and receive uncensored correspondence through the mails;
  7. To discuss treatment plans and decisions with mental health professionals;
  8. To have the right to adequate care and individualized treatment;
  9. To not be denied access to treatment by spiritual means through prayer in accordance with the tenets and practices of a church or religious denomination in addition to the treatment otherwise proposed;
  10. Not to consent to the administration of antipsychotic medications beyond the hearing conducted pursuant to RCW 71.34.750 or the performance of electroconvulsive treatment or surgery, except emergency lifesaving surgery, upon him or her, unless ordered by a court under procedures.
  11. Not to have psychosurgery performed on him or her under any circumstances.
80
Q

Scales that are helpful in addiction to the global assessment of functioning:

A
  • Defensive Functioning Scale.
  • Social and Occupational Functioning Scale.
  • Global Assessment of Relational Functioning.
81
Q

schizophrenia

A

People with schizophrenia are usually diagnosed between the ages of 16 and 30, after the first episode of psychosis.

Schizophrenia symptoms can differ from person to person, but they generally fall into three main categories: psychotic, negative, and cognitive.

Causes:

  • Genetics.
  • Environment.
  • Brain Structure and Function.
82
Q

Scope of practice for certified counselors:

A
  1. Use the global assessment of functioning for client screening.
  2. Certified counselors support clients with adjustments, new skills, and positive changes if the client’s global assessment of functioning score is greater than 60.
  3. Certified counselors can help clients adapt, develop new skills, and make changes if the client’s global assessment of functioning score is 60 or less.
83
Q

sexual misconduct:

A
  1. A healthcare provider must not engage, or attempt to engage, in sexual misconduct with a current patient, client, or key party, inside or outside the healthcare setting. Sexual misconduct shall constitute grounds for disciplinary action.

Sexual misconduct includes, but is not limited to:

  • Sexual intercourse
  • Touching the breasts, genitals, anus, or any sexualized body part, except as consistent with accepted community standards of practice for examination, diagnosis, and treatment and within the health care practitioner’s scope of practice.
  • Rubbing against a patient or client or key party for sexual gratification.
  • Kissing;
  • Hugging, touching, fondling or caressing of a romantic or sexual nature;
  • Examination of or touching genitals without using gloves;
  • Not allowing a patient or client privacy to dress or undress except as may be necessary in emergencies or custodial situations;
  • Not providing the patient or client a gown or draping except as may be necessary in emergencies;
  • Dressing or undressing in the presence of the patient, client or key party;
  • Removing patient or client’s clothing or gown or draping without consent, emergent medical necessity or being in a custodial setting;
  • Encouraging masturbation or other sex act in the presence of the health care provider;
  • Masturbation or other sex act by the health care provider in the presence of the patient, client or key party;
  • Suggesting or discussing the possibility of a dating, sexual or romantic relationship after the professional relationship ends;
  • Terminating a professional relationship for the purpose of dating or pursuing a romantic or sexual relationship;
  • Soliciting a date with a patient, client or key party;
  • Discussing the sexual history, preferences or fantasies of the health care provider;
84
Q

Signs of ADHD:

A
  • Difficulty paying attention (inattention).
  • Being overactive (hyperactivity).
  • Acting without thinking (impulsivity).
85
Q

social anxiety disorder (social phobia):

A
  • An intense fear of being humiliated or embarrassed in social situations.
  • Lasting at least 6 months.

Causes:

  • Hereditary
  • Poor social skills
  • Possible stress and environmental factors
86
Q

Steps to determine severity of a sanction:

A
  1. Findings of fact or allegations describe unprofessional conduct for selecting a sanction schedule.
  2. Identify severity and choose a tier from the sanction schedule.
  3. Consider aggravating or mitigating factors listed in WAC 246-16-890.
  4. Select sanctions within the tier based on identified factors.
87
Q

suicide assessment standards:

A
  • A single provider and at least three hours in length in one or more sessions.
  • A certified counselor or adviser employed by a state or local government is exempt if they receive at least 3 hours of training in suicide assessment every 6 years.
  • A certified counselor or advisor employed by a licensed or certified behavioral health agency is exempt if they receive a minimum of 3 hours of training in suicide assessment every 6 years.
88
Q

surrender of a credential:

A
  • May be imposed when the license holder is at the end of his or her effective practice and surrender alone is enough to protect the public.
  • The license holder must agree to retire and not resume practice
89
Q

suspension or revocation:

A

Will be imposed when the license holder cannot practice with reasonable skill or safety.

