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"I Hate It When That Happens..." - Law & Ethics For Social Workers (Comprehensive), Revised 2009 - Test
by Pamela H. Harmell, Ph.D.
with Ingrid Kohn Paymar, LCSW

Please note that printing this page does not constitute proof of completion of the course. After successfully completing this test, you may purchase your Certificate of Completion and print it immediately or have it mailed to you.

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1. When a legal or ethics question arises, which of the following would be considered to meet the professional standard of care and thus reduce the risk of a malpractice suit?	Help
Refer or terminate a suicidal or dangerous patient Do not accept patients with which you may have a multiple relationship Always seek a professional clinical consultation about the patient

2. Therapist Williams has no idea he is angry with his patient. He is starting sessions late, not making full eye contact, using a short, clipped tone of voice, and ending sessions abruptly. He dreamt about this patient a few times this month, but decided he did not need a consultation because, "I must be overworked and tired." Therapist Williams is probably experiencing:	Help
Normal therapist exhaustion Counter-transference Typical feelings toward another human being Burnout

3. Identify two typical boundary challenges most psychotherapists confront in a therapeutic relationship:	Help
Patient asking therapist a personal question; Patient asking for advice Sleeping with patients; Loaning money to patient Patient borrowing money from therapist; Patient loaning therapist money

4. A social worker's scope of practice is established by:	Help
Training, education, experience Laws that regulate practice State licensing board NASW

5. Which of the following are reasons why social workers have a Code of Ethics:	Help
To assert self-regulation and provide self-monitoring To establish integrity of the profession and secure the public trust Provide a guide for proper professional behavior All of the above

6. "Case Law" is just as binding in the state in which it is decided as is statute in that same state:	Help
TRUE FALSE

7. The original Tarasoff ruling requires which of the following criteria regarding a threat to harm:	Help
Communicated to therapist by patient; imminent danger; identifiable victim Communicated to therapist by family; grave danger; identifiable victim Communicated to police by therapist; violence; any victim

8. If a therapist does have a Tarasoff situation, what must be done?	Help
Call the police Notify the victim Take steps to reduce risk All of the above

9. In Gross v Allan (Meyer, 1997), what is meant by "Duty to Inform"?

Help

One treating therapist is required to inform the next treating therapist about the diagnosis of the patient they are both treating
When one therapist has a patient who refuses to get a medication evaluation during the course of treatment, the therapist must inform the subsequent treater about the refusal
When one therapist has a suicidal patient s/he may be required to inform the subsequent treating therapist about the patient's previous suicidality

10. The addition to Tarasoff in the Ewing v Goldstein case of 2004, states that the mandate to breach confidentiality is triggered when the threat is told to the therapist by:	Help
An immediate family member A close friend or roommate of the patient The patient

11. What is the primary concern of the social worker for his or her patient?	Help
The patient's mental health Patient welfare Patient-therapist alliance

12. Jane sues Social Worker James for charging her a fee for a late cancellation. Jane tells the judge in small claims court that the social worker never told her the policy that she would be charged if she failed to give 24-hour notice when missing an appointment. With regard to informed consent, if Jane wins the suit, this is called:	Help
Breach of Contract Information Not Given Breach of Confidentiality Duty of Care

13. Sam was told by his therapist that he would lose 25 pounds in two months. When this failed to happen, Sam took the therapist to small claims court. In terms of informed consent issues, this is known as:	Help
Breach of Contract Information Not Given Demonstrable harm Duty of Care

14. The three requirements for a valid informed consent are:	Help
Voluntary, ethical, legal Voluntary, fair, time limited Voluntary, information, capacity

15. Patients' rights require Informed Consent for each patient. This means a patient:	Help
Agrees to treatment after being informed of office policies Knows the office policies of the therapist Cannot be exploited by the therapist

16. When must a psychotherapist get written consent from a patient in order to get a professional consultation?	Help
When identifying demographics of the patient must be given to get an appropriate consult If the consult is in the best interests of the patient, consent is not required Consent is always required when talking to someone about the patient Consent is only required if the therapist is HIPAA compliant

17. An "Insurance Diagnosis" is a diagnosis that:	Help
Includes a parity diagnosis in the DSM-IV-TR The patient's insurance company will reimburse Is the best possible label for the client The client and therapist agree upon

18. Who are "Risky Clients" when it comes to creating multiple relationships?	Help
Angry patients Patients newly separated from a loved one Patients who have been victims of abuse Children and adolescents

19. What are the four mechanisms holding psychotherapists accountable for their professional actions? Civil suit of malpractice, criminal allegations,	Help
Ethics committee and licensing board Attorney general and ethics committee District attorney and ethics committee

