Ethics Flashcards
The primary value underlying the existence of ethical principles is:
A. Confidentiality of therapist-client communication.
B. the continued prosperity of the field of psychology.
C. The advancement of the welfare of society as a whole.
D. The advancement and protection of the welfare of the patients and clients of psychologists.
D. The preamble of APAs Ethical Principles states that the code “has as its goals the welfare and protection of the individuals and groups with whom psychologists work.”
Pro bono work is:
A. Required by ethical principles.
B. encouraged by the ethical principles.
C. Discouraged by the ethical principles.
D. Prohibited by the ethical principles.
B. general principle B (fidelity and responsibility) states that psychologists “strive to contribute a portion of their professional time for little or no compensation or personal advantage.”
If an ethical principle is not addressed in the ethics standards, it indicates that any related conduct:
A. Is ethical
B. is unethical
C. Is ethical, if not prohibited by any law or regulation.
D. May be ethical or unethical.
D. The Introduction and Applicability states that, “the fact that a given conduct is not specifically addressed by an ethical standard does not mean that it is necessarily either ethical or unethical.”
You are contacted by the APA Ethics Committee in regard to a complaint filed against you by your client. The committee asks for your records related to the clients therapy with you. You should:
A. Cooperate fully with the committees request.
B. contact the client and obtain a release of information before cooperating.
C. Contact the client and attempt to settle the matter informally.
D. Call your travel agent and find out the next flight to Tahiti is.
A. When you are contacted by an ethics committee in response to a complaint from a client, you must cooperate fully. Confidentiality is not an issue since the committee must obtain a signed waiver of confidentiality from the complainant before it takes any action.
You share an office with one other psychologist. One morning, you arrive early to find your partner having sex with a current patient of his. You should:
A. Discuss the matter with him later.
B. report him to the ethics committee.
C. Discuss the matter with the patient, and explain to her that she has the option to take action against your partner.
D. Discuss the matter with the patient and attempt to get her to sign a release of information so you can pursue a complaint.
B. Usually, when you know or suspect that a colleague has committed an ethical violation, you attempt to resolve the matter informally by bringing it to his attention. However, if the violation is not amenable to informal resolution, as in this case, you must take further action, such as filing a report to an ethics committee. Of course, you should protect the confidentiality rights of the patient, thus in your complaint, you would not provide identifying information about the patient.
If a client tells you that he had sex with a previous therapist, you should:
A. Have the client sign a release of information and report the psychologist to the appropriate ethics committee.
B. with the clients permission, contact the psychologist yourself.
C. Report the psychologist to an ethics committee with or without the patients permission.
D. Outline the clients rights and options regarding legal action and ethics complaints.
D. Reporting the patients psychologist without the patients permission would constitute an unauthorized breach of confidence. If you had a waiver of confidentiality you could make the report yourself, but you can’t “have the client sign a waiver” - this implies that you may be placing undue pressure on the client to do something he does not want or is not ready to do. In this situation, your best option would be to outline the patients rights and options and let him decide whether to take legal action or file a complaint with an ethics committee.
You want to work with clients from an ethnic group you have not worked with before. Your best option would be to:
A. Refer such clients to another therapist.
B. read books about the target group while working with the patients.
C. Seek supervision and/or consultation before taking on such clients and while you are working with them.
D. See the clients, since we are all human beings and why can’t we all just get along?
C. Standard 2.01(b) requires psychologists to seek necessary training, experience, consultation, or supervision, or make appropriate referrals, when an understanding of client-therapist ethnic differences “is essential for effective implementation of their services.” No specific guidelines exist regarding which option (I.e., training consultation, or referral) to choose in given situations. However, consultation is usually an appropriate option in the circumstance described by the question, since a client-therapist ethnic difference usually does not preclude an effective therapeutic relationship and since merely reading books is insufficient.
A psychologist who has been having marital problems begins to notice that during marital therapy with his clients he be is tending to agree more with the husbands perspective. He should:
A. Explain to his clients the reasons for his counter transference.
B. seek consultation.
C. Refer his marital therapy clients.
D. Suspend doing marital therapy until his marital problems are resolved.
B. Standard 2.06(b) requires psychologists who become aware of personal problems that may interfere with adequate performance in their work, take appropriate measures. In this case, the most appropriate measure would be to seek consultation. Through consultation the psychologist may be able to resolve his counter transference issue or would be better able to decide what further action to take, for example, suspending working with certain clients, listing his work load, referral of clients, or termination of work related duties.
The use of interpreters in psychotherapy:
A. Is always unethical due to the inherent lack of confidentiality.
B. Is always unethical because psychologists must refer clients if they cannot communicate directly in the same language.
C. Is ethical if the interpreter has signed an agreement to maintain clients confidentiality.
D. May be ethical if steps have been taken to avoid multiple relationship between the interpreter and the client.
D. Although the use of an interpreter in psychotherapy raises several clinical and ethical concerns,
A psychologist who obtained a Ph.D. in experimental psychology wants to change her specialty to clinical psychology. To meet the requirements set forth by the General Guidelines for Providers, the psychologist must
A. complete an internship in clinical psychology under the supervision of a professional clinical psychologist.
B. complete appropriate doctoral-level classes and supervised post-doctoral training.
C. obtain a Ph.D. in clinical psychology from an accredited college or university.
D. meet her state’s requirements for licensure in clinical psychology.
B. The licensing exam often contains questions such as these, and in approaching them, you should remember these buzzwords: training AND experience. Specifically, the Specialty Guidelines state that “professional psychologists who wish to qualify as clinical psychologists meet the same requirements with respect to subject matter and professional skills that apply to doctoral and postdoctoral education and training in clinical psychology.” Choice “B” is the only one that includes an element of both training and experience, and is therefore the best answer. Moreover, unlike as stated by choice “C”, a second Ph.D. would not be necessary – doctoral level coursework in clinical psychology would be sufficient to meet the academic training aspect of this requirement
Continuing Education Credits (CE Credits) earned through an APA approved sponsor means that the program is: A. sanctioned by APA. B. endorsed by APA. C. approved by APA. D. the responsibility of the sponsor.
D. An organization is approved by the APA to sponsor continuing education programs. The sponsor then becomes responsible for each program. The APA periodically asks for reports from the sponsor, but the specific program is not endorsed, sanctioned, or approved by the APA. Only the overall sponsorship is approved by the APA.
While attending a staff meeting at a mental health facility where you work, you learn that one of your colleagues, a psychologist, is behaving in an unethical manner toward one of her patients. Despite being advised to do so by several members of the staff, she states that she will not change her behavior. What should you do in this situation?
A. Approach the colleague individually and urge her to change her behavior; if she refuses, report her to the appropriate ethics committee.
B. Approach the colleague individually and urge her to change her behavior; if she refuses, recommend to the director of the facility that she be fired.
C. Report the colleague to the appropriate ethics committee immediately, since she has already stated that she will not change her behavior.