90
Q

temporary practice permit:

A
  • If an individual licensed in another state with equivalent licensing standards applies for a license in Washington (WA), the disciplining authority shall issue a temporary practice permit authorizing the applicant to practice the profession.
  • This permit will be valid until the applicant completes documentation and meets all requirements.
91
Q

unprofessional conduct:

A
  1. Misrepresentation or concealment of a material fact in obtaining a license or in reinstatement thereof;
  2. All advertising which is false, fraudulent, or misleading;
  3. Incompetence, negligence, or malpractice which results in injury to a patient or which creates an unreasonable risk that a patient may be harmed.
  4. Suspension, revocation, or restriction of the individual’s license to practice any health care profession by competent authority in any state, federal, or foreign jurisdiction,
  5. The possession, use, prescription for use, or distribution of controlled substances or legend drugs in any way other than for legitimate or therapeutic purposes,
  6. Violation of any state or federal statute or administrative rule regulating the profession in question,
  7. Failure to cooperate with the disciplining authority by:
  • Not furnishing any papers, documents, records, or other items;
  • Not furnishing in writing a full and complete explanation covering the matter contained in the complaint filed with the disciplining authority;
  • Not responding to subpoenas
  • Not providing reasonable and timely access for authorized representatives
  1. Failure to comply with an order
  2. Violations of rules established by any health agency;
  3. Practice beyond the scope of practice as defined by law or rule;
  4. Misrepresentation or fraud in any aspect of the conduct of the business or profession;
  5. Failure to adequately supervise auxiliary staff to the extent that the consumer’s health or safety is at risk;
  6. Engaging in a profession involving contact with the public while suffering from a contagious or infectious disease involving serious risk to public health;
  7. Promotion for personal gain of any unnecessary or inefficacious drug, device, treatment, procedure.
92
Q

What age is parental authorization necessary of inpatient?

A

Minors under the age of 13.

93
Q

What age range does the Mental Illness Act cover?

A

18 years and older.

94
Q

What age range has the highest fatal suicide outcomes?

A

Middle aged (45-64) with a close second of adults (25-44).

95
Q

What are GAF ratings based off of?

A
  1. An interview or questionnaire.
  2. Medical records.
  3. Information from the person’s doctor, care givers, or close relatives.
  4. Police or court records about violent or illegal behavior.
96
Q

What can count as an hour of CE?

A

A credit hour for time actually spent in a course can not be less than 50 minutes.

97
Q

What causes ADHD?

A
  • Genes.
  • Cigarette smoking, alcohol use, or drug use during pregnancy.
  • Exposure to environmental toxins, such as high levels of lead, at a young age.
  • Low birth weight.
  • Brain injuries.
98
Q

What do aggravating factors move towards?

A

The maximum end of the tier range.

99
Q

What does an ROI need to include?

A
  1. Identify the patient;
  2. Identify the provider who is to make the disclosure;
  3. Identify the nature of information to be disclosed;
  4. Identify the name, address, and affiliation of the person to whom the information is being disclosed;
  5. Be written, dated, and signed by the patient.
100
Q

What does each description in the 10 point GAF scale include?

A

Symptom severity and functioning.

101
Q

What does the GAF measure?

A

How well a person can do every day activities.

102
Q

What do mitigating factors move towards?

A

The minimum end of the tier range.

103
Q

What do you do if the individuals symptom severity and functioning level are different according to GAF?

A

Always go with the worse of the two.

104
Q

What should be done when a healthcare provider is unable to practice safely due to physical or mental health issues, but there is no harm to the patient?

A

Be submitted to one of the approved impaired practitioner or voluntary substance abuse programs or to the department.

Reports of unprofessional conduct are submitted to the department.

105
Q

What GAF score can a certified counselor work with?

A

51 and above.

106
Q

What is abuse?

A

It’s any behavior intended to gain or maintain power and control over a spouse, partner, girlfriend, boyfriend or intimate family member.

Abuse is a learned behavior; it’s not caused by anger, mental problems, drugs or alcohol or other common excuses.

107
Q

What is considered when treating a person with serious behavioral health disorders?

A
  1. Use the less restrictive alternative commitment to control or stabilize a client.
  2. The clients prior history or patterns in order to make sure the client is healthy and safe.
108
Q

What is GAF used for?

A
  • Planning treatment and measuring its impact and in predicting outcome.
  • Tracking clinical progress of individuals in global terms using a SINGLE MEASURE.
108
Q

What is necessary for a GAF of 60 or less from a certified counselor?

A

If a person has a mental or physical disorder, or a global assessment of functioning score of 60 or less, the certified counselor or adviser must refer the client to a physician, osteopathic physician, psychiatric registered nurse practitioner, or licensed mental health practitioner as defined by the secretary, for diagnosis and treatment.

109
Q

What is sexual assault?

A

Sexual assault is a form of behavior used to exert power over victims. It can start with verbal or non-verbal actions such as jokes, gestures, and intimidation, and escalate to coercion, threats, and acts involving sexual contact or intercourse, sometimes accompanied by other forms of violence.

110
Q

What is suicide ranked as in cause of death?

A

The 10th leading cause of death in the U.S.A.

111
Q

What is the Global Assessment of Functioning also known as in the DSM?

A

Axis V

112
Q

What is the intention of the Mental Illness Act?

