cplee missed q's

Question 1

Which of the following is NOT an exception to privilege?

a) a lawyer initiates a hearing to determine a patient’s competence to stand trial
b) a patient requests a proceeding to determine his or her sanity
c) the BOP appoints a psychologist to examine a patient
d) the court appoints a psychologist to evaluate a patient in order to provide a defense attorney with info

Answer 1

d) the court appoints a psychologist to evaluate a patient in order to provide a defense attorney with info

Question 2

You are employed by a company which contracts with the State of California to offer comprehensive EAP services. An employee who is self-referred states she is depressed and having difficulty getting her work done because of an incident of sexual harassment that occurred on the job. In terms of confidentiality:

a) you are permitted to disclose that sexual harassment has occurred
b) you are permitted to inform the human resources department that an incident of sexual harassment has been alleged
c) you may speak with the supervisor regarding the employee’s attendance in therapy and fitness for work
d) you may divulge nothing to the supervisor about the psychological status of the employee

Answer 2

d) you may divulge nothing to the supervisor about the psychological status of the employee

(because the patient is self-referred, nothing can be divulged without the patient’s consent)

Question 3

You have been treating a minor for several months. Her mother provided consent for treatment and has been paying your fees. The father, who has legal custody but has been out of contact with the girl for several years, contacts you and asks you to provide him with the treatment records. Your best course of action would be to:

a) refuse his request
b) release the information
c) discuss the request with the mother, and release the information unless it would be detrimental to the therapy or to the minor’s physical or emotional well-being
d) consult with an attorney

Answer 3

c) discuss the request with the mother, and release the information unless it would be detrimental to the therapy or to the minor’s physical or emotional well-being

Question 4

A 14-year-old boy of Lebanese descent comes to see you for treatment. He tells you that he needs your help because he is struggling with his sexuality and cannot manage his confusion on his own. However, he tells you that he does not want his parents to know he is in treatment with you. On what basis would you be able to see this boy without parental consent?

a) he is seeking services related to sexuality
b) he has been the victim of abuse
c) he is mature enough to participate intelligently
d) he is 12 or older

Answer 4

c) he is mature enough to participate intelligently

Question 5

After treating a 14-year-old without parental consent for six months his parents find out he has been in therapy and demand a copy of his records. You may:

a) refuse them a copy of the records as they are not entitled to it
b) refuse them a copy of the records if by giving them the records the boy’s physical safety would be endangered
c) refuse them a copy of the records if by giving them the records either the boy’s physical or emotional safety would be endangered
d) offer them a summary of the records if you have concerns about their having access to the complete records

Answer 5

a) refuse them a copy of the records as they are not entitled to it
- When lawfully treating a minor without parental consent, the minor patient is entitled to full rights of confidentiality and privilege. therefore, the minor’s parents are not entitled to a copy of the treatment records without authorization by the minor.

Question 6

A father brings his six-year-old daughter to you for testing. The parents are divorced, and while they share legal custody, the father has primary physical custody. You diagnose the child with autism spectrum disorder. The girl’s mother requests a copy of the testing report. You should:

a) send her a summary of the report and info about the girl’s diagnosis
b) offer her a summary of the report and send her a copy of the report if she insists
c) send her a copy of the report, with the father’s permission
d) not send her a copy of the report

Answer 6

b) offer her a summary of the report and send her a copy of the report if she insists

Question 7

According to the CA Health and Safety Code, under which circumstances may a physician disclose HIV+ status to a patient’s partner without the patient’s consent?

a) physicians are prohibited from disclosing HIV+ status information to a patient’s partner, without the patient’s consent
b) a physician may disclose HIV+ status info to a partner to interrupt the chain of HIV transmissions
c) a physician may disclose HIV+ status info to a partner only after the physician has attempted to secure the patient’s consent
d) a physician may disclose HIV+ status info to a partner when the patient has communicated intent to deliberately expose the partner to the HIV virus