D. Announce in the staff meeting that you want to “go on the record” as noting that the psychologist is behaving unethically.
A. The Ethics Code states that you should deal with ethical violations by another psychologist in an informal manner, by bringing it to the attention of the psychologist. A report to an ethics committee should be made when the attempt at informal resolution has failed or if the violation is not amenable to informal resolution. Thus, you should speak to the psychologist privately and report her to an ethics committee if she still refuses to change her behavior. You may have thought that, since the psychologist has already stated her refusal to behave ethically, you should go ahead and report her, without bothering to talk to her. This actually makes sense, but the Ethics Code requires that you attempt an informal attempt at resolution first. A staff meeting is a formal setting, and does not personally give you the opportunity to attempt an informal resolution.
You have been working with a couple in marital therapy for four months, with slow but notable progress. After a session one day, the wife pulls you aside and asks to make some individual appointments with you. You should
A. refer her to another therapist.
B. wait until the completion of marital therapy and then see her individually.
C. terminate with the couple and see the woman individually.
D. encourage her to discuss any relevant issues within the context of marital therapy.
A. There is a potential for role conflict when a client in conjoint therapy asks you to see him or her individually. It’s possible that there may be a conflict between your considerations as a couple’s therapist and as an individual therapist. Thus, although your actions would vary depending on the parameters of the individual case, the best answer in light of the information we have is to refer the woman to another therapist for individual therapy.
Fee arrangements should be made with clients
A. at the beginning of treatment.
B. at the end of the first session.
C. on the phone before the first session.
D. as soon as possible.
D. This is an example of a question with more than one good answer. Choices “A”, “B”, and “C” may all be acceptable, depending on the circumstances. But because there are a number of acceptable answers to this question, you’d hope to find one general answer, such as “D”, that covers most or all of the specific possible options. More importantly, of the choices listed, “D” is most consistent with the language of APA’s Ethical Standard 6.04(a), which states: “As early as is feasible in a professional or scientific relationship, psychologists and recipients of psychological services reach an agreement specifying compensation and billing arrangements.
A client suspects that she may have been sexually abused as a child, although she has no conscious recollection of the abuse. She asks her psychologist to use hypnosis to help her retrieve any repressed memories she may have of any abuse. The psychologist should:
A. agree to use hypnosis only if he or she has obtained adequate training and experience in it’s use.
B. agree to use hypnosis but take detailed notes in the event of future legal action and avoid asking the client any leading questions.
C. advise against the use hypnosis, but recommend the use of guided imagery, which may be more admissible in court.
D. advise the patient that hypnosis may produce false recollections of abuse and is therefore inappropriate.
D. In a report titled “Final Conclusions of the American Psychological Association Working Group on Investigation of Memories of Childhood Abuse” [Psychology, Public Policy, and Law, 2000, 4 (4), 933-940] the authors acknowledge that “it is possible for memories of abuse that have been forgotten for a long time to be remembered.” However, they recommend that “clients who seek hypnosis as a means of retrieving or confirming their recollections should be advised that it is not an appropriate procedure for this goal because of the serious risk that pseudomemories may be created in trance states and of the related risk due to increased confidence in those memories. Clients should also be informed that the use of hypnosis could jeopardize any future legal actions they might want to take.”
An attorney contacts a psychologist requesting that his client be given a psychological evaluation prior to appearing in court. Following the evaluation the client asks that his records not be released to the court, although his attorney believes that releasing the records would be in his client’s best interest. The psychologist should:
A. release the records since there is no privilege regarding forensic evaluations
B. release the records since the attorney requested the evaluation
C. not release the records
D. seek consultation
C. Since this does not appear to be a court-ordered evaluation, the examinee remains the holder of the privilege; thus, his records should not be released to the court without his consent.
The purpose of State Licensing Boards is primarily to A. educate the public. B. educate the profession. C. protect the public. D. set minimum standards of practice.
C. The State Boards derive their authority from the principle of protecting the public. That’s the justification for giving exams, setting requirements for licensure, writing and enforcing regulations, and so on.
You are working with a couple in marital therapy and are conducting the initial interview. You realize that although the husband doesn’t remember you, the two of you once dated. You should
A. speak to the husband alone, explain the situation and ask him if he feels comfortable with proceeding.
B. see the wife in individual therapy only.
C. refer the couple to another therapist.
D. let the couple know the situation and then proceed with therapy.
C. This question is fairly easy to answer once you remember you are not obliged to provide services for all your referrals. This is an initial interview and you have a situation that involves a multiple relationship. You need to refer this couple to one of your competent colleagues.
A manufacturing company hires a psychologist to screen job applicants using standardized cognitive ability tests. The company then asks the psychologist to train their human resources staff to administer and score the tests. The psychologist should:
A. agree to do so if the psychologist is able to provide adequate training to the staff
B. agree to do so if the psychologist is able to supervise the human resources staff
C. refuse to do so because cognitive ability tests are not valid predictors of job performance
D. refuse to do so because the human resources staff lacks the appropriate qualifications
D. Ethical Standard 9.07 states, “Psychologists do not promote the use of psychological assessment techniques by unqualified persons.” A human resources staff would be unqualified to use these tests and should not be trained in their use. Contrary to C, cognitive ability tests are considered to be a relatively good predictor of job performance.
Utilization review, an important component of managed health care, refers to the idea that it is useful to
A. review benefits to eliminate or reduce unnecessary health care resources.
B. determine the adequacy of health care standards by comparing them to predetermined standards.
C. make decisions on patient care by a team of medical experts rather than an individual physician.
D. allow a patient to choose from several insurance plans.
A. Utilization review is concerned with conserving health care monies. It does this through having a utilization review committee assess the use of benefits and reduce or eliminate inappropriate or unnecessary use of health care resources. Answer B is a description of the concept of quality assurance and answer C is describing a medical team management approach to individual health care.
The Health Insurance Portability and Accountability Act (HIPAA) of 1996 applies to:
A. all health care providers
B. only health care providers who transmit patient information by fax and the internet
C. only health care providers who employ someone, such as billing services, with access to patient information
D. only health care providers who transmit patient information electronically
D. HIPAA does not apply to all health care providers. It only applies to “covered entities” — health plans, health care clearinghouses and healthcare providers — who transmit health information electronically. A provider who only communicates information by mail, phone, or fax is not a covered entity. Transmitting information electronically refers to use of the internet and includes receiving health information as well as transmitting information. For example, a provider is a covered entity even if she/he never transmits information but receives information, such as a description of benefits e-mail, via the internet. Additionally, a provider employing someone who sends or receives patient information on the provider’s behalf via the internet is also a covered entity.
A college psychology instructor gives a battery of psychological tests to some of his students who volunteered to be participants. Based on these tests, he finds that one of the participants is at risk for emotional disturbance. He talks to this student and suggests counseling. At the same time, he informs the director of the college counseling office who is a friend of his. According to APA ethical principles, the professor acted
A. unethically, because he revealed this information to a third party.
B. ethically, because he acted in accord with the student’s welfare.
C. ethically, because he had responsibilities to the college as well as to the student.
D. unethically, because he isn’t a clinician.
A. Suggesting counseling to the student is ethical and appropriate. However, barring an emergency situation characterized by imminent danger, informing a third party is unethical.
