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Final for Ethics Psych

In order to distinguish between the ethical and legal aspects of clinical supervision, the legal aspects involve:
a. supervisors qualifications, along with their duties and responsibilities
b. issues with dual relationships
c. consent of trainees, clients, and third-party payers
d. issues related to confidentiality, liability, the supervisor’s duty to protect, and standards
D
Supervisees in training programs do not have the right to:
a. be fully informed of their supervisor’s approach to supervision
b. continual access to any records maintained during the supervisory relationship
c. expect that the supervisor will be their personal therapist if needed
d. confidentiality with reguard to disclosure, unless mandated by law
c
Supervisors are ethically vulnerable because:
a. there is a power differential between participants
b. of the “therapy like” quality of the supervisory relationship
c. they are faced with protecting the welfare of clients, supervisees, the public and the profession.
d. all of the above
d
It is not the responsibility of the supervisor to:
a. preform the role of teacher, counselor, or consultant as they are appropriate
b. promote knowledge and skills required to efficiently work with clients from culturally diverse backgrounds
c. assist supervisees to recognize their personal limitations and protect the welfare of their clients
d. independently decide the needs of the trainee, including the course of therapy they will need
d
Which of the following statements is not accurate?
a. Supervisors are ultimately responsible, both ethically and legally, for the actions of their trainees
b. Supervisors should not supervise more trainees then they can responsibly manage at one time
c. Supervisors are not expected to maintain records pertaining to their work with supervisees
d. it is essential that supervisors are familiar with the case loads of their supervisees
c
All of the following are ways in which supervisors can promote the personal and professional development of their superivsees except for:
a. neogating mutual decisons, rather than making unilateral descions, about the needs of the trainee
b. proforming the role of teacher, counselor, or consultant when needed
c. avoiding an evaluative role, lest the supervisee feel judged and develop pr
d.
Need to ask someone on this question
A major professional issue for consultants is the degree to which their personal values will have an impact on their actions and decsions in the consultation process. It is critical that:
a. difficult descions be made for the consultees and support them with the follow-up action
b. the consultant investigates the goals of the orgainization to determine if they need to be changed
c. consultants present qualifications to show that they are competent to deliver the services being contracted
d. consultants male consultees aware that they may be providing services that are beyond their competency
c.
A good consultant contract:
a. is a general in nature until it can be determined what the problem is
b. leaves an open time frame until both parties are statisfied that the task has been accomplished
c. is a form of legal protection for both parties and can assist in developing clear understanding of the consultitation process
d. allows the consultant to act in combo with the role of a counselor
The authors style of supervision:
a.focuses largely on the intrapsychic dynamics of supervisees
b. emphasizes a // process that operates between a counseling model and a supervisory model
c. focuses on interpersonal dimensions
d. b and c
d. b and c
Impairment is a condition:
a. that some counselors may experience
b. that some supervisors may experience
c. that is always caused by unresolved personal experience
d. all off the above
d. all off the above
Leanne began to feel overwhelmed with her job at the counseling center. In addition to her regular duties… If a client of one of her neglected trainees and decide to file a lawsuit, it is likely that Leanne would bear:
a. Vicarious liability
b. Direct liability
c. No liability (b/c her employer would be held responsible)
d. A and B
d. A and B
Supervisors adopting the __________ model attend to be the social construction of gender and the role of lanuage in maintaing a gendered society,
a. feminist supervision
b. social-consructividm superviosn
c. development supervision
d. gender-equality based supervison
a
Olivia, a new supervisor, is creating a template for a supervisory contract that she can use with supervisees. In the contract, she should include info related to
a. her background
b. methods to be used in supervision
c. evaluation of job performance
d. complaint procedures and due process
e. all of the above
e
Which of the following topics would be appropriate to discuss during the initial supervisory session?
