Cjpee

Front 1

Parent authorizes treatment of a minor. When does s/he have access to treatment records

Back 1

Always

Unless
- therapist anticipates detrimental effect on therapy
- therapist anticipates detrimental effect on child's physical or emotional well being

Hint 1

a5

Front 2

What did the Tarasoft Statute add to previous Tarasoft practice?

Back 2

It restricted Tarasoft duties to threats made directly by the patient.

Hint 2

a7

Front 3

CA record retention

Back 3

7 years after termination

Hint 3

a8

Front 4

APA record retention

Back 4

3 years after termination

a record summary for 12 addtional years

Hint 4

a13

Front 5

Process when ethics and law conflict

Back 5

Make known commitment to Ethics
Try to resolve conflict
If that doesn't work, obey the law

Hint 5

a20

Front 6

Psychologist reporting responsibility for spousal abuse

Back 6

Neither mandated nor permitted

Hint 6

a26

Front 7

Relationshp between supervisor and Psych Assistant

Back 7

Employer and employee

Hint 7

a28

Front 8

Response to 3rd party phone calls

Back 8

May listen

May acknowledge that patient is in therapy only in extenuating circumstances

May breach confidentiality only in extenuating circumstances

Hint 8

a32

Front 9

Timing of child abuse reports (phone, written)

Back 9

By phone immediately
Written within 36 hrs

Hint 9

a33

Front 10

Examples of breach of duty

Back 10

Patient sues for malpractice
Therapist sues for non-payment

Hint 10

a36

Front 11

What is the status of privilege in breach of duty suits?

Back 11

There is no privilege

Hint 11

a36

Front 12

Process when a multiple relationship is discovered

Back 12

Try to resolve the conflict in the patient's best interest and maximal compliance with the Ethics Code

Hint 12

a37

Front 13

When is sex permisible with former patients?

Back 13

After 2 years and
Only in most unusual circumstances

Hint 13

a40

Front 14

Def: grave disability

Back 14

Inability to provide one's own food, shelter and clothing

Hint 14

a41

Front 15

HIPAA requirement for privacy notice document

Back 15

It must be separate from other signed forms, such as a general consent form

Hint 15

a44

Front 16

Meaning of availability of supervisor to supervisee

Back 16

Can be contacted by any means

Hint 16

a49

Front 17

Conditions for elder abuse reporting

Back 17

Any reasonable suspicion of abuse including, but not limited to:

Direct evidence of abuse
Elder reports abuse

Hint 17

a54

Front 18

Types of elder abuse

Back 18

Physical abuse
Abandonment
Isolation
Financial abuse
Neglect

Hint 18

a54, w78

Front 19

When can a psychologist do a custody review of a family s/he is treating?

Back 19

Almost never

It would be an insurmountable threat to objectivity

Hint 19

a61

Front 20

When do you get assent instead of consent?

Back 20

When the patient does not have legal capacity (eg a minor or dependent adult)

Consent is procured from his/her guardian

Note: informed consent is required for court mandated treatment

Hint 20

a70

Front 21

When would a temporary suspension of a licence be issued?

Back 21

When you are possibly a danger to the public (eg for an untreated addiction) and before the problem has been resolved with the Board

Hint 21

a76

Front 22

What happens when a license revocation is stayed?

Back 22

Therapist is put on probation

Hint 22

a76

Front 23

Def: multiple role

Back 23

Being in more than one role with the same person
or in a role with someone close or related, now or in the future

Hint 23

a92

Front 24

Requirements for documentation of treatment

Back 24

Ethically mandated

And includes progress notes

Hint 24

a94

Front 25

In a legal proceeding when is privilege inapplicable to a minor?

Back 25

Patient is <16 and victim of a crime

Therapist believes that disclosure is in the best interest of the child

Hint 25

a98

Front 26

Who is responsible for posting the notice to consumers about how to make complaints to the Board?

Back 26

All licensees and registrants

Hint 26

w2

Front 27

What is the disciplinary action for incarceration for a felony?

Back 27

License suspension

Hint 27

w21

Front 28

What is the best defense for breaching confidentiality to prevent a suicide?

Back 28

A safety emergency occured

Hint 28

w23

Front 29

What are the general conditions for an exception to privilege?

Back 29

When a judge has legal authority to order disclosure in the course of a legal proceeding (eg court, deposition, administrative hearing)

Hint 29

w33

Front 30

What is the appropriate course of action when you learn that goods received in barter were stolen?

Back 30

Maintain confidentiality

Hint 30

w34

Front 31

Who is authorized to provide consent for HIV testing to an 11 year old living in a county facility? *

Back 31

The responsible county official

Hint 31

w41

Front 32

Who are emancipated minors?

