Ethics

Question 1

Dereliction

Answer 1

Failure to proivide reasonable care. aka negligence.

Question 2

Duty

Answer 2

Legal relationship with a patient gives rise to a duty.

Question 3

Directly causing damages

Answer 3

Negligence causing harm.

Question 4

Beneficence and nonmaleficence

Answer 4

Benefit those whom we work with; take care to do no harm.

Question 5

Fidelity and responsibility

Answer 5

Establish trust w/ people who we work with. Be aware of responsibilities to these people and uphold professional standards.

Clarification of roles, manage conflicts of interest, consult with other professionals.

Question 6

Integrity

Answer 6

Promoting accuracy, honesty, and truthfulness; avoid all fraudulent activities.

Question 7

Justice

Answer 7

All people should benefit from psychology and treated with equal quality in all activities.

Not letting own biases/limitations of competence result in unjust practices.

Question 8

Respect for people’s rights and dignity

Answer 8

Respect for rights of privacy, confidentiality, self-determination. Involves consideration of differences among persons when providing psychological services.

Question 9

Referring out

Answer 9

Appropriate when: therapist’s beliefs interfere with therapy, client feels uncomfortable with therapist, or therapist lacks competence in treating presenting problem.

Question 10

Subpoenas

Answer 10

Can’t be ignored. When you get one:

1. Inform client of it
2. Seek permission to release information.

Question 11

Court orders

Answer 11

Can request modification, but ultimately psychologist must comply with any court order.

Question 12

Court-ordered therapy

Answer 12

Psychologist who agrees to this must clarify the nature of Tx that is ordered, and info court needs. Then discuss with client to get informed consent. Client is the COURT.

Question 13

Can you withold records at any time?

Answer 13

Nope!

Question 14

Payment issues

Answer 14

Need to be agreed upon from the outset. Don’t need to give heads up about a collection agency, but need to let them know if they’re coming.

Question 15

Barter

Answer 15

Okay as long as it is not exploitative. E.g., one therapy session does not equate to building a deck.

Question 16

How long to keep records

Answer 16

7 years after last date of service delivery.

Question 17

Written informed consent does not __

Answer 17

Guarantee informed consent

Question 18

Is it ethical for psychologists to make parole recommendations?

Answer 18

Yup.

Question 19

Is it illegal/legal ethical/unethical to waive a copayment fee?

Answer 19

Unethical and illegal

Question 20

In a public forum, how should you address someone asking you for your advice?

Answer 20

Refer to the research/don’t address her specifically.

Question 21

Psychologists report that what is the most frequently occurring ethical concern they experience?

Answer 21

Limits of confidentiality.

Question 22

When someone is not legally capable of giving informed consent, and gov’t regulations prohibit securing consent from a legally authorized person, what do you do?

Answer 22

Take reasonable steps to protect the individuals’ rights and welfare

Question 23

If an employee is referred to you through an EAP program, what info can you share?

Answer 23

Attendance, not content.

Question 24

With forensic testimony predicting behavior, what does the current literature suggest?

Answer 24

Widespread disagreement about psychologists’ ability to make predictions about future violent behavior.

Question 25

Larry P. v. Riles dealt with:

Answer 25

Racial/cultural biases in IQ testing for school children.

Question 26

In the absence of superseding requirements, psychologist can keep records for:

Answer 26

Adults: 7 years after the last date of service delivery, and for minors either 7 years after last service or 3 years after minor reaches age of majority, whichever is later.

Question 27

If a client's husband threatens your life and you terminate, why is it ethical?

Answer 27

Because you are endangered by someone in a close relationship with the client.

Question 28

When should fees be established in treatment?

Answer 28

ASAP

Question 29

M'Naghten rule

Answer 29

Criminal defendant is not guilty by reason of insanity if, at the ponit of the crime, they were deranged.

Question 30

If someone is suicidal and can't afford therapy, what is the ethical course of action

Answer 30

Continue therapy until an appropriate referral can be made.

Question 31

If a 9 y.o. client has a major illness that her pediatrician doesn't know about, what's the ethical course of action?

Answer 31

Obtain R.O.I. and inform the pediatrician.

Question 32

You find out you go to the same gym your client does, what is the ethical course of action?

Answer 32

Stop going.

Question 33

The patient's right to keep therapy information from being disclosed during a court proceeding is termed:

Answer 33

Legal privilege

Question 34

How long do you have to keep HIPAA documents?

Answer 34

6 yrs

Question 35

Buckley Amendment

Answer 35

Protected privacy of student records

Question 36

Student trainee is working under the supervision of a licensed psychologist. What info must the trainee share?

Answer 36

she must tell patients that she is being supervised and must give them her supervisor's name.

Question 37

Psychologists who want to practice in a forensic setting must:

Answer 37

Become reasonably familiar with the judicial rules governing their roles; accredited forensic training not required.

Question 38

Sexual harassment requires?

Answer 38

Involves continued comments/actions/statements even if the victim asks to stop.

Question 39

What malparctice claim accounts for most money paid out?

Answer 39

Sexual relationships with former or current therapy clients.

Question 40

What happens to privilege in a court-ordered evaluation

Answer 40

There is no privilege

Question 41

Probono Services are

Answer 41

recommended

Question 42

Psychologist takes into treatment wife of her own therapist. Ethical or unethical and why?

Answer 42

Unethical, because of the high likelihood that the psychologist's objectivity and competence will be impaired.

Question 43

In order to successfully sue a psychologist, a patient must prove what?

Answer 43

Psychologist provided negligent Tx. Psychologist's treatment caused harm to the patient. Psychologist had an obligation to provider care for the patient.

Question 44

Fee splitting b/w psychologist and other professionals -- ethical?

Answer 44

Permissable if it is based on services provided.

Question 45

SCENARIO: You're in a small town and you're the only psychologist. Your ex-partner wants treatment, and you broke up 10 years ago. If you treat them, ethical or no?

Answer 45

UNETHICALLY. No way to avoid multiple relationship that will impact treatment.

Question 46

Difference between ethical standards and general principles?

Answer 46

Standards are ENFORCEABLE; principles are ASPIRATIONAL

Question 47

Testimonials - can you solicit them?

Answer 47

They can be solicited as long as they are not from CURRENT PATIENTS or those vulnerable to undue influence

Question 48

Who holds privilege in court-ordered treatment?

Answer 48

The client NOT THE COURT DUMMY

Question 49

SCENARIO: A doctoral student gets business cards and includes on his cards that he is a Ph.D. candidate and that he accepts patients on a sliding scale. According to the APA Ethics Code, is this ok?

Answer 49

He can advertise fee schedule, but listing candidate status is unethical.

Question 50

Summary of the attitude of APA toward multiple relationships

Answer 50

Multiple relationships that don't impair the psychologist's functioning or risk harm or exploitation are not unethical.

Question 51

Is waiving the first session fee ethical?

Answer 51

Ethical as long as there is no coercion or undue influence.