Ca Law And Ethics Exam

Front 1

Is advertising legal, ethical, or legal and ethical?

Back 1

Legal and Ethical

Front 2

What are types of abuse are mandated to report?

Back 2

Physical, sexual, and neglect

Front 3

What two types of abuse are optional to report?

Back 3

Domestic violence and emotional abuse

Front 4

What should a therapist do if a child is taken out of state without permission?

Back 4

Maintain confidentiality and encourage client to contact law enforcement.

Front 5

When does consensual sex between minors mandate a report?

Back 5

If one participant is 13 and younger and the sexual partner is 14 and over.

If one participant is 21 or over and the sexual partner is 16 and younger.

Front 6

During the test, how should I asses consensual sex between minors?

Back 6

Are either participant 13 and younger?

Is one participant old enough to drink? Then the other participant needs to be old enough to drive.

Front 7

When should a therapist not inform their client of a mandated report?

Back 7

If it puts client, victim, or therapist in danger

Front 8

True or false homelessness is a mandated CPS report?

Back 8

False

Front 9

Lewd and lascivious behavior between minors ages 14 and 15 with a partner of how many years older is a mandated report?

Back 9

10 years

Front 10

Confidentiality is a legal, ethical, or legal and ethical responsibility?

Back 10

Legal and ethical

Front 11

A therapist must maintain confidentiality if a client discloses a crime previously committed unless this exception occurs?

Back 11

The crime was against protected classes- child abuse, dependent adult abuse, and elder abuse

Front 12

What are the 4 mandated exceptions to confidentiality?

Back 12

Child abuse

Elder/dependent adult abuse

Harm to others/tarasoff

Court order/ search warrant

Front 13

What are the 6 permitted (not mandated) exceptions to confidentiality?

Back 13

High risk of suicide

Client is gravely disabled

ROI signed

Billing insurance

Disclosures to parents made by minors

Disclosures to other mental health providers to prevent harm to clients

Front 14

What reasonable steps should a therapist take to protect victims from threats made by clients?

Back 14

Notify law enforcement

Notify intended victim

Involuntary or voluntary hospitalization

Front 15

What are the 6 categories of elder abuse?

Back 15

Physical abuse

Abandonment

Isolation

Neglect

Financial abuse

Abduction

Front 16

What type of elder abuse is optional to report?

Back 16

Emotional abuse

Front 17

Pertaining to elders or dependent adults residing in a long term facility, if non physical abuse occurs, what is the reporting process?

Back 17

Report to local ombudsman or law enforcement immediately. Follow up with written report within two business days.

Front 18

What reasonable steps should a therapist take to protect victims from threats made by clients?

Back 18

Notify law enforcement

Notify intended victim

Involuntary or voluntary hospitalization

Front 19

What are the 6 categories of elder abuse?

Back 19

Physical abuse

Abandonment

Isolation

Neglect

Financial abuse

Abduction

Front 20

What type of elder abuse is optional to report?

Back 20

Emotional abuse

Front 21

Pertaining to elders or dependent adults residing in a long term facility, if non physical abuse occurs, what is the reporting process?

Back 21

Report to local ombudsman or law enforcement immediately. Follow up with written report within two business days.

Front 22

Pertaining to elders or dependent adults residing in a long term facility, if physical abuse resulting in non serious bodily injury occurs, what is the reporting process?

Back 22

Report to law enforcement within 24 hours. Written reports submitted to law enforcement, ombudsman, and licensing agencies within 24hours

Front 23

Pertaining to elders or dependent adults residing in a long term facility, if physical abuse resulting in serious bodily injury ocurrs, what is the reporting process?

Back 23

Report to law enforcement immediately. Written reports submitted to law enforcement, ombudsman and other licensing agencies within 2 hours.

Front 24

If abuse ocurrs outside long term facility, what is the reporting process?

Back 24

Report immediately to APS, written report submitted to APS within 2 business days.

Front 25

Pertaining to elders or dependent adults residing in a long term facility, if physical abuse perpetrated by another resident with official diagnosis of dementia ocurrs, what is the reporting process?

Back 25

Must be reported to ombudsman or law enforcement. Written reports must be submitted within 24 hours.

