ERSION
Question ID #119: When an adolescent client is suicidal, the therapist
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p
. p
Select one: p
A.must tell the client's parent or legal guardianB.must
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contact Child Protective services p p p
C.may break confidentiality if necessary to prevent the threatened danger D.shoul
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d have the client complete a safety plan -
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p ANSWER The correct answer is C.Breaking confidentiality when a client of an
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y age is suicidal is permitted by EC Section 1024, which provides an exception to
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the psychotherapist-p
patient privilege when a client poses a danger to self, but is alsoroutinely interpret
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ed as applying to a breach of confidentiality in contexts outside of legal proceedin
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gs.
Question ID #135: Which of the following individuals is legally allowed to decid
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e whether or not to involuntarily hospitalize a person under Section 5150of the Ca
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lifornia Welfare and Institutions Code? p p p p
Select one: p
A.Any licensed mental health professional.
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B.Any psychiatrist. p
C.A professional person designated by the county.
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D.Anyone over 18 who believes the person is a danger to self or others. -
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pANSWER The correct answer is C.WIC Section 5150 states that "a peace officer
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, a member of the attending staff of an evaluation facility designated by the count
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y, designated members of a mobile crisis team, or other professional person desig
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nated by a county, may upon probable cause, take, or cause to be taken, the perso
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n into custody and place him or her in a facility designated by the county and appr
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oved by the State Department of Mental Health as a facilityfor 72-
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hour treatment and evaluation."
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Question ID #140: A mental health agency just received a grant to conduct research
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on the effectiveness of services provided by the agency's marriage and
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,family therapists. Ethically, it's most important for the agency to consider whichof t
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he following questions?
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Select one: p
A. Will the results of the research benefit the clients?
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B. Do clients have sufficient information to make an informed choice aboutw
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hether or not to participate in the research?
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C. Is the agency being paid to conduct the research?
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D. Do clients understand the potential limitations on the confidentiality of infor
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mation that will be collected during the study? -
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pANSWER The correct answer is B.CAMFT Ethical Principle 11.2 and AAMF
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T Ethical Standard 5.3apply to this situation. Both require therapists to ensure th
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at individuals fully understand all aspects of a research study that might affect th
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eir willingness toparticipate.
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Question ID #142: A marriage and family therapist routinely administers a questi
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onnaire to all of her clients at the beginning and end of therapy and wantsto use inf
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ormation from the questionnaire for a qualitative research study. To beconsistent
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with ethical requirements, the therapist
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A. must explain to the clients she chooses to include in her study that their particip
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ation is voluntary and that confidential information will be released onlywith their
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pauthorization
B. should describe the study's purpose and procedures to all of her clients andin
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clude only those clients who volunteer to participate
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C. should not tell clients that they'll be included in a research study since doingso
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pmay have an adverse impact on the therapeutic relationship and distort the resul
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ts of the study
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D. must include only new clients who agree to participate in the study when theyco
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mplete the questionnaire - p p p
pANSWER The correct answer is A.This answer is most consistent with AAMFT
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and CAMFT ethical guidelines. Both require MFTs to protect the confidentiality
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of research participants and make sure that potential participants understand that t
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hey can decline to participate and withdraw from the study at any time.
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Question text p
Question ID #145: To help ensure that individuals who are at risk for violentbeha
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vior do not possess firearms, California law requires that, when a client
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, communicates a serious threat of physical violence against an identifiablevi p p p p p p p p p p
ctim, the psychotherapist must
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A.make a report to law enforcement within 24 hours of the threatB.make a
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preport to law enforcement within 48 hours of the threat
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C.make a report to law enforcement and warn the intended victim within 24hours
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of the threat
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D.make a report to law enforcement and warn the intended victim within 48 hour
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s of the threat -
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pANSWER The correct answer is A.WIC Section 8100(b)(1) states that a person
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may not own or possess a gun "for a period of five years if ... they communicate to
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pa licensed psychotherapist ... a serious threat of physical violence against a reaso
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nably identifiable victim or victims."And WIC 8105(c) requires licensed psychot
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herapists to "report to a local law enforcement agency, within 24 hours ... the iden
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tity of a person subject to the prohibition specified by subdivision (b) of Section 8
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100."
Question ID #151: The therapist is in the process of assessing a family that consis
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ts of two teenagers and their parents, and has already determined that thepresentin
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g problem is frequent conflict between the oldest teen and his father and teachers.
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pThe therapist has not yet decided whether to conduct family therapy or see the ol
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dest teen in individual therapy. Ethically, which of the following questions is mo
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st important to consider first?
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Select one: p
A. What information revealed by the minors will and will not be shared with thepa
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rents?
B. Is the oldest teenager competent to consent to individual treatment?Incorrect
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C.Which family member or members are the client(s) and what will be the natur
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e of the relationships with everyone involved in treatment?
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D.Is the presenting problem within the therapist's scope of practice? -
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pANSWER The correct answer is C.All of the questions listed in the answers arei
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mportant, but the information presented in the case implies that determining whic
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h family member or members will be the client(s) has the highest priority. CAMF
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T Ethical Principle 3.9 applies to this situation. It states that marriage andfamily th
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erapists "clarify, at the commencement of treatment, which person or persons are
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clients and the nature of the relationship(s) the therapist will have with each perso
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n involved in the treatment."
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Question ID #154: A therapist receives a phone call from a client who wants to see h
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is clinical file because he believes it contains some inaccurate information.
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