NCE Exam - Professional Orientation and Ethics with COMPLETE DETAILED SOLUTION

with COMPLETE SOLUTION Which group has been most instrumental in opposing counselor licensure? Correct Answer: Psychologists NBCC Correct Answer: National Board for Certified Counselors, formed in 1982, awards the NCC generic credential. NCC Correct Answer: National Certified Counselor Good for 5 years with 100 hours of professional development. (Passing the NCE will get a counselor this certification.) ACA Correct Answer: American Counseling Association (used to be the American Personnel and Guidance Association [AACD]) CCMHA Correct Answer: Certified Clinical Mental Health Counselor (Must get NCC credential first.) NCSC Correct Answer: National Certified School Counselor (Must get NCC credential first.) Scope of practice Correct Answer: Counselors should only practice using techniques for which they have been trained. Ethical guidelines Correct Answer: First created in 1953 by the American Psychological Association (APA), National Assoc. of Social Workers (NASW) created theirs in 1960, ACA created theirs in 1961. Ethics always describe standards of conduct imposed by ____ and ______. Correct Answer: ACA and NBCC. Ethics define standards of behavior set forth by organizations and certification bodies, they are not usually Correct Answer: state or federally mandated laws. Most ethical dilemmas are related to ______. Correct Answer: Confidentiality Confidentiality Correct Answer: implies the counselor will not reveal anything about a client unless he is given specific authorization to do so. (Confidentiality is relative to the situation as far as counselors go [legally].) Most ethical dilemmas are related to _________. Correct Answer: confidentiality ACA indicates counselors have an obligation to protect the confidentiality of the deceased and this should be stated clearly in your ______ ______ document given to the client at the beginning of treatment. Correct Answer: informed consent Should counselors attend a funeral of a client? Correct Answer: Ask self if whether beneficial (same as attending a wedding), and if attending, document date, time, basis for decision. Tarasoff v. Board of Regents of the Univ. of California Correct Answer: 'Duty to Warn' someone in imminent danger. (Case where client threatened in session, later killed her - her family sued, state court denied [Tarasoff I] but appealed and won in Supreme Court [Tarasoff II].) Duty to warn Correct Answer: Counselors have a responsibility to warn those who appear in serious and foreseeable harm due to statements made during a session. Defamation Correct Answer: revealing information that is damaging to a client's reputation. Beneficence Correct Answer: Counselor is working for the good of the client or group. Justice (in a group situation) Correct Answer: Counselor treats all members fairly. Nonmaleficence Correct Answer: Counselor will do no harm. Libel Correct Answer: Defamatory information that is written. Slander Correct Answer: Defamatory information that is written but references verbal remarks. State laws govern title usage and practice, however, they do not govern ______. Correct Answer: accreditation (applies to programs, not counselors) - Accreditation is NOT the law, only a process whereby an agency/school meets certain standards and qualifications set forth by an association/organization. Programs in Psychology boast accreditation by the APA, while counseling programs are accredited by ______. Correct Answer: CACREP (Council for Accreditation of Counseling and Related Educational Programs) Downside of accreditation Correct Answer: Accreditation organization sets the curriculum to gain it, not the school. Exceptions to confidentiality when dealing with suicide include Correct Answer: joking about killing one's self, giving away possessions after a depressed period, previous suicide attempts, detailed suicide plan Suicide checks in as the ___ or ___ leading cause of death in the US (higher than homicide). Correct Answer: 11th or 12th (Guns account for more than all other methods put together.) Suicide is the 2nd/3rd leading cause of death for those ages ____ to ____. Correct Answer: 15 to 24. Suicide is more likely to occur in rural areas and in times of economic recession/depression. Correct Answer: Most suicides occur in the spring at the end of April or May. ____ to ____ of clients will give warning signs of suicide. Correct Answer: 75 to 80% Informed consent Correct Answer: The process of giving the client a document stating counselor qualifications, office hours, billing policies, emergency procedures, therapy techniques, and confidentiality rules so they can acknowledge and sign to signify understanding. Privileged communication (client's privilege) Correct Answer: Legal term implying that a therapeutic interaction (verbal or written) will not be available for public inspection (without client consent). The client can choose whether to reveal confidential info (usually on witness stand) - they are the holder of the privilege. Privileged communication is a _____ concept which protects _____, not counselors. Correct Answer: legal, clients Privileged communication laws are not applicable in cases of Correct Answer: child abuse, neglect, exploitation, suicide, homicidal threats, criminal intentions, clients in dire need of hospitalization, malpractice suits, where client is a minor or mentally incompetent. Privileged communication that is 'qualified' means Correct Answer: exceptions may exist. (Privileged comm. based on licensure status, not degree of certification credetials, because it is a LEGAL concept.) Counselors are mandated reporters for child abuse, making it legal and ethical to break