California Law and Professional Ethics

Laws and ethics provide the consumer protection and a set of expectations for the service they receive.

True False

It is within the scope of practice for the professional social worker to:

Prescribe Medication Use psychotherapy to help people have more satisfying adjustments Perform medical exams Date their client

Which of the following are violations which can result in the suspension, revocation or denial of a license or registration:

Securing a license or registration dishonestly. Gross negligence or incompetence Engaging in sexual relations with a client. Failure to maintain confidentiality, except as permitted by law All of the above

Because there are innumerable ways to violate appropriate practices, the ethical codes are not meant to be an exhaustive list of rules, but rather values and principles that guide social workers in their providing of services.

True False

Which of the following is not accurate in regards to receiving consultation?

It is especially helpful when facing a complex ethical dilemma. There are no ethical confidentiality limits in consultations. It should be done with an experienced and knowledgeable professional.

Informed consent means the client is informed of and consents to all of the following except:

Appointment cancellation policies Limits of confidentiality Goals of treatment Fees for services Your marital history

According to Reamer, in resolving ethical dilemmas, which of these would receive the lowest ranking of importance for the healthcare practitioner in making a decision:

Physical health Shelter Recreational Facilities Basic Mental Equilibrium

Which of the following behaviors weakens professional boundaries?

Dual relationships Appropriate dress Limit setting Setting and maintaining time limits of sessions

The violation of professional boundaries:

Is okay if you are already friends with the client. Is okay if you become personal friends with the client. Is one of the more common ways ethical principles are violated May violate codes of ethics but will not result in professional discipline.

Counter-transference refers to:

The patient’s feelings toward the social worker. The social worker’s feelings toward the client. The ethical principle that it is counter-productive to transfer cases.

Transference and counter-transference issues are minimal problems and should be ignored in order to save time.

True False

According to Mechanic, values of social workers:

Are best and should be imposed upon their clients. Are all the same Must be kept secret at all costs. Will be evident in therapy

The reasonable suspicion threshold for reporting child abuse means:

You must have seen it happen. Somebody else had to have seen it happen. You need to be sure before reporting. It is objectively reasonable for a person to entertain a suspicion.

In the case of elderly abuse, penalties for failing to report become more severe if it is determined that as a result of the failure to report the elderly person is injured or killed.

True False

According to HIPAA regulations patients should be able to see and obtain copies of their medical records and request corrections if they identify errors and mistakes.

True False

The following is required of healthcare providers/agencies by HIPAA regulations:

They have written privacy procedures They must train their employees in their privacy procedures. They must designate an individual to be responsible for ensuring the procedures are followed. All of the above.

HIPAA makes it possible for client health records tobe made public without fear of civil or criminal penalties.

True False

Clinical files serve as:

Tools for education Basis for planning the client's care and treatment Legal document describing the care the client received Means by which the client or a third party payer can verify that she actually received the services billed for. All of the above

Keeping up clinical records is the responsibility of:

The supervisor The supervisee The agency's office staff The supervisor and the supervisee

Which of the following does NOT belong in the client's record?

Identifying data (e.g., name, client id number) and contact information ) Assessment of client status Relevant cultural and sociopolitical factors All of the above None of the above

The mental status exam (MSE) is to determine the client's cognitive functions, including:

Orientation to person, time, place, and space Concentration Judgment Short- and long-term memory All of the above

Informed consent forms that the client signs should NOT include:

Information about the supervisor that includes credentials, qualifications and approach to supervision Due process Number of supervisees for which the supervisor will be responsible Ethical codes of conduct None of the above

Which of the following is/are true of informed consent:

It is a single event It is a process that changes over time. Subsequent consent to treatment discussion should all be documented b and c

One of the informed consent forms a client must sign is consent to be treated by a trainee. This form need NOT include which of the following about the supervisee:

Professional discipline (i.e., social work, counseling, psychology, nursing) Specialty (i.e., counseling, clinical, school) Treatment philosophy or orientation When the supervisee received his degree

Under HIPAA, a client does NOT have which of the following rights:

The right to request restriction on the uses and disclosures of protected health information (PHI) The right to request amendments of her designated record set (DRS) The right to request confidential communications The right to request an accounting of disclosures None of the above

HIPAA makes some exceptions to confidentiality that include:

Threat of harm to self or others Any criminal activity disclosed Involuntary commitment a and c

Potential responses to a subpoena for client information never include:

