Midterm Revision Flashcards

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1
Q

What is the Ethic Code 6.05?

A

Barter with Clients/Patients

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2
Q

Describe the Ethic Code 6.05:

A

Barter is the acceptance of goods, services, or other non monetary form of payment from clients/patients in return for psychological services. Psychologists may barter only if (1) it is not clinically contraindicated, and (2) the resulting arrangement is not exploitative.

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3
Q

What does Ethic Code 6.05 reluctantly admit regarding when bartering may be acceptable?

A

The code reluctantly admits that bartering may be acceptable “in very limited circumstances when it can be demonstrated that such arrangements are an accepted practice among professionals in the local community.” Then it puts the burden of proof on the practitioner to justify such “deviant” behavior.

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4
Q

What are the 9 major exceptions to confidentially in counselling?

A

(1) A client’s request for release of confidential information
(2) A court order for confidential information;
(3) An ethics complaint or lawsuit against a counselor or therapist
(4)To their client litigation in which the client raises the issues of treatment as part of the client’s civil suit against another party
(5) Limitations to confidentiality based on statutes, such as reporting child and elder abuse
(6) Dangerous clients who are putting themselves or others at imminent risk for injury or death
(7) Clients with intent to commit criminal acts in the future (in some states)
(8) Clients with contagious life-threatening diseases, such as HIV disorders, whose behaviour puts others at imminent risk of infection
(9) Some clients considering hastening their deaths because of terminal illness

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5
Q

Professional codes for ethics for supervisors agree that… only mentions the ethic code number.

A

ACA and APA 10.05 - Sexual Intimacies with Current Clients

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6
Q

Professional codes for ethics for supervisors agree that…

A

ACA and APA 10.05 standards extend the prohibition of sexual intimacies with current clients to people in other kinds of professional relationships including students, supervise, and indicate that exploitation of anyone over whom the professional has authority is prohibited.

The rationale for the prohibition parallels their rationale for excluding sex with clients the power of the professional, the extended nature of the professional contact and the frequent lack of clartiy in termination.

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7
Q

What is the APA code 10.07?

A

Therapy with former sexual partners

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8
Q

Describe the APA code 10.07:

A

Therapy with former sexual partners – Psychologists do not accept as therapy clients/patients persons with whom they have engaged in sexual intimacies and there is no time limit in this prohibition

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9
Q

Dr. Ryan is a psychotherapist in a small town. She receives a phone call from a man she was sexually involved with several years ago. The relationship lasted only three months and ended amicably. The man is now married and is having problems unrelated to their past relationship. He has called to see if he can begin seeing Dr. Ryan in therapy. Dr. Ryan should? According to the APA code, this is?

A

APA CODE: 10.07 - Therapy with former sexual partners – Psychologists do not accept as therapy clients/patients persons with whom they have engaged in sexual intimacies and there is no time limit in this prohibition

Refer the man to another therapist.

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10
Q

What is the APA ethics code 4.06?

A

Ethics Code 4.06 : Consulations

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11
Q

What does the APA Ethic Code 4.06 state?

A

Ethics Code 4.06 – Consultations –When consulting with colleagues, (1) psychologists do not disclose confidential information that reasonably could lead to the identification of a client/patient, research participant, or other person or organisation with whom they have a confidential relationship unless they have obtained the prior consent of the person or organisation or the disclosure cannot be avoided, and (2) they disclose in- formation only to the extent necessary to achieve the purposes of the consultation.

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12
Q

While treating a client, you decide that you want to consult with a colleague to discuss a specific aspect of the case that is giving you trouble. According to APA’s Ethics Code? Please elaborate. The standard Ethics Code 4.06 states that?

A

Ethics Code 4.06 – Consultations –When consulting with colleagues, (1) psychologists do not disclose confidential information that reasonably could lead to the identification of a client/patient, research participant, or other person or organisation with whom they have a confidential relationship unless they have obtained the prior consent of the person or organisation or the disclosure cannot be avoided, and (2) they disclose in- formation only to the extent necessary to achieve the purposes of the consultation.

You are allowed to consult with a colleague to discuss the case as long as the identity of the client is not revealed. If in any case the client’s identity must be revealed, the client must agree and sign a consent release regarding this information.

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13
Q

Your new client is a 37-year-old woman whose symptoms meet the diagnostic criteria for Major Depressive Disorder. After your third session with her, she tells you that she was in treatment with another psychologist but terminated after the psychologist made sexual advances toward her. She doesn’t want you to discuss this matter with anyone. To be consistent with the provisions of the ethics codes of the American Psychology Association, your best course of action would be to?

A

It is in the best interest of the client to discuss with the client what her options are.

You must ensure to maintain confidentiality unless she agrees otherwise.

Ethical code requires the psychologist to take actions when they learn of an ethical violation from another psychologist.

In addition, it is often in the best interests of the client to allow him/her to decide what action to take.

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14
Q

List six major topics for clinicians to evaluate when performing a risk assessment of a dangerous client?

A

(1) The presence of attitudes that support or facilitate violence
(2) The client’s capacity or means to carry out violence.
(3) The crossing of a threshold toward violence, such as purchasing a gun or breaking a law.
(4) The presence of an intent to carry out a violent action (in contrast to the idea of acting violently).
(5) The responses of others to the client’s plan.
(6) The degree of client compliance with professional recommendations to reduce risk.

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15
Q

Imagine that a mental health counselor who works in a state with a privileged communication statute is subpoenaed to appear in court to give testimony involving a client’s confidential information. The client declines to authorize the release of that information. What should the counselor do?

A

Unless the issuing attorney or court excuses the psychologist, the psychologist must respond to a subpoena — responding to the subpoena, however, does not necessarily mean that the psychologist must disclose confidential information requested in the subpoena.

In general, the psychologist has a responsibility to maintain confidentiality and to assert the psychotherapist–patient privilege on behalf of the client unless the client has explicitly waived privilege or signed a valid release, a legally recognized exception to privilege exists, or the court orders the psychologist to turn over the client’s information.

Counselors should seek client’s permission for a disclosure to a court or seek a court order for such disclosure if consent is not forthcoming. The psychologist must not disclose any information unless they have client authorization

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16
Q

Fundudis (2003) identifies four factors to determine a minor’s competence: what are they?

A

Chronological Age
Cognitive Level
Emotional Maturity
Socio-cultural factors

17
Q

Mandated reporting required by Federal and state statutes regarding child abuse and neglect states that…

A

Mental health professionals, educators, medical personnel, and childcare workers who learn of child abuse or neglect are legally obligated to report this information to social service or police agencies, usually within 24 hours.

The penalties for failing to report usually include criminal sanctions.

18
Q

What is privilege?

A

A legal concept that protects a client’s confidentiality in the context of legal proceedings.

19
Q

Clients who have experienced a responsible informed consent process view self- disclosure more?

A

positively and have more optimistic expectations for counseling outcome

20
Q

ACA Code specifies that informed consent is?

A

Informed consent is an ongoing part of the counseling process, and counselors appropriately document discussions of informed consent throughout the counseling relationship.

21
Q

Fundamental ethical principle underlying the precepts of informed consent?

A

Autonomy is the main ethical consideration underlying informed consent. The patients’ right to determine what investigations and treatment to undergo must be respected by all doctors.

22
Q

The ethical standard for consent is based on?

A

the capacity of the client to understand the information presented and freely choose the course of action in response to that knowledge.