Front 26

When is a therapist considered HIPAA entity?

Back 26

When a therapist engages in electronic transactions with 3rd party payers

Front 27

True or False, psychotherapy notes are provided to client if they make a written request to access their record?

Back 27

False

Front 28

True or False Psychotherapy notes are released with a subpoena or privilege waived by a client?

Back 28

False

Front 29

When parents are married who consents to treatment?

Back 29

Either parent

Front 30

When parents were never married who consents to treatment?

Back 30

Either parent

Front 31

When parents are divorced who consents for treatment?

Back 31

Custody agreement- legal custody

Front 32

If the child is in foster care who consents for treatment

Back 32

Childs lawyer unless the court has issued a minute order for social worker or foster parent to consent.

Front 33

If a parent is in crisis or suicidal is it appropriate to treat without consent?

Back 33

Yes

Front 34

If the therapist receives a subpoena signed by the judge or court order what is the therapist required to do?

Back 34

Provide the court requested information

Front 35

If a therapist receives a subpoena signed by a lawyer what should the therapist do?

Back 35

1. Contact client

2. Assert privilege on behalf of the client

3. If client waives privilege have client sign waiver

Front 36

If therapist believes that waiving privilege would be harmful to client what should they do?

Back 36

Inform client their concern and proceed as client wishes

Front 37

A therapist may deliver telehealth services to clients in another state only if?

Back 37

Therapist meets the requirements to legally provide services in that jurisdiction and the state allows delivery of services via telehealth.

Front 38

If a client is a California resident and travels out of state the therapist must do what to provide teletherapy?

Back 38

Check with other state licensing board to see if teletherapy is permitted

Front 39

A therapist may deliver telehealth services to clients in another state only if?

Back 39

Therapist meets the requirements to legally provide services in that jurisdiction and the state allows delivery of services via telehealth.

Front 40

If a client is a California resident and travels out of state the therapist must do what to provide teletherapy?

Back 40

Check with other state licensing board to see if teletherapy is permitted

Front 41

What 5 steps must be completed before before initiating Telehealt therapy?

Back 41

1. Asses wether client is appropriate for telehealth

2. Obtain consent verbal or written, must be documented

3. Inform client or risks and harm of telehealth

4. Provide client with license # and type of license

5. Document reasonable efforts to obtain contact information of local resources and emergency services in the clients area

Front 42

Prior to each telehealth session the therapist must do what 3 things?

Back 42

Verbally obtain the clients full name and address of location

Reasses the appropriateness of telehealth including clients psychosocial situation

Use telehealth best practices pertaining to confidentiality and technology.

Front 43

How does a therapist report abuse if occurred in different state?

Back 43

Report abuse to local CPS agency.

Front 44

If a client presents with suicidal ideation what should the therapist do next?

Back 44

Asses further for plan and means.

Front 45

Do you report domestic violence for elderly population?

Back 45

If the victim is over age of 65

Front 46

Can a therapist refuse client access to their record? What should they do if they feel releasing record could be harmful?

Back 46

Therapist has right to deny request if they feel it would be harmful to client. Therapist should document date of request, reasons for denial, and send the record to another therapist to review the record.

Front 47

True or False, The Standard of Care is the "minimum" level of care

Back 47

True

Front 48

According to the standard of care, what should a therapist do when they are faced with an ethical dilemma or they lack information about a certain scope of practice?

Back 48

Seek consultation

Front 49

What should a therapist do if a client comes to them with an issue that is not under the therapist's scope of competence.

Back 49

The therapist should refer the client to another therapist that is competent in that subject area. However, the therapist can disclose to the client their lack of experience in the subject area and could obtain additional education and training.

Front 50

When are signatures on informed consents mandated?

Back 50

When treating clients or delivering services remotely.

Front 51

What is the timeline for submitting a CPS report?

Back 51

Report via phone immediately. Submit written report within 36 hours.

Front 52

What should a therapist do if a client discloses child abuse in the past?

Back 52

Verify if report was made to CPS. If there was no report then file a new one.

Front 53

If a client expresses suicidal ideation to the therapist what should the therapist do?

