NCE (Ethics)
aspirational ethics ANS:describes ideal or optimal practice
mandatory ethics ANS:a. guidelines that are strictly enforced
b. involve consequences for breaking them
c. standards of practice
Which group has been most instrumental in opposing counselor licensure? ANS:Psychologists
NBCC ANS:National Board for Certified Counselors, created by the ACA to focus on professional
credentialing
APGA ANS:American Personal and Guidance Association (formed in 1952), which later became the AACD
and is now the ACA
By passing the NCE, a counselor can attain ___, given via the NBCC ANS:NCC, a generic certification for
counselors
Certifications are secured ___ , while licenses are conferred ___ ANS:nationally; by state
scope of practice concept ANS:suggests that counselors should only practice using techniques for which
they have been trained or with a given population
Professional ethics encompasses 5 dimensions: ANS:1. knowledge, skill and judgment for interventions
2. dignity/freedom of client
3. responsibility of power
4. instilling public confidence in profession
5. welfare of client
Ethics define ANS:standards of behavior set forth by organizations and certification bodies (ACA, NBCC)
The primary responsibility of the counselor is to ____ ANS:respect the dignity and promote the welfare
of clients
Most ethical dilemmas are related to ANS:confidentiality
Counselors are encouraged to contribute to society by ___ ANS:devoting a portion of their professional
activities to little or no financial return (pro bono)
What are the six ethical principles? ANS:1. autonomy
,2. nonmaleficence
3. beneficence
4. justice
5. fidelity
6. veracity
autonomy ANS:respect for the inherent freedom and dignity of each person to make choices for
themselves
nonmaleficence ANS:do no harm and avoid preventable risks
beneficence ANS:work for the good of the client or group
justice ANS:treat all members fairly and with dignity, and avoid bias
fidelity ANS:faithfulness to promises made and to the truth, loyalty
veracity ANS:telling the truth
Competence refers to a person's ___, not their ___. ANS:performance; abilities
Tarasoff vs. Board of Regents of UCA ANS:illuminated the duty to warn a client in imminent danger
Law privileged communication ANS:a. privileged communication set by state
b. you cannot reveal what a client said in a session in court unless the client allows you to do so
c. exceptions include child abuse, suicide, homicide, and if you are being lawsuit-ed
informed consent ANS:clients have the freedom to choose whether to enter into counseling and need
adequate information about the counseling process and counselor
If counseling a minor or incapacitated adult, what does informed consent look like? ANS:counselors
must seek the assent of clients to services and include them in decision making as appropriate
What does the code say about mandated clients? ANS:a. must explain limits to confidentiality
b. if refuse services, counselor will discuss with the client potential consequences of refusing services
What does the code say about personal values? ANS:counselors must be aware of - and avoid imposing -
own values, attitudes, beliefs, and behaviors
defamation ANS:behavior that can damage one's reputation
State laws can govern title usage and practice, however, they do not cover ANS:accreditation
,Suicidal warning signs include ANS:a. repeatedly joking about killing self
b. giving away possessions
c. previous suicide attempt
d. detailed plan for the future
Is privileged communication protected in every state? ANS:No
Privileged communication is not applicable in which cases? ANS:Child abuse, neglect, or exploitation;
Suicide or homicide threats, Criminal intentions, Clients in need of hospitalization, or Malpractice
lawsuits
Is privileged communication applicable to minors? ANS:No, although their legal guardians typically hold
the privilege
When counselors state that privileged communication is "qualified," they mean that ANS:exceptions
may exist
Exceptions to confidentiality: ANS:child abuse
client danger to self or others
client requests release of information
court orders release of information
counselor engaged in supervision
clerical assistants
legal/clinical consultation
malpractice lawsuit
client <18
elderly abuse
insurance
Counselors MUST report ___ : it's the law ANS:child abuse via the state child abuse hotline
Can certification boards revoke your state licensure? ANS:No
ACES ANS:American Counselor Education and Supervision - division that was initially the most
instrumental in pushing for licensing
, reciprocity ANS:when one state or organization accepts the license or credential of another state or
organization
According to the code, sexual or romantic activity with any current client is ___ ANS:unethical
abandonment ANS:occurs when a counselor stops providing services and does not refer the client to
another helper
multiple (dual) relationship ANS:when a counselor has another significant relationship with the client
that hinders objectivity
How many hours of professional development are needed for a counselor with NCC after her name?
ANS:100 hours during a 5-year period
if your sexual attraction toward your client is hindering the counseling process, you should ANS:explain
this to the client and refer them to another provider
A malpractice insurance company is least likely to defend you if ANS:you are sexually involved with a
client
Sexual relationships with clients is ____ ANS:never to happen; even considered illegal in most areas of
the US
NBCC stipulates that __ years must pass before having sexual relations with a former client, while ACA
stipulates __ ANS:2; 5
If a counselor decides to continue a sexual/romantic relationship with a client after 5 years, they must...
ANS:document in written form whether the interaction or relationship can be viewed as exploitative in
any way or if there is any potential to harm the client
Are counselors allowed to engage in personal virtual relationships with current clients? ANS:No!
According to the ACA, this is unethical.
If a counselor decides to enter into multiple relationships or extension of boundaries with clients, what
must they do? ANS:DOCUMENT the rationale, potential benefit, and anticipated consequences
If a counselor changes roles to the client, what must happen? ANS:Informed consent with the client and
explanation of the client's right to refuse services
T or F: a counselor should avoid entering into non-professional relationships with former clients, their
partners, or family ANS:T and F: true when this is potentially harmful to the client; false if it is deemed
unharmful
Before engaging in advocacy for a client, what must be done? ANS:Consent from the client
