(CO610) Chapter 7 - Quiz Flashcards

Managing Boundaries and Multiple Relationships

1
Q

Danny had been working with his therapist, Bonnie, for three years when he invited her to attend his graduation from college. Working toward achieving this goal had been a major focus of Danny’s therapy. Bonnie’s decision to accept his invitation and attend the ceremony was:
a. probably unethical.
b. unprofessional.
c. ethical under the circumstances.
d. immoral but not illegal.

A

c. ethical under the circumstances.

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2
Q

A reason for discouraging the practice of accepting friends as clients, or becoming socially involved with clients, is that counselors:
a. are more likely to confront clients they know socially.
b. may be less challenging to clients who are friends.
c. need a social life away from work.
d. tend to be too objective with clients that they know personally.

A

b. may be less challenging to clients who are friends.

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3
Q

Which of the following would be an appropriate response for a therapist who is struggling with a powerful attraction to a client?
a. seek out an experienced colleague, supervisor, or therapist who might help decide a course of action
b. identify settings under which the desired contact with the client would be acceptable and permissible
c. repress feelings of attraction to protect oneself from becoming sexually involved with the client
d. allow the client to set expectations regarding physical contact and self-disclosure by the therapist

A

a. seek out an experienced colleague, supervisor, or therapist who might help decide a course of action

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4
Q

Which of the following statements about sexual contact between therapist and client is true?
a. Sexual contact rarely results in negative consequences for clients or therapists.
b. Sexual misconduct is considered to be one of the least serious of all ethical violations for a therapist.
c. Sexual contact with clients is permitted in the codes of ethics of various professional organizations.
d. Sexual contact with clients is illegal in some states and may even result in criminal charges.

A

d. Sexual contact with clients is illegal in some states and may even result in criminal charges.

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5
Q

Robert’s client is a mother who is grieving the death of her child. Robert feels compassionate as he gently touches her arm to show her that he cares. His client seems comforted by the action, yet he has failed to ask permission to touch her. In this case, Robert:
a. is unprofessional and has invaded the client’s boundaries.
b. expressed empathy for the client that would not be considered unethical by most practitioners.
c. is likely to have his action misinterpreted as sexually exploitative.
d. is likely to create dependency in the counseling relationship.

A

b. expressed empathy for the client that would not be considered unethical by most practitioners.

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6
Q

Which term encompasses dual relationships that occur at the same time or sequentially with a client?
a. boundary violations
b. transferential relationships
c. misuse of power
d. multiple relationships

A

d. multiple relationships

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7
Q

Robert, who was attracted to his client Helen, decided it would be appropriate to meet her for a “lunch session” at a nearby restaurant because Helen had a hectic schedule one particular week. Helen subsequently asked Robert if they could hold their sessions over lunch more often. If Robert agreed to Helen’s request, he would be at risk of experiencing:
a. the slippery slope phenomenon.
b. transference.
c. lethal attraction syndrome.
d. the moral decline phenomenon.

A

a. the slippery slope phenomenon.

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8
Q

A rigid, risk-avoidant application of boundaries:
a. is crucial for inexperienced therapists.
b. is generally advisable.
c. simply does not make sense.
d. can create a sterile therapeutic relationship.

A

d. can create a sterile therapeutic relationship.

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9
Q

It is generally a good idea to avoid taking on multiple roles unless which reason for doing so applies?
a. an emotional payoff
b. a sound clinical justification
c. a supervisor’s approval
d. a strong financial incentive

A

b. a sound clinical justification

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10
Q

Which of the following statements regarding the use of therapist self-disclosure is true?
a. The reasons for therapist self-disclosure really do not matter.
b. Therapist self-disclosure is a common type of boundary crossing.
c. Most theoretical models discourage all therapist self-disclosure.
d. Client characteristics are relatively unimportant in therapist self-disclosure.

A

b. Therapist self-disclosure is a common type of boundary crossing.

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11
Q

Practitioners in small communities can minimize risks associated with multiple relationships by:
a. setting clear boundaries and expectations.
b. dispensing with formal matters like informed consent.
c. making it clear that they are a friend first and a therapist second.
d. being sure to maintain relationships with the community members.

A

a. setting clear boundaries and expectations.

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12
Q

With respect to the impact of culture on boundaries, Speight (2012) proposed that which of the following be considered?
a. solidarity
b. individualism
c. legalism
d. privilege

A

a. solidarity

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13
Q

Counselor educators serve as instructors; however, they sometimes act as therapeutic agents for their students’ personal development. This combining of roles and responsibilities is an example of:
a. role confusion.
b. role blending.
c. blurred boundaries.
d. boundary violation.

A

b. role blending

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14
Q
A
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15
Q

When a client behaves in a seductive way and a sexual relationship between the client and therapist develops:
a. it is unlikely that the client will be harmed by the relationship.
b. the therapist cannot be held criminally liable if a sexual misconduct case is ever pursued.
c. the therapist is not behaving unethically by pursuing a sexual relationship with the client.
d. it is clearly the professional’s responsibility to establish and maintain appropriate boundaries.

A

d. it is clearly the professional’s responsibility to establish and maintain appropriate boundaries.

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16
Q

Most professional organizations state that if a therapist has a sexual relationship with a former client, the therapist must be able to demonstrate no exploitation is involved.
a. True
b. False

A

a. True

17
Q

Cultural considerations should be weighed when deciding whether or not to accept a gift from a client.
a. True
b. False

A

a. True

18
Q

If bartering is used for psychological services, it is less problematic to accept goods rather than services.
a. True
b. False

A

a. True

19
Q

Most mental health professionals would agree that accepting a very expensive gift is problematic.
a. True
b. False

A

a. True

20
Q

Rigid adherence to boundaries may be harmful to clients.
a. True
b. False

A

a. True