Professional Counseling Orientation and Ethical Practice

Description

Professional Counseling Orientation and Ethical Practice
Dillon E
Quiz by Dillon E, updated more than 1 year ago
Dillon E
Created by Dillon E about 4 years ago
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Resource summary

Question 1

Question
The professional counselor educator who was charged to create a code of ethics for the American Personnel and Guidance Association later named the American Counseling Association was:
Answer
  • Frank Parsons.
  • Victor Frankl.
  • Carl Rogers.
  • Donald Super.

Question 2

Question
A counselor and counselor-trainee are to begin the process to establish a professional identity with other mental health disciplines (psychologist, social workers, etc.) by:
Answer
  • respecting other discipline’s code of ethics
  • joining ACA membership.
  • acquiring knowledge of human behavior.
  • reviewing professional and personal characteristics of a counselor.

Question 3

Question
First responders such as safety officers, fire personnel, mental health professionals, and volunteers often encounter repeated stressful situations during disasters and are themselves affected emotionally, psychologically, and physically. First responders should recognize personal burnout signals and current level of resiliency to cope. All actions or techniques are considered helpful to those responders affected by the disaster except for?
Answer
  • mindfulness technique
  • resiliency training
  • stress reduction
  • separate self from the crisis activities

Question 4

Question
To advocate for the profession philosophically, counselors share in the belief of helping others with their emotional and mental health. Typically, four tenets make up this philosophy. Which one represents one of the tenets?
Answer
  • An intervention is the most successful approach to solving emotional and psychological problems.
  • The best method to help resolve mental and emotional problems is the medical model.
  • Understanding the dynamics of human growth and development is not essential to solving emotional and mental problems.
  • The goal of counseling is to empower clients to resolve their problems independently of mental health workers.

Question 5

Question
Professionals can begin to advocate for the profession by:
Answer
  • writing a paper on professionalism.
  • securing liability insurance.
  • joining a local professional association.
  • including a lawyer on your counseling board.

Question 6

Question
To advocate against a social barrier that limits clients or a service institution can be through all except:
Answer
  • policymakers.
  • media.
  • group activities serving a particular social barrier.
  • achieving an advanced degree or license for greater recognition.

Question 7

Question
The ACA sub-division that was responsible for spearheading the development of CACREP:
Answer
  • ASGW
  • ACES
  • AMHCA
  • AAC

Question 8

Question
The designation that a professional has met certain predetermined qualifications is a non-statutory process by which an agency or association grants recognition:
Answer
  • certification
  • licensure
  • accreditation
  • standard of care

Question 9

Question
Which of the following corresponds directly to clinical training and an ethical code?
Answer
  • licensure
  • business license
  • standard of care
  • certification

Question 10

Question
The U.S. Bureau of Labor Statistics (BLS, 2016) predicted that for the 21st century what occupation was a high priority?
Answer
  • computer related
  • surveying
  • restaurant
  • oceanography

Question 11

Question
Most standards of care or practice in the mental health field recommend that counselors adhere to all except:
Answer
  • adhering to a professional code of ethics.
  • following all mental health disciplines standard of care.
  • seeking consultation and supervision with colleagues.
  • maintaining accurate documentation.

Question 12

Question
When a counselor decides to accept a client for services, the counselor considers which of the following to be a primary consideration?
Answer
  • client’s ability to pay
  • client welfare
  • years of clinical experience in counseling
  • other professionals who have more experience and may be the better provider for the client

Question 13

Question
The ACA 2014 Code of Ethics stipulates that a counselor is to be knowledgeable about the correct procedure when a client requests technology transmission of records to another therapist. The legal requirements are in which document?
Answer
  • Health Insurance Portability and Accountability Act (HIPAA)
  • Public Law 142-192
  • Federal Educational Rights and Privacy Act (FERPA; USD Education, 2008)
  • McNaughton Rule

Question 14

Question
Internet and technology counseling are on the increase. All are considered advantages for the use of technology except:
Answer
  • a greater freedom in scheduling.
  • a better choice of written words.
  • anonymity decreases anxiety.
  • stronger client-counselor relationship.