A psychologist is undertaking a research program in an elementary school on the effect of a new counseling program on enhancing children’s self-esteem. The psychologist has received permission from the school’s principal, the teachers, and from the parents of each student. However, when she explained the program to the children, some of them objected to being part of the study. The psychologist should
A. not use these children in her study.
B. call the parents of these children and ask them to try to convince the children to participate.
C. use the children in her study because she has all necessary legal consents.
D. re-design the study to eliminate the objection the children have to participating.
A. The best idea is to just leave out these children. Participants have the right to decline to participate in research, even if they are children. It wouldn’t be practical or prudent to ask her to re-design the whole experiment because a handful of children object to being participants. Thus, the best answer is to just do the study without using the children who object to participating.
You have a client who does not want their records released under any circumstances. The attorney has subpoened you. Your best course of action is to:
A. Respond in-person, but don’t take the records
B. Take the records, but don’t turn them over
C. Ignore the entire matter
D. Destroy the records
B. You should respond to the subpoena by asserting the psychotherapist-client privilege on the client’s behalf. If you cannot be released from the subpoena, you should appear at the legal proceeding with the documents requested, however, you should not actually release any information in the records, unless the judge orders you to do so. Keep in mind that a subpoena duces tecum requires a person to appear at a designated time and place with a copy of the records. It does not necessarily require the person to release those records.
A 16-year-old girl tells her therapist that she wants to kill herself and that she’s been thinking of using her mother’s prescription pain pills to overdose. The therapist then tells her that he will have to tell her parents about her suicide risk. The girl becomes enraged and says that she would not have disclosed the information if she knew that the therapist would tell her parents. The therapist should:
A. agree not to tell the parents if the girl agrees to a no-harm contract
B. agree not to tell the parents, but tell them without the girl’s knowledge
C. tell the parents and refer the girl to another therapist because she will probably not be able to trust the therapist again
D. tell the parents and apologize to the girl for having to do so
D. According to both ethics and law, a psychologist may disclose confidential information without the client’s consent to protect the client from harm. This applies to minors and adults alike. In this case, it would most likely be appropriate to inform the girl’s parents about her suicide risk. The reasons for this should be explained to the girl and the therapist should apologize for the breach of confidentiality. Given the apparent level of risk involved, it would probably not be sufficient to rely on a no-harm contract (A). It would certainly be inappropriate and countertherapeutic to lie to the client (B). And it may not be necessary to refer the client (C). If handled empathically, it is likely that the girl will come to understand the therapist’s reasons for disclosing to the parents and may come to appreciate that her safety was his overriding concern.
Which of the following best describes the ethical requirements of a licensed clinical psychologist who tests positive for HIV?
A. inform clients of his/her medical condition “as early as is feasible”
B. obtain supervision to ensure that the medical condition does not interfere with the performance of work-related duties
C. refrain from initiating any professional activities that might be adversely affected by the medical condition
D. there is no obligation to take precautions or special actions in this situation
C. Being diagnosed with HIV, when considering the ethical obligations of a psychologist, would be considered a health-related personal issue. Personal problems, including emotional, social, health-related and other personal issues, are addressed in Standard 2.06: Psychologists “refrain from initiating an activity when they know or should know there is a substantial likelihood that their personal problems will prevent them from performing their work-related activities in a competent manner.” If a psychologist thinks the condition may impair his/her ability to provide effective services or perform work-related duties then the psychologist would “take appropriate measures.” However, there is no evidence that this is the case, so (b.) is not the best answer. Informing clients of the condition (a.) is not necessary and may not be in the best interests of some of the clients to do so.
Therapists who become sexually involved with their clients
A. usually do so because they believe they are in love with the client as a result of the client’s unique and desirable characteristics.
B. usually do so as a result of a lack of experience and poor judgment.
C. usually do so to fulfill personal needs resulting from events in their own life.
D. do not show any characteristics that distinguish them from therapists who do not become sexually involved with their clients.
C. The experts generally agree that therapists who have sexual relationships with their clients are not only exhibiting poor judgment but are also usually suffering from some type of impairment, often related to boundary issues or unfulfilled needs. See J. D. Guy, The Personal Life of the Psychotherapist, New York, John Wiley & Sons, 1987.
During the course of a research experiment, subjects witness someone who is apparently hurt, needing immediate help, and are unable to help or know if the person is assisted. The subjects become immediately distressed. In this situation:
A. debriefing occurs at the conclusion of participation
B. group debriefing occurs at the conclusion of collection of data
C. debriefing occurs when subjects become distressed
D. debriefing occurs at the conclusion of research
A. This question involves deception in research, distress and debriefing. Due to the use of deception and the resultant participant distress, debriefing immediately following participation is the best option as described by Standard 8.07(c) Deception in Research: “Psychologists explain any deception that is an integral feature of the design and conduct of an experiment to participants as early as is feasible, preferably at the conclusion of their participation, but no later than at the conclusion of the data collection.” The Ethics Code on Debriefing, Standard 8.08(a), notes, “Psychologists provide a prompt opportunity for participants to obtain appropriate information about the nature, results, and conclusions of the research, and they take reasonable steps to correct any misconceptions that participants may have of which the psychologists are aware,” and in Standard 8.08(c) “When psychologists become aware that research procedures have harmed a participant, they take reasonable steps to minimize the harm.”
You have been court-ordered to evaluate a prisoner who is being tried for murder. You explain the purpose of the evaluation and complete it. As you are packing up your testing materials, the prisoner smirks, and says, “I agreed to this but I didn’t sign anything. You are out of luck, doctor.”
A. You should go ahead and complete the report, but leave out the prisoner’s comments.
B. The prisoner is correct – you should refer for a new assessment.
C. You should add this verbal comment to the report, noting the prisoner’s passive-aggressive tendencies.
D. You should have read the case file because you would have learned that the accused is also an attorney; this would affect how you would treat this prisoner.
A. Because this evaluation was court-ordered you were not actually required to obtain informed consent. However Standard IV.E.1 of the Speciality Guidelines for Forensic Psychologists states that “if the client appears unwilling to proceed after receiving a thorough notification of the purposes, methods, and intended uses of the forensic evaluation, the psychologist should take steps to place the client in contact with his or her attorney for the purpose of legal advice on the issue of participation.” Remember, you always want to take the most careful and conservative approach if possible. While you may be tempted to choose answer C and add the client’s comments to your report, this would contradict Standard V.C. of the Forensic Guidelines which states that, “In situations where the right of the client to confidentiality is limited, the forensic psychologist makes every effort to maintain confidentiality with regard to any information that does not bear directly upon the legal purpose of the evaluation.”
