Midterm Sample Questions Flashcards
- True or False: A boundary crossing is a breach in the standard of care that results in harm to the client from exploitation.
FALSE; this is a boundary VIOLATION
- True or False: According to ACA Code of Ethics, therapists are prohibited from engaging in social media relationships with current relationships.
TRUE; refer to ACA Code A.5.e - Personal Virtual Relationships with Current Clients
- According to the ACA professional codes of ethics, sexual relationships between client and counselor are not prohibited under which of the following circumstances?
A. If the therapist is really in love with the client.
B. If there is consent by the client and it is at least five years post-therapy.
C. If the relationship only includes non-physical contact (e.g., sexting).
D. If the sexual relationship occurs after five years of termination and the therapist demonstrates that it is non-exploitative.
E. These relationships are always considered unethical.
D; refer to ACA A.5.c. Sexual and/or Romantic Relationships with Former Clients
- A Licensed Professional Clinical Counselor is working with a 15-year-old girl on social anxiety. The counselor believes the child could benefit from changes in her parents’ style of parenting, as they are highly protective in ways that suggest to the client that the world is a scary place. The LPCC should:
A. Consider whether they have appropriate training to work with families.
B. Contact the parents and bring them in for a session focused on parenting interventions.
C. Contact the parents and inform them of the girl’s progress in therapy so far.
D. Consider whether the client is mature enough to instruct her own parents on the LPCC’s parenting ideas.
A; Considering the scope of limitation on couple and family work for LPCCs, the counselor may or may not be able to engage in family-based interventions here, depending on their training. Informing the parents of the girl’s progress may be good, but does not further the treatment; asking the child to educate the parents on parenting is typically inappropriate because of the role confusion this creates.
- A client recently started taking prescription medication for their symptoms of depression. In session, the client complains about recent weight gain and changes in their sex drive. You should:
A. Recommend that the client asks for a change in their medication.
B. Recommend that the client discuss the symptoms with their physician.
C. Recommend that the client reduce their dosage to reduce side effects.
D. Recommend that the client view the weight gain and sex drive changes as symptoms of depression.
B; Recommending a medication or dosage change would be considered medical advice, which is outside of a therapist’s scope of practice. Framing the weight gain and sex drive changes as symptoms of depression is an inappropriate conclusion; the timing suggests these very well may be medication side effects. Medication-related concerns should be referred back to a physician.
