wayground logo

Free Printable Worksheets

Font size

S
M
L
XL
Worksheets

Managing Legal and Ethical Obligations within the Therapeutic Re

Total questions: 34

Worksheet time: 17mins

Name
Class
Date
1.

If a therapist dies, it is LEAST likely that their records will be ______________________

a)

given to the clients

b)

given to a lawyer designated by the family to deal with the therapist's personal effects

c)

distributed according to the therapist's will or given to the therapist's spouse or executor

d)

given to the agency where the therapist worked

2.

You refer a current client for adjunctive treatment. What reason would you do this?

a)

To supplement family therapy with individual or group therapy.

b)

To determine why your client isn't responding to your treatment plan.

c)

To address issues that are beyond your scope of practice and/or competence.

d)

To address issues you don't want to deal with.

3.

You are a licensed marriage and family therapist who has just opened their own private practice. A 15-year-old boy walks into your office and tells you that he was born into the wrong body and really wants to see you to discuss his "mixed feelings". The boy says, "My parents do not understand me, and I really need to talk to someone without them knowing." What do you do?

a)

Refuse to see him without parental consent since he is a minor.

b)

Refer him to a therapist who works with gay, lesbian, and transgender patients.

c)

Agree to see him without parental consent only if you believe his situation constitutes a crisis or emergency.

d)

Determine if it would be appropriate to see him without parental knowledge or consent.

4.

Your client threatens to kill his wife, and you determine that his threat is serious. You are legally required to do which of the following?

a)

Make a reasonable attempt to warn the wife and notify the police.

b)

Make a reasonable attempt to warn the wife.

c)

Make a reasonable attempt to warn the wife, notify the police, and tell the man that you must breach his confidentiality.

d)

Make a reasonable attempt to warn the wife, notify the police, and have the man involuntarily hospitalized.

5.

A client says that he has just received a letter from his insurance company denying coverage of any additional therapy sessions. His therapist believes he needs additional sessions to achieve his therapy goals. What should the therapist do?

a)

Refer the client to a lower-cost source of care

b)

Suggest that the client contact the health insurance provider to protest the denial of further care

c)

Advocate for the client by communicating directly with the health insurance provider to challenge the denial of care

d)

Continue seeing the client for free or at a reduced fee

6.

You receive a call from a woman who says she has been in therapy with another therapist who let her pay for treatment by doing office work for him. She says she would like to start seeing you now and asks if you could make the same fee arrangement. You should _____________________.

a)

report the therapist to the BBS

b)

schedule an appointment with the woman and defer the discussion of fees until the first session

c)

advise the woman, over the phone, of the ethical problems associated with bartering

d)

encourage the woman to continue her existing arrangement with the other therapist since it seems to suit her financial situation

7.

Your clients are two emancipated minors, Sal and Sally, ages 14 and 16. They tell you that they are in love and are having consensual sexual relations. What should you do?

a)

Not file a child abuse report because this is a consensual sexual relationship.

b)

Immediately file a child abuse report because this involves "lewd and lascivious" acts.

c)

Immediately file a child abuse report because of the age difference.

d)

Not file a child abuse report because both minors are emancipated.

8.

A therapist is treating a couple. One partner reveals information to the therapist during a phone call and asks that it be withheld from the spouse. What should the therapist do?

a)

Adhere to the policy she established with the couple regarding "secrets" at the beginning of therapy.

b)

Maintain the partner's confidentiality only if she determines that doing so will not interfere with treatment progress.

c)

Tell the partner she cannot keep the information confidential since both partners are her clients.

d)

Tell the partner she cannot keep the information confidential but suggest that the partner disclose the information in the couple's next therapy session.

9.

An attorney referred Bao, a 32-year-old Vietnamese male, who is about to have a divorce hearing. Bao appears agitated and is experiencing a depressed mood and sleep problems. He tells you he heard from a neighbor that his wife, Mai, is going on dates with her old boyfriend, Jim. You refer Bao to a psychiatrist for a medication evaluation and begin treating him using a cognitive-behavioral approach after assessing his risk for suicide. Bao does express suicidal ideation but says that he has no plan. After six weeks of treatment, you receive a call from a woman identifying herself as Bao’s mother. She says, "Bao bought a gun yesterday and says he is going to shoot Mai and Jim." You should __________

a)

call Bao and have him come to your office the next day so that you can assess the situation.

b)

call the police and report the threat and contact both Mai and Jim to alert them.

c)

do not breach confidentiality as this information is coming from Bao’s mother and not from Bao.

d)

call the police and Bao’s attorney to inform them of this threat.