Answer 7

c) a physician may disclose HIV+ status info to a partner only after the physician has attempted to secure the patient’s consent

Question 8

You are treating a 22-year-old patient who is struggling with relationship issues. She tells you that while she was a sophomore is high school, her therapist touched her inappropriately. In addition to assessing the current risk this therapist poses, you must:

a) make a report to CPS
b) give her the pamphlet Professional Therapy Never Includes Sex, and discuss the pamphlet with her
c) report this therapist to the BOP
d) let your patient know that she can file and Ethics compliant with the BOP

Answer 8

b) give her the pamphlet Professional Therapy Never Includes Sex, and discuss the pamphlet with her

Question 9

Which of the following is not an acceptable business arrangement between a licensed clinical psychologist and a psychological assistant?

a) fee splitting (e.g., 60% to the supervisor, 40% to the supervisee)
b) the psych assistant is paid an hourly rate
c) the psych assistant is paid a rate that varies depending on the service provided (e.g., %50 per hour of individual therapy, $200 per assessment completed, etc)
d) the supervisor pays the psych assistant all fees collected from her patients, after subtracting rent and supervision

Answer 9

d) the supervisor pays the psych assistant all fees collected from her patients, after subtracting rent and supervision

Question 10

A patient you treated 5 years ago has been charged with vehicular manslaughter. Your records are subpoenaed as part of this patient’s competency proceedings. You should:

a) attempt to contact the patient to clarify whether or not he wants the records released
b) appear and assert privilege
c) appear and release the records because this is an exception to privilege
d) seek consultation

Answer 10

c) appear and release the records because this is an exception to privilege

Question 11

Which of the following statements best summarizes the attitude of the 2002 APA Ethics Code toward multiple relationships?

a) it is unethical to enter into a multiple relationship that can be avoided
b) multiple relationships that cannot be avoided may be ethically permissible if they do not impair the psychologist’s functioning or risk harm or exploitation
c) multiple relationships that do not impair the psychologist’s functioning or risk harm or exploitation are not unethical
d) multiple relationships are not inherently unethical unless they violate other ethical standards against risking harm or exploitation to clients

Answer 11

c) multiple relationships that do not impair the psychologist’s functioning or risk harm or exploitation are not unethical

Question 12

In the midst of conducting a court-ordered evaluation, the client who had previously agreed to the evaluation tells you he no longer wants to be evaluated. Your best course of action would be to:

a) proceed anyway
b) stop the evaluation
c) seek guidance from the court
d) seek consent from the client’s lawyer

Answer 12

a) proceed anyway

Question 13

You are referred a family for therapy. In the first session you realize that you and the mother are members of the same book club. You should:

a) withdraw from the book club
b) consider objectivity in this matter
c) treat the family
d) refer the family to another therapist

Answer 13

b) consider objectivity in this matter

Question 14

You receive a written request from a client for a copy of her therapy record. To be consistent with the provisions of Section 123110(b) of the CA Health and Safety Code, you must ensure that the records are transmitted to the client within ___ days after receipt of the request.

a) 10
b) 15
c) 25
d) 30

Answer 14

b) 15

Question 15

Ensuring that the assessment instruments you use to evaluate client are not outdated in terms of content or norms and are administered according to standardized procedures helps ensure a high degree of which of the following?

a) test accommodation
b) test sophistication
c) test security
d) test integrity

Answer 15

d) test integrity

Question 16

CA code of regulations section 1397 allows licensed psychologists to advertise their professional services:

a) as long as such advertising does not include testimonials from current or former clients
b) only when there is empirical evidence to support the effectiveness of the services offered
c) as long as such advertising does not promote the excessive use of those services
d) only when an ad is clearly labeled as a “paid advertisement”

Answer 16

c) as long as such advertising does not promote the excessive use of those services