Back 32

Legally married
Enlisted in the military
By court declaration

Hint 32

w43

Front 33

What are the enabling conditions for the Court to declare a minor emancipated? *

Back 33

Minor >= 14 yo
Living apart from parents with consent
Management of finances with legal income
In the best interest of the minor

Hint 33

w43

Front 34

Obligation to provide records to a patient with an outstanding bill

Back 34

Respond within 15 days
Records may not be withheld for non-payment

Hint 34

w53

Front 35

If a patient requests a copy of his / her records and you believe there may be adverse consequences if you do, you must:

Back 35

1. Make a note in the record as to why
2. Permit inspection of records and note by another licensed health care professional

Summary optional

Hint 35

w54

Front 36

Conditions of Tarasoft duty

Back 36

Direct communication by patient
Threat of violence against an identifiable victim

Hint 36

w56

Front 37

Tarasoft duty

Back 37

Warn, protect, predict
Notify victim and police

Hint 37

w56

Front 38

Detention schedule for a gravely disabled person

Back 38

03 days - 72 hours
14 days
30 days

47 days max

Hint 38

w60

Front 39

Detention schedule for someone who is a threat to self

Back 39

03 days - 72 hours
14 days
14 days

31 days max

Hint 39

w60

Front 40

Detention schedule for some who is a threat to others

Back 40

03 days - 72 hours
14 days
180 days, renewable

197 days max

Hint 40

w60

Front 41

Criteria to be met for a 14 day hold

Back 41

Completion of 72 hour hold
Still a danger to self or others, or gravely disabled
Refuses voluntary treatment

Hint 41

w61

Front 42

When is a report of sexual assault required for lewd or lascivious contact?

Back 42

Child is under 14
Child is 14 or 15 and perp is 10 years older

Hint 42

w67

Front 43

When is a report of sexual assault required for intercourse, even if voluntary

Back 43

Child is under 16 and perp is 21 or older

Hint 43

w41

Front 44

When is a report of sexual assault required for rape, incest or sodomy?

Back 44

Child is under 18

Hint 44

w67

Front 45

When is a report of sexual assault not required?

Back 45

When both participants are 16 or older and it is voluntary

Hint 45

w67

Front 46

Types of child abuse

Back 46

Physical
Sexual assault or exploitation
Neglect
Willful cruelty or unjustifiable punishment
Unlawful corporal punishment or injury

Hint 46

w69

Front 47

To whom are child abuse reports made?

Back 47

Police department
Sheriff's department
County welfare department

Hint 47

w71

Front 48

Recommendations for informed consent

Back 48

Written informed consent to treatment (written standard of care, but oral legal)
Written privacy policy
2 separate documents

Hint 48

w87

Front 49

Who are the third parties to whom confidential information may not be released?

Back 49

Anyone outside the professional relationship

Hint 49

w88

Front 50

Retention period for HIPAA documentation

Back 50

6 yrs

Hint 50

w90

Front 51

Ethical obligation in face of a colleague's ethical violation *

Back 51

Depending on severity:
Attempt informal resolution
Report to Ethics committee or Board

Hint 51

w94

Front 52

How long may someone with an out-of-state license practice in CA without applying for a CA license?

Back 52

180 da

Hint 52

w tape

Front 53

How long may someone with a foreign license (eg Canadian) practice in CA

Back 53

Up to 30 days in the calendar year

Hint 53

w tape

Front 54

Continuing Ed requirements in first renewal cycle

Back 54

Spousal abuse
Aging and long term care

Courses prior to licensing may count at the descretion of the Board

Hint 54

Laws and Regs

Front 55

After license expiration, for how long may the license be renewed?

Back 55

3 years

Hint 55

w tape

Front 56

When may a license be surrendered?

Back 56

Before the hearing

Hint 56

w tape

Front 57

What happens to your license if you are incarcerated

Back 57

It is suspended (at min)

Hint 57

w tape

Front 58

What is covered by the evidence code

Back 58

Exceptions to privilege

Hint 58

w tape

Front 59

Under what condition may you not assert privilege?

Back 59

If it has been waived by the patient

Hint 59

w tape

Front 60

Who holds privilege?

Back 60

Patient
Patient's guardian
Patient's representative

Hint 60

wb 24

Front 61

Who can claim privildege?

Back 61

Holder of privilege
Person authorized by the holder
The therapist

Hint 61

wo 19

Front 62

Who can authorize a waiver of privilege?

Back 62

Holder of privilege

If more than 1 then all holders

Anytime confidential communication is disclosed by the patient to a third party

Hint 62

wo 19-20

Front 63

Constraints on self-sufficient minors *

Back 63

15 or older
Living apart from parents
Managing own finances

May consent to medical and dental treatment

Provider may contact parents with or without consent

Hint 63

wo 25

Front 64

Under what circumstances may a minor get outpatient or residential shelter treatment?

Back 64

12 or older
Mature enough to participate
Cannot get ECT, psychosurgery or meds without parental consent

Front 65

What are the parental contact requirements for outpatient or residential shelter treatment?