10.

To be consistent with legal requirements, an MFT may deny a patient access to their own protected health information (PHI) _____________________.

a)

A. when access is reasonably likely to endanger the patient's life or physical safety

b)

B. when access is reasonably likely to endanger the patient's mental health

c)

C. when access is reasonably likely to endanger the patient's mental or physical health

d)

D. under no circumstances

11.

An MFT, who is also an instructor at the local community college, is providing couples therapy to a newly married couple who are having trouble adapting to married life. After getting their permission to do so, the MFT makes video recordings of the couple during several of their sessions. Several weeks after the couple terminates therapy, the MFT decides to use some of the recordings in their college courses. What is true about this situation?

a)

The MFT can never use the recordings for educational purposes.

b)

The MFT can avoid being sued for using the recordings in his college classes as long as he has verbal or written authorization from the clients to do so.

c)

The MFT can use the recordings in his college classes as long as he has determined that doing so does not exploit the clients.

d)

The MFT can use the recordings in his college classes as long as he has written authorization from the clients to do so.

12.

You have found that, when working with difficult clients, it is often useful to make and review a video recording of therapy sessions. You would also like to use the recordings to illustrate therapeutic techniques in a graduate-level class that you teach. You can ________________

a)

never use the recordings for educational purposes

b)

avoid being sued for using the recording for educational purposes if you obtain verbal or written consent from the clients

c)

use the recordings for educational purposes as long as doing so does not exploit the clients

d)

use the recordings for educational purposes only if you obtain written authorization from the clients

13.

Your 83-year-old female client is physically disabled. She tells you that the daughter who was living with and caring for her has disappeared and cannot be located. She says she thinks her daughter has "run off" with her new boyfriend and is worried about her and how she's going to be able to get along without her. You ____________________.

a)

report elder abuse

b)

report to the police

c)

empathize with her feelings of neglect and abandonment

d)

refer her to social services

14.

You are treating a family that includes two children. The teenage girl has been beating up her 7-year-old brother and has knocked him to the floor several times. The parents say they try to stop this and have put her on restriction numerous times, but she just "keeps at it." The girl states, "He is such an annoying little brat. He's always taking my stuff, and he won't stay out of my room." The 7-year-old responds by throwing a spitball at her and calling her a "witch." The parents look at each other and the mother states, "This is what we have to live with. I tell you, it's hell." You should _____________________.

a)

talk to the parents alone

b)

report this immediately to the proper authority

c)

meet with the girl individually and teach her anger management techniques

d)

meet with the boy individually and teach him assertiveness and self-defense techniques

15.

An emancipated minor is in treatment with an MFT. She has many family problems that she is trying to work on and has discussed bringing in family members for a session at some point in the future. Although she is emancipated, she is somewhat financially dependent upon her family, and her grandmother is paying for her treatment. One day, her grandmother calls the therapist and asks about the progress of her granddaughter. The therapist should _____________________.

a)

give the grandmother only general information about the progress of the client

b)

refuse to break client confidentiality without authorization from the client

c)

tell the grandmother that she will probably be included in a session soon, and her concerns can be discussed at that time

d)

tell the client to talk to her grandmother

16.

A recently-divorced 32-year-old woman makes an appointment with you at the recommendation of her physician who has diagnosed her recurrent headaches as tension headaches. The woman tells you that a friend of hers was trained in self-hypnosis for a similar problem, and that she also wants training in self-hypnosis. You took a course in graduate school on hypnosis that covered self-hypnosis but have not used hypnosis or self-hypnosis in your clinical practice. You should ____________________

a)

admit your lack of expertise in the use of self-hypnosis and refer the woman to another therapist

b)

advise the woman that the underlying cause of her headaches would probably not be dealt with by self-hypnosis and suggest she begin psychotherapy

c)

accept the woman for treatment and begin training her in self-hypnosis after reviewing your class notes and attending a weekend seminar on hypnosis

d)

accept the woman for treatment and begin training her in self-hypnosis but obtain supervision if you have any problems during the course of treatment

17.

Your client is planning to seek full custody of her children. She divorced her husband two years ago, and she tells you that her children "don’t like to visit their dad" and that she suspects he is using drugs. "I tried to be fair by sharing custody," she says, "but I feel it would be best for them if I have it and they just visit with him." She wants to know how the issue of custody will be decided. You should tell her ____________________

a)

it will be decided according to the best interests of the family

b)

to consult with a lawyer who specializes in custody cases

c)

that the court will decide

d)

it will be decided according to the wishes of the children

18.

