suicidal ideation

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

Attempt to secure a promise from the client that he or she will not try to commit suicide.

Immediately hospitalize the client.

Be willing to communicate your caring without setting limits.

Recognize the limits of your competence and know when and how to refer.

Question 12

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

consultation and documentation.

assessment and orientation.

individual therapy and group therapy.

diagnosis and informed consent.

Question 13

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

Health Insurance Portability and Accountability Act.

Family Educational Rights and Privacy Act

H1N1 Prevention Act

None of the choices

Question 14

According to the Tarasoff decision, the therapist does not:

need to accurately diagnose the client’s tendency to behave in dangerous ways towards others before notifying authorities.

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

have the right to break confidentiality even if the client is a threat to self or others.

need to be concerned about liability after notifying authorities of their client’s threat to harm self or others.

Question 15

Privileged communication does not apply in cases of:

clients’ disclosures of personal and sensitive information.

child abuse and neglect.

unfaithfulness in one or both partners in couple’s therapy.

legal proceedings where the therapist is asked to produce a client’s records in court.

Question 16

An African-American woman was interacting with her child in a domestic abuse 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:

immediately report the mother to Child Protective Services.

tell the mother that she will be evicted from the shelter if she continues to talk to her child that way.

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.

remove the child from the mother’s care until the mother can learn how to talk to her child with respect.

Question 17

A single father reports that he had too much to drink and harshly spanked his three-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:

place the child in foster care until the father can learn to deal more constructively with his anger.

consult with a colleague about referring her client to a treatment center.

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

immediately report the incident to Child Protection Services in order to protect the child.

Question 18

A counselor working in an AIDS-related case:

has a legal duty to warn according to the Tarasoff decision.

is obliged to protect all third parties of the threat of HIV transmission according to ethical codes.

must report the case to the Department of Public Health.

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

Question 19

_____________________________, which is rooted in a client’s______________, is at the core of effective therapy.

The verbal exchange method; right to express himself or herself

Confidentiality; right to privacy

Latent material; unconscious

Uncovering trauma; repressed memories

Question 20

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:

the client is engaging in safe-sex with a committed partner.

clear and imminent danger must exist.

all potential victims must be warned, even if there have been multiple sexual partners over the years.

all persons who have exchanged needles with the client must be found and warned of possible danger.