A 54-year-old woman seeks therapy for depression. She shares that her 82-year-old
mother with dementia moved in with her three months ago and she feels
overwhelmed taking care of her. The woman reports, "Sometimes I just leave the
house all day, because I can't deal with all her neediness. She's like a whiny baby."
What should the therapist do NEXT?
A. Refer client to a psychiatrist for medication evaluation.
B. File an elder abuse report.
C. Determine who is caring for her mother when client is gone all day.
D. Refer client to respite care services.
Give this one a try later!
C. Determine who is caring for her mother when client is gone all day.
Rationale: There is not enough to file an elder abuse report because there
may be someone else caring for the mother while she is out. C is the best
answer because it furthers the assessment. Answers A and D could be done
at some point.
,A therapist has been working with Lindsay for six weeks when, unrelated to her
presenting problem, she mentions that her adult son often loses his temper and ends
up hitting his four year-old daughter. The therapist __________________.
Select one:
A.does not need to make a report since she did not learn about the abuse directly
from the victim or perpetrator
B.can choose to make a report as a concerned private citizen
C.must make a report since the information is revealed to her in her professional
capacity
D.does not need to make a report
Give this one a try later!
C. must make a report since the information is revealed to her in her
professional capacity
A client mentions she has been having a difficult time with anxiety and depression
since she began a lawsuit against the company that fired her. She discussed feeling
anxious about how they will treat her as a witness in the trial and who else they may
end up wanting to bring into the court for the case. The therapist was subpoenaed by
the client's opposing lawyer. The therapist should legally respond by:
A. Asserting privilege.
B. Consulting with a lawyer regarding the subpoena.
C. Turning over the client's record and whatever else is required within the subpoena.
D. Maintaining confidentiality.
Give this one a try later!
A. Asserting privilege.
Rationale: The best answer is A. There is no option of informing the client,
so the best thing to do would be to assert privilege.
,A therapist begins seeing a new male client. The male client hugs the therapist when
he walks in and introduces himself and hugs her when he leaves. The therapist is really
uncomfortable with hugs from anyone, especially clients. How should she ethically
handle the situation?
A. Seek consultation to manage her countertransference.
B. Discuss with the client his need or urge to hug and set a boundary with him
regarding personal touch.
C. Hand the client the "Professional Therapy Never Includes Sex" brochure and
discuss that personal touch cannot occur in therapy sessions.
D. Continue to allow the client to hug since it is how he manages the relationship..
Give this one a try later!
B. Discuss with the client his need or urge to hug and set a boundary with
him regarding personal touch.
Rationale: Therapists have an ethical obligation to maintain appropriate
boundaries and should explore these issues as they arise, answer B.
Consultation is unnecessary, as it is appropriate to set clear boundaries
with clients (A). Therapists only need to provide the brochure (C) when a
client reveals past indiscretions with therapists, and answer D ignores the
boundary issue.
A therapist has been treating a new client for depression for three months. During her
session she reports she is going on vacation for a month. She states that she wants to
continue treatment while she is away, and asks to continue treatment through the use
of phone sessions. Legally, what is your responsibility?
A. Verify that she is staying in California and inform her that you can't treat her if she
leaves the state.
B. Complete a separate informed consent for teletherapy with her, and agree to
provide phone sessions while she is away.
C. Refer her to a local therapist near her vacation residence, so she can continue
face-to-face therapy uninterrupted.
D. Review the potential risks and benefits of tele-therapy with her, and discuss the
possibility of continuing therapy through the use of phone sessions.
, Give this one a try later!
B. Complete a separate informed consent for teletherapy with her, and
agree to provide phone sessions while she is away.
Rationale: The best answer is B. Legally, therapists can treat clients who are
temporarily traveling, even if out-of-state, but must receive informed
consent specific to tele-therapy. If we had an option to contact the state's
licensing board to determine regulations regarding teletherapy for out of
state clinicians, that would be the best answer, but it is not available to us in
this question. It would be illegal to treat a client who is residing in a
different state.
An MFT associate is beginning a new supervision relationship with a therapist who has
a private practice. To meet legal and ethical requirements, _________________.
Select one:
A.the supervisor must have been licensed as an MFT for at least two years
B.the associate must be provided with at least one hour of individual supervision in
every week he sees clients
C.the supervisor must pay the associate for his services
D.the supervisor must sign a Supervision Agreement
Give this one a try later!
D.the supervisor must sign a Supervision Agreement
A 13-year-old client with anxiety returns to therapy after a month at summer camp in
Nevada. The client reports that his camp counselor exposed himself to the kids in his
cabin and fondled the client at night. The client does not want his parents to know
about the incident because he is ashamed that he "let it happen" and knows his
parents will be angry with him. How should the therapist legally handle his disclosure?