a. the supervisors expectations regarding supervisee preparedness for supervisory meetings
b. the supervisors expectations regarding supervisee preparedness for supervisory meetings
c. the supervisor’s expectations regarding formal evaluations
d. all of the above
d
Supervisors should provide supervision only
a. after they obtain the needed education and training to ensure
b. if they can devote the required time to provide adequate oversight
c. if they are competent both in practice of supervision and in the area of counseling being supervised
d. all of the above
d
Supervisors have responsibilities to
a. supervisees current clients
b. supervisees future clients
c. both a and b
d. their supervisees, but not to their supervisee’s clients
e. themselves only
c
It is essential that a good portion of the supervisory session focus on
a. the personal stress experienced by the supervisory sessions focus on
b. the interpersonal relationship between supervisee during client-counselor interactions
c. the supervisee’s personal life
d. the supervisor’s countertransference to the supervisee’s clients
a
The essential elements of the supervisor-supervisee relationship include all of the following except
a. trust
b. self-disclosure
c. understanding transference and countertransference
d. acknowledging diversity
e. minimizing boundaries
e
The following statement is not true with resepect to counselor competence.
a. practitioners are required to practice within boundaries of their competence
b. only when the thearpist completes a doctoral progam, are they competent to practice with all specialities
c. the practitioner can develop competency by working with professionals with more experience
d. confrences, workshops and continuing education are means towards developing competency
b
According to the authors, a good training program encourages students to:
a. build on their life experiences and personal strengths and provides oppertunities for expanding self-awarness
b. emphasize skill traning w/out consideration of personal development
c. achieve a high enough GPA to persue a doctorate
d. specializes in 1 theory with the techniques and stratiges that are unique to that theory
a
As a part of the process of screening canidates for a therapist training program, counselor educators should:
a. provide candidates with information about what will be expected of them
b. encourages candidates to screen the program to ensure a good fit
c. place a great deal of emphasis on candidates GRE scores
d. both a and b
d
The argument for teaching a multimodal, systematic, technically electric model in training program is that:
a. the variety of techniques and strategies taught can be applied to a wide range of problems with diverse clients
b. it gives the student an opportunity to specialize in 1 theoretical approach
c. there are few bureaucratic constraints when teaching this type of approach
d. the student can ;earn to diagnose clients to fit the basic concepts of the theory being taught
a
Which of the following statements about competence is false?
a. striving for competence is a lifelong endeavor
b. competence at 1 point in our career does not assuire competence at a later time
c. practitioners cannot develope competence both as generalists and as specialists
d. being competent in 1 area of counseling does not mean that we are compentent in other areas
c
______ represents the least degree of regulation of professional practice
a. certification
b. licensure
c.registration
d. accreditation
c
An argument put forth in favor of legisiation to regulate the delivery of mental-health services is that:
a. professionalism builds up a rigid bureacracy designed to protect the client
b. the public is ptotected by setting min standards of service and holding professionals accountable
c. there are as many certified chariatans as there are uncertifed, competent practitioners
d. it contributes to professional specializations that pit one against the other
b
Within the counseling profession, a speciality is officialy recognized when:
a. practitioners active a speciatly accrediation through a group or certification through a professional organization
b. the practitioner recieves a doctorate degree
c. the counselor works in a specific area for atleast 2 years
d. there is state regulation of the practice of that particular counseling specialization
a
Most professional orginizations support efforts to
a. require pro bono work at the rate of at least 20% of the work week for all professionals
b. write regulators that encourage competition
c. make continuing education a manditoty condition of reicesing
d. require personality tests from all practitioners to ensure that those who enter the field are in good mental health
