Termination
True or false. Every client will terminate treatment.
True
True or false. Clients have the right to know what they are undertaking when they come for counseling.
True! (pg. 96)
True or false. Counselors must avoid fostering client dependency. If true, describe why that is and provide an example that may foster dependency. If false, describe and provide an example as to why dependency is beneficial for clients.
True. p. 88
True or false. Confidentiality in counseling is so essential, it has its own section in the ACA Code of Ethics.
True! p. 113
Why is the term "mandated client" preferred over "involuntary client?"
True or false. The ACA Code of Ethics prohibits counselors from abandoning their clients.
True (p. 94)
List the recommended elements to be included in the informed consent.
See pgs 96-97
True or false. Counselors have an ethical obligation to discuss consent with clients in a manner that they can understand.
True. pg 105
____ is an ethical concept wherein counselors protect client information from disclosure without client consent whereas _____ is a legal construct about not having to disclose information in a court of law.
Confidentiality; privileged communication (p. 109)
In order to claim communication is privileged under the law, these 4 elements must be present.
See p. 115
Counselors prepare for interruptions in services that may impact clients. What types of interruptions do counselors prepare for and why?
1- Sickness, vacation, sudden absence, family emergency, death
2- To care for clients, ensure clinical needs are met, avoid harm.
We create a professional will.
p. 92
The textbook identified 8 reasons counselors may be sued related to informed consent. Which one relates failure to correct a client's misunderstanding of your education and training?
#6. Misrepresented credentials (pg. 100)
Counselors seek to obtain _____ when consent is unable to be obtained by the individual due to their age or capacity to consent.
Assent (p. 102)
True or false. Confidentiality and privilege belong to clients, not to counselors.
True. p. 121
True or false. When working with clients/students in a group setting, you can guarantee confidentiality.
False. p. 126
What are 3 reasons counselors may prematurely terminate counseling?
1- Cx no longer needs care
2- Nonpayment
3- Counselor is in jeopardy
p. 93
The textbook identified 8 reasons counselors may be sued related to informed consent. Which one relates to promising to keep information private?
#3 - Guarenteed privacy with no exceptions (pg 99)
Informed consent is an ________ _________ that begins with the initial contact between client and counselor and continues throughout the counseling relationship.
Ongoing process (p. 103)
Sharing some client information is typically expected (and should be included in consent for treatment) for all of the following except: clinic clerical staff, colleagues or experts, client's clergy, supervisor.
Leah is a 13-year-old female who has been working with her school counselor for a few weeks on test anxiety. One day, when the SC asks Leah about bruises on her arm, Leah pauses and then asks, "can you keep a secret?" What should the SC say and why?
No.
For 2 reasons. 1- Minors do not have the same legal protection to confidentiality. They are not able to enter into contracts. p. 129
2- concern for harm/abuse
Clients who feel abandoned may be more likely to sue or seek legal redress. List the guidelines provided from the text on how to minimize adverse reactions related to termination.
See pg. 95
In addition, do not terminate when client is in crisis or when client is strongly objecting.
The textbook identified 8 reasons counselors may be sued related to informed consent. Which one relates to the counselor promising that treatment will help the client improve?
Reason 2. Guaranteed an outcome as a result of counseling. p. 99
After a session wherein your client/student was particularly emotional, you initiate and give them a side hug as they are leaving the session. Is this ethical? Why or why not?
No, it is a violation of the client's autonomy. Specifically, the counselor touched the client without implied or actual permission (see pg. 100, #5)
List the 4 circumstances in which a counselor can break confidentiality related to protecting someone from danger.
Suspect abuse or neglect, harm to self, harm to others, cx has life-threatening illness and is exposing others (p. 125-126)
________ _________ is a counselor's best tool against lawsuits and legal entanglement related to confidentiality. It also helps the client be crystal clear about the limits of confidentiality.
Informed consent