Finally, as a thorough evaluator you should have read the case file closely; however, you would not proceed with an evaluation differently just because your client is an attorney.
As a successfully licensed psychologist, you are supervising your first intern. You need to
A. inform your intern that he should use your name as a pseudonoym.
B. inform your intern that he needs to let his clients know he is in supervision.
C. let his clients know his limitations as a clinician.
D. have the intern get informed assent from the clients; you are responsible for informed consent.
B. Your intern needs to let his clients know his professional status, just as you as a licensed psychologist would explain your own status. According to Standard 10.01(c) “When the therapist is a trainee and the legal responsibility for the treatment provided resides with the supervisor, the client/patient, as part of the informed consent procedure, is informed that the therapist is in training and is being supervised and is given the name of the supervisor.” Your intern is responsible for getting informed consent, not assent (answer D) from the clients.
With parental consent, a psychologist has been providing therapy to a 12-year-old boy for a couple of months. Unexpectedly, both parents suddenly withdraw their consent. The psychologist believes that continuing therapy is in the best interests of the boy. The psychologist’s best course of action would be to:
A. seek judicial intervention
B. obtain a signed consent from the girl and continue treatment
C. stop the treatment because both parents have withdrawn their consent but provide them with referrals to other therapists
D. continue to see the girl without the parents’ consent
A. The psychologist’s ethical obligation is to serve the best interests of the child, but legally, he/she cannot proceed with treatment if the parents do not give consent to do so. While some states have laws that allow psychologists to provide services without parental consent, no information is given in this question regarding the relevant law or whether the child’s problem(s) would be covered by this type of law. The Ethics Code Standard 1.02 states that “If psychologists’ ethical responsibilities conflict with law, psychologists make known their commitment to the Ethics Code and take steps to resolve the conflict in a responsible manner.” Therefore, the psychologist would not just terminate without attempting to advocate for the patient (c.); nor continue to treat the child without the parents consent (d.), as violating the law is not consistent with resolving the conflict in a responsible manner.
A psychologist is dating a graduate student in his class. The student is older than others in the class (she is about the psychologist’s age) and she has returned to school after 15 years. The psychologist’s behavior is:
A. unethical only if he is engaging in a sexual relationship with the student.
B. Unethical regardless of whether he is engaging in a sexual relationship with the student.
C. ethical because there appears to be little potential for harm.
D. ethical as long as it does not violate any university regulations.
B. The psychologist is engaging in a dual relationship with clear potential for harm or exploitation. For instance, the psychologist’s grading of the student may be influenced by his relationship with her. For this reason, his behavior is unethical (refer to Standard 3.05).
you are seeing a client who is in therapy as a condition of probation. The client says he wants to terminate therapy. You should:
A. tell the client that he must stay in therapy.
B. tell the client he can leave if he wishes, but explain the legal ramifications of doing so to him.
C. terminate therapy immediately.
D. call the client’s probation officer immediately or as soon as possible.
B. This answer is most in line with Standard 3.07, which deals with psychologists’ responsibilities when they provide services at the request of a third party. In these situations, psychologists must clarify the uses of the service they provide and the information they obtain. Thus, before proceeding with termination, the psychologist should ensure that the client understands what legal sanctions he may face if he does not stay in therapy.
You are working for a large corporation as an industiral psychologist. You observe more than one incident of sexual harassment. Which of the following is your best course o action in this situation?
A. You should observe the incidents and be ready to discuss them if questioned later.
B. You should observe the incidents and, if possible, take active steps to intervene.
C. You shouldn’t do anything unless the perpetrators are psychologists and APA members.
D. You should file a report with the APA ethics committee.
B. Standard 3.04, which states that psychologists attempt to minimize harm to those with whom they work, suggests that this would be the best course of action. General Principle E (Respect for People’s Rights and Dignity) is also relevant, which states that psychologists do not participate in or condone activities of others that are based on gender and other types of bias.
The term “privilege”
A. is defined by the law.
B. comes from both the law and the Ethical Standards.
C. means the same thing as the term confidentiality.
D. Refers to the client’s right to dictate the course o therapy.
A. Privilege is a legal term that refers to a client’s right to prevent confidential information from being released in a legal proceeding.
You are seeing a family and you notice bruises on the son’s body. The parents say that their child has been seen by a pediatrician but that they forgot to mention the bruises to him. When you ask the parents who the child got injured, the parents say that he, “fell down the stairs,” but cannot provide any further details. The boy is silent and withdrawn and seems afraid of you. You should:
A. conduct further investigation to determine if a child abuse report is necessary.
B. tell the parents to have the pediatrician call you.
C. refer the parents back to the pediatrician for treatment of the child’s bruises.
D. file a child abuse report with the appropriate state agency.
D. The circumstances presented in the question would arouse a suspicion of child abuse in any reasonable person. All fifty states have laws which require psychologists (and other mandated reporters) to report reasonable suspicions of child abuse acquired in their professional capacity.
A client tells you that he is planning to shoot his ex-girlfriend. You know that he owns a gun and has a history of violent behavior. You should:
A. attempt to get him to change his mind.
B. warn the police and attempt to warn the ex-girlfriend.
C. be sure that you maintain the confidentiality of this disclosure.
D. provide a therapeutic interpretation of his statement.
B. In this situation, your client poses a clear and imminent danger of physical violence to an identifiable victim. Many states would require the therapist specifically to warn the victim and the police, while others may have a more general “duty to protect the intended victim” on the books. Regardless of the specific laws in your state, you have a valid reason to breach confidentiality in this case, and warning the police and attempting to warn the victim would be the best way to meet the “duty to protect.”
During a session, a client of yours who you know is HIV-positive, casually claims that he has been engaging in unprotected sex. You believe he is telling the truth. Is this sufficient grounds for you to break confidentiality, and notify the authorities?
A. Yes, you should always break confidentiality whenever an individual makes a claim like this.
B. Yes, if you genuinely believe he is making a truthful statement.
C. No, because there is no identified third party who is at risk.
D. No, you never break confidentiality under any circumstances.
C. The issue of confidentiality and people who have tested positive for HIV or have AIDS, when they engage in risky sexual behavior, is a complicated issue. In this question, based on the comments made by your client, you do not have sufficient grounds to break confidentiality. APA proposes that disclosure is only permitted if 1) there is an identifiable third party who is at risk, 2) the third party is unaware he or she is at risk, and 3) the client has refused or is not considered reliable to inform the third party.
If you receive a subpoena to testify about one of your former clients, you should first:
A. ignore the subpoena because the individual in question is a former client.
B. try to work out a compromise with the requestor of information.
C. agree to provide any information requested in the subpoena.
D. find out if the subpoena is legally valid.
D. The APA recommends that if a psychologist receives a subpoena to testify in a court proceeding the first step is to determine the validity of the subpoena.
You are a psychologist working o the army. a General wants to ask you some questions about a Colonel you have evaluated. As an ethical psychologist, you should:
A get a signed release from your client before you provide the General any information.