Question 15

Question
The Wheel of Wellness bases self-care upon the:
Answer
  • disease and illness model.
  • Adlerian model of leisure.
  • mental and physical disorders.
  • human growth and behavior.

Question 16

Question
The supervisory role includes all except:
Answer
  • monitoring client welfare.
  • encouraging compliance with legal, ethical, and professional standards.
  • monitoring counselor clinical performance.
  • pursuing an advanced academic degree equal to or beyond that of others.

Question 17

Question
The model of supervision that does not rely on being didactic but rather helps the supervisee draw on his or her resources, learn to behave independently, make changes and attend to the positive in both the counselor and the client is:
Answer
  • narrative
  • solution-focused
  • systemic
  • reflective

Question 18

Question
Solution-focused supervisors adhere to all assumptions except:
Answer
  • resistance resides outside the supervisory relationship.
  • focus on supervisee’s strengths and successes.
  • work to achieve what is possible.
  • accept that there is no one correct way to intervene.

Question 19

Question
The individual given credit for the founding of psychology is:
Answer
  • Sir Francis Galton.
  • Wilhelm Wundt.
  • James McKeen Cattell.
  • Sigmund Freud.

Question 20

Question
The council that reviews counseling programs for accreditation is the:
Answer
  • Council for Mental Health Programs.
  • American Psychological Association.
  • Council for Accrediting Counseling and Related Education Programs (CACREP).
  • American Association for Counseling and Development.

Question 21

Question
Which one of the following was not one of the reasons vocational guidance evolved into a comprehensive career guidance definition?
Answer
  • awareness of personality dynamics in vocational choice and work adjustment
  • the lack of a psychological approach to vocational guidance
  • knowledge of individual differences
  • developmental view of the individual

Question 22

Question
A newspaper reported on a specialty technique and skill regarding a counselor. When the article appeared in print, the writer had included an additional area of expertise as part of the counselor’s credentials, but the counselor was not trained in that additional skill. The counselor should:
Answer
  • do nothing, as the counselor did not inform the writer of this skill area.
  • call the writer and inform him/her that you are not an expert in one of the areas the reporter had listed.
  • try to acquire some expertise in the area since it was mentioned in the article and could provide additional clients.
  • write a statement to the paper addressed to the editor for a reprinting of the article with the stated corrections or a statement to that effect.

Question 23

Question
When techniques or procedures are a part of the client treatment protocol, the counselor is accountable for all except:
Answer
  • that the treatment is grounded in theory.
  • there is empirical support.
  • to document the treatment protocol in the chart.
  • the treatment is to have had at least two literature supported effectiveness studies.

Question 24

Question
A counselor desires to advocate for the passage of a bill that will allow for admitting clients to a hospital for treatment. The influence of most importance regarding this advocacy action is:
Answer
  • asking a friend to contact the lobbyist for support
  • an in-person issue visit
  • an individualized email
  • a phone call

Question 25

Question
In using an intervention with a client of diversity, the counselor may hold a biased view or perception that limits or denies access, equity and success through counseling. One possible reason this barrier might exist is that the counselor gives excessive weight to which of the following?
Answer
  • family and personal life issues or economic conditions
  • different factors such as genetics or mental constitution in explaining individual or social behavior
  • it is a lack of support from the mental health field
  • a personal view that these changes and client rights are to begin at the federal level

Question 26

Question
The latest American Counseling Association sub-division is the:
Answer
  • Counselors for Social Justice
  • Association for Creativity in Counseling
  • Association for Child and Adolescent Counseling
  • Association for Adult Development and Aging

Question 27

Question
CACREP has approved specialty standards for all except:
Answer
  • Gerontology Counseling
  • Addiction Counseling
  • Career Counseling
  • School Counseling

Question 28

Question
The CACREP board and standard development have consistently maintained that specialty areas:
Answer
  • are encouraged to broaden the professional counseling service areas.
  • will be a political force for the professional counselor.
  • identify as counselors first and specialty counselors second.
  • should unite and form one organization of counselors.

