Oral Exam Prep

Question 1

Four CPA principles

Answer 1

1. Respect for Dignity of Persons and People
2. Responsible Caring
3. Integrity in Relationships
4. Responsibility to Society

Question 2

Principle 1: Respect for Dignity of Persons and People

Answer 2

• Respect
• Rights
• Non-discrimination
• Informed consent
• Freedom of consent
• Fair treatment
• Protection of vulnerable
• Privacy
• Confidentiality
• Extended responsibility

Question 3

Principle 2: Responsible Caring

Answer 3

• General caring
• Competence
• Risk/benefits
• Maximize benefit
• Minimize harm
• Offset/correct harm
• Care of animals
• Extended responsibility

Question 4

Principle 3: Integrity in Relationships

Answer 4

• Accuracy/honestly
• Objectivity/lack of bias
• Straightforward/openness
• Avoidance of deception
• Reliance on discipline
• Extended responsibility

Question 5

Principle 4: Responsibility to Society

Answer 5

• Development of knowledge
• Beneficial activities
• Respect for society
• Development of society
• Extended responsibility

Question 6

Principle 1 Themes

Answer 6

Fair treatment, protection of rights (consent/privacy), non-discrimination

Question 7

Principle 2 Themes

Answer 7

Checking biases, assessing for risk, benefits, and harm, COMPETENCE

Question 8

Principle 3 Themes

Answer 8

Transparency, honesty, objectivity, CONSULTATION

Question 9

Principle 4 themes

Answer 9

Contributions to field and society

Question 10

When is Principle 1 not weighted the most heavily?

Answer 10

When there is a clear and imminent danger of bodily harm to
someone

Question 11

Guidelines related to race/ethnicity

Answer 11

• Ethical Principles of Black Psychologists
• Ethical Guidelines of the National Latinx Psychological Association
• ## Society of Indian Psychologists

Question 12

Other guidelines related to identity/culture

Answer 12

• APA guidelines for boys and men
• APA guidelines for women and girls
• APA guidelines for persons with disabilities
• APA guidelines for gender and sexual minorities

Question 13

SIP commentaries on APA general principles

Answer 13

*Beneficence
* Nonmaleficence
* Fidelity and Responsibility
* Integrity
* Justice
* Respect for People’s Rights and Dignity

Question 14

CPA truth and reconciliation guiding principles

Answer 14

• Cultural allyship
• Humility in Indigenous ways of knowing (two eyed seeing)
• Services provided with community collaboration
• Critical Reflection
• Respect
• Social Justice

Question 15

Principles included in the APA Multicultural Guidelines

Answer 15

• Fluidity of identity
• Intersectionality
• Personal biases
• Role of language/communication
• Awareness of social roles
• Oppression, power, privilege
• Cultural adaptations
• Advocacy
• Checking assumptions
• Developmental stages
• Culturally informed practice
• Strengths-based approach

Question 16

Legislation, Standards of Practice and Ethics
Concerning Informed Consent

Answer 16

• Health Care Consent Act (HCCA; 1996)
• Psychology Act: Ontario Regulation 801/93
• College of Psychologists of Ontario (CPO) Standards of Professional
  Conduct (2017): Sections 7.1, 7.2, 8.1, 8.2, 9.2, 10.1
• CPA Code: Standards I.16-36; III.13; III.23; III.27; III.31
• CPA Practice Guidelines for Providers of Psychological Services: III.1a, III.3,
  V.3a and V.3d

Question 17

Seven Elements of Informed Consent

Answer 17

1. The individual is legally competent to consent
2. Capacity to consent
3. Individual must be informed by the practitioner
4. Procedure specific
5. Question and answer period
6. Voluntary consent
7. The consent must be voluntary and not obtained by misrepresentation
   or fraud

Question 18

Determining competence. Can the client:

Answer 18

• Communicate their decision
• Understand the information provided
• Appreciate the options available and their consequences
• Rationally manipulate the information provided

Question 19

The Substitute Decisions Act (1992)

Answer 19

says a person aged 16 or older is presumed to be capable of consent—be careful here given the HCCA!

Question 20

When Informed Consent is Not Required (HCCA)

Answer 20

1. Immediate treatment necessary to save a life or prevent serious
   harm to client AND the client’s consent or a substitute consent is not available
2. When client is deemed incompetent, must obtain appropriate substitute consent
3. When client has completely, knowingly, and voluntarily waived the right to be informed (in writing)
4. “Therapeutic privilege:” Practitioner can withhold information because it will have detrimental effect on the client’s health if disclosed

Question 21

The relationship between ________ and _________ is
tethered

Answer 21

consent and confidentiality

Question 22

Four Canadian Sources of Confidentiality

Answer 22

1. Provincial and federal legislation regarding client records (PIPEDA, PHIPA,
   O.R. 801/93: Professional Misconduct section 11).
2. Case law
3. Provincial standards of professional conduct and any other guidelines
   adopted by the provincial regulatory body (e.g., College of Psychologists of
   Ontario, Ontario Psychological Association)
4. CPA Code of Ethics

Question 23

Psychologist responsibilities under PHIPA

Answer 23

1. Get consent from clients for collection, use or disclosure of personal information
2. Client has right of access to their personal information and to challenge the accuracy and completeness
3. Personal information can only be used for the purposes for which it was
   collected
4. If you will use the information for another purpose, must get consent
   again
5. Personal information must be protected by security safeguards, which you
   let the client know about. If there is a privacy breach, must let client know
   ASAP
6. Provide written statement describing information practices.