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CON 600 Ethics and Professional Identity > CON 600 - Quiz 2: Ch. 4 & 5 > Flashcards

CON 600 - Quiz 2: Ch. 4 & 5 Flashcards

1
Q

Making ethical decisions often involves ____ ?

A

Ambiguity

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2
Q

Nonmalficence

A

Do no harm

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3
Q

What are ways to avoid malficense?

A
  • Multicultural competence
  • Self-awareness (own needs and values)
  • Avoid dependent relationships
  • Do NOT abandon your client
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4
Q

What are ways to practice beneficence?

A
  • Use techniques appropriate for client
  • Respect client’s rights
  • Advocate for clients (when appropriate)
  • Terminating services appropriately
  • Promote social justice
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5
Q

What are several examples of difficult ethical topics?

A
  • Abortion
  • Right to die
  • Immigration
  • Politics
  • Any “ism”
  • Beliefs and behaviors of cult members, gang members, etc.
  • Child or elder abuse/neglect
  • Genetic engineering
  • Interatial relationships
  • Premarital sex
  • Extramarital affairs/cheating
  • Divorce
  • Sexual orientation and/or gender identity
  • Polyamorous relationships
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6
Q

True or False.

A behavior can be professionally ethical but not morally acceptable to an individual counselor.

A

True.

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7
Q

You are a crisis counselor who has been working with a victim of domestic violence, who reveals a decision to return to the abuser. What do you do?

A
  • Explore options
  • Have a safety plan
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8
Q

You are a high school counselor working with a bright young student. During a session, he tells you that he has decided not to accept a scholarship to attend Harvard but rather will be moving in with his girlfriend and attending community college. How would you respond?

A
  • Ask how they are feeling about the decision
  • What led them to make the decision?
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9
Q

True or False.

Multicultural competency is required across all specialties.

A

True.

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10
Q

VABB

Counselors should refrain from referring clients due to personally held ____, ____, ____, and ____.

A
  • Values
  • Attitudes
  • Beliefs
  • Behaviors
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11
Q

What harmful message may be sent to a client due to an inappropriate referral?

A

“Your problem is too big even for me, the professional, to handle.”

They could also feel judged or “put in their place”

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12
Q

When might it be unethical for a counselor NOT to refer?

A

If they due not have the professional comptetence to help the client.

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13
Q

At what point to counselors need to get informed consent from their clients?

A

Before the first session occurs.

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14
Q

Why do we gain informed consent from our clients?

A
  • They deserve to know what the process is and what they might experience
  • They need to be able to make informed, wise choices
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15
Q

What is best practice around providing clients with information about the counseling relationship?

A

Written materials (could be digital)

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16
Q

What additional information does HIPPA require regarding informed consent?

A
  • Proposed treatment plan
  • How the plan will be implemented/used
  • Informed consent must be signed by client
17
Q

What is a disclosure statement?

A
  • Discloses the counselors qualifications and theoretical orientation.
  • Informs about the nature of the counseling relationship
  • States client rights
  • Confidentiality and its limitations
18
Q

TRUE or FALSE.

Disclosure statements aren’t required legally, but are part of the ACA code of ethics requirements.

A

FALSE

19
Q

____ is universally viewed as being essential to the counseling process.

A

Confidentiality

20
Q

Why is confidentiality so important to the therapeutic relationship?

A

Helps create a safe space for the client

This fosters trust which in turn helps the client disclose more freely

21
Q

What are the limitis of confidentiality?

A
  • If client waives their privelege to confidentiality
  • If the client files a malpractice suit against the counselor
  • After the death of a client (if required)
  • Sharing information with a supervisor or member of a treatment team
  • Risk of harm to self or others
  • Suspected abuse - child, disabled, or elder (elder not mandated by Wisconsin law)
  • Court-ordered disclosure
  • Group situations - can’t guarantee
  • End of life decisions (if terminally ill)
  • Contagious, life-threatening diseases
22
Q

Break confidentiality?

You are a crisis counselor working with a 35-year-old man whose wife has been physically abusing him. He says he is embarrassed and does not want to call the police.

A

No. Create safety plan. Explore “embarrassment” (shame).

23
Q

Break confidentiality?

You are a school counselor working with a 16-year-old female student who reveals that she has been sexually active but does not want her parents to know.

A
24
Q

Break confidentiality?

You are a mental health counselor working with a client who says that he feels like punching his boss in the face.

A

No. No plan.

25
Q

Break confidentiality?

You are a mental health counselor working in outpatient therapy. Your severely depressed client reports having thoughts of ending her life, and those thoughts have included a plan of how to do it. She claims that she does not actually want to die but doesn’t feel like she’s in control.

A

Yes. She has a plan.

26
Q

Break confidentiality?

You are a counselor working with terminally ill patients. One of them begins talking about ending his suffering.

A

Depends. What are laws in state (if person has a plan and not legal, must report). Refer to Code of Ethics.

27
Q

When circumstances require disclosure of confidential information, only ____ information is revealed. This is called ____ ____.

A

Essential

Minimal Discolsure

28
Q

True or False:

Clients should normally be informed before their confidential information is disclosed to another party.

A

True.

29
Q

If faced with a situation where the ethical course of action is not legal, what would you do?

A

Choose the legal option, unless there is a reason I can justify through the decision-making process that I choose the ethical option.

30
Q

What is priveleged communication?

A

Legal concept that ensures what is discussed betwee client and therapist cannot be legally revealed (unless certain criteria are met)

31
Q

What items could be included in client records?

A
  • Notes
  • Assessments
  • Treatment Plans
  • Audio/Video
  • Billing Info
32
Q

When/why should counselors keep records?

A
  • If required by law
  • If required by agency
  • For rending counseling services
33
Q

True or False:

Counselors need not obtain permission from clients to record sessions if the client has signed the confidentiality agreement which explained recordings might be used in sessions.

A

False

34
Q

True or False:

Counselors don’t have to provide clients with their records if they feel they will be harmful to the client.

A

True.

35
Q

True or False:

Client notes can be subpopenaed in litigation.

A

True.

36
Q

When writing notes, what should you assume?

A

That someone will read them.

37
Q

What elements are required by HIPPA regarding confidentiality?

A
  • Counselors must given clients a clear written explanation of how counselors use, keep, and close their files.
  • Clients must have access to their records.
  • A process must exist and must be in writing for clients to request amendments to their records.
  • Counselors must have available a set of written privacy procedures that include who has access to files, how it will be used, and when the information would or would not be disclosed to others.
  • Clients must be given a means to make inquiries regarding their counseling records or make complaints regarding the privacy of their records.

CON 600 Ethics and Professional Identity (4 decks)

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