Question 29

Question
A psychologist job satisfaction survey across several roles for psychologists reported common facets for job satisfaction. A job facet common to dissatisfaction is:
Answer
  • social service
  • moral values
  • advancement
  • achievement

Question 30

Question
A counselor has become aware of negative statements regarding his counseling practice and ethical behavior statements made by another counselor that were stated in a public forum. This counselor believes them to be unfounded and untrue. These statements made in public may be considered:
Answer
  • slander.
  • libel.
  • vicarious liability.
  • interrogatories.

Question 31

Question
All except one might suggest why therapists are critical of the managed-care practices:
Answer
  • infringement on patient confidentiality
  • loss of freedom of ethical treatment choice
  • loss of the right to set competitive fees for services
  • easy and willing to justify their professional conduct to the gatekeepers
  • the amount of paperwork and lower fees for doing more work

Question 32

Question
Which identified disorder is likely to not receive reimbursement under managed care?
Answer
  • obsessive-compulsive
  • supportive marital therapy
  • eating disorder
  • tic disorder

Question 33

Question
Managed-care indicates that a diagnosis is to be made by:
Answer
  • the end of the first session.
  • at least by the third session.
  • no later than the fifth session.
  • no more than what the defined amount of time is for the tentative diagnosis.

Question 34

Question
Managed-care gatekeepers recognize when a therapist is not current with the up-to-date treatment procedures and or protocol when the therapist does not recommend which one of the following as treatment of choice?
Answer
  • cognitive-behavioral therapy as the therapy of choice
  • supportive therapy
  • recovery group involvement
  • in-vivo and mindfulness techniques

Question 35

Question
A clinical director is interested in researching therapist effectiveness data as practiced in this private practice. The clinical director might do this by:
Answer
  • requesting each therapist to indicate how many clients he/she has seen over a specified period and of that number how many of those clients are better as a result of their therapy.
  • conduct a random sample of clients over a specified period with a mail survey. Ask each client who has terminated therapy if he/she is better because of the therapy received at this clinical center.
  • conduct a telephone survey for client satisfaction and dissatisfaction.
  • conduct a survey on a pre-post session for the 1st, 3rd, 5th, and exit interview regarding improvement.

Question 36

Question
A client who has been in counseling for three sessions shares that he is seeing another counselor but for a different reason. The appropriate action of the counselor is to:
Answer
  • respect the client's right to see whomever he desires.
  • continue counseling with the client once it is determined that this counseling is for different purposes.
  • request that the client tells the other counselor that he is also seeing a second counselor.
  • secure a written release to contact this counselor to discuss the counseling.

Question 37

Question
Jerry and Lyn self-referred to the counseling stating Lyn’s concern regarding Jerry’s inability to make reasonable decisions. Lyn indicated that Jerry could benefit from counseling because he has made some poor decisions. Lyn said she would be in each session to provide clarification and support and she wanted to be sure he worked on that issue. It was her hope that he would learn how to make better decisions. Before initiating counseling, the counselor would want to:
Answer
  • clarify who is the client
  • seek a release of information from Jerry so the counselor can seek supervision
  • provide informed consent guidelines
  • indicate to Lyn that she could only remain if she were willing to receive counseling regarding the marriage and decision-making

Question 38

Question
A counselor may terminate a client contract for all of the following reasons except when the client is:
Answer
  • no longer producing client material for work
  • no longer needs assistance
  • likely to benefit
  • no longer paying fees as agreed

Question 39

Question
A client who terminated three months ago has verbally requested the counselor for a copy of all materials contained within his permanent record. The counselor should:
Answer
  • provide the materials to the client upon a written request.
  • tell the client that all materials are incomplete and the materials would be of little value to her.
  • tell the client that the counselor would be willing to let her read the notes but only in the presence of this counselor.
  • review the policy of the agency about any release of information.

