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54 Cards in this Set
- Front
- Back
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Research on therapists who become sexually involved with their clients has shown that:
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the therapist violated other boudaries before the sexual involvement
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Prior to resiging from a mental health clinic, a psychologist should:
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Remove any obsolete data from client records
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If an attorney requests raw test data from you for an upcoming court case, you should:
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only send the data to another psychologist
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When serving as a fact witness in a court proceeding, you can:
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Provide information on the facts (not opinions) only if ordered to do so by the court
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What infraction accounts for the largest percentage of malppractice costs?
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sexual contact with clients
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If an insurance company denies further services for a patient who in your opinion requires further treatment, you should:
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Appeal the decision
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What is the primary purpose of the Ethics Code?
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The welfare and protection of clients & patients
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When might a psychologists private activities be subject to the Ethics Code?
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1)When he engages in an act that has serious consequences (e.g. rape, attempted)
2)when his inappropriate conduct becomes highly publicized, especially if his role as a psychologist is highlighted |
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A psychologist professor who hasn't upated his lecture materials in 10 years may have violated which Ethical Principle?
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Competence
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If a psychologist wants to switch field (experimental to clinical) he must:
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Follow the normal program for clinical training, including internship though need not actually get his new doctorate
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What should one do if a psychologist has personal problems that may impair his effectivenss?
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If he SUSPECTS that it may interfere, he should get consultation. If he KNOWS it will interfere, he should refer and temporarily suspend practice
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When is bartering acceptable?
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When it is not clinically contraindicated, & the relationship is not exploitative (e.g you can't have a patient work for you in exchange for therapy, but can possibly accept corn from a farmer who is poor)
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What to do if you observe a psychologist conducting research w/o gaining informed consent?
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Discuss the matter with him, and take feasible steps to rectify the situation.
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What is "creaming & dumping" and is it ethical?
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Treating a poor client until his insurance coverage runs out and then referring him to a clinic. NO
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Can you bill a client for a missed session?
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YEs, but only if he agreed to this policy intially. However, one cannot bill an insurance company for missed sessions.
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What do you do if a client requests his raw data and you believe that the client would be better off with an understandable summary?
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Explain to the client why it is not a good idea, and if he persists, send it with a detailed explanation, and a caveat not to rely on the data alone.
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The use of personality tests such as the MMPI-2 in the selection of employees is:
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clearly unethical
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Ethic Code on the use of the testimonials in advertisements & public statements?
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Unethical whenever they are solicited from persons vulnerable to undue influence.
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Informed consent implies that the person has:
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1)capacity to consent
2)has been informed of significant info regarding the procedure 3)has freely & w/o undue influence expressed consent 4)consent has been appropriately documented |
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The literature has noted what typical profile of a psychologist who has sex with patients?
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Male in his 40's or 50's, who has an unstable marriage, is professionally "burned out", & is suffering from depression, sleep disturbances, and or alcohol/drug abuse (also, higher risk if had been in therapy)
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The most frequent casue of complaints to the Ethics Board is:
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Sexual misconduct (also most frequent & most costly cause of malpractice claims)
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If an insurance company requests information on a client, one should:
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Find out why it is needed, and if the request is valid, release only info that is relevant. He should also include a cover letter stating that the enclosed info is confidential
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What info can you release regarding an EAP?
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1)Whether or not the employee showed up
2)whether or not he needs treatment 3)whether the employee accepted to undergo treatment |
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What to do if a patient has AIDS?
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No legal duty unless:
1)you know the identifiable party at risk 2)have reason to believe the party doesn't know 3)the patient has been urged to disclose and refuses |
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What to do if you receive a subpoena?
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1)Determine if it is a legally valid demand for disclosure
2)Contact the client and discuss the implications 3)If he consents, release 4)If he refuses, negotiate with the court and present why you are refusing |
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Getting informed consent n research involves:
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Informing subjects of the nature of the research, advising them that they are free to withdraw, informing them of significant factors that may influence their decision, & use understandable language
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Can a professor make grades dependent on taking part in research?
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Only if they are given an alternative as well
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Deception in research is permitted if:
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1)It is the only way to conduct the research
2) The value outweighs the cost of deception 3)Subjects are debriefed after the study |
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Most frequently encountered ethical dilmma
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Confidentiality
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Most common casue of discipline regarding financial arrangments
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Altering a diagnosis to maximize reimbursment
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If your client tells you she had sex with a previous therapist, you should:
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outline the patient's rights and options regarding legal action and ethics complaints
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The General Guidelines for Providers of Psychological Services were established to
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Protect the public interest
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The primary purpose of the Speciality Guidelines for the Delivery of Services is to
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educate the public and advance the profession
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The primary purpose of the Standards for Educational & Psychological Testing is to:
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provide criteria for evaluating whether tests are properly used
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The Standards for Educational & Psychological Testing suggest test scores be reported in terms of:
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confidence intervals or percentile bands
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If you have a grievance about the exam:
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It must be filed through the state board who will deal with AASPB. They will hand-score your exam, and/or provide you with feedback on your performance
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Confidentiality during consultations:
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1) Only seek consultation for appropriate matters
2)only reveal info neccesary to achieve the purpose of consultation 3)do not reveal identifying info unless consent has been obtained (need not get consent for anonymous consultation) |
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Types of malpractice suits:
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1)Breach of contact: Failure to keep promise to provide good results.
2)Assault: 3)Abandonment: Failure to continue to provide service when it is still needed 4)Suicide 5)Unauthorized disclosure of privleged communication 6)Negligence - failure to provide service |
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What constitutes malpractice?
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1)Professional relationship exists
2)Psychologist was negligent or failed to live up to duty 3)Harm occured to the patient as a result |
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For most HMO's the most important factor in approving in-patient treatment is:
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Decline in functioning
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Difference between ethics and values:
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Ethics are standards of practice, while values refer to judgments of right or wrong
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If you receive a subpoena for a current client's records, you should:
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Show up at the court with the recors, an release then if the clien has waived privlege.
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A psychologist, who is a
member of the APA, recieves a letter from the Ethics Committee. The charge against the psychologist in that he cheated on the Psychology licensing exam. This mean the psychologist: A) will be barred from further consideration for licensure B)will have to retake the exam under supervision C)must respond to the charge letter within 30 days D)can request independent adjudication or a formal hearing |
C)must respond to the charge letter within 30 days
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Patient tells you he has AIDS & wonders whether to tell his wife. Your first intervention is:
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Refer him for medical advice
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Acc. to APA Guidelines, what should a therapist do to address the issue of "healthy paranoia"?
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Help the patient distinguish betwen problems caused by racism & discrimination, and personal problems
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Most of the complaints brought against clinical supervisors by their supervisees are related to:
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lack of feedback
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Who holds privlege in court ordered treatment?
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The client (unlike court ordered evaluation where the court does)
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The term professional psychologist refers to:
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someone who has a doctorate in psychology from a regionally accredited school
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If your client forges your name and gives wrong info to the insurance company, you should:
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Confront the client and then deal with the insurance company
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When sending patient info electronically, you should:
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Clearly mark it as confidential
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Acc. to APA's Guidelines, a "user" of psychological services includes:
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direct users, third party purchursers, sanctioners, & public/private facilities & orginizations receiving psych services
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Under Federal law, what must HMO's provide for mental health services?
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Short-term outpatient evaluative crisis intervention & treatment for alcohol & drug addiction
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In absence of state guidelens for retention of records, one should:
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Follow professional regulations (full record for 3 years, & summary for 12 more years)
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Records of psych services should include:
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Services provided, tx plans, & fees
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