EPPP Examination Professional Practice
Psychology Assessment Treatment Ethics
Official Practice Exam Actual Exam
2026/2027 with Detailed Rationales |
Complete Exam-Style Questions | Pass
Guaranteed – A+ Graded
══════════════════════════════════════
SECTION 1: ETHICAL, LEGAL & PROFESSIONAL ISSUES Q1 – Q12
══════════════════════════════════════
Question 1 of 50
A 42-year-old client in private practice brings homemade cookies to every session as a
thank-you. The psychologist has accepted them for three months. At a consultation group, a
colleague suggests this may be problematic. What is the most appropriate next step?
A. Continue accepting the cookies to avoid offending the client
B. Establish clear boundaries around gift-giving in future sessions ✓ CORRECT
C. Refer the client to another psychologist immediately
D. Report the situation to the state licensing board
Correct Answer: B
Rationale: Accepting ongoing gifts can create a multiple relationship and shift the therapeutic
dynamic, which Standard 3.05 of the APA Ethics Code addresses by requiring psychologists
to avoid relationships that could impair objectivity. Continuing to accept the cookies risks a
boundary violation because the client may begin expecting special treatment or
reciprocation. The EPPP typically tests the most conservative ethical choice when
boundaries are at risk.
Question 2 of 50
A 28-year-old client in community mental health discloses during session that he has
purchased a firearm and plans to harm his ex-partner later that week. The psychologist
believes the threat is credible and imminent. What is the psychologist's primary legal and
ethical obligation?
,A. Maintain confidentiality and increase session frequency
B. Contact the ex-partner only if the client provides written consent
C. Document the threat but take no further action unless the client acts
D. Warn the intended victim and notify law enforcement ✓ CORRECT
Correct Answer: D
Rationale: The Tarasoff duty to protect and the 2013 amendment to APA Ethics Code
Standard 4.05 require psychologists to breach confidentiality when there is a clear and
imminent danger to an identifiable victim. Maintaining confidentiality in this scenario would
violate the duty to protect and could result in legal liability. The EPPP consistently tests that
warning and protecting are mandatory when threats are specific and imminent.
Question 3 of 50
A licensed psychologist in State A begins offering telehealth services to a client who recently
moved to State B, where the psychologist is not licensed. The psychologist continues weekly
video sessions at the client's request. Which statement most accurately describes the
ethical and legal situation?
A. The psychologist is likely practicing without a license in State B ✓ CORRECT
B. The psychologist may practice in State B if the client initiated contact
C. The psychologist is permitted to practice across state lines for up to six months
D. The psychologist must obtain written consent but does not need State B licensure
Correct Answer: A
Rationale: The ASPPB PSYPACT and most state laws require psychologists to be licensed in
the state where the client is located at the time of service, regardless of who initiated
contact. The Psychology Interjurisdictional Compact allows telehealth across member states
only if the psychologist holds an APIT or E.Passport credential. Assuming continuity of care
exempts interstate practice is a common EPPP trap.
Question 4 of 50
A psychologist in a small rural town is asked to provide therapy to the adult child of her
closest friend. The adult child has no other local providers within 50 miles. The psychologist
has known the client since childhood. What is the most ethically sound course of action?
A. Accept the case because rural areas have unavoidable multiple relationships
B. Provide therapy but disclose the friendship only if the client asks
C. Decline and provide appropriate referrals, including telehealth options ✓ CORRECT
D. Provide therapy but see the client at a reduced fee to minimize conflict
Correct Answer: C
, Rationale: Standard 3.05 of the APA Ethics Code prohibits multiple relationships that could
reasonably be expected to impair the psychologist's objectivity or cause harm, and
pre-existing close relationships with family members are high-risk. Rural practice does not
automatically justify accepting multiple relationships when reasonable alternatives like
telehealth exist. The EPPP tests that avoiding the relationship is preferred when impairment
is foreseeable.
Question 5 of 50
A 16-year-old client in a school-based mental health program requests that her sessions
remain confidential and not shared with her parents. Under most state laws and ethical
guidelines, which statement is most accurate?
A. Minors never have a right to confidentiality in psychological services
B. Parents have a legal right to information, but the psychologist should discuss limits with
the minor ✓ CORRECT
C. The psychologist must obtain the minor's signed consent before disclosing to parents
D. Confidentiality is absolute unless the minor is in immediate danger
Correct Answer: B
Rationale: While parents generally hold legal authority over minors' treatment, APA Ethics
Code Standard 4.02 and most state laws recognize that psychologists should clarify
confidentiality limits with minors at the outset to promote trust. Absolute confidentiality for
minors is incorrect because parents retain legal rights to general treatment information. The
EPPP often tests the balance between legal authority and therapeutic alliance with minors.
Question 6 of 50
A psychologist in private practice receives a subpoena requesting all clinical records for a
client involved in a custody dispute. The client has not waived confidentiality. What is the
psychologist's most appropriate initial response?
A. Comply immediately to avoid contempt of court
B. Send the records but redact sensitive material
C. Contact the opposing attorney to negotiate release
D. Contact the client and seek a qualified legal consultation ✓ CORRECT
Correct Answer: D
Rationale: APA Ethics Code Standard 4.04 and 6.04 require psychologists to protect
confidential information and only release records with client authorization or valid legal order;
a subpoena alone does not override privilege. Complying immediately violates the duty to
protect confidentiality, while consulting with the client and legal counsel preserves rights. The
EPPP tests that subpoenas differ from court orders and privilege must be asserted when
possible.