Question 40

Question
A counselor is interviewing for a therapist position at a local therapy center. The counselor is aware of a particular technique that seems to be an accepted practice at the center; however, it is against the counselor's moral and ethical belief. There are very few jobs, and the counselor desires to work to attain his state license. The counselor should:
Answer
  • apply for the job and plan to avoid the practice of this behavior.
  • apply for the job and plan to change the behavior once employed.
  • apply for the job and tell the clinical director your moral and ethical code is at odds with the behavior.
  • do not apply for the position.

Question 41

Question
A professional counselor is working in a team-oriented clinical therapy center where there are several different professional disciplines. The professional counselor is concerned because the team of nine has decided upon a course of treatment that borders on an ethical behavior he considers unethical. According to this counselor’s code of ethics, he is to:
Answer
  • seek a meeting with the clinical director to resolve the issue.
  • approach the team of nine and specify why there are ethical issues.
  • refuse to participate in the prescribed treatment.
  • contact the client to point out why participation is not in the best interest of the client.

Question 42

Question
The counselor is using a computerized report for a test interpretation with a client. The ACA Code of Ethics and the manual indicate that the interpreter is to:
Answer
  • have a manual present during the interpretation.
  • hand score the answer sheet as a double check of the scan procedure.
  • give a second test to confirm the results of the one being interpreted.
  • review the Buros Mental Measurement Yearbook before the interpretation.

Question 43

Question
When students apply for admission to a counselor training program, they should be advised that they:
Answer
  • may find some of their friends in the program and as a result, their friendship may be altered.
  • should read the standard of care and the role of a counselor before enrolling.
  • may change as a result of going through different didactic and experiential components of the program and training and that self-growth is an expectation.
  • will have to compete with social workers, family therapists, and psychologists for work positions.

Question 44

Question
During a research project in which all participants signed a release, within the informed consent procedures all are to be shared except:
Answer
  • identify procedures that are experimental
  • describe benefits
  • describe limitations
  • caution the participants that once they have agreed to the format, it is imperative they finish the program

Question 45

Question
Technology can be utilized to empower marginalized, disenfranchised and diverse populations. Although there are many advantages to using technology and Internet counseling, there are barriers. All of the following are considered barriers for this population except:
Answer
  • lack of Internet access
  • expensive
  • feelings of disempowerment
  • create limits to relationships through distance

Question 46

Question
Counselor A becomes aware that counselor B is unethically taking advantage of certain clients. A few of counselor B's clients are stockbrokers and conversations early during each session interactions are frequently over "hot" stock tips. Counselor B has made it known he acted upon a few of these tips and has done well. Counselor A should:
Answer
  • make an informed resolution by approaching counselor B and informing him this behavior is inappropriate.
  • consider that this behavior could affect a relationship issue between counselor A and B, therefore inform the clinical director.
  • view this as an illegal act and report this behavior to the state ethics committee.
  • consider it is the client’s choice to share this information and that this material is covered by the confidential rule or privilege and the client is not harmed.

Question 47

Question
A counselor when sharing informed consent procedures with a client involves more than one of the principles that underlie the 2014 ACA Code of Ethics. The one principle, which may be central to informed consent, is:
Answer
  • nonmaleficence.
  • justice.
  • veracity.
  • autonomy.

Question 48

Question
The highest-ranking percentage of code inquiries for the years 2003-2014 has been all of the following except:
Answer
  • supervision
  • confidentiality
  • licensure
  • boundary issues

Question 49

Question
A counselor educator who trains counselors may engage in a consultative relationship with private businesses conducting team-building exercises using the Myers-Briggs Inventory. In doing so, the counselor-educator has acquired many mid-to-top-level management acquaintances. Two evenings per week the counselor is employed by a mental health agency as a therapist. On a particular visit to the post office, the counselor encounters Mr. Rank, a manager, with whom he has conducted some managerial training. Mr. Rank is familiar with the counselor's many duties and affiliations. Briefly, in conversation, the counselor makes the comment that he had heard that Mark Brice was going to work for Mr. Rank’s company as a manager in the same division as he. The counselor had first heard this in a session with Mark Brice although it is not public knowledge that Mr. Brice is employed with this company. The issue at stake is:
Answer
  • a breach of confidentiality.
  • no breach of confidentiality.
  • a dual role relationship.
  • no issue because Mark Brice's employment is generally known.