20. Under what circumstances may a psychotherapist terminate a patient without the normal procedures?	Help
When the therapist is leaving town unexpectedly When the patient threatens the therapist or his or her family When the therapist believes he or she can no longer help the patient When the patient complains about the fee

21. Which type of elder and dependent abuse is not a mandated report but is a permitted report?	Help
Threats or harassment Financial abuse Abandonment

22. What are the accepted and appropriate ways to deal with counter-transference?	Help
The therapist should stop seeing the patient immediately before harm occurs The therapist should disclose his or her counter-transference feelings to the patient in the session The therapist should seek consultation or personal therapy to deal appropriately with his or her counter-transference reactions to the patient

23. Why must professionals be careful when using the word "impaired" when referring to a colleague, student or intern who is troubled or unable to function in one's role?	Help
There is no clear definition of the term "impaired" when it comes to psychotherapists Use of the term "impaired" is protected by federal law and can only be used in context with individuals who qualify under the American's with Disabilities Act The term has been overused in the profession and has lost its meaning

24. Ethics committees in the early 1980s identified which of the following as the main problem leading to multiple relationships?	Help
Practicing in isolation with no provision for outside professional contact on a regular basis with little chance to solidify professional identity Working as an unmarried person with single clients Not having enough of a personal social life Personality Disorder in the therapist

25. George comes in for therapy and is clearly under the influence of a substance. Can you have him sign an informed consent form?	Help
Yes, you have to get informed consent at the outset of treatment Yes, he is an adult who is capable, voluntary, and speaks my language No, he does not have the current capacity to give informed consent

26. An adult abused as a child and disclosing as an adult is an automatic child abuse report:	Help
True False

27. In the Daniel Case, after several years of appeals, what was finally decided in that case only about who held the privilege when there was a dispute?	Help
The minor's therapist held the privilege Daniel, the minor held the privilege Daniel, the father held the privilege

28. When Shapiro and Ginzberg note in their research about referrals, "once a patient, always a patient" what were they referring to with regard to ethics and termination of a patient?	Help
Psychotherapists must continue treating patients even when they fail to remain current on their bill If the patient moves to another location, the psychotherapist must continue to treat the patient until a new therapeutic relationship is established Even when a patient has taken a break or "terminated" from therapy he or she may wish to return to therapy

29. What do the APA Specialty Guidelines say about keeping records in private practice settings?	Help
Full record for 3 years; then full or summary 12 additional years; 15 total years Full record for 3 years; then full or summary 10 additional years; 13 total years Full record for 7 years

30. Linda likes the idea of keeping two sets of records as HIPAA instructs (psychotherapy records and progress records) so the insurance company and her patients have limited access to process notes. However, she is not fully HIPAA compliant yet and has not given her patients the necessary HIPAA disclosures. Is she allowed to separate her files?	Help
Yes, because she is in the process of becoming HIPAA compliant No, because she is not yet HIPAA compliant

31. You are shopping at the "99 Cent" store when you observe a person violently hitting a small child. You have just left a convention and are still wearing your name tag with your name and SOCIAL WORKER designation on the name tag. Are you mandated to report this?	Help
Yes, you are a mandated reporter No, you are not working at the time Yes, you are in your role as a social worker due to the name tag

32. Suicide is most prevalent among which age group?	Help
15 to 24 30 to 45 The elderly

33. According to the literature on assessment of suicide, who is the MOST LIKELY to commit suicide?	Help
a married woman getting a divorce a recently divorced male who is depressed an unmarried, depressed male who is abusing alcohol

34. One of the primary concerns with regard to accepting referrals from a former patient is:	Help
Financial difficulties Confidentiality Transference

35. Tynette comes to the first session complaining of headache, dizziness, and upset stomach, along with severe anxiety. One of the first things you would do is:	Help
Consider one of the anxiety disorders due to her physical symptoms Make sure she returns for at least one more appointment to see if her physical symptoms are under control Refer her to a physician to rule out a general medical condition as the origin of her physical symptoms

36. Psychotherapists who are testifying about the facts involved in their patient's treatment, who are not being sued, and are not being hired as expert witnesses are most likely performing the duties of which type of witness for their patient?	Help
Forensic witness Percipient witness Expert witness

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"I Hate It When That Happens..." - Law & Ethics For Social Workers (Comprehensive), Revised 2009 - Test by Pamela H. Harmell, Ph.D. with Ingrid Kohn Paymar, LCSW

"I Hate It When That Happens..." - Law & Ethics For Social Workers (Comprehensive), Revised 2009 - Test
by Pamela H. Harmell, Ph.D.
with Ingrid Kohn Paymar, LCSW