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16 Cards in this Set

  • Front
  • Back
This action is a critical consideration in dealing with ethical dilemmas:
Identifying the issue as an ethical one
The professional code of ethics is a
Guide
Which ethical principle does the following situation go against? As a counselor, you become concerned that a client, who you are seeing for financial counseling, is making poor dating decisions. She finds her dates on Craig's List. She often sleeps with a man on the first date. In order to make an impression on her you tell her she has no morals and that you have no respect for her.
answer: Ethical Principle: Social workers respect the inherent dignity and worth of the person

!
Ethical Principle: Social workers respect the inherent dignity and worth of the person. According to NASW, "Social workers treat each person in a caring and respectful fashion, mindful of individual differences and cultural and ethnic diversity."
Marcus is completing a course of therapy. He requested a copy of his record because he wants to see his 'progress over the months' and 'what you saw in me.' The social worker had no significant concerns about the client reading the record, but questioned Marcus' ability to decipher the handwritten notes. Which of the following is not an acceptable course of action?
answer: Tell Marcus the handwriting is poor, but he may instead ask any questions he has

Marcus made a request for his record and the social worker had no objections that were related to harm or serious misunderstanding. Marcus has a right to his records unless there is an exceptional circumstance. No such circumstance was presented here, so not providing access to the record is not acceptable.
A social worker is doing non-directive play therapy with a child the child tells the social worker to "punch that doll in the face." The social worker should:
answer: Punch the doll

Punch the doll, in non-directive therapy the child directs play
The terms "confidentiality" and "privilege" are the same thing according to ethical codes.
This statement is false
A client calls a therapist's after-hours number on New Year's Eve to discuss a fight she has had with her boyfriend. She wants to know if her feelings are justified and whether or not she should call off the wedding. With the new year only minutes away, the therapist listens to her situation and tells her that she is correct and should stick to her conviction and end this relationship. Did the therapist behave ethically?
answer: No--the therapist took advantage of his or her influence over the client

The therapist abused his or her power over the client because he or she told the client what to do without allowing her to make a decision on her own. A client will often follow the advice of a therapist due to the perception that the therapist is an authority figure.
A social worker feels that a homeless client would be more able to change his situation if he felt better about himself. He says, "Lady, I won't feel better about anything until I have a roof over my head." According to Maslow she should:
Attend to his hierarchy of needs
During the sixth appointment a client tells you she is seeing another social worker. Your ethical duty would be to:
Determine the nature of the client's relationship with the other social worker
In what setting is confidentiality not an absolute guarantee, despite the assumed ethical nature of the therapist?
answer: Group counseling

In a group counseling setting it is impossible for the therapist to maintain confidentiality among all members of the group, even when all members have agreed to maintain confidentiality.
A social worker has been selected as a board member to a family services organization that provides a variety of programs, including counseling. All of the following are acceptable roles for the social worker to play, except:
answer: Paid consultant to counseling staff who deliver services to clients

It is unethical to accept payment for consulting while serving on the board of directors.
While in session, the patient indicates to the social worker that her husband has recently been in a drunken fight at their home, where he knocked out a 19-year-old with a beer bottle. The social worker keeps this information between herself and her patient. The social worker has acted:
answer: Ethically by not breaking confidentiality

The professional has a duty to maintain client confidentiality unless certain conditions apply. In all 50 states, for example, it is the duty of all health care professionals as well as teachers and social service workers to report suspected or alleged child abuse. In this case, the victim of the violent incident is an adult (over 18), so in most cases the professional should honor the principle of confidentiality. It is to be noted, however, that in recent years, 20 states have also passed "adult-abuse" reporting statutes, so the prudent practitioner should acquaint himself or herself well with the laws of the state under which he or she practices.
Jillian is a new BSW graduate. She interviews Mr. Thompson, a veteran suffering with an amputation, complications from a combat training accident 15 years ago. He is in need of a wheelchair and rehabilitation services. He responds abruptly to Jillian, finally exploding, saying, 'My leg still hurts after all this time and they cut it off 8 years ago!' She replies the services must still happen, 'regardless of this history.' Mr. Thompson tells Jillian he can still do what he has to do and she has no idea what he has been through, growing up privileged in a little nest, and refuses her services. She documents his explosive temper, resistance and possible psychiatric issues related to the belief he can still feel his leg. The supervisor should:
Work with Jillian on cultural issues related to war veterans.
A social worker is informed that one of his clients has insurance that will cover only half of the charges for the sessions. He agrees to charge the insurance company for double the amount of his actual fee, so that the patient will not have to pay for anything himself. Though in the gray area, this practice is:
Unethical
The most dangerous times for ethical violations in a therapist's career are:
answer: At the beginning of and toward the end of one's career

The beginning of one's career as a therapist and toward the end of one's career are most dangerous because the therapist is often inexperienced or may have gotten arrogant or sloppy.
Tad is the only school social worker for the 6th to 12th grade in a rural part of the mid-west. He has a client, age 13, who needs a medication evaluation. The only psychiatrist in town who will evaluate children is Tad's sister. The next closest town with a child psychiatrist is two hours away, not a viable option. How does Tad proceed?
Tad discloses the relationship and documents the reasons for the referral and the disclosure