Question 50

Question
At a local mental health facility, the admissions clerk introduces a beginning master level counselor intern to his/her first client. In so doing the clerk identifies the intern as Dr. Larson. On the way to the office, the client thanked the intern using her name, Dr. Larson, for offering her an appointment on short notice. The intern continues with brief comments about the weather until the two of them reach the office where the interview begins. To resolve this dilemma the ethical issue is:
Answer
  • competence
  • dual role
  • preparation
  • boundaries

Question 51

Question
In the previous question, what should be the prerequisite behavior for the counselor?
Answer
  • immediately correct the client informing him/her of the academic degree the intern is presently working towards
  • at least for this client allow the introduction to stand as the client may have attributed the expectations of an advanced degree with the ability to effect change.
  • correct the admissions officer by stating that the counselor is an intern working under the guidance of Dr. Supervisor
  • attempt to state the intern's title and responsibilities to the client during the interview introduction. Seek out the admissions clerk on an individual basis and conduct the necessary informed procedures.

Question 52

Question
Counseling positions have been difficult to locate, especially those that allow for individual counseling. A counselor has taken this job for that reason plus the fringe benefits of retirement and insurance. During the interview, the counselor learns that all drug-related behaviors reported to any counselor during counseling must be reported to the director. This is contrary to the counselor's belief. What is the ethical dilemma?
Answer
  • boundary of competence
  • unethical behavior by the director
  • agreement with policies and principles
  • philosophy

Question 53

Question
Two researchers believe that paradoxical techniques are useful and more effective than the more acceptable, conventional techniques. To prove this point, they set up a model research design to test the effectiveness of a paradoxical technique compared to a literature-supported effective technique similar to stress inoculation. To test this paradoxical technique, the researchers felt it was not necessary to use informed consent procedures. To do so would invalidate the results. If this is ethical, what is to take place?
Answer
  • informed consent is a must, regardless of the type of research—the researchers need to redesign the project
  • deception is a necessary fact for some types of research
  • this type of research should be set up with the training groups to secure baseline data in order to justify the use of this technique on real participants
  • "debriefing" of the subjects should be conducted soon after the study

Question 54

Question
A principal investigator has conducted a drug research survey in the public schools for four years. Employed graduate students were employed in those schools and have assisted in the research. Each year the investigator published the results of the different surveys and after the fourth year wrote a summary article entitled "Longitudinal survey of drug use in public schools.” The local newspaper became aware of this research and called the principal author to ask for permission to print the article in the city paper. The ethical issue in this request is what?
Answer
  • none, as it has already been printed, and therefore public domain
  • the writer needs to be referred to the school officials, since the contents of this report belong to the school
  • the graduate students need to give their permission to print, as they assisted in the work
  • permission must be secured from the students who took part in the research

Question 55

Question
The statistical strategies of contamination, randomization, micro-aggregation, and balanced incomplete blocks are utilized in research to assure the researcher and participants’ protection for which of the following regarding ethics?
Answer
  • privacy
  • informed consent
  • volunteerism
  • research design

Question 56

Question
The Milgram study of obedience and the Tuskegee syphilis study raised an ethical dilemma. This dilemma had to do with:
Answer
  • informed consent
  • design error
  • sampling strategies
  • dual role

Question 57

Question
A counselor has become convinced of the usefulness of the Myers-Briggs Type Indicator and has begun to use the results in marriage counseling. The counselor’s belief is the best marriage match is opposite stereotypes such as Es and Is or even TPs and FJs. To avoid errors and to retrieve a professional looking profile, the counselor sends the results off for scoring. The ethical issue for the counselor in this scenario is the:
Answer
  • counselor should avoid counseling couples based on his/her belief system.
  • counselor needs to verify the scoring of the computed assisted source as mistakes are made.
  • counselor should not use instrument results as the basis for marriage counseling.
  • validity and reliability of the Myers-Briggs Type Indicator are not acceptable for marriage counseling.