Back 53

Asses for plan and means

Front 54

Is danger to self a mandate breach of confidentiality?

Back 54

No

Front 55

Who makes decisions about a conservatee's medical care?

Back 55

The conservator and conservatee

Front 56

How long should a therapist maintain records for an adult and child?

Back 56

Adult- 7 years

Child- 7 years after the child turns 18

Front 57

What is the time line for a client accessing their records?

Back 57

5 days to inspect the record, 10 days to provide treatment summary, and 15 days to provide entire copy of record.

Front 58

Can parents have access to a minor's record?

Back 58

If therapist s concerned that access to the record could cause harm to the client, therapist can deny the request. For children over the age of 12, they must sign a release allowing parents to view the record.

Front 59

What size font has to be on release of information?

Back 59

14

Front 60

If a therapist falsely advertises by claiming they are an "expert" in a certain subject are is this a legal and/or ethical issue?

Back 60

Legal and Ethical

Front 61

Can a therapist provide therapy to a client who moves to another state?

Back 61

No

Front 62

How should a dual relationship be handled in therapy?

Back 62

If the client is not already a client, then therapist should refer to a different therapist. If a dual relationship is identified after the client has started therapy then the dual relationship should be discussed with the client and asses for appropriateness of therapy to continue.

Front 63

What should a therapist do if they experience countertransference?

Back 63

Seek consultation

Front 64

What should a therapist do if they are experiencing therapist impairment?

Back 64

Refer client to another provider and seek personal therapy.

Front 65

If a client discloses to her current therapist that she had a sexual relationship with her previous therapist, what should the current therapist do?

Back 65

Provide the client the brochure Professional therapy never involves sexual behavior.

Front 66

If client is not making progress in therapy what should a therapist do?

Back 66

Seek consultation

Front 67

If therapist is conducting research on clients and changes all identifying information, does the thearpist still need to obtain consent?

Back 67

Yes

Front 68

If the client wants to terminate and the therapist does not think it is a good idea what should the therapist do?

Back 68

Therapist should share concerns with client but support client's right to self determination.

Front 69

If a spanish speaking client is experiencing a crisis and an interpreter is not available, what should the therapist do?

Back 69

Use family member or collateral that is Spanish speaking to interpret

Front 70

What should a therapist do when obtaining informed consent from a client who lacks capacity?

Back 70

Therapist should obtain permission from a third party. The therapist should ensure the 3rd party acts in a manner that is consistent with client's wishes and interests. Therapist should take reasonable steps to enhance client's ability to give informed consent.

Front 71

How should a therapist handle documenting other individual's identifying information (name) who are not the client?

Back 71

Do not add other people's name to the record they have not consented to treatment and would be a breach of confidentiality. Reference them in ways that the therapist would know who it is.

Front 72

True or False, the therapist is responsible for providing appropriate referrals for continuity of care when the client initiates termination?

Back 72

False

Front 73

True or False. Legally, therapists are mandated to warn the victim of a serious threat made by a client.

Back 73

False, warning the victim is optional. Ethically, therapists should warn the victim.

Front 74

If a 65 year old woman shares that her husband hit her, what should the therapist do?

Back 74

Report to APS

Front 75

True or False, therapists are always required to obtain written consent from a parent or guardian before releasing any confidential information about a minor client.

Back 75

False, if child is over the age of 12 you need the child to sign a release.

Front 76

A Tarasoff condition only exists if a client expresses a serious threat to harm an identifiable victim.

Back 76

False, the therapist could receive outside information from family members or friends.

Front 77

It is a therapist's legal duty to challenge a "denial of services" from an insurance company.

Back 77

False, it is an ethical duty.

Front 78

When treating a minor over 12, how should a therapist handle consent first?

Back 78

Determine if parents should consent. Therapist needs to have reason not to include the parents. This should be done before obtaining written consent from the minor.

Front 79

In family therapy, who gives consent?

Back 79

Every member of the family receiving treatment if they are mature enough, this includes minors under the age of 12.

Front 80

Is it ethical to charge a client if you have not told them in advance what the fee is? (this includes crisis situations)

Back 80

It is unethical to charge a client for treatment if you have not disclosed the fee you. Therapist must accept refusal to pay or negotiate a rate that is acceptable.