c
____ is an organized system by which practitioners within a profession assess one another’s services.
a. networking
b. mentoring
c. monitoring
d. Peer review
d
Barriers to dissmising a student who demonstrates dysfunctional interpersonal behavior from a training program include:
a. lack of adequate procedures in place to support a dismissal decision
b. fear of legal reprisal by the trainee
c. the potential for receiveing criticism from other faculity members who were not involved in the trainee’s remedication
d. all of the above
d
Chaka, a new counselor trainee, appears to be emotionally stable and well-adjusted. 1 might say that she demonstrates:
a. charater
b. psychological fitness
c. borderline personality disorder
d. resilience
b
Referring clients to other professionals is:
a. appropriate when counselors don not have the clinical training or expertise to with certain clients
b. unethical since it ,eaves the client feeling abandoned
c. indicative of poor character
d. illegal in some states
e. non of above
a
In order to apply our knowledge and skills competently,
a. we must be perfectly healthy
b. we must attend to our physical, emotional, mental, and spiritual well-being
c. self-care routines must be rigidly adhered to on a daily basis
d. all of the above
b
Even though mental health professionals may not intend to harm clients _______ often is a major contributing factor in causing harm.
a. lack of competence
b. unconsious impulses of an agressive nature
c. participation in training program that is not CACREP accredited
d. a decreased emphasis on ethics in training programs
a
According to the American Counseling Assocaiation, conselors pratice only within the boundaries of their competence, based on their
a. education and training
b. supervised experience
c. state and national professional credentials
d. appropriate professional experience
e. all of the above
e
To qualify as a substance abuse counselor, the CACREP (2009) standards identify specific knowledge, skills, and practice in all of the following areas except
a. foundations
b. counseling, prevention, and intervention
c. diversity and advocacy
d. research and evaluation
e. none of the above
e
______ is a developmentally informed process that provides useful feedback during 1’s training and throughout 1’s professional career
a. formative assessment
b. summative assessment
c. developmentally-informed assessment
d. both a and b
a
Those who are responsible for education and training mental health professionals are ethically and professionally obligated to
a. focous exclusively on mentoring trainees
b. invest all of their efforts into mentorinig trainees as well as being advocates for them and thier clients
c. balance their roles as advocates and mentor of trainees with their gatekeeping role
d. focus exclusivly on their gatekeeping responsibilites
c
When therapists extend the boundaries of their new practice, or when they branch out an area requiring speciality competence, they should
a. be sufficiently prepared if they read books and journal articles pertaining to the new speciality area
b. seek consultation with a competent practitioner
c. return to graduate school and recieve another degree
d. gain competence on their own before consulting with other professionals
b
Researchers recommend that students be taught ways of implementing wellness stratiges into their daily lives
a. in amanner silmilar to the way they are taught to implement techniques into their counseling
b. by having them read self-books
c. viaPowerpoint lecture
d. by asking them to mediate on a daily basis
a
Training programs have a responsibility to
a. honor their commitment to the students they admit
b. protect future consumers who will be sereved by those who graduate
c. screen candiates for their appropriateness
d. all of the above
d
Dr. Geller is a faculty member in a training program that graduates trainees who he beileves are incompetent. He has tried to address these issues with the program administrators and facility; however, to no avail. Dr. Geller
a. should make the conflict unknown to the institution and then adhere to his ethical duties
a
In most training programs, students are expected to
a. engage in appropriate self-disclosure and participate in various self-growth activities
b. disclose their deepest and darkest secrets
c. undergo psychoanalysis
c. all of the above
a
When a practitioner has a license, he or she is
a. competent to work with all populations
b. competent to work with most, but not all populations
c. not competent to work with all populations