Question 58

Question
A counselor in a private practice in a small community was approached by a local reporter requesting an interview. The reporter wrote an article in a three-part series regarding test scores and how parents should guide their children. The first article is to comment on standardized testing, the second article regarding the meaning of scores, and the third in terms of how parents can decide whether to homebound teach or continue to mainstream their children. Within the second article were comments about SAT/ACT scores for those who are college-bound and what to do if scores are not sufficiently high to be accepted into the local university. The counselor who has been trained in psychometrics should:
Answer
  • decline the request even though this information is helpful to the community.
  • explain to the reporter that you have classroom training in testing, however, you would be willing to write only the content part in which you feel competent.
  • recognize this as an opportunity to make counseling services known as a competent and knowledgeable service. Accept the assignment with the stipulation you need sufficient time to acquaint yourself to the most recent data in these three areas.
  • consult your lawyer to determine if there could be any liability in writing the articles.

Question 59

Question
A male counselor has been in a counselor-client relationship for the past nine months with a female client. Over the duration of therapy, the counselor has treated this client for restricted emotional development. The client indicates that this was a difficulty in her past two marriages. Her husband(s) accused her of not having any feelings and not being able to get close to anybody. She has worked diligently on this problem and is making progress in revealing and understanding her identity. The client has begun to sense her growth and has shared her appreciation with the counselor. As a result of this positive feedback and also being attracted to the client, the counselor recognizes that transference and countertransference have developed. The counselor interpreted the transference to the client. She acknowledges these dynamics but continues to express her good feelings toward the counselor. The counselor struggles with sharing his true feelings with her. What should the counselor do?
Answer
  • reveal his own feelings and suggest terminating the counseling relationship so that they can have a personal relationship
  • transfer her to another colleague, giving her the true reasons for the referral
  • deny any feelings and discuss the client's attraction as a natural part of transference that occurs in therapy
  • acknowledge the professional boundaries of the counseling relationship and seek supervision to deal with the transference/ countertransference.

Question 60

Question
During practicum supervision, a supervisor makes statements that could be interpreted by the counselor- intern as counseling his/her in his/her marital relationship. This is an example of:
Answer
  • a dual relationship.
  • client dependency.
  • malpractice.
  • countertransference.

Question 61

Question
A counselor in a local mental health clinic enjoys playing competitive tennis. The counselor has entered a local tournament and upon arriving for the match reviews the list of players. It is discovered one of the participants is a client of the counselor. The client is not matched to play against the counselor but through the elimination process could conceivably become a match. What is the response of the counselor?
Answer
  • this activity is outside the realm of the counselor's responsibility, and situations such as this are bound to occur. Continue on with the match.
  • if the counselor or the client is not eliminated from the tournament, and in the event this does become a match, the counselor should disqualify self.
  • the counselor should disqualify himself before the tournament begins.
  • continue as planned and if, by chance, the counselor and client do become a match, process this in your next counseling session.

Question 62

Question
The second portion of the above problem is encountered when the counselor realizes this is a matched doubles tournament. The entry deadline has passed, thus eliminating the possibility of a replacement for the partner. What should the therapist do?
Answer
  • inform the partner that the counselor will have to disqualify himself without an explanation.
  • inform the partner there is an ethical dilemma in the counselor participating, not with the partner, but with someone else and the counselor will have to disqualify himself.
  • participate in the tournament and if a set becomes matched with the client, at that time, withdraw.
  • locate the client and process the dilemma and determine how the client feels about the counselor participating.

