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ECRE
Ethical Counselling Relationship, Week 2
| Question | Answer |
|---|---|
| The process of making ethical decisions involves acquiring a tolerance in dealing with gray areas and for ________? | Coping with ambiguity. |
| What are the 2 things helpers should seriously consider in order to act ethically with clients? | Impact of their values on client, and conflicts that might arise when values are sharply different. |
| The helping professions have been quick in recognizing the need to address spiritual and religious concerns. | False |
| Currently, there is widespread interest in the role of spiritual and religious values in both assessment and treatment. | True |
| It is not useful for therapists to include questions pertaining to spiritual and religious issues that may be relevant to a clients presenting problem during the assessment phase. | False |
| Exploring spiritual values with clients can be intergrated with other therapeutic tools to enhance the helping process. | True |
| What are 3 good reasons for counselors to include assessment of a client's spiritual and religious beliefs? | Obtain preliminary indication of the relevance of spirituality and religion for each client; gather information useful later in the process; and encourage clients to talk about beliefs. |
| What must a helper recognize in order to work effectively with clients? | A helper may have to refer the client elsewhere when the helper's values sharply conflict with the client's. |
| Keeping your values separate from your professional relationship and remaining neutral is not possible. | True |
| It is important whether you allow your values to influence your conduct in a negative fashion when they differ from a client. | True |
| What is being described of a helper when they are behaving in the following way: Giving each a chance to share thoughts , and seeking empathy from both sides so a decision can be made for the benefit of all concerned. | Acting as a mediator |
| What is your responsibility as a counsellor when a client may confide information that you feel put her or her children in danger? | You have a responsibility to refrain from imposing your values on her regardless of whether they are different or the same. |
| What is the most appropriate way to help a client leaving an abusive relationship fearing she may hurt her children? | To examine the factors that may be hindering your attempts to find a healthy relationship issues. |
| What is the least appropriate way to help a client leaving an abusive relationship fearing she may hurt her children? | The therapist automatically attributes a client's problems to his or her sexual orientation. |
| Is a referral necessary if it is evident that the helper does not have the skills or the responsibility to offer the client needed service | yes |
| Is a referral necessary if the client is failing to make progress? | yes |
| Is a referral necessary if personal factors are likely to interfere with a productive working relationship? | yes |
| In dealing with ethical dilemmas, it is important to realize that there are rarely clear-cut answers to these dilemmas. | yes |
| Are most problems complex and defy simple solutions. | yes |
| Knowledge ethics codes is enough information when dealing with ethical dilemmas. | false |
| Regarding informed consent, is it necessary or possible to educate clients about the helping process completely during the intake session? | no |
| Clients have the right to know that a helping relationship will be kept confidential. With the exception of certain circumstances? | true |
| During an intake interview with a client that states she feels overwhelmed, and having trouble coping and has confided she fears she may hurt her children. Is it your responsibility to report the suspected child abuse and neglect? | yes |
| What is the major goal of mental health managed care? | To provide clients with the best possible psychological care, and to provide services which are as brief as possible to ameliorate presenting problems. |
| You are a new intern to counseling and feeling overwhelmed by a situation where your client is attending marital counselling, however, keeping secret his homosexual incliniations. What is the best course of action in this situation? | Let the client know that you are new to counseling, uncertain of how to proceed, and would like to either work with him under close supervsision, or refer him to another counselor. |
| What is one reason the code of ethics was established? | To help understand and avoid possible malpractice issues. |
| What is one way to manage the risks associated with malpractice issues? | Staff meet regularly to determine whether clients are receiving current best practices by the staff and organization. |
| Another way to manage risks associated with malpractice issues is ___________________? | utilization review |
| What is a Utilization Review? | Refers to use of predefined criteria to evaluate treatment, appropriateness of therapeutic intervention, and therapy effectiveness. |
| Even if one follows the ethics codes, is there a possibility that a case of a conflict between ethical and legal duties to arise? | yes |
| Are counselors advised to avoid dual relationships with their clients? | yes |
| Are dual relationships always avoidable and harmful? | no |
| Counselors need to make every effort to avoid ____________ _________________ with clients that could impart __________________ ________________________ or increase the risk of harm to the clients. | dual relationships, professional judgement |
