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

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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) A) and C)
F) C) and D)

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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) None of the above
F) All 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 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) B) and C)
F) C) 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' 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) None of the above
F) A) and D)

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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) All of the above
F) A) and D)

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The basic standard of care for school counselors is clear; courts have uniformly held that:


A) school personnel should not breach confidentiality at any time.
B) school personnel have a duty to protect students from foreseeable harm.
C) school personnel have a duty to protect students if confidentiality is not at risk.
D) school personnel must release any and all information regarding students to faculty and parents.

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

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The HIPAA Privacy Rule was designed to provide a uniform level of privacy and security on the federal level.This Privacy Rule,which applies to both paper and electronic transmissions of protected health information by covered entities,developed out of the concern that transmission of health care information through electronic means could lead to widespread gaps in the protection of client confidentiality.Which of the following is NOT a requirement of The Privacy Rule?


A) It requires health plans and other covered entities to establish policies and procedures to protect the confidentiality of health information about their patients.
B) It provides detailed patient information to individuals outside of the health care agency.
C) It requires technical,administrative,and physical safeguards to protect security of protected health information in electronic form.
D) It provides patients with rights concerning how their health information is used and disclosed by health care providers who fall within the domain of HIPAA.

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

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The following are all major types of elder abuse EXCEPT:


A) financial or material exploitation.
B) neglect and abandonment.
C) sexual,physical,and psychological abuse.
D) protection and positive treatment.

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

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Which of the following is NOT identified in the text as a guideline for counselors using the telephone?


A) Exercise caution in discussing confidential or privileged information with anyone over the telephone and especially when employing digital and mobile technologies.
B) Set firm boundaries with clients from the beginning and address matters such as avoiding interruptions and privacy.
C) After addressing the ethical guidelines and ensuring absolute privacy,counselors may speak to their clients as freely as they desire without fear that their conversations will be used in legal proceedings.
D) Disclose the limits of confidentiality with clients if wireless telephones are used.

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

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_______________ was passed by Congress to promote standardization and efficiency in the health care industry and to give patients more rights and control over their health information.


A) The Health Insurance Portability and Accountability Act of 1996 (HIPAA)
B) The Family Educational Rights and Privacy Act of 1994 (FERPA)
C) The H1N1 Prevention Act
D) The Confidentiality and Privileged Communication Act

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

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If it is suspected that danger or harm may occur to the client or to others as a result of a client's behavior,the human service professional acts in an appropriate and professional manner to protect the safety of those individuals.This may involve,but is not limited to,seeking consultation,supervision,and/or breaking the confidentiality of the relationship.


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

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

Correct Answer

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In this court case,the court found that school counselors have a duty to use reasonable means to attempt to prevent a suicide when they know about a student's suicidal intentions.The reasoning of the court was that an adolescent is more likely to share thoughts of suicide with friends than with a school counselor,teacher,or parent.The court found that reasonable care would have included notifying the student's parents that their daughter was at risk for suicide.


A) Tarasoff v.University of California Board of Regents
B) Ewing v.Goldstein
C) Eisel v.Board of Education
D) Jaffee v.Redmond

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

Correct Answer

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Schools that receive federal funding are generally bound by the provisions of the:


A) Health Insurance Portability and Accountability Act (HIPAA) .
B) Family Educational Rights and Privacy Act of 1994 (FERPA) .
C) H1N1 Prevention Act.
D) Confidentiality and Privileged Communication Act.

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

Correct Answer

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