Exam (elaborations)
ETHICS NCMHCE EXAM QUESTIONS AND ANSWERS
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ETHICS NCMHCE EXAM QUESTIONS AND ANSWERS
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ETHICS NCMHCE EXAM QUESTIONS AND ANSWERSAfter your work with Jen has ended, she contacts you months later to tell you that she is
speaking in front of a group of teens at the local high school to raise awareness about
sexual assault. She invites you to attend. How should you respond? - Answers -You are
so courageous. It would be my pleasure to attend and hear your speech.
You schedule a 90-minute block to complete an intake session with Zach. Zach,
however, doesn't arrive at your office until he is already 45 minutes late. He professes
that his car broke down, and he had to run to your office. He insists that you see him
now. How do you best proceed?
1) Inform the client of your theoretical orientation
2) Establish payment plans
3) Ask Zach if he is comfortable in signing a release for his wife since she is his
emergency contact
Also do MSE, sign consent forms, assess suicidality (if indicated- this client said he had
just about enough) - Answers -Appropriate - It is required of ethical therapists to inform
clients of the therapist's theoretical orientation as part the informed consent.
APPROPRIATE Zach will pay out of pocket. Ethical therapists work with clients on an
agreed payment plan prior to the start of the therapeutic relationship.
APPROPRIATE Zach agrees. This is a great idea to get this document signed early on.
True or false? Supervisees must explain their professional position with client they sit in
with. - Answers -True
True or false? Supervisors must set time for bi-weekly feedback with supervisees -
Answers -False - WEEKLY feedback needed
Your adolescent client stole a phone from his friend's backpack. Do you need to break
confidentiality? - Answers -You are not legally required to break confidentiality in this
case.You might, however, encourage the client to come forward on his own. Generally,
crimes that your client already committed are confidential; however, there are
exceptions, such as child abuse.
When can you release progress notes? - Answers -Therapy notes are protected and
may not be released unless court ordered by a judge or requested by the parents of a
minor. Even then, caution must be used in releasing this sensitive information, and
often, a summary of therapy goals and progress may suffice instead
, An adolescent client discloses to you that she drank at a party with her friends last
weekend. Break confidentiality? - Answers -Alcohol use or substance use is not
necessarily cause for breaking confidentiality unless the behavior is accompanied by
immediate danger to self or others (e.g., driving while drunk). That said, counselors
should work with adolescents to help them to share more openly about their decisions
with their parents.
Amelia's (9y.o) father asks for a one-on-one meeting with youWould this pose a
potential issue in regard to confidentiality? - Answers -NOT INDICATED When one
parent signs consent for a child to be in therapy, consent is assumed for the other
parent unless they are divorced or separated.
A few years later, a client is still in therapy with you but now is only seen once a month.
She enjoys school and life in general. One day in May, she walks in your office for a
session and invites you to her graduation. You would like to go. Of the following, what is
the best ethical decision? - Answers -You have seen Amy for a few years, and I know
that our relationship is solid and it won't harm anybody by my attending. I will attend her
graduation, but not the party and dinner afterward.
This doesn't cross any inappropriate boundaries. You will be attending this event as a
professional.
You believe that Mr. and Mrs. Jones are good subjects for a research project, and since
you are already seeing them as clients, you conduct the testing during one of your
sessions. Is this acceptable?
You believe that the scientific and educational value of your research outweighs the
need to inform the Joneses either before or after. - Answers -INAPPROPRIATE
Counselors shall obtain prior consent from all research participants and shall also
inform all research participants that they may withdraw consent at any time and
discontinue their participation at any time
Is this ethical situation handled appropriately?Tad's family is considering a move to
another city. The therapist's responsibility to the family's new therapist is to ensure that
appropriate clinical processes are completed. - Answers -APPROPRIATE This is part of
the transfer of services protocol.
Is this ethical situation handled appropriately?Tad and his mother ask you for a referral
for Tad's grandmother, who is in end-of-life care. It is acceptable to provide an
appropriate referral. - Answers -APPROPRIATE Therapists provide appropriate referral
information. Assess behaviors and emotions in kids. Mostly for behaviors. Ages range
For a case with a teenager with divorced parents brought in by mom, would this
ethical/legal consideration need addressed - The father's right to be informed of
treatment - Answers -ADMINISTERED It is important to find out about the legal status of
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