B. give him the information he requests since you are working for the army.
C. refuse to release information because your client has a right to confidentiality.
D. get a new job, since ethical psychologists do not participate in the transformation of human beings into murder machines.
A. In this situation, you must act in accord with the Ethics Code, which states that you ordinarily do not disclose confidential information about recipients of your services to others without their consent. Refusing to release the information might be necessary if the client does not give you permission to speak to the General, however, it is not the best option available. The Colonel is likely to understand the way the army works, and that he may face negative consequences if he refuses to give you permission to speak to the General. By the way, choice D describes a position that has been taken by some, but working for the military is not prohibited by the Ethical Standards.
According to the Health Insurance Portability and Accountability Act of 1996, psychologists:
A. are defined as “covered entities” if they provide psychotherapy services.
B. must release psychotherapy notes to a patient’s insurance company in order to process legitimate claims for the reimbursement of psychotherapy services
C. must notify their patients how they may use the patients’ personal health information.
D. must adhere to this set of federal regulations regardless of whether state laws require more stringent standards.
C. According to HIPAA, covered entities must provide their patients with a notice of their privacy practices. Patients are generally asked to sign, initial, or otherwise acknowledge that they received this notice. Psychologists may be covered entities (A) but only if they transmit certain patient information electronically. Under HIPAA, “psychotherapy notes” (B) are not considered part of a patients PHI and an insurance company cannot require that information if it is kept separate from the patient’s PHI records. Choice “D” is incorrect because when state law provides greater protection of a client’s privacy than HIPAA, the state law supercedes HIPAA.
Which of the following is true about the use of testimonials in advertisements or other public statements?
A. Their use is ethical under all circumstances.
B. Their use is unethical under all circumstances.
C. Their use is unethical whenever they are solicited.
D. Their use is unethical whenever they are solicited from persons vulnerable to undue influence.
D. Standard 5.05 states that psychologists do not solicit testimonials from clients, patients, or other persons who because of their particular circumstances are vulnerable to undue influence. Conceivably, then, a testimonial can ethically be solicited from a person who is not a client or vulnerable to undue influence.
A brochure for a workshop of PTSD must include:
A. a description of risks involved.
B. a description of the intended audience
C. a list of each treatment technique that will be discussed
D. a description of the type of meals that will be provided.
B. According to Standard 5.03, brochures and other types of advertisements for workshops must “…ensure that they accurately describe the audience for which the program is intended, the educational objectives, the presenters, and the fees involved.”
You routinely waive the co-payment of your less wealthy clients who are covered by insurance, since you offer patients who are not covered a sliding scale. This is A. legal and ethical. B. illegal but ethical. C. legal but unethical. D. Illegal and unethical.
D. In accepting payment from insurance companies, you cannot deceive them about any aspect of your financial arrangements with patients. Waiving or reducing co-payment would be legal and ethical if the insurance company knew and approved of you doing so. However, the question is not explicit about whether the insurance company has approved you to waive the patient’s co-payment, and the best inference is that they have not, since it is stated that you are doing so “routinely” and most insurance companies would not accept such an arrangement if they knew about it.
When is it acceptable to use a collection agency to collect fees from a client?
A. never
B. when the client owes you a considerable amount of money and you are unsuccessful in reaching him on your own.
C. when the client has been given an opportunity to pay and has been informed of the practice in advance.
D. anytime a client owes you money.
C. Standard 6.04(e) states that if “the recipient of services does not pay for services as agreed, and if psychologists intend to use collection agencies or legal measures to collect the fees, psychologists first inform the person that such measures wil be taken and provide that person an opportunity to make prompt payement.”
Which of the following best describes the Ethical Standards’ position on barter with patients or clients?
A. barter for goods is permitted; barter for services is not.
B. barter is ethical under all circumstances
D. barter for goods or services is unethical if clinically contraindicated.
D. Standard 6.05 states that psychologists may participate in barter “only if it is not clinically contraindicated, and the relationship is not exploitive.”
A psychology professor wants to make some modifications to a course syllabus several weeks after the course has begun. Doing so would be:
A. unethical, because this would constitute an inaccurate representation of the course subject matter.
B. ethical, because professors have the right to teach whatever they choose.
C. ethical, if the students are made ware of these modifications in a manner that enables them to fulfill course requirements.
D. neither ethical nor unethical because this isnot addressed in the ethical standards.
C. Ethical Standard 7.03 (Accuracy in Teaching) requires psychologists to take reasonable steps to insure that course syllabi are accurate. However, modifications may be made “when the instructor considers it pedagogically necessary or desirable, so long as students are made aware of these modifications in a manner that enables them to fulfill course requirements.”
A psychology professor in a graduate program begins a sexual relationship with one of his students after the course has been completed and the grades have been reported. According to the current Ethics code, this would be:
A. ethical because the professor no longer has any evaluative authority over the student.
B. ethical, if the student does not take any additional courses from that professor.
C. ethical, if the professor informs and obtains approval from the school.
D. unethical.
D. Standard 7.07 (Sexual Relationships with Students and Supervisees) prohibits psychologists from engaging in sexual relationships “with students or supervisees who are in their department, agency, or training center or over whom psychologists have or are likely to have evaluative authority.” Since the student in this question is apparently still in the same department as the psychologist, a sexual relationship would be unethical.
When evaluating students and supervisees, psychologists must:
A. base their evaluation on relevant and established program requirements.
B. provide timely and specific feedback.
C. provide information bout the evaluation process at the beginning of supervision.
D. all of the above.
D. Standard 7.06 (Assessing Student and Supervisee Performance) requires psychologists to provide timely and specific feedback, based on actual performance on relevant and established program requirements. Information about the evaluation process must also be provided to the student at the beginning of supervision.
Which of the following is true of deception in research?
A. It can be used only if justified by the study’s prospective scientific value.
B. it can be used in any study, as long as participants are debriefed afterwards.
C. it can be used if justified by the study’s prospective value, as long as participants are debriefed within three years from the end of the study.
D. it can be used in any study, as long as informed consent is obtained
A. Standard 8.07 stipulates that deception in research is not permitted unless it is justified by the “study’s significant prospective scientific, educational, or applied value” and “effective non-deceptive alternative procedures are not feasible.” Another requirement is that participants are debriefed as soon as possible, but no later than at the conclusion of the data collection. Choice B is incorrect because deception cannot be used in any study; as noted above, it must be justified and there must not be any feasible non-deceptive alternatives.
Informed consent to research is”
A. always necessary.
B. necessary, unless dispensing with it clearly poses no harm or is scientifically justifiable.
C. unnecessary except in research which poses a clear risk of serious harm to participants.
D. never necessary.
B. The Ethical Standards stipulate that, under ordinary circumstances, a psychologist should obtain informed consent from participants before conducting research. However, the standards do allow for some exceptions to this rule, such as in certain research which employs naturalistic observation or anonymous questionnaires, Before dispensing with informed consent, psychologists must consider applicable regulations and institutional requirements and consult with colleagues as appropriate.