Front 81

Does a legal representative have access to client's records and how can this be accomplished?

Back 81

Yes, a legal representative can have access to the records, however, a release of information must be signed by the legal representative.

Front 82

When seeking consultation about a case from another therapist in a small/rural community- what should the therapist do first?

Back 82

Obtain a release of information from the client

Front 83

What should a therapist do first if they find out their new client used to be in a romantic relationship with an existing client?

Back 83

Seek consultation

Front 84

Is it ethical to terminate treatment for a client with major depression who just lost her job and can no longer afford the fees? What should the therapist do?

Back 84

It is unethical to abruptly terminate. The therapist should temporarily lower the fees and inform the insurance company.

Front 85

It is identified in couples therapy that the couple's fights often result in physical altercations, what should the therapist do first?

Back 85

Refer to individual therapy. Would not make a safety plan because therapist should do that with client when they are alone. Couples therapy is unethical for couples experiencing domestic violence.

Front 86

True or False, therapists must have locked filing cabinet in their office?

Back 86

False, therapists need a locked filing cabinet but does not have to be in their office as long as they can securely transport files.

Front 87

After a therapist advocates for their client for additional sessions with the insurance company and the insurance company denies, stating the client can only have two more sessions- what should the therapist do? (Client is unemployed and can not pay out of pocket for additional sessions)

Back 87

Therapist should continue providing sessions and discuss an alternative payment plan with client. Terminating with just 2 sessions left is unethical for someone who has a significant mental health disorder. Charging client free of charge is also unethical.

Front 88

If a minor client disclosed previous child abuse what should the therapist do?

Back 88

File a CPS report. If client stated that it was previously reported, try to verify if the report is one file. If unable to verify, report to CPS.

Front 89

If an adult client disclosed previous child abuse as an adult what should the therapist do?

Back 89

Maintain confidentiality

Front 90

The parents of a 14 year old minor are divorced and share legal custody. The father refuses to acknowledge the child’s need for therapy and will not consent. How should the therapist proceed?

Back 90

Obtain consent from minor only and document reasons to not include the parents.

Front 91

An adult client tells a therapist they were molested as a minor. What should the therapist do?

Back 91

Determine if there is suspicion of current molestation of minors. Because the client is an adult, you would not report to CPS. If the client was still a minor, therapist should report to CPS. Just because the molester has access to minors does not mandate a report, there needs to be reason to believe the abuse is currently going on.

Front 92

When should a therapist review informed consent with a client?

Back 92

Prior to the onset of therapy and over the course of the therapeutic relationship.

Front 93

If a therapist determines it is not appropriate to obtain parental consent for a client over the age of 12, they should?

Back 93

Obtain the client’s informed consent and document the reason for not including the parents.

Front 94

It is identified in couples therapy that the husband and wife had a bad physical fight, what should the therapist do to stop the violence?

Back 94

Refer each to individual therapy and stop couples therapy. Provide resources to each individual separately.

Front 95

Before terminating therapy with a client who is not making progress, what should the therapist do?

Back 95

Seek consultation then if there continues to be no progress, explore lack of progress with the client.

Front 96

Does a Tarasoff warning apply if the individual with a plan to harm is not your client (example- family member, husband of client)

Back 96

No

Front 97

If a therapist is made aware of a potential mandated report of abuse/neglect what is the therapist ethical obligation to the client prior to making a report?

Back 97

Review the limits of confidentiality. If a report is mandated, therapist should inform the client that a CPS report must be made. On test, if it is between making a report or informing client of report- choose informing client unless client, victim, or therapist is in danger.

Front 98

What is a no secrets policy?

Back 98

A therapy policy put in place for couple and family services intended to prevent important information in a relationship from being hidden from either party participating in services. It comes from the understanding that when a couple or family are participating in services the “relationship” is the client, not one or the other participants. So in order to uphold what is best for the “relationship” the therapist will not hold secrets for one or the other participants.

Front 99

When reporting to the police/victim of a potential threat, how much details can the therapist provide?

Back 99

As much information necessary in communicating the threat.

Front 100

In couple or individual therapy, if a therapist needs a release of information signed to obtain information from another provider, who needs to sign the release?

