Which group has been most instrumental in opposing counselor licensure?
a. Social workers.
b. Psychiatrists.
c. Psychologists.
d. AAMFT members. -
... [Show More] Answer- c. Psychologists.
In the late 1970s, AACD ( known as ACA since 1992) began to focus very heavily on professional credentialing. This led to the formation of the
a. CCMHC.
b. NBCC.
c. CACREP, formed in 1981.
d. APGA, formed in 1952. - Answer- b. NBCC.
By passing the NCE, a counselor can attain _______, given via NBCC.
a. NCC, a generic certification for counselors.
b. NCC, a specialty mental health certification for counselors.
c. NCC, national certification for school counselors.
d. MAC, master addictions counselor. - Answer- a. NCC, a generic certification for counselors.
Which choice would most likely violate the counseling ethic or law termed "scope of practice"?
a. A counselor who is using good accurate empathy with a client, but fails to confront her about her excessive drinking.
b. A licensed counselor who gives the client a DSM diagnostic code for insurance.
c. A counselor who is too active-directive with a client.
d. A counselor who is conducting a strict Freudian psychoanalysis with the client. - Answer- d. A counselor who is conducting a strict Freudian psychoanalysis with the client.
Ethical guidelines were first created for the helping professions in 1953 when the American Psychological Association (APA) published their first code of ethics. The National Association of Social Workers (NASW) created their code in 1960, and in 1961, the organization that is now ACA adopted ethics for counselors. Ethics always describe
a. laws.
b. universal principles which apply to all helpers.
c. standards of conduct imposed by ACA and NBCC.
d. all of the above. - Answer- c. standards of conduct imposed by ACA and NBCC.
Most ethical dilemmas are related to
a. confidentiality.
b. testing.
c. diagnosis.
d. research. - Answer- a. confidentiality.
The landmark 1969 case, Tarasoff versus the Board of Regents of the University of California illuminated
difficulties involved in a. client/counselor sexual behavior.
b. ethical issues in relation to research.
c. the duty to warn a client in imminent danger.
d. the impact of an impaired professional. - Answer- c. the duty to warn a client in imminent danger.
A counselor reveals information that is extremely damaging to a client's reputation. This counselor could be accused of
a. beneficence.
b. justice.
c. nonmaleficence
d. defamation - Answer- d. defamation
state laws can govern title usage and practice, however, they do not govern
a. accreditation.
b. counselor licensure.
c. psychologist licensure.
d. involuntary commitment to state psychiatric facilities. - Answer- a. accreditation.
An exception to confidentiality could occur when a client is suicidal. Suicidal warning signs include
a. repeatedly joking about killing one's self.
b. giving away prized possessions after one has been depressed for an extended period of time.
c. a previous suicide attempt and a very detailed suicide
plan for the future.
d. all of the above. - Answer- d. all of the above.
A statement of disclosure could include all except
a. a list of the courses the counselor took in graduate school.
b. the counselor's qualifications, office hours, and billing policies.
c. emergency procedures and therapy techniques utilized.
d. a statement that confidentiality is desirable, but cannot be
guaranteed in a group setting. - Answer- a. a list of the courses the counselor took in graduate school.
Privileged communication refers to the fact that anything said to a counselor by a client
a. can be revealed in a court of law if the counselor decides it is beneficial.
b. can be revealed only if a counselor testifies in court.
c. is protected by laws in every state.
d. will not be divulged outside the counseling setting without the client's permission. - Answer- d. will not be divulged outside the counseling setting without the client's permission.
In regard to state law and privileged communication, counselors must be aware that
a. privileged communication exists in every state in the union for LPCs.
b. laws are unclear and may vary from state to state.
c. there are no laws which govern this issue.
d. state psychology laws are applicable in this respect. - Answer- b. laws are unclear and may vary from state to state.
When counselors state that privileged communication is "qualified," they actually mean that
a. the counselor must have certification before privileged communication applies.
b. privileged communication applies only to doctoral level counselors.
c. exceptions may exist.
d. all of the above. - Answer- c. exceptions may exist.
