Professional Orientation & Ethical Practice Flashcards
The _______ are:
- enhance human development for the entire life span
- embrace diversity and multicultural factors since clients are unique
- promote social justice
- safeguard the integrity of the counselor-client relationship
- to practice counseling in an ethical/safe manner
Pg. 475
ACA code of ethics values
The six foundational _________ for ethical behavior are:
- autonomy
- maleficence
- beneficence
- justice
- fidelity
- veracity
Pg. 475
principles
________ or the notion that a client has a right to control their own life
Pg. 475
autonomy
________ meaning the counselor never uses strategies/interventions or other behavior that could cause harm
Pg. 475
maleficence
________ meaning the counselor practices for the good of society as well as the client
Pg. 475
beneficence
________ or the idea that all clients are treated fairly and there is equality
Pg. 475
justice
________ meaning the counselor keeps promises
Pg. 475
fidelity
________ the helper is truthful (e.g., provides a truthful diagnosis)
Pg. 475
veracity
801
Which group was most instrumental in opposing counselor licensure?
a. social workers
b. psychiatrists
c. psychologists
d. AAMFT members
Pg. 480
c. psychologists
802
In the late 1970s, AACD (aka ACA) began to focus very heavily on professional credentialing. This led to the formation of the _________.
Pg. 480
NBCC (National Board for Certified Counselors)
803
By passing the NCE, a counselor can attain the _______, given via NBCC,
Pg. 481
NCC, a generic certification for counselors
National certification can be used on a national basis unlike ________, which tend to be primarily state specific. They are conferred by the individual state and not the federal government.
Pg. 482
licenses
804
Which choice would most likely violate the counseling ethic or law termed “scope of practice”?
a. A counselor who is using good, accurate empathy with a client, but fails to confront her about her excessive drinking.
b. A licensed counselor ho gives the client a DSM diagnostic code for insurance.
c. A counselor who is too active-directive with a client.
b. A counselor who is conducting a strict Freudian psychoanalysis with the client.
Pg. 482
b. A counselor who is conducting a strict Freudian psychoanalysis with the client.
**“scope of practice” concept suggests that counselors should only practice using techniques for which they have been trained. Most counselors are not trained in classical analysis.
805
Ethical guidelines were first created for the helping professions in 1953 when the American Psychological Association (APA) published their first code of ethics. The National Association of Social Workers (NASW) created their code in 1960, and in 1961, the organization that is now ACA adopted ethics for counselors. Ethics always describe _________.
Pg. 482
standards of conduct imposed by the ACA and NBCC
Ethics set forth by one organization may not be identical to those spelled out by another organization. However, if your state sends you ethical guidelines that are state statutes after you secure your license, then in this instance your guidelines will be the _____. Approximately 20 states use the ACA ethical code, and in these states the Code would likely qualify as the _____.
Pg. 483
law; law
806
Most ethical dilemmas are related to _______.
Pg. 483
confidentiality
When does confidentiality end?
According to ACA ethical guidelines, counselors have an obligation to protect the confidentiality of the _______ and this should be stated clearly in your informed consent document given to the client at the beginning of treatment.
Can you break confidentiality when a client dies and share nice things that the client said about a family member with the family member? _____
Can you break confidentiality if a mother of a deceased client wants to know whether the client hated them or not? _____
Can a counselor attend a funeral or a wedding? You must ask yourself whether it might be beneficial, and if asked say you know the client professionally.
Pg. 484
deceased; yes; no
807
The landmark 1969 case, Tarasoff vs. the Board of Regents of the University of California illuminated _________.
Pg. 484
the duty to warn a client in imminent danger
The ________ case is often cited as an example of a professional helper’s “duty to warn” a person of serious and foreseeable harm to themself or to others.
Pg. 485
Tarasoff vs. the Board of Regents of the University of California
Some states require that a report be made to a designated state agency within a brief period of time, ___________, if someone is in “clear or present danger”.
Pg. 485
generally 24 hours
808
A counselor reveals information that is extremely damaging to a client’s reputation. This counselor could be accused of __________.
Pg. 485
defamation
809
State laws can govern title usage and practice, however, they do not govern _________.
Pg. 486
accreditation
Most suicides occur in the ________ and about ______% of your client will give warning signs.
Pg. 488
spring at the end of April or May; 75-80%
811
A statement of disclosure could include all EXCEPT:
a. A list of the courses the counselor took in graduate school.
b. The counselor’s qualification, office hours, and billing policies.
c. Emergency procedures and therapy techniques utilized.
d. A statement that confidentiality is desirable, but cannot be guaranteed in a group setting.
Pg. 488
a. A list of the courses the counselor took in graduate school.
Some states now require a statement of disclosure be given to all potential clients. The procedure of giving the client this document and having them read it and sign it is sometimes referred to as “__________”. the client has the information to consent to the treatment.
Pg. 488
“informed consent”
812
Privileged communication refers to the fact that anything said to a counselor by a client ________.
Pg. 488
will not be divulged outside the counseling setting without the client’s permission
A counselor-client relationship protected by privileged communication is one in which the _______ (not the counselor or the court) can choose not to have confidential information revealed during a legal proceeding (generally on the witness stand). The _______ is the holder of the privilege.
Pg. 488
client; client
**memory device: it is the “client’s privilege” to reveal.
813
In regard to state law and privileged communication, counselors must be aware that _________.
