Ethics Midterm Exam

Front 1

Name the general principles

Back 1

beneficience and nonmaleficence;
fidelity and responsibility
intergrity
justice
repect for rights of dignity

Front 2

**What is the difference between ethics, legality, and morality?

Back 2

morals: concerned with behavior, what is right and wrong (the goodness or badness of behavior)

ethics: concerns the examination of the underlying assumptions and principles of that which is considered right and wrong (ethics is study of morality) (an objective inquiry about behavior)

Front 3

APA formal code of ethics adoped in this year

Back 3

1953

Front 4

what is unique to the APA code of ethics

Back 4

reflects actual solicited input from the existing membership

Front 5

what are prima facie obligations

Back 5

an obligation that must be filled unless it conflicts on a particular occasion with an equal or strong obligation ... it is binding UNLESS overridden or outweighed by competing moral obligations (TRUMPS it)

Front 6

give an example of beneficence

Back 6

providing benefits, balancing benefits, risks, costs
ex: selecting the best tx for the pt

Front 7

give an example of nonmaleficence

Back 7

avoiding causation of harm;
ex: not using an experimental technique that has not have success record or that has unwanted side effects

Front 8

give example of "respect for autonomy"

Back 8

respecting the decision making capabilitiies of autonomous persons
ex: respect wishes of client - eg wants a divorce

Front 9

give example of Fidelity

Back 9

loyalty to patient, placing pt interest first
ex: avoid taking cl when a possible conflict of interest could compromise effectiveness of therapy

Front 10

give example of Justice

Back 10

treating ind's fairly;
ex: refraining from unfair tx due to race, sex orientation, etc

Front 11

give example of General Beneficience

Back 11

obligations to society in general
ex: accurate representation of psych issues on a radio/TV program; duty to warn and protect

Front 12

where does the concept of confidentiality ultimately derive from?

Back 12

the constitution - right to privacy
confidentiality is the ETHICAL domain of privacy

Front 13

when does the discussion about confidentiality happen?

Back 13

BEFORE the first session

Front 14

what is the first thing you should write in your ppw with a new client?

Back 14

reviewed confidentialtiy and its limits
(informed consent)

Front 15

how long must we keep records

Back 15

5 yrs
lawyers cant get info past 5 yrs

Front 16

what allows us to commit someone against their will?

Back 16

the Mental Health PRocedures act (PA 1976)

Front 17

what is the spirit of the law in regard to the Mental Health Procedures act?

Back 17

civil liberties

provides a system of checks and balances... least restrictive modality

Front 18

what steps are involved in the Ethical Decision Making model?

Back 18

1) recognize ethical concern
2) define the specific eth. issue
3) consult APA code of conduct
4) decide tentative course of action
5) consult w/ colleagues
6) review tentative course vs guiding principles
7)further consultation as nec
8) take nec action

Front 19

what is a 302

Back 19

involuntary psych eval
eval has to be done in 5 days, if need longer, it becomes a 303

Front 20

what is a 201?

Back 20

a voluntary admission; law specifies least restrictive modality, so cl can sign in rather than be 302's and then can sign self out in 72 hrs

Front 21

what was the change from 1974 to 1976 in the Tarasoff law

Back 21

in 1974 duty to warn
1976 became duty to warn AND protect

Front 22

CA state supreme court enacted Tarasoff, many other states have since adopted their own version. Did PA?

Back 22

yes, Emerick is PA's version of Tarasoff

Front 23

do psychologists have the requirement to predict HI?

Back 23

no, we only ASSESS, don't predict

Front 24

what is ethical fading

Back 24

tendency to move the ethical or moral implications of implementing a decision into the background (know what we should do, but use own moral principles to guide what we ACTUCALLY do) e.g many know of others doing ethical misconduct and don't do anything about it

Front 25

what are clues that suggest risk of suicide

Back 25

verbal intent, SI, hx past attempts, precipitating event, deterioration in social or vocational functioning, plan, intense affect, expressed hopelessness and despair

Front 26

approx how many therapists have lost a cl to suicide?

Back 26

1/4 to 1/2

Front 27

based on legal anayses of suicides, what should therapist do when concerned about SI

Back 27

no agreed upon, clear cut action, BUT carefully document concerns and decisions when working with potenitally suicidal clients