When conducting research with animals, psychologists”
A. may perform surgery without anesthesia
B. may never subject an animal to stress, pain, or death.
C. May terminate an animal if done rapidly and with an effort to minimize pain
D. must debrief animals as soon as possible following a stressful experiment.
C. When appropriate, psychologists may terminate a research animal’s life, but this must be done rapidly and with an effort to minimize pain.
When recording the voices or images of research participants, psychologists:
A. must always obtain the participantsinformed consent prior to the recording
B. may never make recordings of people in public places without their consent.
C. may record participants if deception is used and consent is obtained during debriefing.
D. must always disguise the participants voice or image
C. Standard 8.03 permits the audio or visual recording of research participants without their informed consent under either of the following two conditions: 1) if the research consists of naturalistic observations in public places, and it is not anticipated that use of the recording will result in personal identification or harm, or 2) the research design uses deception and consent for the use of the recording is obtained during debriefing.
You are asked by the attorney of a divorced woman to evaluate her. The attorney explains that he would like your opinion regarding whether the woman is more competent as a partent than her ex-husband. As an ethical psychologist, you should:
A. evaluate the client and make a report
B. evaluate the client and the children before filing a report.
C. evaluate the client, the children, and her husband before filing a report.
D. explain to the attorney that no evaluation is necessary, and that for the right fee, the mother could be as competent and the father could be as incompetent as he would like.
C. your assessments and conclusions as a forensic psychologist must be based on sufficient information. Thus, before you can determine if the mother is more competent than the father as a parent, you would have to evaluate the whole family. (Note also that this determination may be difficult to make definitively, and in your report, you would have to indicate any limites to your conclusion.)
The term “insanity”
A. is a legal term that refers to an individual’s ability to distinguish right from wrong.
B. is a legal term that refers to an individual’s competence to stand trial.
C. Is a psychiatric term that refers to psychosis.
D. Is a psychiatric term that refers to candidates for psychology licensure the day before the licensing exam.
A. The term “insanity” is a purely legal term that refers to a defendant’s ability to distinguish between right from wrong.
In your capacity as a forensic psychologist, you are ordered by the court to evaluate a celebrity who has been accused of assault and battery. Part of your evaluation is used in the trial and becomes a matter of public record. At the end of the trial, in which the defendant was found guilty, you write a book which includes information about parts of the evaluation not mentioned in court. Your actions are:
A. ethical and legal, since the evaluation was court-ordered.
B. ethical and legal, since convicted criminals have no rights.
C. unethical but legal.
D. unethical and illegal.
C. The actions described by the question are not illegal, because information disclosed in a cour-ordered evaluation is not privileged. However, according to the Specialty Guidelines for Forensic Psychologists, psychologists cannot publicly disclose information obtained in court-ordered evaluations unless it is a matter of public record or they have the consent of the evaluated client.
Which of the following statements is true regarding computerized interpretations of tests such as the MMPI-2?
A. Computerized interpretive reports are legitimate and valuable, and the tend to be good substitutes for a clinician’s own impressions.
B. Computerized interpretive reports are legitimate and valuable when accompanied by a personal evaluation.
C. Computerized interpretive reports are permitted by the Ethical Standards, even though they are notoriously unreliable.
D. The use of computerized interpretive reports is unethical.
B. Standard 9.06 states that “When interpreting assessment results, including automated interpretations, psychologists take into account the purpose of the assessment as well as the various test factors, test-taking abilities, and other characteristics of the person being assessed, such as situational, personal, linguistic, and cultural differences, that might affect psychologists’ judgments or reduce the accuracy of their interpretations.” In other words, automated interpretive reports must be supplemented with further information.
You are the only psychologist working in a medical clinic you are about to leave to take another job. You are concerned that some of the files contain data that is outdated. You would be best advised to:
A. remove obsolete data from the files,
B. Take your files with you.
C. ensure that the files are kept in a locked cabinet.
D. give your files to the director.
A. Standard 9.04 states that psychologists “may refrain from releasing test data to protect a client/patient or others from substantial harm or misuse or misrepresentation of the data or the test.” Of the choices listed, removing obsolete data from the file would be the surest and most appropriate way to prevent its misuse.
You are hired by an organization to assess the intelligence of a group of new employees. You train an assistant with a B.A. in sociology but a minor in psychology to administer the WAIS-III and write the interpretive report. Which of the following is true of this situation?
A. You have acted ethically because the supervisee is receiving adequate supervision.
B. Not enough information is provided to determine if you have acted ethically; you need to consult the test manual to determine if the assistant is qualified to write the report.
C. It is unethical only if the psychologist signs the report.
D. It is unethical because the assistant should not be writing the report.
D. Psychologists do not promote the use of tests by unqualified persons (Standard 9.07). Clearly, and individual with a B.A. in sociology is not qualified to interpret the WAIS-III – you don’t need to consult the rest manual to know that.
You administer multiple personality and intelligence tests to a client. The client later asks to see the results. You should:
A. provide the client with the raw test data, since he has a legal right of access to it.
B. Provide the client with an oral and written summary of results in clear, understandable language.
C. Evaluate the client’s intellectual ability, and provide the results if you feel he is capable of understanding them.
D.Tell the client that you cannot provide him with the information he requests.
B. Psychologists ensure than an explanation of test results is provided to the person assessed (Standard 9.10). You may also choose to release the raw data, and you legally must if the client insists on it. However, ethically speaking, releasing the raw data would only be permitted if it were accompanied by a clear and complete explanation
Which of the following is true of confidentiality in a group therapy setting?
A. Group members are legally obligated to maintain confidentiality.
B. Group members have no obligation to maintain confidentiality.
C. Group members are on their own honor to maintain confidentiality.
D. At the outset of therapy, group members must sign a legally binding contract to maintain confidentiality.
C. Group members (in most jurisdictions) have no legally or ethically enforceable obligation to maintain the confidence of what they hear from other members in sessions. At the same time, it is not quite true that they have no obligations in this respect; they have a moral obligation to respect the confidences of others. Group leaders have an ethical obligation to describe the limits of confidentiality at the outset of therapy (Standard 10.03)
You receive a call from a client who tells you that she is receiving therapy from someone else, but she now wants to see you. You should:
A. call the therapist to discuss the situation.
B. not see the client until she has terminated her relationship with the other therapist.
C. make an appointment to discuss the situation further.
D. ask the client why she doesn’t want to see the other therapist, and if she has a good reason, set up a series of appointments.
C. Standard 10.04 states that “in deciding whether to offer or provide services to those already receiving mental health services elsewhere, psychologists carefully consider the treatment issues and the potential client’s/patient’s welfare. Psychologists discuss these issues with the client/patient or another legally authorized person on behalf of the client/patient in order to minimize the risk of confusion and conflict, consult with the other service providers when appropriate, and proceed with caution and sensitivity to the therapeutic issues.” Of the choices listed, C best meets the requirements set forth by this standard.