You are a counselor in a state that does not legally support privileged communication. You refuse to testify in court. In this situation
a. ACA will back you for doing the ethical thing.
b. NBCC will back you if and only if you have attained NCC
status.
c. you need not testify if your case was supervised by a li-
censed psychologist and/or psychiatrist.
d. you could be held in contempt of court. - Answer- d. you could be held in contempt of court.
An 11-year-old child comes to your office with a black eye and tells you she can't remember how she received it. You have reason to suspect abuse. You should
a. be empathic and discuss her feelings regarding the matter.
b. drop the matter as it could embarrass her.
c. refer her to a medical doctor of your choice.
d. call the child abuse/neglect hotline. - Answer- d. call the child abuse/neglect hotline.
During a counseling session a 42-year-old male client threatens
suicide. You should
a. keep it a secret as the client is not a minor.
b. call the state child abuse/neglect hotline even though he
is an adult.
c. call his wife and mention that a serious problem exists but
be very careful not to discuss the issue of suicide since to
do so would violate the client's confidentiality.
d. contact his wife and advise her of possible suicide precautions. - Answer- d. contact his wife and advise her of possible suicide precautions.
A 39-year-old female secretary you are seeing in your assertive- ness training group reveals that she is plotting to shoot her husband. Based on the Tarasoff case you should
a. warn the husband.
b. keep it confidential because an assertiveness training
group is decidedly not the same as one-to-one counseling.
c. make a police report in the city in which the husband resides.
d. tell a supervisor, administrator, or board member if one
exists, but do not contact her husband. - Answer- a. warn the husband.
You pass your exam and now have NCC status. During a staff meeting a clinical director explains to you that, from an ethical standpoint, your primary duty is to the agency. Most experts in the field of counselor education would
a. agree with this position with very few reservations.
b. disagree inasmuch as professional ethics emphasize that
your primary responsibility is to your clients.
c. disagree inasmuch as professional ethics emphasize that
your primary responsibility is to the ACA.
d. say that, according to "aspirational ethics," your agency
comes first. - Answer- b. disagree inasmuch as professional ethics emphasize that
your primary responsibility is to your clients.
One impetus for counselor licensing was that
a. ACSW wanted to restrict counselors.
b. politicians demanded that counselors be licensed.
c. psychology licensure bodies sought to restrict the practice
of counselors so counselors could not receive third party
payments from insurance and managed care companies.
d. insurance companies pushed strongly for it. - Answer- c. psychology licensure bodies sought to restrict the practice
of counselors so counselors could not receive third party
payments from insurance and managed care companies.
A counselor who possesses a graduate degree wishes to become a licensed psychologist. Which statement most accurately depicts the current situation?
a. Any counselor can easily become a psychologist if he or she can pass the EPPP.
b. A counselor can become a licensed psychologist by taking three graduate credit hours in physiological psychology and then passing the EPPP.
c. In nearly every case individuals trained in counseling departments would not be allowed to sit for the EPPP and thus could not become licensed psychologists.
d. A counselor with a doctorate in counseling could be li- censed as a counseling psychologist if he or she has a degree from a recognized department of counseling. - Answer- c. In nearly every case individuals trained in counseling departments would not be allowed to sit for the EPPP and thus could not become licensed psychologists.
A woman who is in private practice mentions in her phone book advertisement that she is a licensed counseling psychologist. This generally means that
a. she has a doctorate from a counselor education program.
b. she has a graduate degree from a psychology department.
c. she has a degree from a CACREP program.
d. she has a degree in counseling but is trained in projective
testing. - Answer- b. she has a graduate degree from a psychology department.
One major difference between the psychology versus the counseling movement seems to be that
a. the psychologists are working to eliminate practitioners with less than a doctorate, while the counselors are not.
b. counselors are working to give up tests for licensure.
c. psychology boards are made up primarily of psychiatrists.
d. in most states psychologists do not need to take an exam. - Answer- a. the psychologists are working to eliminate practitioners with less than a doctorate, while the counselors are not.
APA is to psychologist as ACA is to
a. APGA
.b. certified clinical mental health counselor.
c. counselor.
d. NCC. - Answer- c. counselor.