Question 17

As described in CA law, the psychotherapist-patient privilege may be waived when the patient:

a) voluntarily discloses any portion of a confidential communication
b) voluntarily discloses a significant portion of a confidential communication
c) discloses any portion of a confidential communication that is pertinent to the issue being considered in a legal proceeding
d) discloses a relevant portion of a confidential communication to a disinterested third party

Answer 17

b) voluntarily discloses a significant portion of a confidential communication

Question 18

What is the diff between confidentiality and privilege when working with clients?

a) privilege is an ethical issues that prevents the psych from revealing info about the client and confidentiality is a legal issue that pertains to testimony in court
b) confidentiality is an ethical issue established by state law to restrict testimony of confidential info in a legal proceeding and privilege is a legal term that requires the psych to testify in a legal proceeding
c) privilege is a legal concept that refers to a person’s right to have confidential info revealed in a legal proceeding and confidentiality refers to the ethical obligation of psychs to protect client’s info revealed in therapy
d) confidentiality refers to a psych’s ethical and legal obligation to protect info revealed by a client in therapy and privilege refers to the legal requirement not to reveal confidential client info in legal proceedings

Answer 18

d) confidentiality refers to a psych’s ethical and legal obligation to protect info revealed by a client in therapy and privilege refers to the legal requirement not to reveal confidential client info in legal proceedings

Question 19

As a result of its investigation of a complaint filed against Dr. Nedham by a former client, the BOP has found him guilty of unprofessional conduct and placed him on probation for five years. As part of his probation, Dr. Nedham’s practice will be monitored. In this situation, Dr. Nedham:

a) does not have to inform any of his clients about his probationary status
b) does not have to inform any of his clients about his probationary status unless he determines that it is necessary to do so to protect a client’s welfare
c) must inform a client about his probationary status only when the client inquires about his status with the BOP
d) must inform clients about any aspect of probation that will impact therapy or the confidentiality of their therapeutic records

Answer 19

d) must inform clients about any aspect of probation that will impact therapy or the confidentiality of their therapeutic records

Question 20

AN 84-year-old man who you have been working with is taken to the emergency room at the hospital. The Emergency Medical Technician calls you because she found your card in the patient’s pocket. She requests info about your patient. What should you do?

a) ask the nature of the emergency
b) refuse to give any info
c) maintain confidentiality
d) give the EMT info related to the emergency

Answer 20

d) give the EMT info related to the emergency

Question 21

You have been seeing a 28-year-old woman in therapy for depression. She comes to therapy with a split lip and a black eye. She tells you that her boyfriend has been beating her. You would:

a) give her the booklet on spousal abuse
b) report her abuse to the police
c) keep the info confidential
d) report her abuse to adult protective services

Answer 21

c) keep the info confidential

Question 22

The central issue in the assessment of grave disability is determining:

a) the extent to which the client’s mental disorder results in suicidal ideation or an intent to harm others
b) the extent to which the client’s mental disorder prevents him/her from providing a reliable report to the psych and/or participating in a meaningful way in the psychotherapy process
c) the extent to which the client’s mental disorder interferes with his/her ability to effectively deal with everyday social, occupational, and interpersonal requirements
d) the extent to which the client’s mental disorder interferes with his/her ability to make sound decisions and safe judgments

Answer 22

c) the extent to which the client’s mental disorder interferes with his/her ability to effectively deal with everyday social, occupational, and interpersonal requirements

Question 23

When an elder has been abused with no serious bodily injury, a report must be made immediately, or as soon as possible by telephone. The written report must be submitted:

a) within two working days
b) within 48 hours
c) within 24 hours if the elder lives at home, and 48 hours if the elder lives in a long-term care facility
d) within 24 hours if the elder lives in a long-term care facility, and within 2 working days if the elder lives at home

Answer 23

d) within 24 hours if the elder lives in a long-term care facility, and within 2 working days if the elder lives at home