A. Assure him that his parents will understand and need to be told.
B. File a report with Nevada Child Protective Services.
mother with dementia moved in with her three months ago and she feels
overwhelmed taking care of her. The woman reports, "Sometimes I just leave the
house all day, because I can't deal with all her neediness. She's like a whiny baby."
What should the therapist do NEXT?
A. Refer client to a psychiatrist for medication evaluation.
B. File an elder abuse report.
C. Determine who is caring for her mother when client is gone all day.
D. Refer client to respite care services.
Give this one a try later!
C. Determine who is caring for her mother when client is gone all day.
Rationale: There is not enough to file an elder abuse report because there
may be someone else caring for the mother while she is out. C is the best
answer because it furthers the assessment. Answers A and D could be done
at some point.
,A therapist has been working with Lindsay for six weeks when, unrelated to her
presenting problem, she mentions that her adult son often loses his temper and ends
up hitting his four year-old daughter. The therapist __________________.
Select one:
A.does not need to make a report since she did not learn about the abuse directly
from the victim or perpetrator
B.can choose to make a report as a concerned private citizen
C.must make a report since the information is revealed to her in her professional
capacity
D.does not need to make a report
Give this one a try later!
C. must make a report since the information is revealed to her in her
professional capacity
A client mentions she has been having a difficult time with anxiety and depression
since she began a lawsuit against the company that fired her. She discussed feeling
anxious about how they will treat her as a witness in the trial and who else they may
end up wanting to bring into the court for the case. The therapist was subpoenaed by
the client's opposing lawyer. The therapist should legally respond by:
A. Asserting privilege.
B. Consulting with a lawyer regarding the subpoena.
C. Turning over the client's record and whatever else is required within the subpoena.
D. Maintaining confidentiality.
Give this one a try later!
A. Asserting privilege.
Rationale: The best answer is A. There is no option of informing the client,
so the best thing to do would be to assert privilege.
,A therapist begins seeing a new male client. The male client hugs the therapist when
he walks in and introduces himself and hugs her when he leaves. The therapist is really
uncomfortable with hugs from anyone, especially clients. How should she ethically
handle the situation?
A. Seek consultation to manage her countertransference.
B. Discuss with the client his need or urge to hug and set a boundary with him
regarding personal touch.
C. Hand the client the "Professional Therapy Never Includes Sex" brochure and
discuss that personal touch cannot occur in therapy sessions.
D. Continue to allow the client to hug since it is how he manages the relationship..
Give this one a try later!
B. Discuss with the client his need or urge to hug and set a boundary with
him regarding personal touch.
Rationale: Therapists have an ethical obligation to maintain appropriate
boundaries and should explore these issues as they arise, answer B.
Consultation is unnecessary, as it is appropriate to set clear boundaries
with clients (A). Therapists only need to provide the brochure (C) when a
client reveals past indiscretions with therapists, and answer D ignores the
boundary issue.
A therapist has been treating a new client for depression for three months. During her
session she reports she is going on vacation for a month. She states that she wants to
continue treatment while she is away, and asks to continue treatment through the use
of phone sessions. Legally, what is your responsibility?
A. Verify that she is staying in California and inform her that you can't treat her if she
leaves the state.
B. Complete a separate informed consent for teletherapy with her, and agree to
provide phone sessions while she is away.
C. Refer her to a local therapist near her vacation residence, so she can continue
face-to-face therapy uninterrupted.
D. Review the potential risks and benefits of tele-therapy with her, and discuss the
possibility of continuing therapy through the use of phone sessions.
, Give this one a try later!
B. Complete a separate informed consent for teletherapy with her, and
agree to provide phone sessions while she is away.
Rationale: The best answer is B. Legally, therapists can treat clients who are
temporarily traveling, even if out-of-state, but must receive informed
consent specific to tele-therapy. If we had an option to contact the state's
licensing board to determine regulations regarding teletherapy for out of
state clinicians, that would be the best answer, but it is not available to us in
this question. It would be illegal to treat a client who is residing in a
different state.
An MFT associate is beginning a new supervision relationship with a therapist who has
a private practice. To meet legal and ethical requirements, _________________.
Select one:
A.the supervisor must have been licensed as an MFT for at least two years
B.the associate must be provided with at least one hour of individual supervision in
every week he sees clients
C.the supervisor must pay the associate for his services
D.the supervisor must sign a Supervision Agreement
Give this one a try later!
D.the supervisor must sign a Supervision Agreement
A 13-year-old client with anxiety returns to therapy after a month at summer camp in
Nevada. The client reports that his camp counselor exposed himself to the kids in his
cabin and fondled the client at night. The client does not want his parents to know
about the incident because he is ashamed that he "let it happen" and knows his
parents will be angry with him. How should the therapist legally handle his disclosure?
A. Assure him that his parents will understand and need to be told.
B. File a report with Nevada Child Protective Services.