After three sessions, a man you are treating in conjoint marital therapy saus he wants to see you in individual treatment. You should:
A. refer him to another therapist.
B. tell him to wait until marital therapy is over.
C. set up an appointment.
D. offer a therapeutic interpretation of his request.
A. Standard 10.02 makes it clear that in conjoint therapy situations, psychologists should avoid performing potentially conflicting roles. if you treated this person in individual therapy, the potential for conflict would exist between your role as marital therapist and individual therapist for the husband. Thus, a referral would be your most ethical course of action.
A client in therapy at a community agency is being seen b a newly-licensed therapist. The therapist consults a supervisor on a regular basis about the case. The client knows that the therapist has just received her license but does not know that the case is being supervised. A year later, when the therapist leaves the case, the client is referred to the supervisor. The client perceives that her new therapist has exceptional insight into her situation and asks him how he got to be such a great therapist. The therapist replies that he has been supervising the case for a year. The client becomes upset and files a complaint with an ethics committee. Which of the following bet describes the issues in this case?
A. No ethical violation has occurred, since the client apparently benefitted from the supervision.
B. An ethical violation has not occurred unless either the newly-licensed therapist or the supervisor revealed confidential information about the client to others.
C. An ethical violation has occurred because the newly-licensed therapist abandoned the client by referring the case to her supervisor.
D. An ethical violation has occurred because the client was not informed that the therapist was supervised.
D. When a therapists work is being supervised, the therapist must inform clients of this fact as early as is feasible in the therapeutic relationship, when the supervisor has legal responsibility for the case (Standard 10.01(c)). Although the question does not clarify whether the supervisor has legal responsibility for the case, D is still the best answer. For one, it is always a good idea to inform a client when the case is being supervised, since you are ethically required to discuss “the nature and anticipated course of therapy, fees, involvement of third parties, and limites of confidentiality and provide sufficient opportunity for the client/patient to ask questions and receive answers” as early as is feasible in the therapeutic relationship (Standard 10.01(a)). Also the first therapist referred the case t her supervisor without considering that the previous supervision may have an impact on the case. If the first therapist had been up front about the supervision from the outset, this provlem would have been avoided.
You have been treating a client for six months. over the past month, he has repeatedly mentioned that he wants to end therapy. You should:
A. seek consultation
B. begin the process of termination and provide referrals to another therapist
C. encourage the client to schedule more frequent sessions.
D. help the client work through his resistance.
B. Psychologists must terminate a relationship when it is reasonably clear that the client is not likely to benefit by continued service (Standard 10.10(a)). After six months of therapy, cost clients are in a position to decide whether they are benefitting from therapy, and clients who wish to terminate should not be pressured in any way to continue.
A male psychologist provides an adult female client brief behaviorally-oriented therapy focused on anxiety reduction. After four sessions, the woman feels that she has made progress and wishes to terminate. The psychologist agrees, terminates the relationship and tells the woman he will be available if she decides to re-enter therapy. Eighteen months later, the psychologist meets the woman at a party and strikes up a conversation with her. The psychologist finds that he is attracted to the woman, and asks her for a date. The woman agrees, and they begin dating. After two months of dating, the couple sexually consummates their relationship. In this situation, the psychologist has acted:
A. clearly unethically because he engaged in a sexual relationship with a former client.
B. Clearly unethically because he abandoned the client by terminating therapy after four sessions.
C. probably unethically, unless he could demonstrate that he did not exploit or otherwise take advantage of the client.
D. ethically since the therapeutic relationship is clearly over, no exploitation is involved, and he waited two months before consummating the relationship.
A. According to APA’s Ethical Standards, it is always unethical to begin a sexual relationship with a former client within two years of termination of the professional relationship. C would have been the best answer if more than two years had elapsed between termination and the sexual relationship.
The Genera Guidelines for Providers of Psychological Services were established to
A. educate the public.
B. Protect the public interest.
C. Serve the welfare of individual clients
D. Advance the field of psychology
B. the APA established the General Guidelines “as a means of self-regulation to protect the public interest.”
A psychologist who was trained as an experimental psychologist wants to become a clinical psychologist. The psychologist must:
A. meet his state’s requirements for licensure
B. begin working under the supervision of an experienced clinician.
C. obtain appropriate coursework and experience.
D. obtain a Ph.D. in clinical psychology
C. Standard 1.7 of the General Guidelines states the following: “Psychologists who wish to change their service specialty or add an additional area of applied specialization must meet the same requirements with respect to subject matter and professional skills that apply to doctoral training in the new specialty.” The Specialty Guidelines and the Ethical Principles of Psychologists (Standard 1.04) lay out similar requirements. Thus, before becoming a clinical psychologist, an experimental would have to obtain both coursework (i.e., doctoral level classwork, but not necessarily another Ph.D.) and experience (e.g., an internship).
The primary purpose of the Specialty Guidelines for the Delivery of Services is to:
A. educate the public and advance the profession.
B. Serve the welfare of individual clients
C. Provide specific enforceable guidelines for handling ethical violations in special settings.
D. provide guidelines for the ethical practice of teaching and scientific research.
A. According to the APA (1981), the purpose of the Specialty Guidelines is to “educate the public, the profession, and other interested parties regarding specialty professional practices… [and] to facilitate the continued systematic development of the profession.”
The primary purpose of the Standards for Educational and Psychological Testing is to
A. provide enforceable standards for handling ethical violations committed by unsavory test developers and users.
B. Educate test users so that tests are not misused
C. provide criteria for evaluating whether tests are properly used.
D. protect the welare of individual test-takers.
C. According to the APA (1985), the purpose of the Standards is “to provide criteria for the evaluation of tests, testing practices, and the effects of test use.”
The Standards for Educational and Psychological Testing suggest that test scores should be reported in terms of
A. confidence intervals, or percentile bands.
B. the mean score on the test.
C. the base rate and selection ration.
D. expected criterion outcome.
A. Don’t worry if you didn’t get this one right; it takes an understanding of test construction as well as the Standards for EDucational and Psychological Testing. These Standards say that, when test scores are reported, “estimates of relevant reliabilities and standard errors of measurement should be provided in adequate detail to enable the test user to judge whether scores are sufficiently accurate for the intended use of the test.” In other words, reports of test scores should include information about how accurate the test scores are, since obtained scores may not reflect the examinee’s “true” score. As is explained in the Test Construction section, confidence intervals (also called percentile bands), which are derived from the standard error of measurement, provide the range in which an examinee’s true score is likely to fall and thus are a good way to help a user judge the accuracy of a given score.
The primary purpose of state licensing boards is to
A. provide recognition to qualified psychologists
B. protect the welfare of the public
C. set up minimum standards of competence for psychologists
D. discipline psychologists who violate state laws.
B. The overriding purpose of state licensing boards is to protect the public. As part of this function, they set up minimum standards of competence for psychologists and discipline psychologists who fail to meet these standards.