Question 24

You receive a subpeona duces tecum requesting you to testify at a competency hearing for a former client and to bring certain information from the client’s record. The client terminated therapy with you several years ago and you have not talked to him since then. You should:

a) appear as requested but provide only information relevant to the client’s competence
b) appear as requested but claim the privilege
c) appear as requested only if you are able to contact the client and he gives you permission to do so
d) do nothing until you receive an order from the court

Answer 24

b) appear as requested but claim the privilege

Question 25

At the request of an employer, a psychologist conducts a fitness-for-duty evaluation of an employee. If the employee refuses to sign an authorization or waiver form, the psychologist:

a) cannot provide any information derived from the evaluation to the employer
b) can only tell the employer whether the employee is fit-for-duty
c) can only tell the employer whether the employee is fit-for-duty and describe any relevant functional limitations
d) can tell the employer whether the employee is fit-for-duty, describe any relevant functional impairments, identify the medical or psychological cause of those limitations, and provide any other pertinent information

Answer 25

c) can only tell the employer whether the employee is fit-for-duty and describe any relevant functional limitations

Question 26

When a psychologist experiences an unresolvable conflict between ethical obligations and requirements of law, regulations, or other governing legal authority, the psychologist:

a) may adhere to either ethical obligations or legal requirements
b) should adhere to legal requirements as long as they do not violate human rights
c) should discuss the issue with the client to see how he/she wants to resolve it
d) should seek legal advice or consult with the state licensing board

Answer 26

d) should seek legal advice or consult with the state licensing board

Question 27

A psychologist is considering a client’s offer to clean his office in exchange for the fee. The client has a cleaning service and says that times are hard and it would be a good arrangement for him. The client feels that that psychologist should see him more often in exchange for the cleaning services. The psychologist feels that this could be overpayment. Should the psychologist continue to negotiate the fee in trade?

a) the psychologist should consider the issue of exploitation of the client before making an arrangement for the fee
b) the psychologist should not enter into a bartering arrangement with this client under any circumstances
c) the psychologist should consider whether additional sessions will help the client
d) the ethics code prohibits bartering services

Answer 27

a) the psychologist should consider the issue of exploitation of the client before making an arrangement for the fee

Question 28

Which of the following does NOT represent a legal exception to the psychotherapist-patient privilege?

a) the psy is appointed by the court to evaluate the defendant at the request of the defendant’s attorney so that the attorney can determine the appropriateness of an insanity plea
b) the services of the psy were sought by the patient in order to escape detection after committing a crime
c) the psy has been asked by the relative of a patient to evaluate the patient for the purpose of determining the patient’s competence
d) the patient is suing the psy for malpractice

Answer 28

a) the psy is appointed by the court to evaluate the defendant at the request of the defendant’s attorney so that the attorney can determine the appropriateness of an insanity plea

Question 29

The APA’s ethics code identifies three situations in which it is not necessary to obtain an informed consent prior to administering a psychological test. Which of the following is NOT one of these three situations?

a) testing is mandated by law or government regulation
b) informed consent is implied because testing is routine
c) the purpose of testing is to evaluate competence
d) the test-taker’s anonymity can be maintained

Answer 29

d) the test-taker’s anonymity can be maintained

Question 30

To ascertain the appropriate procedures for breaching client confidentiality when a client refuses to pay for professional psychological services that he or she has already received, you would consult which of the following?

a) california board of psychology laws and regulations
b) california board of psychology patient bill of rights
c) apa’s ruls and procedures
d) apa’s ethical principles of psychologists and code of conduct

Answer 30

d) apa’s ethical principles of psychologists and code of conduct

Question 31

A licensed psy receives a written request and authorization from a former therapy client to release her therapy records to the Board of Psychology. If the psychologist fails or refuses to release the client’s records to the Board within 15 days of receipt of the request without good cause, the psychologist is subject to a fine of _____ per day for each day the documents are not produced after the 15th day.