A
  1. Protecting the health and safety of those with behavioral health disorders and the public.
  2. Preventing inappropriate, indefinite commitment and eliminating resulting legal disabilities.
  3. Providing prompt evaluation and timely treatment for serious behavioral health disorders.
  4. Safeguarding individual rights.
  5. Ensuring continuity of care for serious behavioral health disorders.
  6. Encouraging efficient use of resources and preventing duplication of services.
  7. Promoting community-based services when appropriate.
113
Q

What is the purpose of the age of consent regulations?

A
  • The aim is to ensure that minors receive culturally relevant behavioral health care and treatment, including prevention, early intervention, and involuntary treatment.
  • It also aims to protect adolescents’ rights to confidentiality and independent access to services for behavioral health disorders.
  • Additionally, it intends to encourage appropriate interventions to restore or maintain satisfactory functioning.
  • Furthermore, the chapter ensures that parents have the ability to provide compassionate care for their minor children, especially when medically necessary, without needing the adolescent’s consent or filing a petition.
114
Q

What is the range on the global assessment functioning scale?

A

0-100

115
Q

What must a counselor do if they have been sanctioned by the disciplining authority for an act of unprofessional conduct involving sexual misconduct?

A

Provide a disclosure to any patient scheduled for an appointment with the license holder during the period of time that the license holder is subject to the order or stipulation prior to the clients first visit.

116
Q

What must a disclosure of sexual misconduct include to clients?

A
  1. Copy of the public order of stipulation
  2. Description of all sanctions
  3. Durations of all sanctions
  4. The disciplining authority’s phone number
  5. An explanation of how the patient can find more information about the licenses holder on the disciplining authority’s online license website
  6. The patient must sign a disclosure indicating that they have received a copy of the public order or stipulation and are aware that the provider has been sanctioned for unprofessional conduct involving sexual misconduct. A surrogate decision maker can also sign the disclosure on behalf of the patient. A signed copy of the disclosure must be kept in the patient’s file.
117
Q

What percentage are practitioners are randomly audited?

A

up to 25%

118
Q

What percentage of men and women have experienced rape in their life?

A
  • 1 in 6 women
  • 1 in 33 men
119
Q

What population has the highest rates of suicide?

A

White middle aged men: 26.1 per 100,000.

120
Q

When do Certified Counselors renew their license?

A

Once a year on their birthday.

121
Q

When do you need to renew an ROI?

A

Once a year.

122
Q

When do you report abuse of a vulnerable adult?

A

Immediately.

123
Q

When is a practitioner exempt from continuing education?

A

A practitioner may be excused from or granted an extension of continuing education requirements due to illness or other extenuating circumstances.

The profession’s regulatory entity determines when the requirements may be waived or may grant an extension.

124
Q

When is a report required?

A

When a patient has been harmed, a report to the department is required.

A report to one of the approved impaired practitioner or voluntary substance abuse programs is not a substitute for reporting to the department.

125
Q

When should the GAF scale be used for?

A

The current period.

126
Q

When a complaint is filed, how many days does a person have to request the disciplining authority to reconsider the closure based on new information?

A

30 days.

127
Q

When to report another license holder?

A
  1. Any conviction, determination, or finding that another license holder has committed an act that constitutes unprofessional conduct.
  2. That another license holder may not be able to practice his or her profession with reasonable skill and safety due to a mental or physical condition.
128
Q

When to self report as a license holder?

A
  1. Any conviction, determination, or finding that he or she has committed unprofessional conduct; or
  2. Information that he or she is unable to practice with reasonable skill and safety due to a mental or physical condition; or
  3. Any disqualification from participation in the federal medicare or medicaid program.
129
Q

When was GAF established?

A

1962

130
Q

When you are using a GAF scale for the beginning and at discharge, how do you write it?

A
  • GAF = 45 (on admission)
  • GAF = 65 (at discharge)
131
Q

Where are reports submitted to?

A

Department of Health

132
Q

Where do you start on the scale when assessing clients?

A

Always the top.

133
Q

whistleblower

A

This refers to a consumer, employee, or healthcare professional, including a healthcare provider or a member of a medical staff at a healthcare facility, who reports quality of care concerns to the Department of Health in good faith, or who takes part in any investigation or administrative proceeding under this section.

134
Q

Who attempts suicide? More males or females?

A

3 females attempt for every 1 male attempt.

135
Q

Who do you report child abuse to?

A

DOH or law enforcement.

136
Q

Who may healthcare provider disclose clients information?

A
  1. 3rd party payers
  2. Any healthcare provider that needs it for quality care
  3. For audit
  4. Research
137
Q

Who must keep a record of supervision?

A

A written record of consultation hours and topics must be maintained by the consultant and the certified counselor.

138
Q

Will you get notified about your background check?

A

Only when the background check reveals a criminal record will an applicant receive a notice.

Certified Counselor WA Exam for license (3 decks)

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