You are asked by one of the parents in a custody case to offer an opinion as to the best custody arrangement for the couple’s 13-year-old child at an upcoming hearing. The parent making the request believes you are the best person to offer an opinion since you have been seeing the parent and occasionally the child in individual therapy since the parents separated six months ago. You should ____________________

a)

agree to the request and make sure that you base your opinion on the best interests of the child

b)

agree to the request only if you believe you have sufficient information on which to base an opinion

c)

agree to the request only if both parents sign an authorization

d)

refuse to do so

19.

You are treating a 13-year-old client with the consent of her mother. One day you receive a call from the client's mother who requests access to her daughter's therapy records. You believe that agreeing to this request may be psychologically harmful to the girl. You ______________________

a)

must comply with the mother's request because your client is a minor

b)

must comply with the mother's request because she consented to her daughter's therapy

c)

may deny the mother access to the records because of your concern about the consequences of doing so

d)

have no obligation to allow her access to client's records but must comply as a courtesy

20.

An MFT is going on vacation and has arranged for coverage by another therapist who has agreed to see any of her clients who may be in need. The MFT checks her voicemail and finds that two clients have left messages. She should _______

a)

postpone her vacation

b)

give their phone numbers to the on-call therapist

c)

call both clients and assess their situations

d)

call both clients and explain to them that, as was arranged, they will have to wait to see her when she gets back from vacation

21.

An MFT is the supervisor of several associates at a community hospital in a small town and notices that one of the associates seems unenthusiastic and depressed. When he talks to her, she tells him that she's been very unhappy lately and feels she has no one to turn to. The associate asks the MFT to see her in therapy, and he agrees to do so. The MFT has acted _________________

a)

unethically by agreeing to provide therapy to the supervisee

b)

unethically by violating the associate's right to privacy

c)

ethically because they are working in a community hospital in a small town

d)

ethically because the associate is in desperate need of help

22.

Your new client says he's been having trouble in his relationship with his girlfriend lately, and he also complains of restlessness, fatigue, and difficulty concentrating. You refer him to a physician who then refers him to a psychiatrist, and the psychiatrist determines that the man would benefit from antianxiety medication. You ask the client to sign an authorization so you can confer with the psychiatrist, but the client says he hasn't filled the prescription and isn't even sure if he wants to take the medication. You should ____________________

a)

refuse to see him in therapy until he starts taking the drug

b)

encourage him to make an appointment with the psychiatrist to discuss his concerns

c)

advise him to start taking the drug to see if it alleviates his symptoms

d)

tell him that his case is outside your scope of practice and refer him to another therapist

23.

You have been seeing Alfredo in therapy for over six months and believe he is no longer benefiting from therapy. However, when you discuss the possibility of terminating therapy, he says he's happy with his progress and wants to continue. As an ethical therapist, you _________________ .

a)

agree to continue seeing Alfredo since he is satisfied with the progress of therapy

b)

agree to continue seeing Alfredo for an additional period of time but, at the end of that period, insist on terminating therapy

c)

explain to Alfredo that these are normal reactions to the end of therapy and set a date for termination

d)

see if additional goals for treatment can be identified but, if not, set a date for termination and, if appropriate, provide him with referrals to other therapists

24.

Which of the following is true regarding minors receiving replacement narcotic abuse treatment?

a)

A. A minor of any age may consent to replacement narcotic abuse treatment when the minor meets the criteria for a diagnosis of substance use disorder.

b)

B. A minor who is age 12 or older may consent to replacement narcotic abuse treatment if the minor is mature enough to participate intelligently and would present a danger of serious physical or mental harm to self.

c)

C. A minor who is age 14 or older may consent to replacement narcotic abuse treatment if the minor is mature enough to participate in treatment intelligently.

d)

D. A minor may not receive replacement narcotic abuse treatment without the consent of his or her parent.

25.

An MFT who recently died had made arrangements to pass along her client records to another therapist in the event of her illness, disability, or death. What should this therapist do with the records?

a)

The therapist should return the records to the clients.

b)

The therapist should destroy the records.

c)

The therapist should maintain the records in a secure manner.

d)

The therapist should destroy the records of former clients but maintain the records of current clients in a secure manner.

26.

A divorced mother brings her daughter for therapy. The daughter has had "emotional problems" according to the mother, including breaking down sobbing whenever she doesn't get her way. The mother was in jail when her divorce became final, and she says she isn't sure of the formal custody arrangements. She hasn't seen the child's father since she was released from jail. With regard to seeing the daughter in therapy, you ________________________

a)

should ask the mother to bring in a copy of the court's ruling to determine who can give consent to treatment.

b)

can provide treatment with only the daughter's consent as long as she is at least 12 years of age.

c)

see the daughter in therapy only if you get consent from both the mother and father.

d)

can see the mother and daughter together because the father's consent is not needed for family therapy.

