Confidentiality Exam Questions Ch.9

Chapter 9

1. Confidentiality
   1. Has to be discussed when gaining informed consent
   2. Is not necessary to discuss when working with minors
   3. Has to be maintained no matter what
   4. Cannot be maintained when working with couples
2. Privileged communication
   1. Is the same as confidentiality
   2. Cannot be shared without client permission
   3. Can be shared without client permission
   4. Should only be discussed during professional consultation
3. The disclosure of confidential information will likely occur
   1. When court ordered
   2. When the client is a danger to self or others
   3. In child abuse situations
   4. All of the above
4. Confidential information
   1. Must never be shared during professional consultation
   2. May only be shared with a supervisor
   3. May be shared during professional consultation
   4. Should not be shared with anyone
5. Duty to warn
   1. Refers to the therapist warning the client of possible risks in the helping relationship
   2. Refers to the client warning the therapist of payment difficulties
   3. Refers to the therapist warning a person of the client’s intention to harm that person
   4. None of the above
6. If a client is infected with the HIV virus
   1. The therapist may break confidentiality if the client has not disclosed information about the HIV to their partner
   2. The therapist can assure the client that the information disclosed during sessions is totally confidential
   3. By law, the therapist has a duty to warn the client’s partner
   4. The therapist does not have to disclose any confidential information about the infection
7. Mandating reporting
   1. Only concerns children who are not old enough to speak for themselves
   2. Is most likely mandated when it concerns sexual abuse
   3. Is at the discretion of the therapist
   4. Would not include beating a child if that is the punishment technique the parent chooses
8. The following is true concerning disclosing confidential information
   1. FERPA protects educational records
   2. Insurance companies may not ask for client records
   3. Parents may not see educational school records unless they are sent home
   4. A therapist does not have to share confidential records in court under any circumstance
9. When working with minors
   1. The therapist has to obtain assent from the minor client before releasing confidential information
   2. The therapists can always divulge confidential information to parents or guardians
   3. School counselors never have to share confidential information with parents
   4. Therapists need to consider culture and level of understanding of the client
10. When using technology in counseling
    1. The therapist should address the limitations to confidentiality with the client
    2. Using a secure fax line will ensure privacy
    3. Therapists use technology for electronic records, not counseling
    4. The client will have to go along with whatever the therapist uses
11. If confidentiality needs to be breached, the following will help support the therapist
    1. Detailed records
    2. Providing limits of confidentiality to the client
    3. Seeking ongoing education on the issue of confidentiality and its limits
    4. All of the above
12. Confidentiality will typically be breached when
    1. The therapist does not like the client’s goal
    2. The therapist determines the client is in foreseeable danger
    3. The therapist does not understand the culture of the client
    4. The therapist goes over the limits of confidentiality