ASW Exam CA L&E Questions With Correct
Answers
Confidentiality falls into what three types of issues? - CORRECT ANSWER✔✔-
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Therapeutic, legal & ethical issues | | | |
What is a leading cause of ethical complaints? Litigation for malpractice? -
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CORRECT ANSWER✔✔-Confidentiality
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4th most frequent basis of disciplinary action
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According to the NASW Code of Ethics, social workers should protect
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confidentiality of all info except for when? - CORRECT ANSWER✔✔-Compelling
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professional reasons | |
As necessary to prevent "serious, foreseeable, and imminent harm" to a client or
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other identifiable person.
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To what level of detail should confidentiality be broken when necessary? -
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CORRECT ANSWER✔✔-In these instances, professionals should disclose the least
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amount of confidential information necessary to achieve the desired purpose;
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only information that is directly relevant to the purpose for which the disclosure
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is made should be revealed.
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,What type of consent is required in order for mental health professionals to
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disclose to third parties? - CORRECT ANSWER✔✔-Written
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Verbal - in emergency situations only
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What are the exceptions to confidentiality? - CORRECT ANSWER✔✔-Under
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California law, there are several exceptions to the confidentiality of
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psychotherapy. The primary exceptions to confidentiality concern harm to self or
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others:
Where there is a reasonable suspicion that a client is likely to harm him or herself
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unless protective measures are taken.
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Where there is a reasonable suspicion of child abuse or elder adult physical abuse
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(see Mandated Reporting section);
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Where there is a reasonable suspicion of the potential for danger of violence to
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others (see Duty to Warn section);
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What is reasonable suspicion according to Lowenthal Child Abuse Reporting
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guidelines? - CORRECT ANSWER✔✔-1. Reasonable suspicion does not require
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certainty that child abuse or neglect has occurred;
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2. Reasonable suspicion does not require a specific medical indication of child
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abuse or neglect; any reasonable suspicion is sufficient; and
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3. Reasonable suspicion may be based on any information considered credible by
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the reporter, including statements from other individuals.
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,How should a therapist approach treatment confidentiality with families or
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couples? - CORRECT ANSWER✔✔-It is important for the provider to be specific
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with regard to confidentiality issues and to seek agreement among the parties
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involved concerning each individual's right to confidentiality and obligation to
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preserve the confidentiality of information shared by others.
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How should a therapist approach treatment confidentiality with groups? -
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CORRECT ANSWER✔✔-The mental health provider cannot guarantee that group
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members will keep information confidential and this information is important to
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share with all group members in advance of group psychotherapy.
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Can clients access their therapeutic medical record? - CORRECT ANSWER✔✔-Yes -
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clinicians are ethically mandated to support clients in record review. Per the
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NASW ethical code: "Social workers should provide clients with reasonable access
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to records concerning the clients. Social workers who are concerned that clients'
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access to their records could cause serious misunderstanding or harm to the
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client should provide assistance in interpreting the records and consultation with
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the client regarding the records. Social workers should limit clients' access to their
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records, or portions of their records, only in exceptional circumstances when
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there is compelling evidence that such access would cause serious harm to the
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client. Both clients' requests and the rationale for withholding some or all of the
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record should be documented in clients' files."
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What is privileged communication? - CORRECT ANSWER✔✔-Privileged
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communication refers to a private statement that must be kept in confidence by
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the recipient for the benefit of the communicator."
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How many privileges are there in CA? - CORRECT ANSWER✔✔-13 recognized
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, Who holds the privilege? - CORRECT ANSWER✔✔-Client if no guardian or
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conservator
If so, guardian/conservator holds it
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Who holds privilege if client is dead? - CORRECT ANSWER✔✔-Personal
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representative
If you want to release information from a group, family or couple, what must you
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do? - CORRECT ANSWER✔✔-• If your identified patient is a group, family, or
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couple you must receive a waiver from each and every member of the group
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before you can release any information.
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Do minor children hold privilege? - CORRECT ANSWER✔✔-Yes - If your patient is
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a minor child, he or she holds the privilege. A minor's parents do not hold the
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privilege for the minor. The only time a parent could hold the privilege for the
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minor is if the court has specifically appointed the parent as a guardian ad litem
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How is privilege asserted for minors with regard to attorneys? - CORRECT
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ANSWER✔✔-• If your patient is a minor, you must assert the privilege on his or
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her behalf. If the minor has an attorney, the attorney can make the decision to
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waive or assert the privilege.
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What does the NASW Code of Ethics say about when the law orders social
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workers to break confidentiality without client permission? - CORRECT
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ANSWER✔✔-Social workers should protect the confidentiality of clients during | | | | | | | | |