Psychology Assessment Treatment Ethics
Official Practice Exam Actual Exam
2026/2027 with Detailed Rationales |
Complete Exam-Style Questions | Pass
Guaranteed – A+ Graded
══════════════════════════════════════
SECTION 1: ETHICAL, LEGAL & PROFESSIONAL ISSUES Q1 – Q12
══════════════════════════════════════
Question 1 of 50
A 42-year-old client in private practice brings homemade cookies to every session as a
thank-you. The psychologist has accepted them for three months. At a consultation group, a
colleague suggests this may be problematic. What is the most appropriate next step?
A. Continue accepting the cookies to avoid offending the client
B. Establish clear boundaries around gift-giving in future sessions ✓ CORRECT
C. Refer the client to another psychologist immediately
D. Report the situation to the state licensing board
Correct Answer: B
Rationale: Accepting ongoing gifts can create a multiple relationship and shift the therapeutic
dynamic, which Standard 3.05 of the APA Ethics Code addresses by requiring psychologists
to avoid relationships that could impair objectivity. Continuing to accept the cookies risks a
boundary violation because the client may begin expecting special treatment or
reciprocation. The EPPP typically tests the most conservative ethical choice when
boundaries are at risk.
Question 2 of 50
A 28-year-old client in community mental health discloses during session that he has
purchased a firearm and plans to harm his ex-partner later that week. The psychologist
believes the threat is credible and imminent. What is the psychologist's primary legal and
ethical obligation?
,A. Maintain confidentiality and increase session frequency
B. Contact the ex-partner only if the client provides written consent
C. Document the threat but take no further action unless the client acts
D. Warn the intended victim and notify law enforcement ✓ CORRECT
Correct Answer: D
Rationale: The Tarasoff duty to protect and the 2013 amendment to APA Ethics Code
Standard 4.05 require psychologists to breach confidentiality when there is a clear and
imminent danger to an identifiable victim. Maintaining confidentiality in this scenario would
violate the duty to protect and could result in legal liability. The EPPP consistently tests that
warning and protecting are mandatory when threats are specific and imminent.
Question 3 of 50
A licensed psychologist in State A begins offering telehealth services to a client who recently
moved to State B, where the psychologist is not licensed. The psychologist continues weekly
video sessions at the client's request. Which statement most accurately describes the
ethical and legal situation?
A. The psychologist is likely practicing without a license in State B ✓ CORRECT
B. The psychologist may practice in State B if the client initiated contact
C. The psychologist is permitted to practice across state lines for up to six months
D. The psychologist must obtain written consent but does not need State B licensure
Correct Answer: A
Rationale: The ASPPB PSYPACT and most state laws require psychologists to be licensed in
the state where the client is located at the time of service, regardless of who initiated
contact. The Psychology Interjurisdictional Compact allows telehealth across member states
only if the psychologist holds an APIT or E.Passport credential. Assuming continuity of care
exempts interstate practice is a common EPPP trap.
Question 4 of 50
A psychologist in a small rural town is asked to provide therapy to the adult child of her
closest friend. The adult child has no other local providers within 50 miles. The psychologist
has known the client since childhood. What is the most ethically sound course of action?
A. Accept the case because rural areas have unavoidable multiple relationships
B. Provide therapy but disclose the friendship only if the client asks
C. Decline and provide appropriate referrals, including telehealth options ✓ CORRECT
D. Provide therapy but see the client at a reduced fee to minimize conflict
Correct Answer: C
, Rationale: Standard 3.05 of the APA Ethics Code prohibits multiple relationships that could
reasonably be expected to impair the psychologist's objectivity or cause harm, and
pre-existing close relationships with family members are high-risk. Rural practice does not
automatically justify accepting multiple relationships when reasonable alternatives like
telehealth exist. The EPPP tests that avoiding the relationship is preferred when impairment
is foreseeable.
Question 5 of 50
A 16-year-old client in a school-based mental health program requests that her sessions
remain confidential and not shared with her parents. Under most state laws and ethical
guidelines, which statement is most accurate?
A. Minors never have a right to confidentiality in psychological services
B. Parents have a legal right to information, but the psychologist should discuss limits with
the minor ✓ CORRECT
C. The psychologist must obtain the minor's signed consent before disclosing to parents
D. Confidentiality is absolute unless the minor is in immediate danger
Correct Answer: B
Rationale: While parents generally hold legal authority over minors' treatment, APA Ethics
Code Standard 4.02 and most state laws recognize that psychologists should clarify
confidentiality limits with minors at the outset to promote trust. Absolute confidentiality for
minors is incorrect because parents retain legal rights to general treatment information. The
EPPP often tests the balance between legal authority and therapeutic alliance with minors.
Question 6 of 50
A psychologist in private practice receives a subpoena requesting all clinical records for a
client involved in a custody dispute. The client has not waived confidentiality. What is the
psychologist's most appropriate initial response?
A. Comply immediately to avoid contempt of court
B. Send the records but redact sensitive material
C. Contact the opposing attorney to negotiate release
D. Contact the client and seek a qualified legal consultation ✓ CORRECT
Correct Answer: D
Rationale: APA Ethics Code Standard 4.04 and 6.04 require psychologists to protect
confidential information and only release records with client authorization or valid legal order;
a subpoena alone does not override privilege. Complying immediately violates the duty to
protect confidentiality, while consulting with the client and legal counsel preserves rights. The
EPPP tests that subpoenas differ from court orders and privilege must be asserted when
possible.
