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1. You are treating a family consisting of Sharon, 33, Mike, 36, Carol, 15, and Billy, 12.
You receive a subpoena from a lawyer, regarding a lawsuit over an inheritance, for
which another family member is suing your clients. The subpoena requests all records
for the purpose of showing that this family is not mentally competent to receive the
inheritance. How would you manage this situation?
Content Area: Law: Confidentiality, Privilege, and Consent
This question looks at your legal responsibility when receiving a subpoena for an entire
family, not just an individual client.
A. Get a release from the parents since the parents hold the children's privilege.
B. Contact the lawyer to assert privilege on behalf of the family.
C. Obtain written authorization from the entire family to contact their lawyers and
waive/assert privilege as the family sees fit.
D. Comply with the subpoena since their mental condition has b -CORRECT ANSWER
C. Obtain written authorization from the entire family to contact their lawyers and
waive/assert privilege as the family sees fit.
You would be required to obtain written authorizations from the family in order to contact
their lawyers who would determine whether to waive or assert privilege.
2. Sidney comes to his session with his 80-year-old mother, who uses a walker
following a bad fall, that she reports was caused by a fight with her husband. The
mother tells you that the fight was her fault, and she knew that if she kept goading her
husband, he would explode. A social worker in this situation must:
Content Area: Law: Limits to Confidentiality/Mandated Reporting. This question tests
your knowledge of laws regarding elder abuse.
A. Call Adult Protective Services and report physical abuse.
B. Call law enforcement within 24 hours and follow-up with a written report to local law
enforcement, licensing agency, and ombudsman.
C. Explore possibilities for alternative living arrangements and address the feelings both
she and Sidney are experiencing.
, D. Report domestic violence since the victim was an elder. -CORRECT ANSWER A.
Call Adult Protective Services and report physical abuse.
Social workers are mandated to report physical injury to an elder, inflicted by another
person, that occurs by other than accidental means.
*3. A 17-year-old girl, Janet, is referred to you by her school counselor. Janet's nose,
eyebrow, and tongue are pierced, and her hair is dyed green and yellow. Janet says
that recently her twin brother Michael comes into her room at night and tries to "play
sleep-over" with her. Janet tells you that a cute boy she met at a rave last week wants
her to move in with him. She asks you not to tell her parents that she's seeing you
because they're "extremely religious." How would you manage your ethical
responsibilities if you were working with the entire family?
Content Area: Ethics: Therapeutic Relationship/Services
This question test your knowledge of the ethical issues that arise when treating a family
unit.
A. Clarify for Janet that, as a victim of abuse, she can consent to her own treatment
without her parents' permission.
B. Clarify for the family how your therapeutic work differs from religious counseling.
C. -CORRECT ANSWER B. Clarify for the family how your therapeutic work differs from
religious counseling.
This response addresses your client's expectations about therapy and promotes a
better understanding of the process.
4. Your client Melissa comes in at Christmas time, gives you an expensive watch, and
expresses how thankful she is for the help you have given her. How would you best
ethically proceed?
Content Area: Ethics: Business Practices and Policies
This question assesses your knowledge of the ethical management of gift-giving by
clients.
A. Review your informed consent document with Melissa specifically discussing
boundaries.
B. Accept the watch since Melissa very rarely gives you gifts, and you suspect there
may be an element of cultural diversity to heed.
C. Do not accept the gift, explain to Melissa how the gift giving could negatively impact
the therapeutic relationship, and process Melissa's reaction.