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Issues and Ethics in the Helping
Professions Corey 2024 Complete
Chapter 1-5 Quiz test bank with correct
answers
Abandonment - Answer>>The failure of the counselor to take the clinically indicated & ethically appropriate steps to terminate a professional relationship. Leaving a patient after care has been initiated and before the patient has been transferred to someone with equal or greater medical training. Aspirational ethics - Answer>>The highest professional standards of conduct to which counselors can aspire. Reflect on the effects the interventions may have on welfare of clients. Related to positive ethics Providing services pro bono for those in need Cultural tunnel vision - Answer>>A perception of reality based on a very limited set of cultural experiences Community standards (or mores) - Answer>>Define what is considered reasonable behavior when a case involving malpractice is litigated They vary on interdisciplinary, theoretical, and geographical bases Cultural racism - Answer>>The belief that one group's history, way of life, religion, values, and traditions are superior to others Cultural Diversity - Answer>>The spectrum of differences that exists among groups of people with definable and unique cultural backgrounds
Ethics - Answer>>Represents the ideal standards set and is enforced by professional associations Moral principles adopted by an individual or group to provide rules for right conduct Morality - Answer>>Our perspectives of right and proper conduct Actions are evaluated on the basis of some broader cultural context or religious standard Law - Answer>>Defines the minimum standards society will tolerate and is enforced by government Reasonableness - Answer>>The care that is ordinarily exercised by others practicing within that specialty in the professional community Professionalism - Answer>>Has some relationship to ethical behavior, yet it is possible to act unprofessionally and still not act unethically Mandatory Ethics - Answer>>Counselors comply with minimal standards, acknowledging the basic "musts" and "must nots" Providing informed consent to clients Principle Ethics - Answer>>Focuses on moral issues with goal of solving a particular dilemma and establishing a framework to guide future ethical thinking and behavior Asks "Is this situation unethical?" Virtue Ethics - Answer>>Focuses on character traits of the counselor and non-obligatory ideals Asks "Am I doing what is best for my client?"
- Know the applicable laws and regulations
- Obtain consultation
- Consider possible and probable courses of action
- Enumerate the consequences of various decisions
- Choose what appears to be the best course of action Transference - Answer>>The process whereby clients project onto their therapists past feelings or attitudes they had toward significant people in their lives The "unreal" relationship in therapy Counselors need to be aware of their personal reactions to a client's transference. -All reactions of clients to a therapist are not to be considered as transference. -Dealing appropriately with transference is an ethical issue. Countertransference - Answer>>The therapist's total emotional response to a client including feelings, associations, fantasies, and fleeting images Occurs when clinicians: -Demonstrate inappropriate affect -Respond in highly defensive ways -Lose their objectivity because their own conflicts are triggered Can be either a constructive or a destructive element in the therapeutic relationship Examples of Countertransference - Answer>>-Being overprotective with a client -Treating clients in benign ways -Rejecting a client
-Needing constant reinforcement and approval Burnout - Answer>>A state of physical, emotional, intellectual, and spiritual depletion characterized by feelings of helplessness and hopelessness Impairment - Answer>>The presence of a chronic illness or severe psychological depletion that is likely to prevent a professional from delivering effective services Results in consistently functioning below acceptable practice standards Signs of "Therapist Decay" Which Lead to Burnout - Answer>>An absence of boundaries with clients Excessive preoccupation with money and being successful Taking on clients that exceed one's level of professional competence Poor health habits in the areas of nutrition and exercise Spirituality - Answer>>General sensitivity to moral, ethical, humanitarian, and existential issues without reference to any particular religious doctrine Religion - Answer>>The way people express their devotion to a deity or an ultimate reality Rational Suicide - Answer>>When a person has decided — after going through a decision- making process and without coercion from others — to end his or her life because of extreme suffering involved with a terminal illness Aid in Dying - Answer>>Providing a person with the means to die The person self-administers the death-causing agent, which is a lethal dose of a legal medication.
