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One might argue that taking a(n) ______ perspective not only raises practitioners' anxiety but encourages them to focus on avoiding risks to themselves rather than focusing on their ethical obligations and the potential risks to clients.

Risk management

James is in court facing drug-related charges and his therapist was subpoenaed to testify in court regarding any discriminating evidence conceding the case. His therapist came to court but refused to answer questions regarding the case or produce James' records. The therapist used the following legal concept to protect himself from forced disclosure:

Privileged communication

______, as a matter of law, refers to the constitutional right of an individual to decide the time, place, manner, and extent of sharing oneself with others.


It is illegal and unethical for a therapist to disclose confidential information when:

An employer requests disclosure to determine the mental status of an employee without consent.

Ethical guidelines regarding confidentially require that counselors do not:

Disclose client information unless there is clear and imminent danger to the client or others or when legal requirements demand that confidential information be revealed

Susan is quite distressed after finding out that her husband has been unfaithful and tells her counselor that she is so angry that she feels like killing him. Upon hearing this, the counselor needs to:

Question Susan to determine whether she is serious about doing physical harm to her husband

The California court's ruling that requires that therapists breach confidentially in case where the general welfare and safety of others is involved is a result of the:

Tarasoff decision

The law is:

Not fact-specific.

_____ in a Supreme Court decision ruled that communications between licensed psychotherapists and their clients are privilegesd and therefore protected from forced disclosure in cases arising under federal law.

Jaffee vs. Redmond

Jolene tells her counselor that she is depressed about the break-up of her relationship and "just wishes she could go to sleep and never wake up." In this case, the counselor needs to:

Assess if Jolene is suicidal and intervene if necessary

The following would be an ineffective way of managing a client's suicidal ideation:

Be willing to communicate your caring without setting limits.

Two processes that offer safeguards against malpractice liability in suicidal cases are:

Consultation and documentation

Schools that receive federal funding are generally bound by provisions of the:

Family Educational Rights and Privacy Act

According to the Tarasoff decision, the therapist does not:

Have a duty to warn the next to kin of suicidal patients.

Privileged communication does not apply in cases of:

Child abuse and neglect

An African-American woman was interacting with her child in a domestic abuses shelter where she is over-heard to say to her child "Keep touching that and I'm going to whoop you." The social worker that heard this statement should:

Recognize that what constitutes abuse in one culture may not be viewed as abuse in another culture and not reportable until it is determined that the child is in danger.

A single father reports that he had to much to drink and harshly spanked his 3 year old son when he wouldn't stop screaming. The father feels terrible about the incident and asks his counselor to get some help for him so that it will never happen again. Acting on the highest level of ethical functioning, the counselor would:

Examine all the factors and special circumstances of this case before acting.

A counselor working in AIDS-related case:

Has few legal guidelines to help determine when or how to inform a potential victim of the threat of HIV transmission

______, which is rooted in a client's ______, is at the core of effective therapy.

Confidentiality; right to privacy

In the case of disclosing confidential information when working with an HIV-positive client, several writers state that the therapist has a duty to protect when the following condition exists:

Clear and imminent danger must exist

Laws regarding confidentiality in school counseling:

None of the choices

Which of the following is not identified in the text as a guideline for counselors using the telephone

After addressing guideline B and ensuring absolute privacy, counselors may speak to their clients as freely as they desire without fear that their conversations will be used in illegal proceedings.

In chapter 6, a six-step ethical practice model for protecting confidentiality rights that places legal mandates in an ethical context is presented. The six steps include all except:

Avoid the "avoidable" breaches of confidentiality

The major type(s) of elder abuse is/are:

All choices:
Sexual abuse
Financial or material exploitation
Physical abuse

In _____ the court expanded the practitioner's duty to warn those in danger to include the circumstance in which a family member communicates to a metal health practitioner a belief that the client poses a risk of grave bodily injury to another person.

Ewing vs. McDonald

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