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LCSW LAW AND ETHICS 74 EXAM
QUESTIONS
Audrey age 32 comes into your office while her father. Carl and her 4 yo daughter britney stay in yourwaiting room. Audrey tells you that she recently lost her job after her car broke down. Now she and brittney live with her father Carl and she asks "Can i pay you when my ex pays his overdue childsupport?" How would you manage the ethical issue of fees?
A. Review the fee policies outlined in your informed consent document B. Disclose your fee prior to providing therapy or as soon as practically possibleC. If you see Audrey alone and her father is paying, explain that she must collect the fee from him and then pay you D. Discuss audrey's request that you wait to be paid until the ex' pays his overdue child support - A ✔ ✔ A social worker wants to speak with a client's nurse practitioner and brings up the subject of signing arelease in order to do so. As part of informed consent, a client begins asking the social worker what she will do with the release. The social worker should explain that A. The release will expire in 1 yearB. The client is entitled to receive a copy of the release C. The social worker will speak only with the person on the release D. The social worker will tell the client before speaking with the third party -You have been working at your agency for 8 months and you have observed a colleague using EMDR. ✔ ✔ c You are very impressed with the results she is having. You read an article about EMDR in a professionalmagazine. You also register with an EMDR council on the internet. You begin using this technique with your clients. In this instance: A. You may use this technique with your clients b/c you are registered on the internet with the EMDRsite B. This would be considered outside of your scope of practice
C. Since you have studied the technique, it is ethical to practice with your clients D. This would be considered outside of your scope of competence - ✔ ✔ D Your client George tells you that his mother got remarried. He tells you that he is worried that the newhusband's children are going to go after his inheritance. He tells you that he has very little contact with the new family and wants to keep it that way. What is your legal obligation? A. You must assess for elder abuse, considering undue influence regarding mother's estate B. You should refer clt to an attorney to determine if he has a case C. Maintain confidentiality because you do not know the age of the mother D. Report elder abuse considering abandonment b/c he has very little contact with his mother - C ✔ ✔ Ki is a 26 yo Korean american who immigrated, he wants to be an artist but father demands he goes tomed schoool, he says rather die, and too stupid too pas the clases, he doesnt know how to tell his father. The SW determines that kI is not suicidal, the most appropriate ethical intervention is to A. Recognize importance of cultural considerations and acknowledge that Ki may have to follow hisfather's wishes
B. Ask Ki to bring his father in for a family session b/c of cultural values that encourage respect for elders C. Inform Ki that the risks and benefits of therapy may be that he finds himself but may change some ofhis family values
D. Ask to see his artwork to reframe him and alliance where he can be himself - ✔ ✔ C
A. Recommend staying in therapy if there any regressive sxs in any individual B. Document your agreement with them that they are ready to terminate C. Recommend individual therapy if there are any regressive sxs in any individual D. Terminate b/c ethically you cant extend tx - ✔ ✔ C Which of the following is true in a court custody case? A. A minor does not hold his/her own privilege B. Court may appoint an attorney to represent the best interests of the child C. Parents can waive their child's privilege D. Parents attorney can waive privilege on behalf of client -How should physical abuse of a dependent adult be reported by a mental health professional? ✔ ✔ B
A. If there is serious bodily harm within 24 hrs B. By telephone within 2 working days and in writing asap C. By telephone asap and in writing within 2 working days D. By telephone asap and in writing within 36 hours - ✔ ✔ C
Jessica age 14 comes to see you with her mother. She appears withdrawn and refuses to speak with you.Her Mo explains that in the last few months Jessica's bx has changed. How would you manage family's tx needs from an ethical perspective? A. explain family systems model B. If you are unable to make progress, give 3 referrals C. Evaluate how unwilling the mother is to reframe the problem as family problem rather than jessica asthe problem
D. Discuss risks and benefits of seeing them as a unit and of seeing Jessica individually - ✔ ✔ D Your former supervisor refers a client to you and suggests that you split the client fee as you did whileunder her supervision You would:
A. Report to the BBS B. Negotiate a new split fee arrangementC. inform the supervisor it is unethical to split fees D. Inform supervisor since you are license she can only get 25% - ✔ ✔ C You are given an unwrapped book of inspirational religious poetry. This book contradicts your beliefs.you decide to:
A. Accept the gift and say nothing about spiritual beliefs B. Evaluate what would be in the client's best interests and how accepting or rejecting might affect tx. C. Gently explain to your client that you cannot accept such a personal gift
A. Contact your client to determine if she wants you to waive or assert her privilege B. Would contact the husbands lawyer and assert privilege C. Ignore the subpoena since there is no one to whom you can assert privilege D. Must comply with the subpoena since it is an official court doc and you would otherwise be incontempt of court - ✔ ✔ A Mike your 17 Yo clt has a hx of firesetting. He is in thpy as a result of court order and his parents. He tellsyou that he is angry with his ex gf and says that he plans to set fire to her house tonight. What should you do? A. Call his parents so they can be sure that he doesnt go unsupervised B. Maintain confidentiality C. Call police immediately and his ex gf's family D. Call police immediately. - ✔ ✔ C A social worker consults with another professional about a particularly challenging case. Has an ethicalviolation occurred?
