Eppp Ethics

Front 1

What standard did the Dusky v United States (1960) set forth?

Back 1

defines a defendant as incompetent if, as the result of mental defect or illness, the defendant lacks the ability to consult with his lawyer with a reasonable degree of rational understand as well as a factual understanding of the precedings against him (p.171)

Front 2

What is the rule regarding informed consent before releasing information?

Back 2

Ordinarily, you need to obtain informed consent from a client before releasing information you've obtained from him or her. However, this is not always the case; for instance, when you reasonably suspect child abuse, you are legally obligated to file a report with the appropriate state agency -- with or without the client's consent. As for consulting situations (choice B), informed consent from the client is not necessary as long as you adequately disguise the client's identity

Front 3

A client of yours has signed up for the same exercise class you attend. You should:

Back 3

This question is about multiple relationships. Ethical Standard 3.05(a) (Multiple Relationships) indicates that, “A psychologist refrains from entering into a multiple relationship if the multiple relationship could reasonably be expected to impair the psychologist's objectivity, competence, or effectiveness in performing his or her functions as a psychologist, or otherwise risks exploitation or harm to the person with whom the professional relationship exists." Thus, if there are just two of you in the class, this relationship might impact the therapeutic one, while in a large class, the effects will probably be negligible. The Standard doesn't tell you how to decide–it just instructs you to determine what is in the best interest of your client.

Front 4

A new client comes to see you and you find his political views to be distasteful. In this situation, as an ethical psychologist, you should:

Back 4

Ethical standard 1.09 applies to this situation. It states that "In their work-related activities, psychologists respect the rights of others to hold values, attitudes, and opinions that differ from their own." Therefore, C is the best answer, since it is most consistent with the ethical standards. A consultation or even a referral may be necessary if your ability to conduct therapy would be impaired. However, there is no reason why a difference of political opinion alone should interfere with therapy.

Front 5

Continuing Education Credits (CE credits) earned through an APA approved sponsor means that the program is:

Back 5

An organization is approved by APA to sponsor continuing education programs. The sponsor then becomes responsible for each program

Front 6

Fee arrangements should be made with clients

Back 6

"as early as is feasible in a professional or scientific relationship, psychologists and recipients of psychological services reach an agreement specifying compensation and billing arrangements.

Front 7

The Health Insurance Portability and Accountability Act (HIPPAA) of 1996 applies to:

Back 7

only health care providers who transmit health information electronically

Front 8

You have a client who does not want their records released under any circumstances. The attorney has subpoened you. Your best course of action is to:

Back 8

If you can not be released from the subpoena, you should appear at the legal proceeding with the documents requested. You should not actually release any information from the records unless the judge orders you to do so.

Front 9

During the course of a research experiment, subjects witness someone who is apparently hurt, needing immediate help, and are unable to help or know if the person is assisted. The subjects become immediately distressed. In this situation:

Back 9

"psychologists explain any deception that is an integral feature of the design and conduct of an experiment to participants as early as is feasible, preferably at the conclusion of their participation, but no later than at the conclusion of the data collection."

Front 10

With parental consent, a psychologist has been providing therapy to a 12 year old boy for a couple of months. Unexpectedly, both parents suddenly withdraw their consent. The psychologist believes that continuing therapy is in the best interest of the boy. The psychologists best course of action would be to:

Back 10

seek judicial intervention (the psycholgist would not just terminate w/out attempting to advocate for the patients, but he can not continue to treat without parental consent)

Front 11

A child has been assigned a new legal guardian. His biological parents had a psychological evaluation completed and had received the results. The new legal guardian is requestion a copy of the report. What is the most correct thing to do?

Back 11

Provide the legal guardian with a copy of the report.

Front 12

To testify as an "expert witness" in a court case, you must

Back 12

have specialized knowledge in the area about which you are testifying

Front 13

What are the four "D's" to win a malpractice suit?

Back 13

Dereliction of a Duty Directly causing Damage

Front 14

Which section of the Ethical Principles of Psychologists and Code of Conduct discusses the "intent, organization, procedural considerations, and scope of application of the ethics code"?

Back 14

The introduction

Front 15

The police inform you that they have a warrent out on one of your clients who is suspected of several felony charges of grand theft auto. They want you to provide them with the client's address and phone number. You should:

Back 15

refuse to provide them with the information and notify your client (no imminent danger to self or others). However, you should discuss the option of turning himself into the police

Front 16

When a psychologist believes that her patient's records will be used in a legal proceeding, she should:

Back 16

maintain them in the kind and quality consistent with reasonable scrutiny in an adjudicative forum.

Front 17

During the 10th psychotherapy session with a client, you realize that your client has recently started dating your best friend. You should:

Back 17

"take reasonable steps to resolve it with due regard for the best interests of the affected person. Probably the best option is to discuss the matter with your client immediately, then any additional steps (such as referring the client)

Front 18

The association of state and provincial psychology boards describes the EPPP as:

Back 18

a measure of "the knowledge that should have been acquired by any candidate who is seeking licensure to practice psychology

Front 19

You are contacted by a defendant's attorney to evaluate the defendant to determine if there are grounds for the insanity defense. Who is the "holder of the privilege" in this situation?