d. finally exempt from having his or her competence evaluated
c
Joe has a counseling practice and is also teaching psychology part-time at a university. He is well liked and trusted by students and some have asked for private counseling. Joe has decided to wait until semester break before taking them on as clients. Joe would be:
a. exhibiting ethical behavior by telling his students that he will counsel them at the end of the semester
b. in a dual relationship with his students which may cause ethical problems
c. playing favortism by not counseling all of his students
d. not qualified to counsel his students because he is a part-time instructor
b
The following is true concerning dual relationships:
a. there is a clear censensus among practitioners regaurding nonsexual relationships
b. due to the fact that there are clinical, ethical, and legal risks, all blending of roles must be avoided
c. objectivelt in counseling is enhanced with dual relationships
d. counselors need to make every effort to avoid dual relationships with clients that could impair professional judgement or increase the risk of harm to clients
d
Ted is a counselor educator and also acts as therapeutic agent for his students personal development since personal awareness is considered to be an intrinsic part of developing counselor skills in the program at the university in which he teaches. Ted is:
a. totally unethical in attempting to guide his students towards self-awareness
b.involved in a situation in which he will become so subjective that he will be unable to teach students
c. involved in role blending which is inevitable in the process of educating and supervision counselor trainees
d. in a situation that automatically leads to a conflict of interest
c
Departures from commonly accepted practices that could potentiallity benefit clients are reffered to:
a. unethical boundaries
b. boundary crossing
c. boundary violations
d. interpersonal boundaries
b
The following action would max the risks inherent in dual or multiple relationships
dont have 5 for ch.7
dont have 6
answer is d
In regaurds to boundaries in the counseling relationship, Lazrus takes the position that:
a. certain ethics and boundaries actually diminish theraputic effectiveness
b. all boundaries should be eliminated because they destroy the counseling relationship
c. strong boundaries must be maintained in order to avoid malpractice suits
d. traits such as flexability, spontaneously, and warmth tend to be characteristics if therapists who maintain strong boundaries
a
Dual or multiple relationships can occur
a. simultaneously
b. consecutively
c.either a or b
d. neither a nor b
c
Which of the following situations has the potential to harm or exploit a client?
a. entering a business venture with a client
b. developing a sexual relationship with a client
c. establishing a social relationship with a client
d. all of the above
d
Marty is counseling with an Asian client who recently returned from a trip to Japan to visit relatives. His client wants to give him an inexpensive souvenir. It is important for Marty to:
a. refuse the gift on ethical grounds
b. explain that the gift would change their relationship nd create a conflict of interest
c. be a ware that accepting the gift may be culturally appropriate with this client
d. explain that he cannot accept the gift until the counseling relationship is over
c
A counselor is likely to adopt strictor social boundaries and will be concerned about polluting the transference relationship if he/she is:
a. psychologically oriented
b. behavioral therapists
c. working with culturally diverse clients
d. already engaged in an active social life
a
Boundary management is:
a. not an issue in sparsely populated areas
b. less challenging in rural areas than in urban areas
c. equally as challenging in rural and urban areas
d. more challenging in rural areas than in urban areas
d
A common reaction of therapists who realize that they have sexual feelings towards their clients is to:
a. feel angry at themselves
b. speak openly about the matter to client
c. investigate to see if the client feels the same
d. feel guilty and fearful of lossing control and being critized
d
Therapists can deal with powerful attractions to clients by:
a. repressing their feelings of attraction
b. asking the client if the feeling is mutual
c. terminating the relationship immediately
d. monitoring boundaries by setting clear limits on physical contact, self-disclosure, and client requests for personal info
d
Which of the following is not considered a guideline to min the liklihood of sexual transgressions by clinicians?
