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Therapists have the responsibility to prevent suicide if they can reasonably anticipate it. Once it is determined that a client is at risk for serious harm to self, the professional is:


A) released of all legal and ethical requirements to protect the client.
B) legally, but not ethically, required to take appropriate action.
C) legally and ethically required to take appropriate action aimed at protecting the person.
D) ethically, but not legally, required to take appropriate action.

E) A) and B)
F) None of the above

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A counselor working in an AIDS-related case:


A) has a legal duty to warn according to the Tarasoff decision.
B) is obliged to protect all third parties of the threat of HIV transmission according to ethical codes.
C) must report the case to the Department of Public Health.
D) has few legal guidelines to help determine when or how to inform a potential victim of the threat of HIV transmission.

E) B) and C)
F) None of the above

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As a matter of law, refers to the constitutional right of an individual to be left alone and to control their personal information.


A) self-disclosure
B) privileged communication
C) privacy
D) confidentiality

E) A) and C)
F) B) and C)

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Ethical guidelines regarding confidentiality require that counselors do NOT:


A) allow clerical assistants to handle confidential information.
B) use client records to consult with experts or peers.
C) use client case studies to teach or write books, even when their clients' identities are disguised.
D) disclose client information unless there is clear and imminent danger to the client or others or when legal requirements demand that confidential information be revealed.

E) C) and D)
F) A) and B)

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In most cases, therapists will not have advanced warning that a client is dangerous. Therefore, therapists must be prepared for such an eventuality. Which of the following is NOT a suggestion from the authors' for preparation?


A) Limit disclosure to all clients until they are deemed safe.
B) Take at least one workshop in the assessment and management of dangerous clients.
C) Know how to contact the legal counsel of your professional organization.
D) Familiarize yourself with professionals who are experienced in dealing with violence and know how to reach them.

E) B) and C)
F) None of the above

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It is illegal and unethical for a therapist to disclose confidential information when:


A) the client consents to disclosure.
B) there is a duty to warn or to protect third parties.
C) an emergency exists.
D) an employer requests disclosure to determine the mental status of an employee without their consent.

E) A) and C)
F) A) and B)

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In the case of disclosing confidential information when working with an HIV-positive client, several writers state that the therapist has a duty to protect when the following condition exists:


A) the client is engaging in safe-sex with a committed partner.
B) clear and imminent danger must exist.
C) all potential victims must be warned, even if there have been multiple sexual partners over the years.
D) all persons who have exchanged needles with the client must be found and warned of possible danger.

E) All of the above
F) None of the above

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The California court's ruling that requires therapists to breach confidentiality in cases where the general welfare and safety of others is involved is a result of the:


A) Bradley Center v. Wessner decision.
B) Jablonski v. United States decision.
C) Tarasoff decision.
D) Hedlund v. Superior Court decision.

E) A) and C)
F) B) and D)

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James is in court facing drug-related charges and his therapist was subpoenaed to testify in court regarding any discriminating evidence concerning the case. His therapist came to court but refused to answer questions regarding the case or produce James's records. The therapist used the following legal concept to protect himself from forced disclosure:


A) confidentiality.
B) privileged communication.
C) client privacy.
D) taking the 5th amendment.

E) A) and B)
F) B) and C)

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The experts who testified at this trial believed the school board failed to provide adequate training for school personnel. Without training, school personnel will most likely underestimate the lethality of suicidal thoughts, statements, and attempts. The conclusion of this expert testimony was that the student would not have committed suicide if the employees had been adequately trained. Persuaded by this input, the court held that the school could be found negligent for failing to notify the decedent's mother. This explains the Court decision in which court case?


A) Eisel v. Board of Education
B) Wyke v. Polk County School Board
C) Hedlund v. Superior Court
D) Ewing v. Goldstein

E) None of the above
F) B) and C)

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In , the court expanded the practitioner's duty to warn those in danger to include the circumstance in which a family member communicates to a mental health practitioner a belief that the client poses a risk of grave bodily injury to another person.


A) Tarasoff v. Board of Regents of the University of California
B) Jaffee v. Redmond
C) Ewing v. Goldstein
D) Petersen v. McDonald

E) All of the above
F) A) and C)

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______________________extends the duty to warn in California to a foreseeable, identifiable person who might be near the intended victim when the threat is carried out and thus might also be in danger.


A) Bradley Center v. Wessner
B) Jablonski v. United States
C) Tarasoff v. University of California Board of Regents
D) Hedlund v. Superior Court

E) A) and C)
F) None of the above

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Susan is quite distressed after finding out her husband has been unfaithful. She tells her counselor that she is so angry that she feels like killing him. Upon hearing this, the counselor needs to:


A) question Susan to determine whether she is serious about doing physical harm to her husband.
B) warn the husband that he is in potential danger.
C) commit Susan to a hospital until she can overcome her anger.
D) threaten to terminate services with Susan if she continues to talk about killing her husband.

E) A) and B)
F) None of the above

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Two processes that offer safeguards against malpractice liability in suicidal cases are:


A) consultation and documentation.
B) assessment and orientation.
C) individual therapy and group therapy.
D) diagnosis and informed consent.

E) A) and D)
F) B) and D)

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The intended victim's knowledge of a threat does NOT relieve therapists of the duty to protect, as can be seen by the decision in:


A) Bradley Center v. Wessner.
B) Jablonski v. United States.
C) Tarasoff v. University of California Board of Regents.
D) Hedlund v. Superior Court.

E) All of the above
F) A) and C)

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