Chapter 3 Ethical Issues in Counseling Practice

1. In becoming an ethical practitioner, a crucial task is to: + a. + learn how to arrive at clear-cut answers for difficult situations. b. + identify a specific ethical code as the source of answers to ethical dilemmas. c. + s. d. + avoid making any mistakes in counseling practice. ANSWER: c 2. According to the text, the challenge of fulfilling the spirit of informed consent is to: + a. + tell clients about the nature of confidentiality. b. + c. + convince clients that counselors know what they are doing. e. d. + teach clients about state laws that pertain to counseling. ANSWER: b + + b. + are clearly grounds for revocation of one9s professional license. c. + are helpful in case of counseling one9s friends or relatives. d. + are impossible to avoid. ANSWER: a 4. Privileged communication applies to: + a. +group counseling. b. +couples counseling. c. +family therapy. d +individual counseling. ANSWER: d 5. Confidentiality must be breached and information must be reported by practitioners when all of the following take place, except: + a. + clients pose a danger to others. b + c. + an older adult is being abused. d. + the therapist determines that the client needs immediate, involuntary hospitalization. ANSWER: b 6. Which of the following statements is not true about guidelines for ethical practice in counseling and psychotherapy? + a. + Most professional organizations provide broad guidelines. b. + Therapists ultimately have to discover their own guidelines for reasonable practice. c + d. +Ethical issues should be periodically reexamined throughout your professional life. ANSWER: c 7. A therapist should consult with colleagues or specialists under all circumstances except: + a. + when multiple relationships are potentially problematic. b. + when facing an ethical problem. c. when losing objectivity. d + ANSWER: d 8. Clients have a right to know about __________ before making highly personal disclosures. + a. + their therapist9s qualifications and personal information b. + the general goals of the therapist during personal counseling c. + the approximate length and details of the therapist9s personal relationships d + ANSWER: d 9. Both the feminist perspective and the postmodern approaches charge that diagnoses:+ a. + are an appropriate part of counseling sessions. b. + are generally helpful to women clients. c + s. d. +are an essential part of the medical model they follow. ANSWER: c 10. + Marcus, a therapist in a community agency, recently divorced his wife and seems to be harboring anger towards women in general. His colleagues, who have noticed a change in his attitude and behavior lately, have encouraged him to seek personal counseling to work through his issues. They are: a. +overreacting to his anger and are overstepping the boundaries by suggesting he go to counseling. b. +unwise to suggest counseling since he will not benefit from it because he is a therapist and already knows how to deal with his problems. c. + t d. +being unsupportive colleagues; since they are aware of his situation, they should offer to provide counseling to him and not refer him to a professional outside of the agency. ANSWER: c 11. According to the text, positive ethics is an approach taken by practitioners: + a. + who do what is mandated by professional standards. b. + c. + who strive for the highest level of ethical practice. d. + who strictly adhere to lengthy ethics codes, even if this is not in the client9s best interest. ANSWER: b 12. During her sessions, Justine questions whether she is trying to meet her clients9 needs or her ow a. + being overly analytical. b. + c. + self-absorbed and insecure. d. + behaving unethically since she is preoccupied during her clients9 sessions. ANSWER: b 13. Assessment consists of: + a. + identifying a specific mental disorder. b. + forming an explanation of the causes of the client9s difficulties. c + evaluating the relevant factors in a client9s life to identify themes for further exploration in d. +gaininganaccountintohowtheclient9sproblemsdevelopedovertime. ANSWER: c 14. Evidence-based practices: + + b. +are tailored to only focus on the relationship between the client and therapist without addressing specific problems and symptoms. c. +tend to focus on therapist created techniques that do not have empirical evidence to support their efficacy. d. +are generally not time limited. ANSWER: a 15. __________________ ethics involves a level of ethical functioning at the minimum level of professional practice.+ +Mandatory b. +Minimal c. +Positive Aspirational ethics can be defined as a model of ethical adherence that upholds the highest level of d. +Aspirational ethical practice. This type of ethics focuses on the achievement of the highest ethical and moral ANSWER: standards. On the other hand, mandatory ethics focuses at a level of ethical reasoning that only complies with the minimal ethical standards. a 16. __________ ethics focuses on doing what is in the best interest of clients.+ a. +Mandatory b. +Minimal c. +Positive +Aspirational ANSWER: d 17. The first step in making an ethical decision is to:+ a. + look at the relevant ethics codes. + c. + consider the applicable laws and regulations. d. + seek consultation. ANSWER: b 18. __________ involves the right of clients to be informed about their therapy and to make autonomous decisions pertaining to it.+ +Informed consent b. +Confidentiality c. +Privileged communication d. +Breach of confidentiality ANSWER: a 19. + Informed consent in counseling can be provided in all of the following forms except: a. +written. b. +orally. +through third party. d. +some combination of written and oral form. ANSWER: c 20. + __________ is a legal concept that protects clients from having their confidential communications revealed in cou without their permission. a. +Informed consent b. +Privacy c. +Confidentiality +Privileged communication ANSWER: d 21. + It is optional for therapists to inform their clients that they may discuss certain details of the relationship with a supervisor or a colleague. a. True ANSWER: False 22. Confidentiality can be considered an absolute.+ a. True ANSWER: False 23. Contemporary therapy approaches are grounded on a core set of values, which are neither value-neutral nor applicable to all cultures.+ b. False ANSWER: True 24. Overemphasizing cultural differences is always appropriate in a counseling context.+ a. True b ANSWER: False 25. A diagnosis provides a working hypothesis that guides the practitioner in understanding the client.+ b. False ANSWER: True 26. Clinicians who work in community mental health agencies, private practice, and other human service settings are generally expected to assess client problems within the framework of the National Association of S Diagnostic and Assessment Protocol Manual (3rd ed.).+ a. True ANSWER: False 27. The central aim of evidence-based practice is to require psychotherapists to base their practice on techniques that have empirical evidence to support their efficacy.+ b. False ANSWER: True 28. Human change is complex and difficult to measure beyond such a simplistic level that the change may be meaningless.+ b. False ANSWER: True 29. The only setting in which one might be forced to manage multiple roles is in community mental health centers.+ b. False ANSWER: False 30. The ethics codes mandate avoidance of all dual or multiple relationships.+ a. True ANSWER: False 31. Multiple relationship issues can be resolved with ethics codes alone.+ a. True ANSWER: False 32. If you are successful in establishing boundaries in various aspects of your personal life, you have a good foundation for creating sound boundaries with clients.+ b. False ANSWER: True 33. A boundary crossing could potentially benefit a client.+ b. False ANSWER: True 34. Becoming an ethical practitioner is not a final destination but a journey that will continue throughout your career.+ b. False ANSWER: True 35. The American Counseling Association uses the term < nonprofessional relationships= when referring to multiple relationships.+ b. False ANSWER: True