A. Yes if the social worker does not reveal confidential client information to the other professional B. No if the social worker does not reveal identifying info about the client to the other professional C. Yes if the social worker has a signed consent by the client to consult
D. no if the the other professional agrees to keep clt info confidential - ✔ ✔ B When unable to reach a clt by phone, a social worker texts the client's mother to tell that her son istaling seriously about running away from home b/c of stepfather's abuse. She texts back to tell you that he is home and thanks for heads up. What are the social worker's ethical obligations regardingconfidentiality of minors?
A. Obtain written informed consent from the minor that allows texts to parents in an emergency B. Tell minor clients how you will contact parents if you think there is an emergency C. Tell minor clients that you will show them any texts from parents D. Obtain informed consent from parents about your mandates to break confidentiality -Maria and Juan have been seeing you for couples' counseling for 6 weeks and in the 7th session, maria ✔ ✔ B brings a batch of cookies. You would: A. Accept the cookies and explore their meaning with Maria and Juan B. Refuse cookies and explore their meaning with Maria and Juan C. Accept cookies and eat one immediately D. Refuse cookies and tell maria about your no gift policy. - ✔ ✔ A You are conducting a research study on divorce. In the informed consent process, what info do you needto provide your clients?
D. Attorney/ clt privilege extends to the client of a social worker that the attorney uses for referrals - ✔ C ✔ A client who was referrred by his rabbi comes in to see you for issues of grief related to the loss of hismother 2 weeks ago, recently your mother died too, what would you do first?
A. Talk about this situation in your own therapy B. Seeking professional consultation. C. Refer the client to another mental health professional who specializes in grief and loss issues D. Determine if you can deal with this client at this time - ✔ ✔ D Steven comes to you for help with debilitating anxiety He says that his anxiety is beginning to interferewith relationships and his jobs. He is afraid to drive his car b/c he thinks that he is going to hit someone. He doesn't know how he will ever take a girl out or go to work. The therapist should begin by: A. Teaching him relaxation techniques and pairing those with thoughts and images of driving his car B. Explaining the benefits of a behaviorist approach for severe anxiety C. Documenting in an initial tx plan the client's goals for tx of anxiety D. Assessing whether a med eval is necessary - ✔ ✔ D Which of the following is not considered by law to be unprofessional conduct by a social worker? A. A conviction after pleading no contest to a DUI
B. Thanking a friend for a referral by taking out to dinner C. Being arrested for shoplifting D. Poor Record Keeping - ✔ ✔ C A social worker has been working with a client who informs the social worker that he has been living asa woman since he was 35. He is now 45 and wants to begin transitioning into an anatomical woman. The client tells the social worker that he already has confirmed that his insurance will pay for it but he is self-employed so it is going to be very expensive. How should the social worker proceed?
A. Ask if client would like to be referred to as he or she B. Use a client's signed consent form to determine if he signs it as a woman as a man C. Include a dx of gender dysphoria D. If the social worker feels that any countertransference will impact the therapy, refer the client to aspecialist - ✔ ✔ A You find out that your 14 year old clt's mother is beating her for not making her bed in the morning. Youdetermined you need to make a report, what is your legal responsibility as a mandated reporter?
A. To contact an agency designated to take a report and follow up with a written report within 36 hours B. To contact an agency designed to take a report and follow up with a written report within 48 hours C. To contact an agency designated to take a report and follow up with a written report within 2 workingdays
In her first session, shannon who is anxious, asks how long therapy will last. You would: A. Interpret her question as an anxiety reaction B. Outline the process of treatmentC. Encourage her to explore the concerns that brought her to therapy D. Explore past therapy experiences - ✔ ✔ B After being in weekly therapy for 9 months, the client asks if she and the social worker can usetelehealth to have sessions on an as needed basis, if the social worker determines that is clinically appropriate, what does the social worker need to make sure that online sessions are legal? A. Disclose any fees which are different from in person sessions B. Tell client about confidentiality protections she must have on her computer C. Maintain separate files for the different modalities D. Get her consent for video recording in writing - ✔ ✔ A In your first session with Peter and Veronica, they disclose to you that althought they have a five yearrelationship, Veronica is married to someone else you shoud:
A. Refuse to see veronica but counsel peter B. Refuse to counsel either of them until veronica tells her husband about this affair c. Counsel both of them D. Counsel veronica and her husband - ✔ ✔ c
A couple comes in to see you for therapy. They are referred by the wife's individual therapist. Thehusband has recently discovered his wife has been cheating on him. The husband has recently discovered his wife has been cheating on him and he is unsure if he wants to continue the relationship.What is solely an ethical responsibility in treating this couple?