a. seeking professional support during times of personal loss or crisis
b. knowing the difference between sexual attraction to clients and acting out
c. avoiding terminating the theraputic relationships, even when sexual feelings obsecure objectivity
d. monitoring feelings and behaviors toward clients
c
Bonnie became sexually involved with her therapist soon after therpy began. This action was initiated by the therapist who saw Bonnie’s provocatice behavior as an invitation to become intimate. the following is a possible on-going consequence for the client being sexually exploited:
a. substance abuse
b. suicidal ideation
c. distrust for therapists and the therapeutic process
d. impared social adjustment and distrust of oposite sex
e. all of the above
e
Clients can file a legal complaint against a therapist for sexual miscondut by:
a. filing ab ethical complaint with the therapist’s professional association
b. filling an ethical complaint with the therapist’s licensing board
c. lodging a complaint or civil suit
d. filing a criminal complaint
e. all of the above
e
According to the professional codes of ethics, sexual relationships between client and counselor and considered to be ethical 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
c. these relationships are not considered to be ethical under any circumstances
d. if the sexual relationship begains within 6 months of termination
c
Robert is romantically attracted to his client and he suspects that the feeling is mutual. In order to take an ethical action, Robert should:
a. seek consultation with an experienced colleague, supervisor, or personal therapists who could help him decide on a course of action
b. terminate therapy so they can develope a romantic relationship
c. repress his feelings and continue therapy with the client
d. explore his reasons for the attraction and tell th eclient why he is attracted to her
a
In the author’s view, non-erotic touching between counselor and client should be:
a. a spontaneous and honest expression of the thearpist’s feelings
b. incongruent with what they feel
c. a thearpeutic techinque used to extinguish catharsis
d. considered unethical
a
Clinicans who oppose any form of psychical contact with their clients (e.g., non-erotic touching) believe that:
a. it can promote dependency
b. it can interfere with the transference relationship
c. it can be misread by clients
d. it can become sexualized
e. all of the above
e
Miguel has been provideing couples counsleing to Saundra and Steven for a couple of years and was recently invited to attend their 20th wedding aniversary party. Attending this event is an example of
a. a boundary violation
b.a potentially benefical non-professional interaction
c. an unprofessional interaction
d. lapse of judgement
b
The notion that certain actions will inevitably lead to a progressive deterioration of ethical behavior is commonly referred to as:
a. the slippery slope phenomenon
b. therapist decay
c. the ethical deterioration phenonmenon
d. role erosion
a
In contrast to the past, the American Psychological Association now views multiple relationships in a ________ manner and emphasizes the importance of _____ in making ethical decisions.
a. more flexibility; context
b. less flexibility; unbending ethical rules
c. skeptical; being conservative
d. both a and c
a
Mentors often balance a multiplicity of roles. Which of the following would not be considered these roles?
a. teacher
b. counselor
c. guide
d. friend
e. none of the above
e
contemporary theories of counseling:
a. Are grounded on assumptions that are a part of Eastern culture
b. Emphasize the uniqueness of the individuals, self- assertion, and ego strength
c. Focus on interdependence, and losing self in the totality of the cosmos
d. Emphasizes the social and cultural factors of human esistence
b
Practcing counseling without ab explicit theoretical rationale is somewhat like
a. Driving a car with GPS device
b. Tryng to sail a boat without a rudder
c. Flying a plain without a co-pilot
d. Taking a train ride
b
When a counselor works in a managed care system, client’s goals need to be:
a. Long-term and all encompassing
b. Aimed at character reconstruction
c. Geared towards the client gaining insight into his or her problems and movement towards self-actualization
d. Highly specific, limited to reduction of problematic symptoms, and often aimed at teaching coping skills
d
________ is a general term covering the process of identifying an emotional or behavioral problem and making a statement about current status of a client.
a. Medical diagnosis
b. differential diagnosis
c. Psychodiagnosis
d. cognitive apparaisal
c
Practitioners who argue against diagnosis:
a. spontaneity
b. creativity
c. intentionality
d. ambiguity
a
Practioners need to function with ________; they must have a clear understanding of the techniques they employ and have a sense of the expected outcomes of their interventions.
a. spontaneity
b. creativity
c. intentionality
d. ambiguity
c
The following is not true concerning therapeutic use of the DSM-IV-TR to diagnosis clients:
a. emphasis is on pathology, deficits, limitations, problems, and symptoms
b. the process of determining a diagnosis requires clients to meet a number of criteria stated in the DSM-IV-TR
c. It is based on the assumption that assumption that distress in a family or social context is the result of individual psychology
d. it is based on a systematic approach that views the source of distress as being within the entire system, rather than on the individual
c
The term ______ is described in the text as a “grab bag of diagnostic leftovers at the back of the DSM-IV-TR that rarely qualify for reimbursement”.
