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17 questions
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  • Q1

    Dr. Lewis, a private practice therapist, treats Emily, who is going through a difficult divorce. Dr. Lewis has recently started dating someone who turns out to be Emily's soon-to-be ex-spouse's lawyer. During therapy sessions, Emily shares sensitive information that could potentially impact the divorce proceedings. Dr. Lewis realizes the potential conflict of interest and is concerned about how to maintain professional boundaries and confidentiality.

    1. How should Dr. Lewis handle the situation without breaching Emily's confidentiality?

    2. What steps should Dr. Lewis take to address the potential conflict of interest?

    3. Discuss the implications of dual relationships on confidentiality and professional ethics.

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  • Q2

    In order to get a privileged communication statute passed that protects the privacy of clients who are in professional relationships with counselors, legislators must be convinced that:

    counseling has met all the tests to demonstrate that it is a true profession.

    counseling relationships are similar to the relationships between a priest and penitent, or between a minister and a congregation member.

    lawsuits can be as easily resolved without the benefit of information that clients tell their counselors in confidential relationships.

    making an exception to the general rule that all evidence must be presented in court is vital to the well-being of society.

    counseling relationships are more important than physician-patient relationships.

  • Q3

    The Supreme Court ruling in Jaffe v. Redmond indicated that:

    counselors have a duty to warn intended victims of clients who threaten those who are endangered.

    communications between ministers and their congregants are usually not privileged.

    counselors can assert privilege on behalf of a client, even when the client has waived the privilege.

    a societal stigma is still associated with seeking counseling.

    psychiatrists are more likely to be granted privileged communication on a case-by-case basis than counselors.

  • Q4

    If a counselor is asked to disclose privileged information about a client who cannot be located, then the obligation to assert the privilege rests with:

    the client's attorney.

    the executor of the client's estate.

    the client's next of kin.

    the client's spouse, if any.

    the counselor.

  • Q5

    Breaches of client confidentiality by counselors:

    occur rarely and, when they do occur, usually are inadvertent.

    occur rarely and, when they do occur, are the result of counselors intentionally informing others of what a client said in a counseling session.

    are the most common basis of malpractice cases against counselors.

    occur rarely and, when they do occur, are required by state statutes.

    are the foundation for most complaints filed against counselors to their licensure boards.

  • Q6

    When a client accuses a counselor of wrongdoing through a complaint with the counselor's licensure board or through a malpractice lawsuit filed in court:

    the client's written permission must be obtained before the counselor can reveal private information related to providing counseling services to the client.

    the client automatically waives his or her privacy rights and the counselor can reveal private information related to providing counseling services to the client.

    counselors can use no information from the counseling relationship with the client in defending themselves.

    counselors are barred from revealing any information about the client when defending themselves.

    counselors may reveal only information the client agreed may be revealed when defending themselves.

  • Q7

    With respect to confidentiality and privileged communication:

    confidentiality is primarily a legal issue, and privileged communication is primarily an ethical issue.

    confidentiality and privileged communication are both primarily ethical issues.

    confidentiality and privileged communication are both primarily legal issues.

    it depends on the context as to whether confidentiality and privileged communication are ethical or legal issues.

    confidentiality is primarily an ethical issue, and privileged communication is primarily a legal issue.

  • Q8

    When a husband subpoenas a counselor to reveal information in a court hearing that was provided by the wife in joint couples counseling sessions, and the wife objects to the information being revealed, the counselor:

    should ask the wife to waive her privacy rights.

    has to reveal the information because privileged communication statutes never cover married couples counseling.

    should consult with an attorney because laws and court cases vary as to whether the counselor will have to reveal the information over the wife's objection.

    should refuse to do so because the counselor would violate the wife's privacy.

    agree to reveal the information because refusing to do so would not be in the best interest of the husband.

  • Q9

    During the time that a counseling student is counseling clients in a practicum or internship setting, the student counselor:

    has the same ethical obligations to uphold confidentiality as does a licensed counselor.

    should maintain absolute confidentiality of participants in groups the student is facilitating.

    should not videotape counseling sessions so that client confidentiality is protected.

    should not reveal the names of clients to the practicum/internship supervisor.

    should refer all clients who engage in risky behaviors.

  • Q10

    In a legal context, privileged communication between a counselor and a client can be breached if:

    The counselor thinks it will benefit the client's case.

    The client casually mentions it to a friend.

    The information is older than ten years.

    The judge deems it necessary for a case.

  • Q11

    Group therapy confidentiality means that:

    Members can share information about the group as long as they don't mention names.

    The counselor cannot disclose what is said in the group without consent.

    Only the counselor is bound by confidentiality, not the group members.

    What is said in the group stays in the group, legally binding all members.

  • Q12

    Confidentiality after a client's death:

    Ends immediately upon the client's death.

    Continues indefinitely as if the client were still alive.

    Is decided by the client's next of kin.

    Can be broken for educational purposes.

  • Q13

    If a client reveals they are HIV positive, the counselor:

    Can decide based on personal judgment whether to disclose this information.

    Should advise the client to make all necessary disclosures.

    Must inform all past and future partners of the client.

    Is required to keep this information confidential unless there is a clear and immediate risk to a specific individual.

  • Q14

    When a minor seeks counseling for substance abuse, the counselor:

    Should keep the information confidential to encourage trust and openness.

    Can only break confidentiality if the minor is in immediate danger.

    Needs to balance legal requirements and the minor's best interests when deciding whether to inform parents.

    Must inform the parents or guardians immediately.

  • Q15

    When transitioning a client to another mental health professional, the counselor should:

    Transfer only the client’s name and diagnosis.

    Ensure the client understands and consents to the transfer of specific information.

    Decide what information is relevant for the new professional without consulting the client.

    Share all client records without client consent.


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