a) $100
b) $500
c) $1000
d) $5000

Answer 31

c) $1000

this issue is covered in CA business andprofession code section 2969

Question 32

To be consistent with legal requirements, a psychologist may deny a patient access to his/her own protected health information (PHI):

a) when access is reasonably likely to endanger the patient’s mental health
b) when access is reasonably likely to endanger the patient’s mental or physical health
c) when access is reasonably likely to endanger the patient’s life or physical safety
d) under no circumstances

Answer 32

c) when access is reasonably likely to endanger the patient’s life or physical safety

(because HIPAA provides greater access than does CA law, HIPAA sets the standard for determining when access to PHI may be denied. HIPAA’s privacy rule states that a provider may deny a patient access to his/her medical records when access is reasonably likely to endanger the life or physical safety of he patient or another person

Question 33

During a psychological conference, a psychologist is impressed by an innovative treatment described by one of the presenters. Although this treatment is still experimental, the psychologist would like to begin using it with his clients. The psychologist:

a) can use this treatment but should avoid informing his clients of its experimental nature
b) should not use this treatment
c) should obtain his clients’ informed consent before using the treatment, including informing them of the developing nature of the treatment, the potential risks involved, alternative treatments that may be available, and the voluntary natures of their participation
d) should not use the treatment until its effectiveness has been firmly established in the literature, unless no alternative treatments are available

Answer 33

c) should obtain his clients’ informed consent before using the treatment, including informing them of the developing nature of the treatment, the potential risks involved, alternative treatments that may be available, and the voluntary natures of their participation

(ethics code standard 10/01, informed consent to therapy, states, “when obtaining informed consent for treatment for which generally recognized techniques and procedures have not been established, psychologists inform their clients/patients of the developing natures of the treatment, the potential risks involved, alternative treatments that may be available, am the voluntary nature of their participation)

Question 34

Under HIPAA’s privacy rule, patients can be denied access to protected health information (PHI) in certain circumstances. However, in some of these circumstances, the patient has the right to have the denial reviewed by a designated licensed health care professional. Which of the following is a reviewable ground for denial of access to PHI?

a) the requested information includes psychotherapy notes
b) the requested information was compiled for use in a civil or criminal proceeding
c) the health care provider believes that access is reasonably likely to cause emotional distress for the patient
d) the health care provider believes that access is reasonably likely to endanger the physical safety of the patient or another person

Answer 34

d) the health care provider believes that access is reasonably likely to endanger the physical safety of the patient or another person

(HIPPA’s privacy rule distinguishes between reviewable and non-reviewable grounds for denying access to PHI, and it identifies three reviewable grounds for denial: (1) a licensed health care professional has determined that access is likely to endanger the life or physical safety of the patient or another person; (2) the PHI refers to another person who is not a healthcare provider and the health care professional believes that access is likely to cause substantial harm to that person; or (3) the request for access was made by the patient’s personal representative (rather than from the patient) and the health care professional has determined that access is likely to cause substantial harm to the patient or other person.)

(answer a is incorrect because access to psychotherapy notes can be denied and the denial is non-reviewable. answer b is incorrect because access to information compiled for use in a criminal, civil or administrative action can be denied and the denial is non-reviewable. answer c is incorrect because HIPAA does not permit denial of access to a patient because to info might cause the patient emotional distress)

Question 35

Dr. Clark is a licensed psychologist who has maintained a private practice for 15 years. Currently, Dr. Clark’s standard fee for therapy is $100 per session. Dr. Clark has scheduled an appointment with a new client who is a member of a managed care health plan. Dr. Clark has been contracted by this organization to be paid $80 per session. Dr. Clark should:

a) bill the client for the difference if Dr. Clark informs the client of this policy at the outset of therapy
b) bill the managed care company the difference
c) reduce the length of each therapy session
d) accept the agreed-upon fee of $80 per session with the new client

