Midterm

Question 1

It is illegal for state licensing boards to require therapy as a way for therapists to recognize and monitor their countertransference.
True/ False

Answer 1

FALSE

It is NOT illegal

Question 2

If a client experiences transference toward a therapist, this is a good indication that this client should be referred to another therapist.
True / False

Answer 2

FALSE

We should work with the transference in therapy

Question 3

The hazards of the helping professions should be de-emphasized in graduate training programs because sharing this information too early in a trainee’s professional development could immobilize them from taking necessary risks.
True /False

Answer 3

FALSE

Hazards should be clearly taught from the beginning

Question 4

Transference is referred to as the “real” relationship in therapy.
True /False

Answer 4

FALSE

Transference is not the “real” relationship

Question 5

School counselors are always permitted to discuss the issue of abortion with students.
True
False

Answer 5

FALSE

Sometimes they are not permitted to discuss abortion with students.

Question 6

According to the National Association of Social Workers (NASW, 2003), individuals have a choice regarding continuing care or treatment options when they have a terminal illness. This does NOT include:

a.
voluntary active euthanasia.

b.
immediate hospitalization for suicide ideation.

c.
physician-assisted suicide.

d.
withholding or withdrawing life-sustaining treatment.

e.
aggressive treatment of the medical condition.

Answer 6

Hospitalization for suicide ideation.

Question 7

The association that deals with spiritual and religious issues in counseling is called:

a.
The Association for Spiritual and Religious Teachings in the Helping Professions.

b.
The Association for Spiritual, Ethical, and Religious Values in Counseling.

c.
Religious Dogma and Spirituality in Counseling.

d.
The American Association of Spiritual and Religious Leadership in Counseling

Answer 7

The Association for Spiritual, Ethical, and Religious Values in Counseling.

Question 8

Counselors practice unintentional racism when they:

a.
accept unreasoned assumptions about other cultures without proof and without regard to rationality.

b.
claim to be free of any traces of racism.

c.
challenge stereotypes associated with culturally diverse clients.

d.
show sensitivity to cultural variations among individuals.

Answer 8

Claim to be free of racism

Question 9

Which of the following statements is FALSE?

a.
It is important to understand that homosexuality and bisexuality are not indicative of mental illness.

b.
Therapists have an ethical obligation to confront their personal prejudices, myths, fears, and stereotypes regarding sexual orientation.

c.
The ethics codes of the ACA, the APA, and the NASW clearly state that discrimination on the basis of sexual orientation is unethical and unacceptable.

d.
To date the APA has not developed a separate set of guidelines for psychotherapy with lesbian, gay, and bisexual clients.

Answer 9

d. To date the APA has not developed a separate set of guidelines for psychotherapy with lesbian, gay, and bisexual clients.
- The APA HAS developed a separate set of guidelines for counseling LGBTQ+ individuals

Question 10

Clients who view self-disclosure and interpersonal warmth as inappropriate in a professional relationship with authority figures have typically been abused as children.
True
False

Answer 10

False - don’t make assumptions

Question 11

There is a consensus among mental health practitioners that they should directly address the issue of cultural differences with their clients since clients are not likely to bring up the issue on their own.
True
False

Answer 11

FALSE- there is not a consensus

Question 12

The multicultural counseling competencies were developed by the Association for Multicultural Counseling and Development.
True
False

Answer 12

TRUE

Question 13

At the present time, most ethics codes fail to make specific mention of a practitioner’s responsibility to recognize the special needs of diverse client populations.
True
False

Answer 13

FALSE

-most codes specifically mention diverse populations

Question 14

Details of a client’s dreams or fantasies and the therapist’s own thoughts and reactions to the client might be included in the client’s progress notes.
True
False

Answer 14

FALSE- progress notes are objective

this is different from process notes

Question 15

The HIPAA privacy rule mandates that clinicians keep two sets of records.
True
False

Answer 15

FALSE

Question 16

Joe’s wife expressed fear that her abusive husband would eventually kill her. Joe agreed to a psychiatric evaluation and it was determined that he wasn’t dangerous. Joe beat his wife again and was brought back to the therapist for another evaluation. Joe was released after a brief interview and he promptly went home and killed her. Joe’s therapist is liable for malpractice according to the following court ruling:

a.
Bradley case

b.
Jablonski case

c.
Hedlund case

d.
Tarasoff case

e.
Jaffee case

Answer 16

Jablonski case

Question 17

Confidentiality is a legal concept and privileged communication is an ethical concept.
True
False

Answer 17

False:
Confidentiality is an ETHICAL concept
Privileged Communication is a LEGAL concept

Question 18

Generally, privileged communication applies to group counseling, couples counseling, and family therapy if the practitioner is a licensed psychologist.
True
False

Answer 18

False

Question 19

Health plans are one of six types of covered entities.
True
False

Answer 19

False

Question 20

In 1996, the United States Supreme Court ruled that communications between licensed psychotherapists and their clients in the course of diagnosis or treatment are privileged and therefore protected from forced disclosure in cases arising under federal law. This case was referred to as:

a.
Seinfeld v. Castanza.

b.
Smithfield v. Tanaka.

c.
Jaffee v. Redmond.

d.
Hradecky v. Coggins.

e.
Bertram v. Wheeler.

Answer 20

Jaffee v. Redmond

Question 21

Therapists working with clients who are at high risk for contracting HIV should:

a.
know the HIV confidentiality law of their state.

b.
all of the choices.

c.
discuss the limits of confidentiality at the onset of treatment, and know the HIV confidentiality law of their state.

d.
avoid disclosing their concerns about the clients’ dangerous sexual practices, so as to minimize their chances of being sued.

e.
discuss the limits of confidentiality at the onset of treatment.

Answer 21

C- Discuss the limits of confidentiality and know the HIV laws of their state.

Question 22

The American Counseling Association requires licensed counselors to disclose information to unsuspecting identifiable third parties who are at risk of contracting HIV from a client.
True
False

Answer 22

FALSE

Question 23

Danny had been working with his therapist Bonnie for three years when he invited her to attend his graduation from college. Working towards achieving this goal had been a major focus of Danny’s therapy. By accepting his invitation and attending the ceremony, Bonnie’s decision was:

a.
unethical.

b.
unprofessional.

c.
ethical under the circumstances.

d.
unethical, and unprofessional.

Answer 23

Ethical under the circumstances

Question 24

Below would be an inappropriate response from a therapist who is struggling with a powerful attraction to a client:

a.
Repress feelings of attraction to protect oneself from becoming sexually involved with the client.

b.
Seek out an experienced colleague, supervisor, or therapist who might help decide a course of action.

c.
Monitor boundaries by setting clear limits on physical contact and self-disclosure.

d.
Explore reasons for attraction to the client.

Answer 24

a. Repressing feelings would be an INappropriate response

Question 25

Although sexual exploitation of clients by therapists is the result of a complex set of factors, one of these factors is a childhood history of severe sexual abuse in the background of offending male therapists.
True
False

Answer 25

TRUE