A. Getting a signed release from both the husband and the wife to speak with the wife's therapist B. Designating a fee prior to the commencement of therapy C. Informing the couple of your no secrets policy D. Having the wife sign a release to speak with her therapist - ✔ ✔ C Glady's age 65 reports she has kicked her 67 year old husband when it looked like he wasnt listening toher. He tells you that his hearing is poor and most of the time he heard her the first time anyway. What would you do? A. Report immediately to APS and make a written report within 2 working days B. Refer him to MD for possible improvements in his hearing C. Since they are spouses, do conjoint work pertaining to anger management D. Maintain confidentiality since you are not mandated to report since both spouses are 65 and older - ✔ ✔ A Towards the end stages of therapy a client asks his social worker if they can use text or email betweensessions to communicate as the final sessions get more spread apart. The social worker suggests that texts and emails wont really get the client used to less contact, they will only be substitutes, the socialworker has:
A. A social worker filed a complaint with the BBS on behalf of a client B. The BBS found that the therapist terminated therapy in order to pursue a sexual relationship C. The social worker gives the client the pamphlet professional therapy never includes sex and discussesit with the client
D. The bbs cites the offending social worker within 10 years of the statute of limitations -You have attended a yoga class every saturday morning for the last 5 years. Today when you arrive you ✔ ✔ B notice your client signing in at the counter for the class you attend. What are your ethicalresponsibilities?
A. Complete class as usual without acknowledging the client unless he/she acknowledges you andexplore his/her reactions in your next session
B. Leave immediately before the client sees you C. Say to your client dont worry everything we talk about in therapy is confidential D. Say hello to your client, complete the class as usual, and incororate yoga and body movement into txpan - ✔ ✔ A You contract with a family for 10 sessions, as that is all their insurance would cover. After the tensessions, they want to continue therapy but can't afford your full fee, what would you do next?
A. refer them to a low fee clinic b. accomodate your fee since youve a bondC. terminate with the family since you met terms of contract
D. Assess their motivation for continuining therapy - ✔ ✔ B Cherly and bobby are in joint private practice. Cherly is concerned that bobby is becoming burned outbut bobby won't reduce his caseload. It would be appropriate for Cheryl to:
A. Avoid making any referrals to bobby B. Offer to take some of his caseloadC. Engage bobby in a therapeutic conversation D. Report bobby to a regulatory body - ✔ ✔ C A 5150 or involuntary confinement may be invoked by A. any licensed mental health professional b. a peace officer, staff member of an evaluation facility, or other professional person designated by thecounty
c. family members of persons to be confined d. all of the above -A client joins a social worker's church congregation. The social worker should: ✔ ✔ b
A. Leave the congregation B. Tell the client s/he needs to join a different congregationC. Stay in the congregation but avoid direct social interactions D. Review dual relationships with your client and healthy boundaries - ✔ ✔ D You are working with a family and learn that the father is neglecting the child. After making a report toCPS, you feel anger towards the father. What is/are the best way(S) to deal with your countertransference?
D. see her on school breaks - ✔ ✔ b At your 12 step meeting you mention that you are a social worker, some other participants ask if being asocial worker makes you a good sponsor. If you tell them that sponsorship is not within your scope of practice you have: A. Failed to provide informed consent B. Fulfilled your ethical obligation to restore boundaries C. Legally fulfilled your responsibility to provide accurate info about your qualifications D. Legally failed to fulfill your responsibility to provide referrals - ✔ ✔ C You are seeing a 52 yo man who is unable to keep a job. He states that he always ends up fighting withhis bosses who then fire him. During a session he makes a derrogatory comment about his last boss' homosexuality. You find yourself becoming angry towards this client. What would you do? A. Disclose how you feelB. Seek consultation C. Refer him out D. Put your own feelings on the shelf and deal with client's issues - ✔ ✔ B For several sessions, you have been working with a client who insists that he will not rest until he makeshis son's teacher pay for the false child abuse report that the teacher made. He feels that his family has been shamed and anyone who does an internet search on him will think he is a child abuser. He feelsthat his family has been shamed and anyone who does an internet search on him will think he is a child abuser. He tells you he would never put hands on a woman but i will think of something. The social'workers early intervention plan should include.
A. Notifying the police and teacher
B. Creating a therapeutic environment where the client can speak openly C. DIrect questions about his revenge plans. D. Educating the client about the law regarding your mandate to over report child abuse. - ✔ ✔ C A social worker has been working with a difficult and resistant client for several months. The socialworker might make some referrals to other social workers because.
A. The social worker is having a countertransference reaction. B. The social worker and client both agree that it seems as if no further progress can be made.C. The client probably needs more direct and confrontational approach. D. The client begins to miss sessions. - ✔ ✔ B Jose a 14 yo Mexican American boy comes to therapy with his mother. He presents with a flat affect andavoids eye contact during the initial assessment session. During the first assessment process, Jose remains quiet as his mother provides a list of Jose's sxs and bxs that she would like you to address.Before the initial assessment session comes to an end, Jose requests that you meet with him individually from now on. After deciding it would be appropriate, what is your legal obligation? A. Assess whether the absence of Jose fa is having impactB. Refer his mother for individual therapy to avoid abandoning her C. Document your decision to meet individually with Jose. D. Ask his mother to sign a new consent form for him to be treated individually. - ✔ ✔ C When writing notes about your client's therapy, which of the following information would not be kept ina client's chart?
A. Clt's diagnosisB. Notes on any peer consultations regarding countertransference issues around the case C. The informed consent signed by the client D. The treatment plan - ✔ ✔ B