Answer 35

d) accept the agreed-upon fee of $80 per session with the new client

Question 36

Who may release a person who has been admitted for 72-hour treatment under WIC 5150?

a) the patient himself or herself
b) a patient advocate
c) a psychiatrist directly responsible for the patient’s treatment
d) no one; the patient must not be released during the initial 72 hours of the hold

Answer 36

c) a psychiatrist directly responsible for the patient’s treatment

Question 37

You have been treating a 14-year-old female for the past year and during her final session she reports suicidal intent with a plan. You should:

a) attempt to make a no-suicide contract
b) immediately contact the parents
c) call the police
d) not allow the client to leave your office until the risk has passed

Answer 37

b) immediately contact the parents

Question 38

Section 5260 of the welfare and institutions code provides legal guidelines for initiating a postcertification hold for individuals who are:

a) gravely disabled
b) suicidal
c) a danger to others
d) a danger to self or others

Answer 38

b) suicidal
* this is the second 14-day hold

(section 5270.15 is for gravely disabled- 30 days; section 5300 is for danger to others- 180 days) (5250- first 14-day hold for suicidal, gravely disabled or danger to others))

Question 39

You have been seeing Lucinda L. in therapy for nearly six months for an anxiety disorder. During this time, her symptoms have waxed and waned somewhat but, overall, have not improved. The best course of action in this situation would be to:

a) continue to treat Lucinda but with a modified treatment plan
b) discuss the lack of progress with Lucinda and continue treating her only if she desires to do so
c) refer Lucinda to another psychologist for treatment
d) refer Lucinda for a medical evaluation is she has not had one since her anxiety symptoms began

Answer 39

d) refer Lucinda for a medical evaluation is she has not had one since her anxiety symptoms began

Question 40

Which of the following is true about the provisions of the APA’s ethics code with regard to the use of client testimonials?

a) the use of client testimonials is prohibited under any circumstances
b) the use of client testimonials is acceptable as long as they are not false or deceptive
c) the use of client testimonials may be acceptable as long as they have not been solicited from current clients or others who are vulnerable to undue influence
d) the use of client testimonials is acceptable only when they have not been solicited from current or former therapy clients and doing so is not clinically contraindicated or exploitative

Answer 40

c) the use of client testimonials may be acceptable as long as they have not been solicited from current clients or others who are vulnerable to undue influence

Question 41

Dr. Trumbell is not getting along with his neighbor and finds that he has little patience and tends to get angry with therapy clients who physically resemble the man. To be consistent with the requirements of the APA’s ethics code, Dr. Trumbell should:

a) refer clients who resemble his neighbor to another therapist
b) inform clients who resemble his neighbor about his current situation
c) consult with another professional to determine what to do about his practice
d) monitor his behavior for signs of impaired performance

Answer 41

c) consult with another professional to determine what to do about his practice

Question 42

HIPAA’s security rule requires covered entities to have a date backup plan that:

a) includes procedures for creating and storing retrievable copies of electronic protected health information
b) includes procedures for storing electronic protected health information in ways so that the info is encrypted and unalterable
c) involves storing retrievable copies of electronic protected health information in an approved off-site location
d) involves maintaining a hard copy of electronic protected health information in a secure location

Answer 42

a) includes procedures for creating and storing retrievable copies of electronic protected health information

Question 43

Based on complaints filed against Dr. Brianna Brill by a former client, the BOP determines that Dr. Brill may have a mental illness that is interfering with her ability to provide competent professional services, and it orders Dr. Brill to be evaluated by a designated psychologist. Dr. Brill believes the client’s compliant is unfounded and notifies the Board that, for this reason, she refuses to be evaluated. In response, the Board will most likely do which of the following?

a) suspend or revoke Dr. Brill’s license
b) place Dr. Brill on probation
c) require Dr. Brill’s work with clients to be supervised
d) ask Dr. Brill to file a formal challenge to the client’s complaint