Stating that you can neither deny nor confirm that any specific individual is a client and cannot release information from any client record without a court order or client consent. Negotiate with the issuer of the subpoena Ignore the subpoena Modify the subpoena

HIPAA allows free use of client information for which of the following:

Use by the therapist that originated treatment notes for further treatment. Use or disclosure by the therapists for training programs under supervision to practice and improve their abilities in individual, family, joint, or group counseling. Use or disclosure by the therapist as defense in legal or other proceedings brought by the clients. All of the above

HIPAA states that a release of information form must NOT:

Advise patient of his right to receive a copy of the authorization Be separate from all other documents in the client's file State specific uses and limitations of the use of the information by the persons authorized to receive it State the date after which the provider can no longer disclose information None of the above

The DSM has a 5-axes assessment system that includes:

Symptoms that need treatment Recent psychosocial stressors Score from the Duke Health Profile a and b

A formal treatment plan includes:

Presenting Problem Goals of Therapy Time Estimate Interventions and methods All of the above

You discover you left important information out of a progress note. You can:

Add the information to the note Ignore it and hope it won't be a problem Make a new note, date it 'today,' and state that you realize you forgot to include. . . .

If a client won't follow your suggestions, some of the reasons may be:

They don't understand it. They tried it but got a negative reaction. They tried it but couldn't do it on one attempt. They don't believe it will work. All of the above

Which of the following statements are true regarding whether or not a client must follow the therapist's directives:

The client never has to follow your directives. The client should always follow your directives. The client must follow your directives when their problem has legal consequences

Modern digital technologies have added new considerations in the field of mental health. Which of the following are true when using e-mail, mobile phone messages, and text messages?

Lack of privacy is of no concern. There is no potential problem of security. 'Caution' is the by-word when using these methods.

Sometimes you or your supervisee must decide whether or not it is ethical to accept a gift from the supervisee/client. Factors to be considered in your decision include:

The nature of the gift The cost of the gift The therapeutic/supervisory relationship between the one giving the gift and the one receiving it The transference or other issues that led to giving the gift All of the above

When you need to assess suicide risk in a young person, you should:

Ask the client directly Estimate the risk level based on a thorough assessment Ask parents, caregivers and other sources of collateral information for their perspectives Re-evaluate the risk status periodically All of the above

What is the single, most helpful thing an agency can give its therapists and supervisors to help in dealing with suicidal or homicidal clients?

A good armamentarium of assessment tests Regular CEU classes on the topic Clear, written policy of management of these clients Support and encouragement

True or False: HIPAA allows psychotherapy notes to be withheld from the clients under certain circumstances.

True False

Health providers may refuse to give parents access to their child's health and mental health records. Which of the following is NOT an acceptable requirement?

The child is age 16 or older The provider believes this access would have a negative effect on his professional relationship with the child The provider believes this access would damage the child's physical safety The provider believes this access would damage the child's psychological well-being

Disclosure of record keeping procedures is potentially a part of informed consent. What information might be needed for a client to decide whether or not to sign the consent form?

Client records may become part of an electronic file that can be accessed by a wide range of institutional staff When mental health client records are released with appropriate permission to do so, from that point it's possible that they might be distributed further without the therapist's or client's knowledge or consent Records released in a context of litigation may be placed in the public domain and be accessible to anyone. In some educational settings, federal, state, and institutional regulations require record keeping procedures that could enlarge the range of people who have access to the records of a school psychologist. All of the above

According to the HIPAA definition of psychotherapy notes. Items NOT mentioned as being separate from these notes are:

Modalities and frequencies of treatment furnished Medication prescription and monitoring Summaries of the diagnosis, symptoms, prognosis, and progress The complete treatment plan

Client records that are on paper, must be protected from:

Unauthorized access Water damage Fire Insect damage All of the above

Client records that are in electronic form must be protected from:

Unauthorized access Power outages or surges Insect damage a and b

Preservation of the context of client records includes:

The location in which the records are kept A given time frame during which services were delivered A specific situational context during which services were delivered b and c

Red flags for performance problems to pay attention to when evaluating supervisees do NOT include:

Chronic lateness Delinquent paperwork No alterations in interaction style or behavior Client cancellations (by client or supervisee)

Precautionary actions that can be taken to protect unintentional electronic disclosure of confidential information include:

Use passwords and/or encryption to protect confidential materials Use case identification numbers, not clients' Social Security numbers to identify records Get training in special issues when using electronic media or consult with a specialist when necessary Become aware of special issues raised when using electronic methods and media All of the above