Back 100

Every individual in the treatment unit.

Front 101

A suicidal client leaves a goodbye message on the therapists voicemail, what should the therapist do?

Back 101

Contact the client’s emergency contact.

Front 102

What 3 things must therapist legally do to ensure her records are protected?

Back 102

1. Assign a password or lock computer

2. Adhere to the standard of care when keeping records secure

3. Ensure mobile phone is secure if keeping client contact information on it.

Front 103

If a therapist does not have a copy of a typed ROI and needs one signed promptly what should the therapist do?

Back 103

Have the client write a release in her own handwriting and sign/date.

Front 104

Is it legal to bill insurance for missed appointments?

Back 104

Yes

Front 105

When can a therapist agree to barter?

Back 105

If it is determined this is the only way the client can attain services.

Front 106

If a client is not in crisis and unable to pay the therapy fee for the unforeseeable future is it ethical to terminate?

Back 106

Yes

Front 107

Pertaining to continuity of care and collaborating with a previous therapist to a new therapist- when an ROI is signed what information should be shared?

Back 107

Information indicated on ROI and any crisis issues such as a history of suicide attempts, substance abuse issues, etc.

Front 108

True or False, in a situation of crisis, a therapist may provide information needed to treat a client without their consent. For example- 5150 due to suicide or psychotic episodes

Back 108

True

Front 109

True or False, a positive toxicology test at birth is a mandated report?

Back 109

False a positive toxicology report in itself is not enough, therapist should asses for further neglect.

Front 110

IN order to provide the best coordinated care to a patient, what should a therapist do?

Back 110

Obtain signed release to speak with client's medical providers- doctors, psychiatrist, etc

Front 111

A therapist receives a gift card as a "thank you" for providing services, ethically what should the therapist do? What if it is from a family of a different culture?

Back 111

Because gift cards have no indication of cash value, therapist should respectfully decline. The gift card does not have cultural meaning so it would not be relevant.

Front 112

True or false, including client success stories in advertising is unethical?

Back 112

True. Asking a client to do the therapist a favor could be seen as misuse of influence and power the therapist has over the clients.

Front 113

Do you report to APS if a now deceased elder was previously abused?

Back 113

No

Front 114

What is the difference between a conflict of interest and dual relationship?

Back 114

Conflicts of interest occur when there are circumstances that make it hard for the therapist to be impartial.

Front 115

If a therapist is providing services to a female client and the client's boyfriend contacts therapist for services, what should the therapist do and why?

Back 115

Refer the client to another therapist. Providing individual therapy to the boyfriend and girlfriend would create a conflict of interest.

Front 116

True or false, it is ethical to change the unit of treatment for example, individual to couples therapy?

Back 116

True it is acceptable to change the unit of treatment.

Front 117

When changing the unit of treatment for example from individual to couples therapy what legal issues should be handles?

Back 117

Obtain informed consent for the new unit of treatment that includes a discussion regarding potential risks and benefits of changing unit of treatment.

Front 118

Who is allowed to see psychological evaluation test scores?

Back 118

Only those qualified to interpret them

Front 119

When do parents hold privilege for their minor client?

Back 119

If they have been elected as guardian ad litem

Front 120

If your patient is conserved, who holds privelige?

Back 120

Conservator

Front 121

In couple, family, or group settings- how does the therapist handle privelige?

Back 121

You must receive a waiver of each member of the treatment unit in order to waive privelige.

Front 122

If your patient is a minor, who holds privelige?

Back 122

The minor holds privelige.

Front 123

How is privelige handled in a court case where a client brings their mental health diagnosis/treatment into a case

Back 123

Privelige is waived

Front 124

Continuing to provide treatment and charge a client despite the client's symptoms disappearing and functioning well is- illegal, unethical, or illegal and unethical?

Back 124

Unethical

Front 125

A female client with a history of suicide attempts comes to session and reports that she wants to end it all. After further assessment, the therapist learns that the client has a plan to take pills she has hidden at home. What should the therapist do NEXT?

