Ethics Mock Quiz (Tess) Flashcards

1
Q

Whose role is it to make a mandatory notification?

A

Treating practitioners, non-treating practitioners, and employers of practitioners.

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2
Q

What are the four types of risks worth reporting and why?

A

Impairment, intoxication, sexual misconduct, and departure from accepted standards.

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3
Q

Is a suspicion sufficient for a mandatory notification?

A

No, suspicion is not sufficient for a mandatory notification. You need to have a reasonable belief based on direct observation or knowledge.

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4
Q

Which mandatory notification also applies to students?

A

Notification based on impairment also applies to students if they are practicing while impaired and thus putting the public at harm.

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5
Q

What are the three steps in deciding to make a mandatory notification?

A

Identify the impairment, consider if you have reasonable belief, and assess the risk level.

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6
Q

What increases the risk making it necessary to make a mandatory notification?

A
  1. Is the risk is managed or unmanaged?
  2. Insight?
  3. Engaged in treatment or not?
  4. Context of practice - supportive, group and/or supervised or independent
  5. Extent and duration - Is it a one-off or ongoing?
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7
Q

What is a mentally ill person?

A

A mentally ill person requires care, treatment, or control due to mental illness which poses risks of harm to themselves or others.

Harm = physical, emotional, financial, self-harm, suicide, neglect or stalking — with at least one of the following symptoms:
- delusions/hallucinations
- serious mood disorder
- or sustained or repeated irrational behaviour.

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8
Q

What is a mentally disordered person?

A

A mentally disordered person is someone with irrational behaviour who is posing the risk of physical harm to either themselves or someone else. Most common in people who are suicidal, grief stricken, or under the influence of drugs and alcohol.

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9
Q

What are the 5 steps in the APS Ethical Decision Making Model?

A
  1. Recognise that there is an ethical issue present.
  2. Clarify the ethical issue.
  3. Generate and examine possible solutions.
  4. Take a course of action.
  5. Reflect and evaluate.
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10
Q

What is a helpful way to approach traumatic memories that surface during treatment?

A

Recognise that it is not possible to tell the difference between a valid memory and an invented one. Focus on providing treatment to the client based on their current symptoms. Explain to the client the complex processes underlying memory. Be aware that memories are susceptible to influence.

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11
Q

Detail the mandatory notification requirements for children.

A

If there is suspected abuse or neglect of children, or reasonable belief, report to Family and Community Services (FACS).
Do so if the child OR adult/friend/family member states they have been physically/sexually abused

OR if observations of the child indicate that the child has been physically/sexually abused.

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12
Q

Detail the mandatory notification requirements for crimes.

A

Report crimes that have a jail term of more than 5 years.

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13
Q

Detail the mandatory notification requirements for historical sexual abuse.

A

Report if:
- the abuse has not been previously reported to the police
- the perpetrator is still posing a risk to children.
However, you need identifiable features such as the name of the perpetrator and the children at risk.

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14
Q

What are the four elements to Informed Consent?

A
  1. Capacity
  2. Voluntarily without coercion
  3. Specific (not blanket)
  4. Provided in a language the client can understand.
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15
Q

What is the difference between privacy and confidentiality?

A

Privacy: Collecting only information relevant to the service being provided. Confidentiality: The safeguarding of a client’s private information.

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16
Q

How long do you store client notes for?

A

7 years, or if the client is under 18 until they reach the age of 25 years.

17
Q

What connections does the social-emotional well-being framework encompass?

A

Connection to community, country, family and kinship, spirituality, culture, body, mind, and emotions.

18
Q

What are the three core principles that the Code of Ethics is based on?

A

Respect for the rights and dignity of peoples, Propriety, and Integrity.

19
Q

What do these three principles entail?

A

Respect entails privacy and confidentiality, informed consent.

Propriety entails competence, assessment, multiple relationships, record keeping.

Integrity entails communication, conflict of interest, financial arrangements.

20
Q

How does the principle of RESPECT apply specifically to working with Indigenous Australians?
(CRISP)

A

Respect for culture, self-determination, experience of racism and prejudice and fighting against these, reconciliation action plan, informed consent.

21
Q

How does the principle of PROPRIETY apply specifically to working with Indigenous Australians?

A

Cultural competence, using culturally normed tests, working in small communities, seeking cultural consultation.

22
Q

How does the principle of INTEGRITY apply specifically to working with Indigenous Australians?

A

Communication (asking about cultural connections and identity, sharing your own), being aware of multiple relationships.

23
Q

What are ways you can increase your cultural competence (NO-VA-SK-AT)?

A

Knowledge (of culture and history), Values (bringing awareness of personal values and beliefs, biases and their impacts), Skills (general and cultural specific), Attributes (understanding individual values, power dynamics).

24
Q

What is malignant grief?

A

Malignant grief is reflective of intergenerational trauma and persistent stress. It is irresolvable, cumulative and collective grief that affects Indigenous communities. People can die from it.

25
Q

What is a boundary crossing?

A

A departure from accepted standards.

26
Q

What are some examples of boundary crossings?

A

Unique financial arrangements, gifts, self-disclosures and answering personal questions, going overtime in sessions, non-sexual touching.

27
Q

According to Gabbard’s taxonomy, what are the four profiles of clinicians at risk of boundary crossings?

A

Masochistic/Surrender, Predatory/psychopathic, Lovesick, Psychosis.

28
Q

What is a predictor of boundary violations?

A

Narcissism – both narcissistic vulnerability and grandiose narcissism – I’m the only one that can help.

29
Q

What are the 10 steps in Koocher & Keith-Spiegel’s Ethical Decision Making Model?

A
  1. Define the Situation: Clarify if the issue involves ethics.
  2. Consult Resources: Look at the code of ethics, guidelines, and laws. Collect info from all parties involved.
  3. Consider Influencing Factors: Reflect on personal biases and values.
  4. Consultation: Seek advice from a trusted and unbiased colleague/supervisor.
  5. Evaluate Rights, Responsibilities and Vulnerabilities: Assess all affected parties.
  6. Generate Alternatives: Brainstorm alternative courses of action.
  7. Consider Consequences: Weigh the pros and cons of each alternative.
  8. Make the Decision: Choose the most ethical action.
  9. Implement the Decision
  10. Document and Review: Record the process and outcome for future reference.