27.

Mr. Morris contacts his son's school requesting that he be allowed to review his son's school records. The son has been treated for ADHD and is in a special program at the school designed to decrease the stimulation such students encounter in the setting and increase their success. It turns out that Mr. Morris is not the custodial parent and that his son has been living with Mrs. Morris for over two years. California law provides that

a)

the boy's records should be released only to the custodial parent

b)

the boy's records cannot be released to the non-custodial parent without the written permission of the custodial parent

c)

non-custodial parents cannot be denied access to their children's records

d)

release of the records is up to the discretion of appropriate school officials

28.

Mary Linden was recently hired as an MFT by a community mental health center. Shortly after beginning her job, Mary begins therapy with a client whose symptoms suggest a diagnosis of agoraphobia and are impacting her relationship with her husband and children. Although Mary has some experience with other anxiety disorders, she has never worked with an agoraphobic client. As an ethical therapist, Mary should ________________

a)

refer the client to another professional who has experience treating agoraphobia

b)

seek consultation but continue to work with the client

c)

review the literature on agoraphobia and enroll in a continuing education course

d)

contact the BBS for guidance

29.

An 11-year-old wants to see you for therapy without his parents' knowledge. You .

a)

can do so only if you obtain permission from a responsible family member other than the parents

b)

may do so if the child is a victim of physical abuse or sexual abuse

c)

cannot treat this child under any circumstances without parental consent

d)
may do so only if you determine that the child is
30.

Mrs. Lewis, a licensed MFT, regularly waives the co-payment for her low-income clients who are covered by insurance. She believes this is acceptable since she normally bills her clients using a sliding fee scale. In this situation, waiving the co-payment is _________________

a)

ethical since it is in the best interests of low-income clients

b)

ethical as long as Mrs. Lewis doesn’t bill the insurance company for an increased hourly fee in order to collect her full fee

c)

ethical as long as the insurance company does not explicitly prohibit this arrangement

d)

ethical only if the insurance company is aware of the arrangement

31.

A couple is in counseling because they feel that they have 'lost touch with each other.' He is an airline pilot who is frequently out of town, and she is a third-grade teacher. They want to improve their communication and find ways to connect more deeply when he is in town. She originally came to therapy by herself, but it quickly became apparent that the best unit of treatment was the couple, so you began couples therapy after the second session. If you were asked to release information to a third party, CAMFT Ethical Standards specify that, when a therapist is seeing clients conjointly ________________.

a)

only the client who initially requested therapy must sign a release authorizing the therapist to disclose information

b)

either client may sign a release authorizing the therapist to disclose information

c)

all clients involved in therapy who are legally competent to do so must sign a waiver for release of information

d)

all clients involved in therapy must sign a waiver for release of information

32.

Welfare and Institutes Code Section 15610 states that mandated reporters MUST report all of the following types of elder abuse EXCEPT .

a)

emotional abuse

b)
abandonment
c)

isolation

d)

financial abuse

33.

The therapist should .Mike and Molly come to therapy for help with what they describe as "too much arguing." They have been dating for two years and have been having a lot of trouble agreeing on things for the last eight months. Mike seems reluctant about coming to therapy, and Mike and Molly tend to resist the therapist's questions. After three sessions, Molly shows up alone at the scheduled appointment, saying Mike could not make it and that she's glad for some private time to express some of her own concerns. The therapist should _________________________.

a)

refuse to see Molly alone since the contract is for couples therapy

b)

see Molly, but let her know that whatever she discloses will not be kept confidential from Mike at the next conjoint session

c)

see Molly briefly to explore whether her concerns constitute an emergency and continue the private session only if she is in danger

d)

set up another appointment for a private session in the future and, meanwhile, seek consultation to determine how to handle the confidentiality issue

34.

Ms. Melba Morrison, a licensed MFT, conducts research and teaches several classes at a large university. In her advanced course on couple and family therapy, she doesn't present any information that is inconsistent with the results of her own research. In terms of the ethical guidelines, this practice is _______________________.

a)

ethical since it is up to Ms. Morrison to decide what to cover in her classes

b)

ethical as long as Ms. Morrison provides information about her policy in the class syllabus

c)

ethically questionable but not addressed by ethical guidelines

d)

clearly unethical