14:1SPGFTTJPOBM&UIJDTBOEUIF-BX Unit 3 Examination Multiple Choice Questions (Enter your answers on the enclosed answer sheet)
1. The primary difference between a boundary crossing and a boundary violation is ______.
a. everyone agrees when a boundary has been violated, whereas it is hard to reach agreement
as to whether a boundary has been crossed
b. a violation involves a sexual relationship
c. a crossing occurs in almost every counseling session, while violations are less frequent
d. in a crossing, a boundary is shifted to meet the needs of the counselor, making sure the
client is not harmed in the process.
e. a violation involves a serious breach of the code of ethics that results in a client being
harmed 2. To be a culturally sensitive counselor, when a client from a different culture offers a counselor
a gift, the counselor ______.
a.
b.
c.
d.
e. should
should
should
should
should never accept the gift
always accept the gift
take into primary consideration the monetary value of the gift
evaluate the meaning the client attaches to the offering of the gift
consider offering a similar gift in return 3. A counselor’s self-disclosure in a counseling session ______.
a.
b.
c.
d.
e. may be acceptable if the counselor believes the disclosure will benefit the client
is acceptable if the client is not uncomfortable with the counselor’s disclosure
is encouraged to demonstrate that the counselor is genuine and human
usually results in harm to the client
is a practice that is universally accepted by counseling professionals 4. Counselors who hug their clients ______.
a. would never get into trouble as long as the counselor can justify the hug as part of the
therapeutic process
b. are doing what almost all counselors do at some point in their careers
c. will never be able to obtain professional liability insurance
d. expose themselves to serious claims of ethical violations because of the prohibition against
touching clients in the professional literature
e. should be cautious and ensure the client is comfortable with the touching 154 14:1SPGFTTJPOBM&UIJDTBOEUIF-BX Unit 3 Examination 5. The typical counselor who enters into a sexual relationship with a client is ______.
a. one who has had a number of ethical complaints filed against him/her in the past
b. is a professionally isolated male counselor who is experiencing distress or crisis in his
personal life
c. is a male counselor under the age of 30
d. is a counselor who has few friends and who has low self-esteem
e. is a person who has a number of emotional problems and who has been in counseling for a
number of years 6. Alice is a Licensed Professional Counselor who has counseled Thomas for several months. An
issue to which they have devoted considerable time is Thomas’ fear of failure, particularly in
terms of his ability to succeed academically and complete his G.E.D. When Thomas learns that
he has passed his G.E.D. exam, he asks Alice to attend the ceremony at which he will receive
his G.E.D. diploma, and she accepts the invitation. This is an example of ______.
a.
b.
c.
d.
e. poor professional judgment
a boundary violation
a boundary crossing
a detrimental dual relationship
a violation of the code of ethics standard on non-professional relationships 7. Counselors may view a client’s social media profile ______.
a.
b.
c.
d.
e. never
when the client has given the counselor consent to view the information
if the counselor has concerns about a client’s safety
to determine whether the client shares acquaintances with the counselor
to verify a client’s identity 8. The following are true of distance counseling services EXCEPT:
a. it can provide clients with greater access to counseling services
b. it can present issues related to licensure and the ability to practice across state and
international boundaries
c. is controversial because the ACA Code of Ethics does not address this practice
d. credentialing is available for counselors interested in distance counseling
e. counselors must take steps to verify clients’ identities 155 14:1SPGFTTJPOBM&UIJDTBOEUIF-BX Unit 3 Examination 9. In distance counseling, informed consent should include ______.
a. the type of software used, guarantee of confidentiality and privacy, and consent to view
client social media
b. consent to waive the right to confidentiality and privacy, as it cannot be guaranteed in
distance counseling
c. consent to waive counselor liability in the event of a client crisis, as the counselor may be
in a different time zone or otherwise inaccessible
d. the same information as typical face-to-face informed consent
e. distance counseling credentials, cultural/language differences, time zone differences,
emergency procedures to follow if the counselor is not available, anticipated response
time, and possible denial of insurance 10. In distance counseling, counselors may be subject to ______.