Back 19

The defendant

Front 20

To be consistent with ethical requirements, a psychology intern must do which of the following when a supervisor has legal responsibilty for his work?

Back 20

He must tell his clients that he is a psychology intern and being supervised

Front 21

The mother of a previous client of yours asks for a copy of her daughter's records. The daughter saw you for two years and died three months ago when she was 38. You should:

Back 21

not release information after a client's death without proper authorization from the client's legal representative.

Front 22

A psychologist who already has an established therapeutic relationship with a child is asked to act as an expert witness in a divorce proceeding involving custody of the child. The psychologists best course of action would be to:

Back 22

b/c of therapeutic relationship it would be in the best interest for the psychologist to refrain from testifying. Instead, the psychologists role should be to provide the child with continued support

Front 23

Dr. Karen Kempfer, a licensed psychologist who specializes in couple and marriage therapy, has tested positive for HIV. In terms of ethical requirements, Dr. Kempfer should:

Back 23

refrain from participating in any professional activities that might be adversely affected by her medical condition

Front 24

A 26-year-old client unexpectedly admits that he had sexual relations with the 15-year old daughter of his neighbor 6 months ago. You should:

Back 24

report the client to the appropriate authorities (NOT the parents b/c would be a breach of confidentiality)

Front 25

Within the context of sexual harassment, "quid pro quo" refers to:

Back 25

when a person's submission to or rejection of sexual advances affect his/her employment status.

Front 26

For insurance companies the most expensive malpractice claims have been

Back 26

sexual intimacies with clients

Front 27

To reduce their liability risk, managed care organizations are most likely to do which of the following?
a. insure their providers are credentialed
b. reduce the amount of time between date of claim submission and approval of claim
c. utilization review
d. pay their providers a resonable reimbursement rate

Back 27

a. insuring their providers are credentialed helps to insure they are competent and consequently reduces their risk o liability
(Utilization review is a cost containment procedure)

Front 28

You are working as a psychologist in a hospital with a patient suffering from head trauma. In your presence, the patient develops delirium. In this situation you should:

Back 28

provide environmental support (you should not leave a patient with delirium alone), manipulate environment in orer to reduce confusion and disorientation, and give medication if the patient is agitated

Front 29

A psychologist working in the prison system is asked to evaluate a prisoner and make a recommendation about his eligibility for parole. The psychologist should
a. refuse to do so since this is outside the scope of a psychologist's work
b. do the evaluation and report its results but refuse to make a specific recommendation
c. make a recommendation as long as it is based on the results of valid standardized tests
d. make a recommendation but point out any possible limitations of the data on which it is based

Back 29

d - This answer is most consistent with the requirements of the Ethics Code and the Specialty Guidelines for Forensic Psychologists. For example, Standard 9.06 of the Code requires that psychologists “indicate any significant limitations of their interpretations.” Although recommendations should be based on valid assessment techniques, those techniques do not have to be standardized tests (answer C).

Front 30

To ensure providers meet and maintain health plan participation requirements, managed care organizations use _________ as a review process

Back 30

credentialing

Front 31

Your client has moved out of state. She has called and left you a voice mail message requesting that you send her records to a new therapist. She leaves her new therapist's number and address but not her own. You have a current written release from her on file. You note that she has one outstanding balance of $200. You should:
a. contact the therapist and try to get the client's number
b. send all records
c. send a summary along with an invoice
d. send the summary along with an invoice indicating the amount still owed

Back 31

A. It will be helpful to know the puropse of the request. Your client has a right to a copy of her records and a right to have them sent where she chooses, but your best course of action would be to discuss the situation with her.

Front 32

A psychology program requires its students to attend group therapy. This is permissible if:

Back 32

the students are given the option of receiving therapy from therapists not affiliated with the program

Front 33

You receive a letter from the current therapist of a former client. The therapist wants you to forward a copy of the client's records, and she encloses a signed release from the client. The client still owes you for ten therapy sessions, and you notify the client that you will not release the records until a satisfactory payment arrangement has been made. According to the Ethics Code, this is ethical or unethical and why?

Back 33

It MAY BE ethical IF the client's records are not "imminently needed."

This issue is covered by Standard 6.03 of the Ethics Code, which states that “Psychologists may not withhold records under their control that are requested and needed for a client's/patient's emergency treatment solely because payment has not been received."