Question 63

Question
A supervisee has agreed to receive supervision with a supervisor. The supervisor would state that the supervisee is to commit and agree to which of the following: (select as many as you consider important)
Answer
  • share the treatment plan with the client
  • adhere to all policies of the counseling agency
  • 3,000 hours of clinical experience
  • 30 continuing updating hours each year
  • reveal all personal information about yourself
  • meet over dinner to discuss the situation

Question 64

Question
The client is a 46 year-old African American female ready for discharge after 19 sessions for major depression. She is the owner of a small jewelry store in the city. Her presenting complaint was a loss of interest in her jewelry business and considered selling until her 23 year old son discouraged her from selling until she was feeling better. The client has regained her energy level, sleep restoration, spirited laughter, and re-engaged in her social life. In compliance with the initial contract, Lucy agreed to inform the counselor at least one session before closure that she would be discontinuing counseling. During that session she told the counselor she intended to bring a gift she knew that the counselor would appreciate. Before the last session the counselor was in supervision and was concerned about Lucy’s statement about a gift. What type of concerns would the supervisor likely select for the counselor to process? Select as many as you consider ethical and legal. This question is likely to be longer than found on the NCE.
Answer
  • the cost (value) of the gift
  • reciprocity of a return gift
  • ethnicity of the client
  • countertransference
  • family members
  • counselor’s motivation for wanting or declining the gift

Question 65

Question
A counselor has recently come from a counseling agency where individual supervision was the agency policy. This new agency utilizes group supervision. The supervisee asked the supervisor what might be limitations of group supervision compared to individual supervision?
Answer
  • the cost to the agency
  • confidentiality
  • focus is not mirror
  • quantity of supervision time
  • quality of supervision
  • lack of client exposure

Question 66

Question
A supervisor is describing a supervision contract to a supervisee. According to counseling protocol what should be included in the contract?
Answer
  • frequency, location, length and duration of supervision meetings
  • type of notes
  • supervision models and expectations
  • fee structure
  • liability and fiduciary responsibility of the supervisor
  • the evaluation process, instruments used and frequency of evaluation
  • therapy techniques required for treatment
  • emergency and critical incident procedures

Question 67

Question
During individual supervision and before the client’s termination the counselor was charged by the supervisor to evaluate her effectiveness. The supervisee requested the supervisor to provide direction to derive this type of information. What methods might the supervisor utilize to provide the most reliable feedback?
Answer
  • bug in the ear (BITE)
  • ask the client
  • in vivo
  • phone ins
  • client relapse
  • an empirical study

Question 68

Question
For eight weeks the counselor provided Mr. Albert with psychoeducation and supportive therapy for early onset of Alzheimer’s disease. During the eighth week the client told the counselor that he thought whatever the counselor was doing was not helpful. The counselor asked the supervisor what alternative approaches might be recommended in addition to the standardized therapies? (Select as many as you consider helpful)
Answer
  • provide Mr. Albert the truth that there is no therapy for Alzheimer’s
  • seek consultation from a hypnotherapist
  • trauma-focused therapy
  • physical exercise
  • exercise use of music
  • continue psychoeducation and supportive therapy
  • short-term memory training

Question 69

Question
A counselor decided to seek supervision assistance for best treatment. In selecting a supervisor, the counselor would want to consider which of the following?
Answer
  • supervisor experience
  • supervisor is listed on the approved supervisor registry
  • supervisor is within 5-15 minute travel time
  • supervisor theoretical orientation
  • the supervisor’s training

Question 70

Question
For the past six months, the counselor has regularly been counseling with a 17-year-old male. During this session, the client reveals some material that when combined with previous work with him causes the counselor to consider a breach of confidence. Of the following, which two choices are ethically sound reasons to break the confidence?
Answer
  • the counselor believes the client was a victim of a crime such as incest.
  • the counselor thinks his needs have become entangled in the therapeutic relationship.
  • the client initiates a lawsuit against the counselor for malpractice.
  • a misdemeanor is committed.
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