1.  According to Robert Kinscherch, the key question to ask yourself regarding ethics is . . .
how can I document this accurately?
how can I be even better in my practice?
how can I get in trouble if I do this?
how can I avoid ethical problems?

2.  The central question in a multiple relationship question is . . .
whose needs are being met here?
who benefits the most from this relationship?
can the client be harmed if I do this?
is this the current standard of care?

3.  Each of the following is a key factor in determining if a multiple relationship is appropriate EXCEPT:
power
duration
termination
influence

4.  In order to protect confidentiality, this article suggests that the practitioners should . . .
avoid speaking about client issues in the waiting room
ensure that data files are encrypted with secure passwords
obey mandatory reporting laws
post informed consent forms in the waiting room

5.  This article makes the point that a signed consent form does not . . .
substitute for the informing process
protect the professional from liability
ensure that consent is freely given
last for more than one year

6.  In regards to supervision of other psychologists, this article indicates that supervisors should ensure all of the following is included in their documentation EXCEPT:
supervision dates
discussions they have had
other relevant facts
financial remuneration when it occurs

7.  If you are a therapist for a client and they have a court case which may involve custody issues it is advised that you . . .
shouldn’t serve as an expert witness
should evaluate the situation objectively before making a decision
should never agree to testify for your client
shouldn’t comply with subpoenas for client records without a court order

8.  Ed Nottingham states that a psychologist’s best ally against ethical charges can be . . .
transparency
informed consent
documentation
being mindful of professional boundaries

9.  Appropriate documentation should include all of the following EXCEPT:
follow-up efforts
out of office contacts
treatments considered and rejected
exact quotes from the client

10.  Areas of practice where psychologists should be very careful that they have the expertise to practice were outlined in this article. It specifically mentions . . .
sexual problems
dual diagnosis clients
victims of domestic violence
child- custody

11.  In order to avoid the misperception that a psychologist has “dumped” a client for non-payment of services it is suggested that the psychologist should __________ during the first session.
discuss the treatment timeline
discuss the obligation to pay for services
inform the client of the limits of their insurance
inform the client of their payment for services policy

12.  According to this article, ethics experts agree that there is nothing more important than . . .
honesty with clients
accuracy in billing
informed consent
appropriate waivers for disclosure

13.   The endorsement of the importance of confidentiality comes from the case US Supreme Court case . . .
Stillers v. Richman
Jaffee v. Redmond
Jules v. Sillman
Dovan v. Trent

14.  Health care is increasingly paid for by for-profit corporations with business in many states. This shift creates many consequences, this article discusses all of the following consequences EXCEPT:
fiscally based need for disclosure
individual health care information may be disseminated beyond the providing practitioner
third party review of practitioner’s judgment
distribution of private health information for the purpose of marketing

15.  While the importance of confidentiality as an ethical principle is evident, it is also clear that confidentiality is . . .
protected without limits
an absolute value
not an absolute value
viewed equally in all disciplines of mental health

16.  Each of the following was discussed at length as values underlying confidentiality EXCEPT:
reducing stigma
fostering trust
protecting privacy
advocating mental health

17.  The two important anchors to the principle of autonomy that are discussed in the article are. . .
confidentiality and trust
informed consent and confidentiality
trust and informed consent
individuality and self determination

18.  The most common exception to confidentiality is
consent by the person in treatment
disclosure to the client
disclosure to other providers
disclosure to payers

19.  __________ state laws provide that individuals have a right of access to health care records containing information about them.
all
most
many, although not all
some

20.  All states have provisions that allow entities with __________ to have access to medical records without client consent.
oversight responsibilities
third party payers
subpoenas
legitimate need to know

21.  All states __________ disclosure in situations where a third party might be at risk from harm.
mandate
permit or mandate
dictate
permit

22.  The confidentiality of information obtained during substance abuse treatment services is governed by . . .
federal law regardless of the payer
state law if the program receives state or federal assistance
federal law if the program receives any federal assistance
state law which varies from state to state

23.  Confidentiality is a matter of __________ concern
ethical
legal
ethical and moral
ethical and legal

24.  According to the conclusions section of this article, confidentiality of mental health information is a critical point of concern for . . .
providers and consumers
payers, providers and consumers
the general public welfare
consumers and providers of mental health services

25.  Boundary problems and sexual misconduct rank __________ as causes of malpractice actions against mental health practitioners.
highest
second only to suicide
second only to dual relationships
third

26.  The authors of this article cite __________ as playing a significant role in the persistence of the problem of boundary problems.
denial
dual relationships
marital discord
clinical burnout

27.  According to the article, boundary crossings can be defined as . . . .
initial first steps in boundary violations
potentially harmful deviations from traditional clinical behavior
harmless deviations from traditional clinical practice, behavior or demeanor
culturally based divergences from traditional practice

28.  This article indicates that one of the reasons that maintenance of boundaries is always the responsibility of the clinician, is because . . . .
patients do not understand the complexities of the therapeutic process
patients are easy to manipulate
patients are vulnerable
patients are not governed by a professional code of ethics

29.  According to the article, boundary problems arise
only for a few “bad apple” therapists
almost always early on in one’s career
for all clinicians irrespective of the number of years of experience
for all clinicians experiencing a life crisis

30.  Transitions are discussed as a risk factor for clinicians. Financial reversals, working with managed care, stock market declines and other factors may lead to increase a clinicians’ susceptibility to . . .
financial exploitation
sexual exploitation
all types of boundary issues
depression

31.  Erotic feelings towards a patient are __________ and may be highly threatening and anxiety producing for a clinician.
universal
common
rare
atypical

32.  Seasoned practitioners may believe that, given their level of experience, they may be inclined to
view boundary violations differently
seek consultation right away when they need it
believe that the usual rules do not apply to them
brush aside the need to seek consultation

33.  Factors associated with increased vulnerability of patients include . . .
enmeshment
autonomy
depression
divorce

34.  All of the following were described as approaches to dealing effectively with boundary problems EXCEPT . . .
education
supervision
consultation
regulation

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