Answer 43

a) suspend or revoke Dr. Brill’s license

Question 44

As defined in the APA’s ethics code, uninvited in-person solicitation of business by a psychologist is:

a) acceptable as long as the solicitation is not coercive
b) acceptable as long as the person’s “best interests” are of paramount concern
c) acceptable when it involves providing disaster or community outreach services
d) never acceptable

Answer 44

c) acceptable when it involves providing disaster or community outreach services

Question 45

Health and safety code section 124260 states that a clinical psychologist may provide outpatient mental health services to a 10-year-old child without the consent of the child’s parents in which of the following situations?

a) the child presents a danger to him/herself
b) the child understands the consequences of her behavior
c) the child has been the victim of incest or child abuse
d) none of the above

Answer 45

d) none of the above

Question 46

Which of the following is not an exception to privilege?

a) a lawyer initiates a hearing to determine a patient’s competence to stand trail
b) a patient requests a proceeding to determine his or her sanity
c) the Board of Prisons appoints a psychologist to examine a patient
d) the court appoints a psychologist to evaluate a patient in order to provide a defense attorney with information

Answer 46

d) the court appoints a psychologist to evaluate a patient in order to provide a defense attorney with information

(there are a number of evidence codes (exceptions to privilege) with regard to evaluating patients in forensic situations. No privilege exists when the therapist is appointed by the court of by the board of prison terms to examine the patient, thus, response c does not constitute an exception to privilege. Privilege doesn’t exist in a proceeding initiated at the request of a defendant in a criminal action suit to determine his or her sanity, thus, response b also is an exception to privilege. There is also no privilege in proceedings brought by the patient to establish his or her competence, thus, response a is also an exception to privilege. These exceptions to privilege do not apply when the therapist is appointed by the court specifically to provide the criminal defendant’s lawyer with information upon which to base the defense. In other words, if the purpose of the exam is to help the lawyer and defendant put together their legal strategy, the information may remain in confidence between the lawyer and his or her client (response d)).

Question 47

Which of the following statements best describes the attitude of the APA’s ethics code toward multiple relationships?

a) multiple relationships are never permitted
b) multiple relationships should be avoided whenever possible, but they may be acceptable if they can’t be avoided
c) multiple relationships are only unethical if they impair objectivity or present the possibility for harm or exploitation
d) multiple relationships are sometimes acceptable if they are not of a sexual, romantic, or financial nature

Answer 47

c) multiple relationships are only unethical if they impair objectivity or present the possibility for harm or exploitation

(the APA ethics cods states that multiple relationships are not inherently unethical (ruling out response a). It does not explicitly single out those of a sexual, romantic or financial nature (response d) as being problematic, not does it state that multiple relationships should be avoided whenever possible (response b). The ethics code states that multiple relationships are acceptable as long as they don’t impair effectiveness and objectivity, and they don’t cause harm or exploitation)

Question 48

At what age is parental consent no longer required for a minor seeking drug or alcohol-related treatment from a provider with a county or state contract?

a) 12 years
b) 12 years and “mature enough to participate intelligently”
c) 14 years
d) 14 years and “mature enough to participate intelligently”

Answer 48

a) 12 years

(parental consent is not required when a minor 12 years of age or older is seeking drug or alcohol-related treatment from a provider with a county or state contract. The stipulation that a minor be “mature enough to participate intelligently” (responses b and d) applies only to general outpatient mental health treatment, NOT situations in which a minor is seeking drug or alcohol-related treatment from a provider with a county or state contract. In the minor were seeking general outpatient mental health treatment without parental consent for a drug or alcohol-related problem, then they would need to be 12 years of age or older AND mature enough to participate. HINT: almost all the laws having to do with minor receiving treatment without parental consent either stipulate no minimum age, or stipulate a minimum age of 12 years, allowing you to rule out responses c and d. The exception is for self-sufficient minors, who must be 15 years of age or older to legally consent to medical or dental care)