You have achieved the status of NCC. NBCC, nevertheless, feels you have violated professional ethics. NBCC can do any of the following except
a. revoke your state counseling license.
b. remove your name from the list of NCCs in the U.S.
c. revoke your NCC status.
d. note in their newsletter that your NCC status has been
revoked. - Answer- a. revoke your state counseling license.
A counselor who is alcoholic and suffering from burnout could best be described as
a. a mesomorph.
b. an impaired professional.
c. a paraprofessional.
d. a counselor who is wise enough to use his own experiences to help others. - Answer- b. an impaired professional.
Counselor certification
a. is synonymous with licensure.
b. is synonymous with program certification.
c. recognizes that you have reached a given level of competence and thus are authorized to use a title.
d. is primarily a legal process. - Answer- c. recognizes that you have reached a given level of competence and thus are authorized to use a title.
A woman comes to you for help with an eating disorder. You have no experience or training in this area. Ethically you should
a. refer this client to a colleague who is indeed trained and experienced with this type of client.
b. keep the client and work on her general lack of self-es- teem.
c. tell the client you will do a comprehensive Internet search on the topic and then begin seeing her.
d. explain to the client that a symptom such as eating or not eating is not the real problem and that counseling focuses on real underlying issues. - Answer- a. refer this client to a colleague who is indeed trained and experienced with this type of client.
Virginia was the first state to license counselors in 1976. The APGA (later AACD and now ACA) division that was initially the most instrumental in pushing for licensing was the
a. American College Personnel Association.
b. American School Counselor Association.
c. Association for Specialists in Group Work.
d. American Counselor Education and Supervision. - Answer- d. American Counselor Education and Supervision.
The problem with income sensitive or sliding fee scales (based on the client's ability to pay) is that
a. scales of this kind are unethical.
b. scales of this nature are illegal.
c. it is difficult to administer them in a fair manner.
d. scales like this are used frequently; however, they are
unethical and illegal. - Answer- c. it is difficult to administer them in a fair manner.
One possible negative aspect of counselor licensure is that
a. counselors would receive more third-party payments.
b. counselors might be accepted as providers by insurance
companies.
c. counselors may not be as creative during their graduate
work and simply take courses aimed at fulfilling the requirements to take the licensure exam.
d. it will take business away from psychologists. - Answer- c. counselors may not be as creative during their graduate
work and simply take courses aimed at fulfilling the requirements to take the licensure exam.
A client wants his records sent to a psychiatrist he is seeing. You should
a. advise against it based on current research.
b. refuse to do so based on ethical guidelines.
c. first have the client sign a dated release of information
form that stipulates whether the information can be re- leased once (or for what period of time it can be released) and then you can send the information.
d. call the psychiatrist to discuss the case but explain that state law prohibits a counselor from sending anything in writing about the client. - Answer- c. first have the client sign a dated release of information
form that stipulates whether the information can be re- leased once (or for what period of time it can be released) and then you can send the information.
You are a licensed professional counselor in one state but will soon relocate to another state. The new state informs you that they will grant you reciprocity or so-called endorsement. You will thus
a. simply need to take the licensing test in the new state.
b. be permitted to practice in the new state based on your
current credentials without taking another exam.
c. need to take numerous graduate courses.
d. not be allowed to practice until you serve an internship. - Answer- b. be permitted to practice in the new state based on your
current credentials without taking another exam.
According to the Family Educational Rights and Privacy Act
(FERPA) of 1974 (also known as the Buckley Amendment)
a. a parent can see his or her daughter's middle school re- cord.
b. an 18-year-old college student can view his or her own educational record.
c. a and b.
d. a and b are both illegal. - Answer- c. a and b.
You are a school counselor who wishes to refer an orthopedically disabled student to a private therapist. In general, the best referral would be to
a. a CRC.
b. a MAC.
c. a licensed clinical psychologist.
d. a licensed social worker. - Answer- a. a CRC.
A registry would be
a. a list of licensed psychologists in the state of Illinois.
b. a list of CRCs in the United States. [Show Less]