NCE Exam #2 Study Guide with 100% correct answers

A client arrives for counseling with the presenting complaint of relationship difficulties. She goes on to describe that she has had multiple abortions, and seems to use abortion as a birth control method. You are personally opposed to abortion. How should your personal beliefs impact the therapeutic relationship? correct answers"Your personal belief system should not have any bearing on the therapeutic relationship." The personal belief system of the counselor, when engaging in a therapeutic relationship with a client, should not be an issue in therapy You have been involved in a counseling relationship with a client for six months, when he presents you with a small gift. What should you do? correct answers"accept or decline depending upon the circumstances." Giving a gift is sometimes, and in some cultures, a means of showing respect and gratitude in a way that monetarily compensating the counselor does not. In certain circumstances, accepting a gift may be an acceptable thing for a counselor to do. However, in deciding whether or not to accept a gift, a counselor must consider the client's motivation, the counselor's motivation (in wanting to accept or decline), the monetary value of the item, and of course the point at which the therapeutic relationship has reached. You are court-ordered to disclose confidential information about a client you are counseling. What do you do? correct answers"both 'Limit, as much as possible...' and 'Obtain written permission from your client...'." When court-ordered to reveal confidential information about a client, you must of course ethically consider, first and foremost, the counseling relationship, and the rights of the client. You should, if at all possible, obtain written permission from the client to divulge personal information. Failing that, you must use your best professional judgment to limit the amount of information you share with the court. An emphasis must be placed upon sharing information in a way that would be as respectful as possible toward the confidentiality of your client, and cause the least possible damage to the counseling relationship. What should you do if your client requests to see his confidential file? correct answers"accept or decline depending upon the circumstances." A client's file should always be viewed as confidential, and kept in a secure manner and location. There are few exceptions to this requirement that the client's file be kept private, but one would be the request of the client to see his/her own file. In some cases, however, it may be deemed counter to a positive counseling relationship for the client to see the file. In such cases, it is permissible to omit the parts of the file that would prove detrimental. Also, in cases where the client is considered to be incompetent, it would often be best to limit or deny access.