Back 125

Discuss voluntary hospitalization or initiate involuntary hospitalization if necessary

Front 126

The client reports feeling bad and having suicidal ideation, but denies having a plan and promises not to take any action on those feelings. The therapist still feels concerned about the client. How should the therapist respond?

Back 126

Suggest making contact between sessions.

Front 127

A therapist sees a new client for severe anxiety and panic attacks. The client is a recent immigrant from Asia and has difficulty understanding and speaking English. What should the therapist do first?

Back 127

Determine the client's specific language then arrange for a qualified interpreter for the session.

Front 128

Is lack of preventative medical care- example vaccines a mandated report?

Back 128

No

Front 129

At what age does not mandate a report to leave kids at home alone?

Back 129

10 or 11 or older there is no law stating an age and keep in mind of any harm is happening

Front 130

On the test what is an identifying factor for a dependent adult?

Back 130

receiving disability check or relying on someone else to get their needs met

Front 131

Is a therapist legally allowed to break confidentiality coordinating care with medical providers in a crisis situation, for example 5150?-

Back 131

yes

Front 132

When does informed consent need to be signed?

Back 132

If it is a minor. If you receive verbal consent from an adult it must be documented.it is always best to sign. Test will want to make sure you document.

Front 133

What is legally required to be included in informed consent?

Back 133

Fees for service, license status, any technology utilization, fictitious business name being used, if you are a HIPAA covered entity.

Front 134

What should be included in informed consent according to the standard of care?

Back 134

limits of confidentiality, risks and benefits of treatment, alternative treatments, emergency/crisis, background of therapist, define who the client is (unit of treatment-couple, individual, group)

Front 135

What are reasons not to include parents consent to minor receiving therapy?

Back 135

parents were against treatment, child struggling with parent issues, etc.

Front 136

if you are treating a child with divorced parents and the custody agreement indicates either parent can sign for treatment what should therapist do according to best practice?

Back 136

Have both parents sign

Front 137

A dad who has physical custody of his child on the weekends brings his 11 year old child in for treatment for depression, when the therapist contacts the mother who has legal custody of the child, the mother refuses to allow the child to receive treatment, what are the therapists legal obligations in this case?

Back 137

The therapist can not provide therapy to the child.

Front 138

Can legal guardians consent for treatment?

Back 138

Yes

Front 139

What are the two reasons to not obtain informed consent?

Back 139

The client denies to sign or review informed consent and a crisis issue

Front 140

Who holds privelige? Conservatee or Conservator?

Back 140

Conservator

Front 141

Who holds privelige? The child or the child's guardian ad litem?

Back 141

Guardian ad litem

Front 142

If a client has introduced an emotional condition into an emotional proceeding is privilege waived?

Back 142

yes

Front 143

If a client sues for malpractice is privelige waived?

Back 143

Yes

Front 144

A client comes to the therapist office to use therapy as a way to cover up a crime, what does this mean for the psychotherapist-client privelige?

Back 144

Privelige is waived

Front 145

Does a client who is 16 years of age and a victim of a crime such as rape or extortion have privelige?

Back 145

No

Front 146

If a client is in such a mental condition that they are a danger to others and are going to harm property or others, can a clinician break confidentiality?

Back 146

Yes

Front 147

Can a clinician breach confidentiality and share information to a coroner during an investigation?

Back 147

Yes

Front 148

What is the very first things you should do when you receive a subpoena?

Back 148

Contact the client

Front 149

If a client informs the therapist that they want to waive privelige but the therapist believes doing so would be harmful to the client, what is the therapists ethical obligation?

Back 149

Discuss concerns with client. If client still wants to waive privelige, have client sign waiver.

Front 150

A client is suing a company over emotional damages. The therapist receives a subponea from a lawyer, what is the therapists next steps in order?

Back 150

Contact client if you can't get a hold of client assert privilege on behalf of client even if you know that eventually the court will have access to records.

Front 151

If the court issues a subponea for records and the therapists believe that some of the information shared could be detrimental to the client, what should the therapist do?

Back 151

Advocate that limited information be provided to the court.

Front 152

On the test if it just says subponea who should I assume its from?

Back 152

Lawyer

Front 153

If a client wants a copy of their record how much can a therapist charge per copy?

