NCMHCE Domain: Professional Practice
And Ethics Questions And Answers.
NBCC Code of Ethics -
\establishes the minimum ethical behaviors and provides an expectation of and
assurance for the ethical practice for all who use the professional services of NCCs.
informed consent -
\An ethical principle requiring that research participants be told enough to enable them
to choose whether they wish to participate.
Client records should be kept at a? -
\In a locked cabinet or locked room and a central location
Client records are the property of the client. -
\False: Client records are the property of the clinician (or in some cases the agency),
but clients should have reasonable access to records concerning the client.
confidentiality -
\the act of holding information in confidence, not to be released to unauthorized
individuals
HIPAA -
\Health Insurance Portability and Accountability Act
Health Insurance Portability and Accountability Act (HIPAA) -
\federal law that requires the creation of national standards to protect sensitive patient
health information from being disclosed.
After your work with Jen has ended, she contacts you months later to tell you that she is
speaking in front of a group of teens at the local high school to raise awareness about
sexual assault. She invites you to attend. How should you respond? -
\You are so courageous. It would be my pleasure to attend and hear your speech.
This doesn't cross any inappropriate boundaries. You will be attending this event as a
professional.
You believe that Mr. and Mrs. Jones are good subjects for a research project, and since
you are already seeing them as clients, you conduct the testing during one of your
sessions. Is this acceptable?
You believe that the scientific and educational value of your research outweighs the
need to inform the Joneses either before or after. -
, \INAPPROPRIATE Counselors shall obtain prior consent from all research participants
and shall also inform all research participants that they may withdraw consent at any
time and discontinue their participation at any time
You schedule a 90-minute block to complete an intake session with Zach. Zach,
however, doesn't arrive at your office until he is already 45 minutes late. He professes
that his car broke down, and he had to run to your office. He insists that you see him
now. How do you best proceed?
1) Inform the client of your theoretical orientation
2) Establish payment plans
3) Ask Zach if he is comfortable in signing a release for his wife since she is his
emergency contact
Also do MSE, sign consent forms, assess suicidality (if indicated- this client said he had
just about enough) -
\Appropriate - It is required of ethical therapists to inform clients of the therapist's
theoretical orientation as part the informed consent.
APPROPRIATE Zach will pay out of pocket. Ethical therapists work with clients on an
agreed payment plan prior to the start of the therapeutic relationship.
APPROPRIATE Zach agrees. This is a great idea to get this document signed early on.
True or false? Supervisees must explain their professional position with client they sit in
with. -
\True
True or false? Supervisors must set time for bi-weekly feedback with supervisees -
\False - WEEKLY feedback needed
Your adolescent client stole a phone from his friend's backpack. Do you need to break
confidentiality? -
\You are not legally required to break confidentiality in this case.You might, however,
encourage the client to come forward on his own. Generally, crimes that your client
already committed are confidential; however, there are exceptions, such as child abuse.
When can you release progress notes? -
\Therapy notes are protected and may not be released unless court ordered by a judge
or requested by the parents of a minor. Even then, caution must be used in releasing
this sensitive information, and often, a summary of therapy goals and progress may
suffice instead
And Ethics Questions And Answers.
NBCC Code of Ethics -
\establishes the minimum ethical behaviors and provides an expectation of and
assurance for the ethical practice for all who use the professional services of NCCs.
informed consent -
\An ethical principle requiring that research participants be told enough to enable them
to choose whether they wish to participate.
Client records should be kept at a? -
\In a locked cabinet or locked room and a central location
Client records are the property of the client. -
\False: Client records are the property of the clinician (or in some cases the agency),
but clients should have reasonable access to records concerning the client.
confidentiality -
\the act of holding information in confidence, not to be released to unauthorized
individuals
HIPAA -
\Health Insurance Portability and Accountability Act
Health Insurance Portability and Accountability Act (HIPAA) -
\federal law that requires the creation of national standards to protect sensitive patient
health information from being disclosed.
After your work with Jen has ended, she contacts you months later to tell you that she is
speaking in front of a group of teens at the local high school to raise awareness about
sexual assault. She invites you to attend. How should you respond? -
\You are so courageous. It would be my pleasure to attend and hear your speech.
This doesn't cross any inappropriate boundaries. You will be attending this event as a
professional.
You believe that Mr. and Mrs. Jones are good subjects for a research project, and since
you are already seeing them as clients, you conduct the testing during one of your
sessions. Is this acceptable?
You believe that the scientific and educational value of your research outweighs the
need to inform the Joneses either before or after. -
, \INAPPROPRIATE Counselors shall obtain prior consent from all research participants
and shall also inform all research participants that they may withdraw consent at any
time and discontinue their participation at any time
You schedule a 90-minute block to complete an intake session with Zach. Zach,
however, doesn't arrive at your office until he is already 45 minutes late. He professes
that his car broke down, and he had to run to your office. He insists that you see him
now. How do you best proceed?
1) Inform the client of your theoretical orientation
2) Establish payment plans
3) Ask Zach if he is comfortable in signing a release for his wife since she is his
emergency contact
Also do MSE, sign consent forms, assess suicidality (if indicated- this client said he had
just about enough) -
\Appropriate - It is required of ethical therapists to inform clients of the therapist's
theoretical orientation as part the informed consent.
APPROPRIATE Zach will pay out of pocket. Ethical therapists work with clients on an
agreed payment plan prior to the start of the therapeutic relationship.
APPROPRIATE Zach agrees. This is a great idea to get this document signed early on.
True or false? Supervisees must explain their professional position with client they sit in
with. -
\True
True or false? Supervisors must set time for bi-weekly feedback with supervisees -
\False - WEEKLY feedback needed
Your adolescent client stole a phone from his friend's backpack. Do you need to break
confidentiality? -
\You are not legally required to break confidentiality in this case.You might, however,
encourage the client to come forward on his own. Generally, crimes that your client
already committed are confidential; however, there are exceptions, such as child abuse.
When can you release progress notes? -
\Therapy notes are protected and may not be released unless court ordered by a judge
or requested by the parents of a minor. Even then, caution must be used in releasing
this sensitive information, and often, a summary of therapy goals and progress may
suffice instead
