social worker is meeting with her client for a first therapy session. What is the first ethical
responsibility she is obligated to meet in this session?
Inform the client about the limits of confidentiality.
(Confidentiality and its limits should be explained to clients prior to beginning s...
Duty to warn per the Tarasoff decision and confidentiality.
(Duty to warn is a counselor's obligation to warn identifiable victims. Confidentiality is a
professional duty to not share information pertaining to clients without the client's permission.
Privileged communication refers to a client's legal right to not have a social worker disclose
confidential information in court or legal proceedings.)
A 16 year old has become a client of an outpatient clinical social worker after surviving a
sexual assault by the sibling of a classmate at her school. The client's parents have signed a
release of information allowing the social worker to communicate directly with school staff. The
social worker is contacted by one of the teachers who is concerned that the client's school work
has declined drastically. The teacher wants to know if something has happened to the client.
What should the social worker do in this situation?
Talk to the client about whether they want any information disclosed and the possible
implications of disclosure.
(It is appropriate to discuss with the client whether or not she wants her teacher to be made
aware of the assault, and she should be warned of the possible implications. Even if the
guardians have signed release of information, that does not imply that that information must
be released without consulting the client.)
Adele, a social worker employed by a program serving at-risk youth at a local YMCA in an
urban community, lives in an apartment complex within walking distance of her work. An avid
reader, she frequently visits the local library and has joined a monthly reading group. At her
most recent visit, the group welcomed a new member who happens to be the mother of one of
the youths in her program. To determine how to respond to this situation, what should Adele do
first?
Assess the situation for risk of potential harm or exploitation of the client.
("To determine how to respond"--she should assess the risks prior to taking any action.)
During a counseling session, a client with a history of relationship problems shares a text she
received from one of your co-workers inviting her to a social event as their date. Your co-
worker is part of the treatment team that regularly reviews client cases (including your client)
and evaluates their progress. The client is seeking your advice about whether to accept the
date and attend the event. What should you do?
Report the situation to your supervisor.
(The social worker's duty is to protect the client. Ideally, talking to the colleague would be the
first step, but talking to your supervisor can help in determining if the interaction your
colleague is having with the client poses a danger to that client's well-being, given the
colleague's role in the treatment team.)
According to the Nuremberg Code, which provides the basis for Institutional Review Boards'
requirements for human subjects research, voluntary consent to participate in research
activities is an imperative. Which of the following statements does not meet the criteria
defining voluntary informed consent?
The participant must be compensated either financially or by directly benefiting from
the study.
(There is generally no guarantee that subjects will directly benefit from participation in
research. In order to provide informed consent, before they agree to participate potential
subjects should be informed of the potential risks and benefits and whether or not they will
receive some compensation for their participation in a study.)
A social worker experiences a language barrier with a client during the process of obtaining
informed consent. The social worker has a limited ability to speak the client's language. To
best ensure that the client understands the information the social worker is providing, what
should the social worker do?
Pause the consent process and arrange for a professional interpreter.
(This is the ideal response--if possible, a professional interpreter should be consulted.)
When a social worker has first-hand information of a colleague's impairment due to substance
abuse or mental health difficulties that may be interfering with the effectiveness of their
practice, what should the social worker do first?
If feasible, discuss concerns with the colleague and assist them in getting help.
(If feasible, they should consult with the colleague and assist them in taking remedial action. If
the colleague does not take adequate steps to address the impairment, the social worker
should take further action to report the issue to the colleague's supervisor or regulatory body.)
In working with clients from a racial or ethnic group different from their own, what are social
workers advised to do?
Avoid generalizations.
(To provide culturally responsive evaluation and treatment planning, counselors and programs
must understand and incorporate relevant cultural factors into the process while avoiding a
stereotypical or "one-size-fits-all" approach to treatment.)
Kinship bonds and corresponding extended family forms are cultural dimensions that are
important to consider in family practice with diverse families. Which of the following aspects
of practice may be most affected by how these dimensions are defined?
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