Back 153

25 cents

Front 154

A therapist is treating a client who is 12 and their mother comes in demanding to access the record what does the parent need to do?

Back 154

Obtain signed release from the minor allowing mother access to the record

Front 155

A 10 year olds parents want a copy of their child's records, what should the therapist do?

Back 155

Provide the record UNLESS it would be harmful to the client or theraputic relationship

Front 156

What specifically does a release of information need to indicate?

Back 156

specific uses and limitations of information disclosed- example, medication adherence and side effects

Front 157

If you are already seeing a client and they lose their job, ethically what should a therapist do?

Back 157

Temporarily lower fees to help client in time of crisis/stress

Front 158

If a client is delinquent in payments can a therapist breach confidentiality and send the client to collections?

Back 158

Yes- but must be a part of informed consent!

Front 159

Can a therapist withhold the record if a client has not paid their bill?

Back 159

No

Front 160

What are the circumastances that would make bartering acceptable?

Back 160

Initiated by the client, goods such as vegetables are being offered in exchange, and it is in a community where bartering is an acceptable practice.

**The exchange must be written and signed by both parties**

Front 161

Does Tarasoff apply if the alleged perpetrator is NOT your client?

For example, a wife tells you in therapy that her husband intends to kill his boss.

Back 161

No, tarasoff does not apply. The therapist should encourage the wife to call the police in this situation.

Front 162

If a client is 12 years old but did not consent to treatment and his parents want access to the record- what should therapist do?

Back 162

obtain authorization from client

Front 163

After a client describes feelings of hopelessness or shame what are the next steps a therapist should do in order?

Back 163

Asses for suicidal ideation THEN for a plan and means.

Front 164

The therapist would like to raise fees now that the client’s financial situation has improved. How should the therapist ethically manage the situation?

Back 164

Ethically, therapists are permitted to raise fees after adjusting them to meet a client’s needs. Prior to adjusting the fees, the therapist should assess the client’s situation and, with the client, agree on an acceptable timeline

Front 165

A therapist is providing therapy to an 83 year old man who is conserved. Legally, who must consent to the 83 year olds treatment?

Back 165

The conservator must sign. The conservatee can also sign, but legally the conservator has to.

Front 166

A therapist is treating a minor with suicidal ideation and a tentative plan and access to means, what should the therapist do next?

Back 166

Prior to initiating hospitalization, the therapist should contact the client's parents unless there is harm to the client. Then the therapist could initiate a 5150 with the parents involved.

Front 167

Is it within a therapist's scope of practice to provide court evaluations to establish conservatorship?

Back 167

No a psychiatrist or psychologist do conservatorship evaluations.

Front 168

In order to legally advertise jointly, therapists must:

Back 168

notify clients as to whether they are sole practitioners or a legal partnership.

Front 169

Before terminating with a client for non payment what should the therapist make sure they have done?

Back 169

Make certain that the client fully understands the details of the payment for service agreement.

Front 170

After receiving a request for records from a client and turning over the records, what should a therapist do?

Back 170

The therapist should determine the appropriateness of sharing records (B) prior to honoring the client’s request. If the therapist determines the records could be detrimental to the well-being of the client, the request can be denied, otherwise, the therapist must provide records.

Front 171

A therapist saw a couple in therapy for several months and is subsequently contacted by the wife who wants him to testify in court on her behalf about an unrelated matter. In this situation, legally the therapist should:

Back 171

Testify only if both husband and wife provide written consent

Front 172

Is it legally required to take notes during a therapy session?

Back 172

No

Front 173

Can you provide specialized therapy such as EMDR with no experience if you obtain supervision and training?

Back 173

No, it is illegal and unethical to provide this treatment without extensive trainings prior to treatment delivery.

Front 174

If a therapist is suing a client for non payment, what happens with privelige?

Back 174

Privilege is waived, however, the content of therapy is not revealed.

Front 175

If a therapist is subpoenaed records for a situation they believe will be an exception to privilege (ex using emotional condition) what should they do?

Back 175

The therapist should still assert privilege until the court orders the records

Front 176

Are dual relationships/conflicts of interest a legal, ethical, or legal and ethical issue?

Back 176

Ethical