| Is it your responsibility as a counselor to set healthy boundaries, secure informed consent of client, document any duality in clinical notes, and never become romantically involved? | yes |
| When a potential for negative consequences arises from a dual relationship, what are 4 responsibilities you have as a professional? | Secure informed consent and discuss risks, consult with other professionals, seek supervision if high risk, and document any dual relationships in clinical notes. |
| Your client admits being attracted to you and daydreams about possibly getting together with you one day. What is your client suffering from? | psychological abuse |
| What is 'Community Counseling'? | A multifaceted approach combining direct and indirect services to help community members live more effectively and to prevent problems most frequently faced by those who use the services. |
| A retired accountant working part-time as a peer counselor in a senior citizen center; would have received training in basic counseling and group leader skills. What is this an example of? | a paraprofessional |
| What does the 'outreach approach' include? | educational endeavours of skills training, education of the community, consultation, & skills training. |
| What is influencing policymakers and bringing about positive changes in the community? | emphasis of community intervention |
| Helpers who participate in social and political activism are carrying out what role? | client advocacy |
| The Second-order of crisis intervention is also known as _______________________? | crisis therapy |
| Second-order crisis intervention is also called short-term therapy and goes beyond immediate coping and aims at ____________ ___________________ & ___________________. | crisis resolution & change |
| What is a situational crisis? | An event such as a murder, robbery, or rape that has an impact of paralyzing our will to act or can result in a new direction for living once the crisis is over. |
| Group work can be seen as _________________ of _____________ because through feedback of other members and the leader. | treatment of choice |
| Group offers members a hope that a new life is possible, and the _______ & ________________ that develops in a group is a powerful _________________ force. | acceptance, caring, healing. |
| What is an unproductive group? | one in which members avoid conflict at all costs. |
| According to the Corey's, group work is a treatment of choice primarily because there are inherent __________ in the group that lead to self-understanding, ______________, and ____________ on the part of the members. | values, healing, change |
| Why does group therapy fit so well into the managed care scene? | groups can teach problem solving strategies and interpersonal skills; often time limited, brief and cost-effective, and often an antidote into a culture. |
| What is the purpose of group member feedback? | Means of offering an external view of how the person appears to others. |
| What is NOT one characteristic of a productive group? | Members giving eachother advice |
| What stage of group is described : the group is most clearly associated with exploring personal issues in some depth and increasing group cohesion. | pregroup |
| What happens in the initial stage of group? | Orientation and exploration. Members are anxious, insecure, and tentative. Guidelines are taught of group functioning; interpersonal skill building and expressions of fear and expectations are group leader functions. |
| Cohesion and productivity are most closely associated with what stage of group? | Working stage |
| Do the stages in the life of a group flow neatly in a predictable way? | no |
| What is included in the individual, or personal sources of stress? | attitudes and characteristics of the helper |
| If a facilitator's wife, who has comitted sucide many years ago, is re-experiencing the pain over losing his wife after a few weeks in group; what should he NOT do? | Put his emotions on hold until the group is ended. |
| The following can lead to a sense of what? Counselor leads a hectic schedule, never takes a break between clients. She is swamped with paperwork, volunteers for committess and believes the diversity adds to her position. | fragmentation |
| What is the result of severe, prolonged, and mismanaged stress? | burnout |
| What is Steve experiencing in this scenario? He is relieved when a client cancels; psychologically withdraws when there; wife and children feel effects of work demands and he has become indifferent to their needs. | interpersonal burnout |
| What is a way to monitor yourself to prevent burnout? | use cognitive approaches to challenge irrational beliefs |
| In order to recognize the signs toward a path of impairment and striving to lessen the consequences to both the pro and the client involves what factors? | self-assessment, openness to change, action plan, and committment to change. |
| What are preventative strategies for coping with stress? | avoiding or reducing stressors and altering stress-reducing behaviors. |
| When is the first opportunity to assert individuality as a counselor? | job interview |
| According to rational emotive behavior therapy [REBT], an irrational belief that could lead to burnout in the helping field? | the idea that it is necessary for a helping professional to be loved, appreciated by every client; it is awful and catastrophic when clients and the workplace do not meet expectations; and that there is a right or precise or perfect solution. |