a. only the ethical standards developed by the state counseling association in which the
client resides
b. ethical standards developed by ACA and state licensing boards, and the laws and
regulations of both the counselor’s and the client’s physical locations
c. ethical standards, but not legal requirements, as laws do not yet address distance
counseling
d. only the ethical standards developed by the state counseling association in which the
counselor resides
e. only ethical standards developed by NBCC for credentialed distance counselors 11. All of the following are challenges associated with distance counseling, EXCEPT:
a.
b.
c.
d.
e. loss of body language, inflection, and other cues to communication
licensing concerns relative to practicing across state and international boundaries
limited effectiveness of counseling services that are not delivered face-to-face
reimbursement by insurance providers
need to continuously update ethical codes to address distance counseling 12. When communicating with clients over the phone, counselors should ______.
a. inform the client that he or she must speak to the counselor face-to-face because phone
communication of confidential issues is unethical
b. assume that the conversation cannot be intercepted due to encryption software on cell
phones
c. acknowledge that the client is receiving services to unknown callers reporting that they
know the client
d. state information off the record and informally if the client and counselor have good
rapport
e. attempt to verify the client’s identity, and demonstrate caution and professionalism when
discussing confidential information 156 14:1SPGFTTJPOBM&UIJDTBOEUIF-BX Unit 3 Examination 13. When reporting suspected child abuse in good faith, counselors should review their particular
state statute to determine all of the following EXCEPT:
a.
b.
c.
d.
e. who must make the report
when the report must be made
counselor liability for defamation of character
whether past abuse must be reported
whether a written report is required in addition to an oral report 14. Dual relationships in school settings ______.
a. seldom cause problems
b. don’t usually create misunderstandings
c. help students gain trust and respect for the counselor if the counselor has disciplinary
functions in the noncounseling relationship
d. generally should be avoided
e. rarely occur when dealing with child abuse issues 15. As a professional counselor, you are required by law in all states to report ______.
a.
b.
c.
d.
e. a client’s threat to commit a burglary
suspected child abuse or neglect
unethical behavior of a colleague
knowledge that a client has tested positive for HIV
all of the above 16. When it comes to determining who has the right to make decisions regarding a child’s life, the
law favors ______.
a.
b.
c.
d.
e. the adult with whom the child is living
grandparents, if they are raising the child
biological parents
the child himself or herself
the child’s adult sibling 17. Each of the following groups might be considered to be vulnerable adults who are protected
from abuse in some states by statute EXCEPT:
a.
b.
c.
d.
e. 157 developmentally disabled adults
severely mentally ill adults
elderly adults
physically disabled adults
emotionally distressed adults 14:1SPGFTTJPOBM&UIJDTBOEUIF-BX Unit 3 Examination 18. The 2014 ACA Code of Ethics advises counselors to ______.
a. uphold the confidentiality rights of their minor clients even when parents object
b. avoid legal liability by including parents in counseling sessions with their children
c. avoid legal liability by disclosing to parents any risky behavior of a minor client, such as
experimenting with drugs or alcohol
d. establish collaborative relationships with parents
e. obtain minor clients’ legal informed consent for counseling services 19. A counselor who is beginning a group ______.
a. should require all group members to sign a pledge to keep information from the group
confidential
b. should explain that nothing is confidential because group members do not have the same
obligation as professional counselors to keep information private
c. should explain that while the counselor will keep things confidential, there is no guarantee
others in the group will do the same
d. should guarantee all information in the group will remain private
e. should explain that group members who violate the confidentiality of other group members
will be reported to the counselor licensure board. 20. Pre-screening of group members ______.
a.
b.
c.
d.
e. is
is
is
is
is a good idea, but is not required by the ACA Code of Ethics
required by the ACA Code of Ethics
recommended, but not required by the ACA Code of Ethics
an ethical practice that all counselors adhere to
an ethical standard that is meant to protect counselors from being sued 21. Because children cannot give their legal consent to participate in family counseling ______.
a. parental consent should be obtained in writing from both biological parents
b. they should not be included in family counseling prior to age 18
c. it is illegal to include them in a family counseling session unless their parents have
consented in writing
d. a court order should be obtained before including a child in a family counseling situation
e. they should be informed of the process of family counseling and their consent should be
secured even though it is not legally required 158