a. T-codes
b. X-codes
c. Y-codes
d. V-codes
d
Emperical research _______ the centraility of the therapeutic relationship as a primary factor contributing to psychotherapy outcomes
a. downplays
b. exaggerates
c. strongly and consistently supports
d. inconsistently
c
According to professional ethical principles on testing, it would be unethical for a counselor to:
a. preform testing and assessment services for which they have not been adequately trained
b. develop, administer, score, interpret, or use asessment procedures that are appropriate for the situation
c. test within the clients’s socialized behavioral or cognitive patterns
d. consider the validity of a given test and interpret data in the context of cultural characteristics of the client
a
John is seeking counseling through his managed care provider and he needs to be informed that:
a. the managed care company may request the entire clinical record of a client
b. he has the right to expect unlimited sessions
c. his insurance provider will not have acess to his records
d. no referrals will be made upon termination of therapy
a
A. A graduate course and family systems therapy
B. Fully resolving ones on the family of origin issues
C. Years of training and supervision
D. Natural ability to think systematically
A. Acquire self-knowledge, especially with regard to family of origin issues
B. Learn basic counseling techniques to use with families and couples
C.learn and practice specialties such as systems therapy
D. Understand the effective intervention techniques used when working with families and couples
A. Raising consciousness concerning the role cultural factors influencing the outlook and behaviors of individuals and families
B. Overcoming trainee gender bias and sex-role stereotyping
C. Understan ding the collaborative nature family therapy
D. Direct clinical contact with all members of the family system
A. Classroom lectures and readings
B. Both personal therapy and workings of one’s own family of origin
C. Films in videotapes of family therapy sessions
D. Discussion
A. would set her values aside and work with any decision that her clients choose to me about their marriage
B. Would place the primary focus on helping each person examine what is the best course of action for themselves
C. Might let it be known that she believes in the preservation of marriage and when urgent a couple to work on her issues
D. Will consider divorce as a viable option if the couple of them happy with the relationship
A. Anagram
B. Genogram
C. Famogram
D. Pathogram
A. Assuming that remaining married May not be the best choice for a woman
B. Demonstrating equal interest in both the woman’s career and the man’s career
C. Encouraging couples to except the fact that child rearing its primary the responsibility of the mother
D. Having the same reaction to a woman’s extramarital affair as a man’s affair
A. “Hidden agenda” are seen as material that should be brought out into the open during a family session
B. Therapists should not divulge in a family session any information given to any individual session
C. Therapists need to inform clients that any info given during private sessions will be divulged in accordance with the greatest benefit to the family
D. Family therapists are exempt from reporting information that can harm the family system
A. Vicarious supervision
B. Live supervision
C. Family consultation
D. None of the above
Which of the following statements is consistent with the values under grinding the feminist perspective and family therapy?
A. Therapist should empower their clients to make their own choices
B. Therapists demystify the therapeutic process for their clients
C. Therapist challenge traditional gender roles and the impact this socialization has a relationships and families
D. All of the above
Many believe it is wise to have a(n) _________ when counseling couples due to the complexity of the work
A. “No secrets” policy
B. Attorney
C. Hidden agenda
D. Three year contract
Charles, a couples therapist, recently met with a new couple seeking his services. During the initial meeting, Charles learned that the wife and husband are both in individual therapy. As an ethical practitioner, he should
A. Ask his new clients permission to consult with her individual therapists
B. Not asked to consult with her therapist since it is none of their business
C. Not accept them as clients so as to avoid any ethical conflicts
D. Make it a condition that they start meeting with her individual therapist if they want his services
Which of the practitioners described below when not been effective their family therapist?
A. One who demonstrates acceptance, interest, and caring
B. One who works in patterns
C. One who downplays the influence of diversity
D. One who is assertive and confident
A(n) _________ approach to supervision is necessary I mention no training for therapists who want to work with families.
A. Adlerian
B. Family of origin
C. object relations
D. Attachment theory based
E. Both C and D

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