Cultural Pluralism - Answer>>A perspective that recognizes the complexity of cultures and values the diversity of beliefs and values Cultural diversity competence - Answer>>A practitioner's level of awareness, knowledge, and interpersonal skills needed to function effectively in a pluralistic society and to intervene on behalf of clients from diverse backgrounds Cultural Empathy - Answer>>Therapists' awareness of clients' worldviews, which are acknowledged in relation to therapists' awareness of their own personal biases Cultural Centered Counseling - Answer>>A three-stage developmental sequence, from multicultural awareness to knowledge and comprehension to skills and applications Cultural awareness - Answer>>A compassionate and accepting orientation that is based on an understanding of oneself and others within one's culture and context Diversity - Answer>>Individual differences on a number of variables that place clients at risk for discrimination Globally literate counselors - Answer>>Counselors who display a cultural curiosity characterized by an openness to engaging in new cultural experiences Racism - Answer>>Any pattern of behavior that, solely because of race or culture, denies access to opportunities or privileges to members of one racial or cultural group while perpetuating access to opportunities and privileges to members of another racial or cultural group Regulation - Answer>>Regulation of practice occurs in all 50 states. State licensing laws establish the scope of practice of professionals and how these laws will be enforced
Social justice work in counseling - Answer>>The empowerment of individuals and family systems to better express needs and advocate on their behalf to address inequities and injustices they encounter in their community and in society Stereotypes - Answer>>Oversimplified and uncritical generalizations about individuals who are identified as belonging to a specific group Unintentional racism - Answer>>Often subtle, indirect, and outside our conscious awareness Can be the most damaging and insidious form of racism Values - Answer>>Beliefs and attitudes that provide direction to everyday living boundary crossing - Answer>>a departure from a commonly accepted practice that could potentially benefit a client. Example: attending a student's school play to build positive relationship with client boundary violation - Answer>>a serious breach that results in harm to clients and is therefore unethical Bracketing - Answer>>a strategy to set aside personal interpretations/values to avoid bias in the counseling process The Bradley Case; Bradley Center v. Wessner (1982) - Answer>>patient had been voluntarily admitted to a facility for psychiatric care. Patient was upset over wife's affair. Repeatedly threatened to kill wife and lover and admitted to therapist he was carrying a weapon in his car. He was given an unrestricted weekend pass to visit his children that lived with his wife and upon doing so killed his wife and her lover. Children filed a wrongful death suit and the Georgia Supreme Court ruled that the physician has a duty to take reasonable care to prevent a potentially dangerous patient from inflicting harm. (duty to not negligently release a dangerous client)
in cases arising under federal law. The ruling extends therapist-client privilege to a wider range of licensed mental health professionals. Liability for civil damages: - Answer>>- The responsibility to protect the public from dangerous acts of violent clients entails liability for civil damages when practitioners neglect this duty by:
- Failing to diagnose or predict dangerousness
- Failing to warn potential victims of violent behavior
- Failing to commit dangerous individuals
- Prematurely discharging dangerous clients from a hospital Limits of Confidentiality - Answer>>situations in which the psychologist is legally obliged to break confidentiality by disclosing information provided by the patient to another person or agency Regulating boards duties include: - Answer>>*determine standards for admission into profession *screen applicants applying for certification or licensure *regulate practice of psychotherapy for public good *conduct disciplinary proceedings involving violations of standards of professional conduct as defined by law palliative care - Answer>>Care designed not to treat an illness but to provide physical and emotional comfort to the patient and support and guidance to his or her family. positive ethics - Answer>>An approach taken by practitioners who want to do their best for clients rather than simply meet minimum standards to stay out of trouble. Bartering - Answer>>Prior to establishing a bartering relationship, evaluate the risks, determine value of goods/services, length of service, and document
privacy - Answer>>The right to be left alone when you want to be, to have control over your own personal possessions, and not to be observed without your consent privileged communication - Answer>>information held confidential within a protected relationship Pro Bono Services - Answer>>Providing professional services for which there is no expectation of significant financial return. Found in ACA (2005) & APA (2010) to contribute to society Process Notes - Answer>>Also known as psychotherapy notes, are not synonymous with progress notes; process notes deal with client reactions such as transference and the therapist's subjective impressions of a client Record Keeping - Answer>>Entering, transcribing, recording, storing, or maintaining information. -clinical perspective is a history a counselor can use to review -legal perspective is state or federal law requirements on documentation to maintain -ethical perspective is to assist in providing quality care to clients State licensing laws - Answer>>establish scope of practice for professionals and how these laws will be enforced Risk Management - Answer>>the practice of focusing on the identification, evaluation, and treatment of problems that may injure clients and lead to filing ethics complaint; using strategies to reduce the amount of risk; self-care - Answer>>take care of one's self to be able to implement moral principles and values to clients
timid procedures due to fear of lawsuits; reactive rather than proactive Six Moral Principles of the Counseling Profession - Answer>>1. Autonomy
- Beneficence
- Nonmaleficenence
- Justice
- Fidelity
- Veracity Western values - Answer>>individualism, independence, interdependence, self-determination; making choices for oneself Ethical Decision Making Process - Answer>>1. Identify the ethical dilemma
- Discover alternative actions
- Decide who might be affected
- List the probable effects of the alternatives
- Select the best alternative
Code of Ethics Objectives - Answer>>1. educate professionals
- provide mechanism for professional accountability
- serve as catalysts for improving practice