Pg. 489
laws are unclear and may vary from state to state
_________ communication is not applicable in cases of child abuse, neglect, or exploitation; suicide or homicide threats; criminal intentions; clients in dire need of hospitalization; or in cases where a counselor is the victim of a malpractice lawsuit.
Pg. 489
privileged
_________ communication does NOT apply to minors (although their legal guardians generally hold privilege) or those who are mentally incompetent.
Pg. 489
privileged
814
When counselors say that privileged communication is “qualified,” they actually mean that __________.
Pg. 489
exceptions may exist
Privileged communication is based on _______ status rather than one’s graduate degree or certification credentials.
Pg. 490
licensure
815
You are a counselor in a state that does not legally support privileged communication. You refuse to testify in court. In this situation _________.
Pg. 490
you could be held in contempt of court
816
An 11-year-old child comes to your office with a black eye and tells you she can’t remember how she received it. You have reason to suspect abuse. You should _________.
Pg. 490
call the child abuse/neglect hotline
Counselors are ________ for child abuse, sexual abuse, neglect, or exploitation. It is ethical and legal to break confidentiality in such cases. You must report child abuse, it’s the law!
Pg. 490
mandated reporters
The word ________ means that a counselor does not have a choice in the matter.
Pg. 490
mandated
All of the following are _________ to maintaining confidentiality:
- client is a danger to self or others.
- client requests a release of information.
- a court orders a release of information.
- the counselor is engaged in a systematic supervision process.
- clerical assistants who process client information and papers.
- legal and clinical consultation situations.
- client raises the issue of the counselor’s competence in a malpractice lawsuit.
- the client is less than 18 years of age. (If a client is a minor, a parent or guardian can demand that information be disclosed that was revealed during a session.)
- an elderly person is abused.
- an insurance company or managed care company requests a diagnosis and/or relevant clinical information.
Pg. 491
exceptions or limitations
Counselors are only _________ while they are performing professional duties. For example, if you witness child abuse in a grocery store when you are not performing counseling duties you do not HAVE to report it - you have the choice.
Pg. 491
mandated reporters
817
During a counseling session a 41-year-old male client threatens suicide. You should _________.
Pg. 491
contact his wife and advise her of possible suicide precautions.
818
A 39-year-old female secretary you are seeing in your assertiveness training group reveals that she is plotting to shoot her husband. Based on the Tarasoff case you should _________.
Pg. 492
warn the husband
**Tarasoff implies that a responsible helper will warn an intended victim.
Professionals generally adhere to the principle of _________, which suggests that you reveal only what is necessary.
Pg. 492
minimal disclosure
The _______ case suggests that therapists should warn others (i.e., third parties) who also may be in danger.
Pg. 492
Hedlund
819
You pass your exam and now have NCC status. You perform a battery of tests on your client. After you complete the testing you discover your client is in imminent danger. You receive a legal court order to turn over the test scores. You __________.
Pg. 492
you must turn over the test records complete with the test scores
**Counselors are told that normally you would NOT release a client’s test or assessment results without prior written consent. The exception: When there is clear and imminent danger or when legally required to do so by a government agency or court order.
_________ means that a practitioner adheres to the highest possible ethical standards.
Pg. 493
aspirational ethics
820
One impetus (driving force) for counselor licensing was that _________.
Pg. 493
psychology licensure bodies sought to restrict the practice of counselors so counselors could not receive third-party payments from insurance and managed care companies
821
A counselor who possesses a graduate degree wishes to become a licensed psychologist. Which statement most accurately depicts the current situation?
Pg. 494
In nearly every case, individuals trained in counseling departments would not be allowed to sit for the EPPP and thus could not become licensed psychologists.
822
A woman who is in private practice mentions in her phone book advertisement that she is a licensed counseling psychologist. This generally means that __________.
Pg. 494
she has a graduate degree from a psychology department
_________ accredits master’s degree programs in
career counseling college counseling community counseling gerontological counseling marital, couple, and family counseling/therapy mental health counseling school counseling student affairs counselor education and supervision doctoral degree programs.
The largest of these is school counseling, and second is community counseling. The smallest of the programs is gerontological counseling.
Pg. 495
CACREP
823
One major difference between the psychology vs. the counseling movement seems to be that _________.
Pg. 495
psychologists are working to eliminate practitioners with less than a doctorate, while counselors are not
824
APA is to psychologist as ACA is to ________.
Pg. 496
counselor
825
You have achieved the status of NCC. NBCC, nevertheless, feels you have violated professional ethics. NBCC can do any of the following EXCEPT:
a. Revoke your state counseling license
b. Remove your name from the list of NCCs in the U.S.
c. Revoke your NCC status
d. Note in their newsletter that your NCC status has been revoked
Pg. 496
a. Revoke your state counseling license
**Certification is not the same as licensing. You must be certified in order to call yourself a certified counselor.
826
A counselor who is alcoholic and suffering from burnout could best be described as ________.
Pg. 497
an impaired professional
_________ is a term used to describe a helper who does not possess the education and experience necessary to secure professional credentials.
Pg. 497
paraprofessional
**Think ASH employee (JWR)
827
Counselor certification ________.
Pg. 497
recognizes that you have reached a given level of competence and thus are authorized to use a title