A psychologist at a party is told by another guest that her husband is an alcoholic. The woman fears that her husband is going to hurt himself and she doesn’t know what to do. The psychologist gives the woman a ferral to a colleague of his, an outpatient psychologist whose specialty is treating alcoholics. The woman’s husband sees the colleague for one session, and two days later, he is seriously injured in a car crash because he was driving drunk. The woman then sues the psychologist she met at the party, claiming that he should have referred her to an npatient treatment facility. Which of the following statements is true of this situation?
A. The psychologist is clearly guilty of malpractice because he should have provided a referral to an inpatient facility.
B. The psychologist is clearly guilty of malpractice because he should not have made a referral at a party.
C. The psychologist may be guilty of malpractice, but this is a question that a jury must decide.
D. The psychologist is not guilty of malpractice, since he did not have a professional relationship with the woman or the husband.
D. A psychologist cannot be found guilty of malpractice if her or she doesn’t have a professional relationship with the individual filing the lawsuit.
Selling questions that appear on the licensing exam is: A. legal and ethical B. legal but unethical C. illegal but ethical D. illegal and unethical
D. Selling questions from a licensing exam is both a violation of Ethical Standards related to test security and a violation of copyright laws.
A student complained to the local ethics board about the instructor in one of his psychology courses. The student contended that the instructor did not adequately cover the material he should have, that the tests administered did not adequately assess the students’ knowledge, and that the instructor was demeaning and condescending to the students in the class. The complaintant sent two supporting letters from other students in thecourse. When asked by the committee for a response, the instructor submitted his course outline, copies of the tests he used, and a written defense pointing out that this particular group was not as knowledgeable about the material as previous classes he had taught. The best recommendation of the ethics committee would be that the instructor
a. reanalyze the student’s performance and change the grade in light of the teacher’s faulty instruction.
b. re-examine his methods of teaching this particular course.
c. not teach this course in the future.
d. seek guidance from a more experienced psychologist in his department.
B. This is the most judicious alternative. It is a low-level step for an offense which is serious but not grave. It lets the teacher know that he should re-evaluate his procedures, that there is a probability that he might be acting unprofessionally. His defense, that the students were not as bright as others, is, after all, condescending. You wouldn’t choose A because the committee wouldn’t advocate changing grades. C is too extreme, given the circumstances, and the ethics committee woucln’t prohibit him from teaching anyway. D is a second-best alternative and might have been recommended if B were not given.
you are working in a high school and are asked by the principal to evaluate a student who is having conflicts with one of his teachers. After evaluating the student and speaking to the teacher, you conclude that the teacher, rather than the student, needs psychological attention. You should
a. tell the principal about the situation.
b. try to get the student removed from the class.
c. talk to the teacher alone.
d. have a conference with the student and the teacher.
C. This answer is consistent with common sense and General Principle A of the Ethics Code. This principle states that “ psychologists seek to safeguard the welfare and rights of those with whom they interact professionally and other affected persons… When conflicts occur among psychologists’ obligations or concerns, they attempt to resolve these conflicts in a responsible fashion that avoids or minimizes harm.” In this situation, you must act sensitively to the needs of the teacher, the student, and the school. Since it is possible that the problem could be resolved between you and the teacher, and since involving others may embarrass the teacher, the wisest course of action would be to first attempt to resolve the problem with the teacher alone.
A 17-year-old student complained to the ethics board that his college counselor violated the ethic of confidentiality whe she informed the sudent’s mother of a suicide attempt he recently made. The counselor contended that she was acting in the client’s best interst in light of the student’s refusal to seek profgessional help. In this case the counselor
a. has acted in accord with APA’s Code of Ethics
b. unethically violated client-therapist confidentiality
c. should have consulted with a colleague before calling the student’s parents.
d. acted inappropriately but not unethically.
A. This question points out that the standard of confidentiality is not absolute. Here we have a possible suicide of a minor. In this instance, it is not untehtical to inform the parent in order to protect the client from harm.
In receiving a court order for info about a client, you speak with the client and they refuse to sign an ROI. What do you do?
Comply with the court, as it is one of the exceptions to client confidentiality.
Older adults that have/are having surgery or medical illness are at high risk for what?
Delirium
Found to be the effects of managed care on psychologists practice
Increased demands due to utilization reviews
A former adult client’s mother requests records of her child who has passed away. What should you do?
Do not send, release, or offer review without proper authorization from a court or other authority.
What is a “user” in the General Guidelines?
A receiver of psychological services
What does the Ethical Code say about providing therapy to a former sex partner?
Explicitly prohibited
If the police show up with a warrant for one of my clients, and ask for the address and phone number, what do you do?
Do not give them any information.
What is the most common complaint processed by the APA Ethics Committee as a result of revocation of a psychologist’s license by a state licensing board?
Loss of licensure in another jurisdiction
Who can serve as an “expert witness”?
Someone who has the “appropriate education, training, and experience.”
A court asks for you to conduct a custody evaluation. When should you make a recommendation?
Only if the evaluation is based on adequate psychological data and is in the best interests’ of the child.
In military settings, what is true of confidentiality?
The client should be informed of limits of confidentiality at the outset of the start of services
In a court-ordered evaluation of a defendant that is to determine his competence to stand trial, he divulges information that confirms his guilt. What should you do?
Include only information relevant to the defendant’s competence in the report.
When may the APA take action against a member?
If they are convicted of a felony.
If you are the only therapist in a small town, and the Brownie troup leader of your daughter’s wants to see you for therapy. What is the best way to move forward?
Evaluate the client; sense the potential for exploitation and loss of objectivity, and then decide whether to see her or not.
Regarding DEBRIEFING in research
Participants must be promptly provided with appropriate information regarding the nature, results, and conclusions of research. When there is a delay in providing it, researchers should “reduce the risk of harm”.
If your client’s political views repulse you as a clinician, what should you do moving forward?
Provide referrals
4 Sections of the Ethics Code
I. Introduction- Intent, organization, scope, procedyre
II. Preamble- Aspirational goals
III. General Principals- Aspirational goals
IV. Ethical Standards- “Set forth enforceable rules”
Considering termination of professional services, what is important to remember from the Ethical Code?
Provide pre-termination counseling and suggest alternative services.
What happens if someone is caught cheating on the EPPP exam?
The individual would have a chance to present to the board evidence as to why their score should not be cancelled
If a well-known seasoned psychologist left you a message stating that an old client of yours is a new client of theirs, said that person signed an ROI, and wants you to forward records. What do you do?
You contact the client to have him sign an ROI directly from you (to confirm that they did sign it and which they’d like you to forward before doing so).
In evaluating a client for the purposes of parole, what is true in staying with ethical guidelines?
Conduct the evaluation only if the prisoner has been told the purpose of the evaluation and has been warned on the limits of confidentiality. We ARE allowed to conduct this type of evaluation.