Front 34

A father brings his 10-year-old son to a psychologist for therapy due to symptoms of depression. The father states that the boy's symptoms began shortly after the parents separated several months ago. The boy is currently living with his father. The father further states that he only wants help for his son and does not want any report or testimony from the psychologist for the divorce proceedings. The psychologist should:
a. have both parents sign an agreement that neither will require the psychologist to provide a report or testimony about the child's therapy
b. contact the parents' attorneys to clarify the psychologist's role
c. refuse to treat the child unless you can evaluate both parents
d. provide therapy for the child but do not maintain any records that could be subpoenaed

Back 34

B. Ethical Standard 10.02(b) states, "If it becomes apparent that psychologists may be called on to perform potentially conflicting roles (such as family therapist and then witness for one party in divorce proceedings), psychologists take reasonable steps to clarify and modify, or withdraw from, roles appropriately." Although the patient's father has indicated that he does not want a report or testimony from the psychologist, it would be more prudent to clarify the psychologist's role with the attorneys of each of the parents. Having the parents sign an agreement as suggested in "A" does imply a clarification of the psychologist's role, but it may not be legally binding or in the child's best interests and is not as good a choice as "B." Choice "C" is incorrect because although it is necessary to evaluate all members of a family before making recommendations regarding child custody, in this case, it is therapy that is requested, not a custody evaluation. Finally, "D" is incorrect because psychologists must maintain adequate records

Front 35

You have been hired to assist with a research project on process variables in group psychotherapy.‭ ‬The psychologist who is the principal investigator tells you to discourage participants from leaving the group prior to the end of the study because,‭ ‬if too many participants drop out,‭ ‬the study's potential usefulness will be seriously compromised.‭ ‬As an ethical psychologist,‭ ‬you should:
a.refuse to assist with the research project
b.immediately file a complaint against the psychologist with the psychology licensing board or ethics committee
c.write a letter to the psychologist,‭ ‬indicating the relevant ethical standards and offering to discuss the matter with him
d.follow the psychologist''s instructions since,‭ ‬by‭ "‬discouraging‭" ‬participants from leaving the group,‭ ‬you are not actually coercing them to participate.

Back 35

By offering to discuss the matter with the psychologist, you are attempting to resolve the matter informally, which is consistent with the requirements of the ethical guidelines.

Front 36

A psychologist sets up a private practice in a lower middle-class urban neighborhood. ‭ ‬After several months,‭ ‬he realizes that his lack of clients is due primarily to the fact that most of the residents of the neighborhood cannot afford his hourly fee.‭ ‬He therefore decides that he will include in future advertisements a statement indicating that his services are provided on a‭ “‬sliding scale.‭” ‬This practice is:

Back 36

Ethical

Front 37

Dr.‭ ‬Everett Ernest,‭ ‬a licensed psychologist,‭ ‬has recently started a practice in a small town.‭ ‬He learns from a mutual friend that Dr.‭ ‬Cathy Chatty‭ (‬also a psychologist‭) ‬has been revealing confidential information about some of her clients to members of the community.‭ ‬Dr.‭ ‬Ernest should:
a.contact the clients to let them know what he has heard.
b.obtain consent from the clients and file a complaint with the ethics committee
c.consult with a colleague about the situation.
d.do nothing since the information about Dr.‭ ‬Chatty is hearsay

Back 37

C. Of the answers given, this is the best one. If Dr. Ernest felt comfortable with discussing the issue with Dr. Chatty, that would probably be the best course of action. Since this is not given as an alternative, consulting with a colleague is the best answer.

Front 38

A new group being led by Dr. Domato includes members from a variety of cultural backgrounds. Dr. Domato should:

Back 38

help each member determine whether or not cultural biases and racism are contributing to their problems

APA's Guidelines for Providers of Psychological Services to Ethnic, Linguistic, and Culturally Diverse Populations applies to this situation. It specifically states that when working with members of ethnic/cultural minorities, psychologists "seek to help a client determine whether a ‘problem' stems from racism or bias in others so that the client does not inappropriately personalize problems."

Front 39

You have been seeing a female client in therapy for over a year and on your birthday she arrives with a beautifully gift-wrapped sweater and birthday card. You should

Back 39

First explore the meaning of the gift (clinical transference); However, once investigated, the resolution probably won't include a new sweater.

Front 40

In a local newspaper advertisement in which you announce the availability of your services, you include testimonials from several of your clients. This practice is:

Back 40

Ethical as long as the following conditions are met:

1. as long as the individuals providing the testimonials are not your present clients

2. as long as the individuals providing the testimonials are not your present clients and have not been subject to undue influence

Front 41

You are treating a patient with both an AXIS I and an AXIS II diagnosis. You know that the insurance company is much more likely to pay for the AXIS I treatment. What should you do?

Back 41

The best choice when dealing with insurance companies is to behave ethically. Present a clear and complete diagnosis and an appropriate treatment plan. Bill for the stated service. Let the insurance company decide who pays for what

Front 42

If a former patient calls and tells you he started taking medication but sees no benefit and would like to quit and come back to therapy. What should you advise?

Back 42

Tell your patient that it would be best for him to discuss the matter with the psychiatrist before making an appointment with him. Psychologists are not qualified to give advice about medication.

Front 43

If a defendant is court-ordered for alcohol treatment, will you still need a waiver of confidentiality?

Back 43

Yes, but the usual procedure is for the individual to sign the waiver when he chooses the tx option at court