Back 65

Outpatient: should attempt to contact unless inappropriate; document

Residential: MUST attempt to contact

Front 66

Rule of thumb age constraints on treating a minor *

Back 66

Generally must be 12 or older
Except for:
pregnancy
sexual assault (except rape)

Hint 66

w tape

Front 67

Time frames for inspecting and copying records

Back 67

Inspection - 5 working days
Copying - 15 days from receipt of written request
Treatment summary - 10 working days or 30 days with extenuating circustances

Hint 67

wo 31

Front 68

Time frames for abuse reporting

Back 68

Child abuse
immediately by phone
written follow up in 36 hrs

Elder abuse
asap by phone
written follow up in 2 working days

Hint 68

w tape

Front 69

Consequences of not filing an abuse report

Back 69

Guilty of a misdemeanor

Possible jail up to 6 mo
Possible fine up to $1000
Both

Front 70

Elder abuse report recipients

Back 70

In general: to adult protective services or police

In a long term care facility: ombudsman or police

Hint 70

w 46

Front 71

Non-disciplinary actions by the Board

Back 71

Mediation
Education letter or review
Letter of warning
Citation and fine

Hint 71

w 15-6

Front 72

Disciplinary actions by the Board

Back 72

Letter of reprimand
Two-step agreement
Probation
Suspension
Interim suspension order
License surrender
License revocation

Hint 72

w 16-7

Front 73

Tarasoft with respect to confidentiality

Back 73

Confidentiality must be considered even though it may be breached to provide the requisite information

Hint 73

b 14

Front 74

Def in HIPAA: patient authorization

Back 74

Written release of information beyond consent agreement

Hint 74

b 15

Front 75

Hours of SPE a trainee may accrue under a single primary supervisor

Back 75

Unlimited

Hint 75

b 16

Front 76

When must you get a new license instead of a renewal?

Back 76

3 years after expiration

Hint 76

b 19

Front 77

Conditions under which graduate students must expose personal information

Back 77

If requirement is clearly stated in admissions and program materials

If necessary to evaluate students for competence or threat to self or others

Hint 77

b 27

Front 78

Def: sexual contact

Back 78

Touching an intimate part, including intercourse

Hint 78

b 30

Front 79

Ethics code on bartering

Back 79

Permitted, as long as not clinically contraindicated or exploitive
Not encouraged or discouraged

Hint 79

b 32

Front 80

Ethics on collection agency

Back 80

Acceptable if:

Patient first given opportunity to settle accounts
Patient given advance notice

Hint 80

b 38

Front 81

Contents of child abuse report

Back 81

Reporter name and contact
Type of abuse
Narrative descripton

(But not risk of future abuse)

Hint 81

b72

Front 82

Requirements on professional initiating a 5150

Back 82

Provide confining facility with a statement of probable cause

Hint 82

b73

Front 83

Tarasoft duty

Back 83

Notify victim
Notify police

(But not attempt to prevent potential violence)

Hint 83

b74

Front 84

Responsibility to report to patients disciplinary actions by the Board

Back 84

No requirement unless asked

Hint 84

b86

Front 85

Who may inspect patient records?

Back 85

The patient or his/her representative and
One other person only

Hint 85

b87

Front 86

Requirements to reactivate inactive license

Back 86

Application to the Board
Payment of fees
Completion of continuing ed prorated for time in active status

Hint 86

b93

Front 87

What is relevant to a patient threat against property?

Back 87

Evidence Code 1024, stating
No privelege exists if the patient's mental state poses a risk to self, others or property and disclosure is necessary to prevent the threat

Hint 87

b95

Front 88

Ethics: handling of confidential information for didactic purposes

Back 88

Must be disguised unless the person has consented in writing

Hint 88

b100

Front 89

Continuing education requirements

Back 89

36 hours / renewal cycle
18 hours may be via distance learning
4 hour course in Law and Ethics
1 time course in spousal abuse

Hint 89

Board - new reg

Front 90

From whom must consent to treatment be secured?

Back 90

Patient or legal guardian

Consent is not implicit in institutional consent

Hint 90

a16

Front 91

When is parental consent required for services to prevent or treat a pregnancy?

Back 91

Contraception - no
Abortion - no
Sterilization - yes

Hint 91

a30

Front 92

What should be done in the event of the discovery of a harmful multiple relationship (APA)?

Back 92

Take reasonable steps to resolve it with due regard for the best interests of the client and maximal compliance with the Ethical Code

Hint 92

a37

Front 93

Referral payments are
illegal
unethical
both

Back 93

Both

Hint 93

a54

Front 94

Examples of insurmountable conflicts of interest

Back 94

Doing a custody evaluation for a family you have been treating

Using the wife as the translator for the husband in an assessment

Hint 94

a61

Front 95

What should you do if the police demand to see client records on the strength of a warrent for his/her arrest *

Back 95

Inform them that any and all information regarding treatment is priviledged and confidential

Front 96

When can a physician disclose HIV status to a partner w/o the patient's consent

Back 96

Only after trying to secure consent

Front 97

State law vs HIPAA

Back 97

State law supersedes HIPAA unless HIPAA is more stringent or state and federal law are contradictory