and Review Material
Your client, Jordan, has just tested positive for HIV. He is in a relationship and is convinced that if
he tells his partner, Julian, he will leave him. What are your ethical responsibilities in this
situation? - correct answer ✔✔ Maintain confidentiality
As a therapist you are legally and ethically required to maintain confidentiality when you are
aware that your client is HIV positive.
Your client is a 63-year old woman who says that she needs therapy for support since she is
caring for her 72-year-old husband. He is ill with dementia, has cancer, and frequently gets
"cranky." She says that he won't tolerate outside caregivers or nurses to come in and help her so
she has told him that he will have to live in an assisted care facility. You should: - correct answer
✔✔ Assess for abuse or domestic violence
Given the circumstances, you would want to assess for elder abuse since he is 72, and domestic
violence since he gets "cranky."
You are going to refer a client's unpaid balance to a collection agency. Ethically you should: -
correct answer ✔✔ Inform the client of your collection agency policy at the beginning of
therapy
It is ethical to inform a client of your collection agency policy at the beginning of therapy
(informed consent).
You have been in private practice for 5 years and wish to raise your fees. Ethically, the best way
to clinically manage this issue would be to: - correct answer ✔✔ Raise your fee according to
your office policy in the Rights and Responsibility form that each client signs.
, A therapist must give reasonable notice of any changes in fees. By having such a policy stated in
an informed consent form, it gives clients advance notice of possible fee changes.
Marissa is a 16-year-old court-ordered client. She says, "Please don't tell my parents what I talk
about in here." What would you tell Marissa? - correct answer ✔✔ Explain confidentiality and
under what circumstances you might reveal information about her treatment to her parents.
Explaining confidentiality and under what circumstances you might talk to her parents about
her treatment is the best course of action.
You have been seeing the Thyme family for one month. The 15-year-old daughter was molested
by her stepfather, and when her mother found out, she kicked the stepfather out of the house.
The mother tells you on the phone that she just came from the police station, where she went
to press charges against the stepfather. She indicates that her daughter has refused to tell the
police anything. The mother asks you if you could secretly tape her daughter's session when she
talks about the molestation so that the mother can play it back to the police. The best thing to
do is to: - correct answer ✔✔ Normalize the mother's concerns and frustrations regarding her
daughter's refusal to talk to the police, but let her know that it is inappropriate to tape a session
without her daughter's consent.
Normalizing the mother's concerns and frustrations regarding the client's refusal to talk to the
police, but letting her know that it is inappropriate to tape a session without the client's consent
is the correct action to take from a legal perspective.
A therapist who maintains a blog receives a question from a 14-year-old asking about therapy
"without my parents knowing about it." The inquiry included the child's email with an
encryption option. Which of the following statements is NOT true regarding a LMFT who would
consider counseling without parental consent? - correct answer ✔✔ Unless the minor is legally
emancipated, the therapist must have a consent form signed by his parents before any
treatment can be offered.