A therapist in private practice meets with a client who is working through issues
related to his father's recent death. During one session, the client talks of feeling
overwhelmed by his feelings of grief and is unable to deal with his own son's crying
and sadness about the loss. The client reveals becoming so frustrated with his son
over the weekend that he grabbed the child forcefully and left bruises on the child's
arm. How should the therapist manage the legal obligations in this case?
A. Assess the child.
B. Let the client know that the child protection agency must be notified about the
incident.
C. Educate the client on the stages of grief and provide him with relaxation skills.
D. Refer the client to a grief support group.
Give this one a try later!
B. Let the client know that the child protection agency must be notified
about the incident. (Rationale: This would require a mandated report).
,A 7-year-old child is referred to the school therapist because he is unable to sit still in
class. The child exposes a large, red rash on his torso and complains that the lotion his
mom puts on it makes it worse. The therapist calls the mother who shares that she
doesn't have time to take her son to the doctor and that she had the same thing as a
kid and had to learn to be tough. Ethically the therapist should.
A. Inform the mother that she must take the child to the medical doctor.
B. process a possible child neglect report with mother.
C. Schedule meeting with mom and child.
D. Schedule an appointment at a community health clinic.
Give this one a try later!
B. Process a possible child neglect report with mother. (Rationale: There is
enough here to file a report for medical neglect. If the mother understands
that there will be a report made she may change her mind).
A therapist in private practice works predominantly with adolescents and uses text
messaging to remind them of upcoming appointments. The therapist accidentally
sends a message to a client that was intended for her son that says, "I love you." How
should the therapist ethically manage the situation?
A. Acknowledge mistake and discuss the boundary violation.
B. Explore the impact of texting on therapeutic relationship.
C. Stop using text messaging in clinical practice.
D. Send follow-up text apologizing for the mix-up.
Give this one a try later!
A. Acknowledge mistake and discuss the boundary violation. (Rationale: A is
best because it includes discussing the boundary violation. Even though it
was a texts ent to the wrong person, it still included the client into the
therapist's personal relationship).
, During a session, a client informs the therapist that she is concerned for her neighbor
who has been behaving strangely since his wife died. The client explains that her
neighbor, an elderly man in his 70s, has been doing yard work naked. In addition, the
client informs the therapist that she has seen the man foraging in the trash cans and
running through the streets shouting profanities. How should the therapist proceed?
A. Main client's confidentiality.
B. Encourage the client to make a report to adult protective services.
C. Request client signs a release prior to contacting adult protective services.
D. Explain that the therapist must file a report to adult protective services.
Give this one a try later!
D. Explain that the therapist must file a report to adult protective services.
(Rationale: This qualifies as self-neglect and thus warrants a mandated
report to adult protective services).
A therapist has been meeting with a client for several months. During a session, the
client informs the therapist she is moving out of the area to a different part of the
state. She tells the therapist that she doesn't want to find a new therapist and would
like to continue by receiving therapy by Skype. How should the therapist legally and
ethically respond to the client's request?
A. Terminate services and provide 3 referrals
B. Discuss treatment options in the client's new community.
C. Start internet therapy and obtain informed consent.
D. Refer patient to providers in her new area.
Give this one a try later!
related to his father's recent death. During one session, the client talks of feeling
overwhelmed by his feelings of grief and is unable to deal with his own son's crying
and sadness about the loss. The client reveals becoming so frustrated with his son
over the weekend that he grabbed the child forcefully and left bruises on the child's
arm. How should the therapist manage the legal obligations in this case?
A. Assess the child.
B. Let the client know that the child protection agency must be notified about the
incident.
C. Educate the client on the stages of grief and provide him with relaxation skills.
D. Refer the client to a grief support group.
Give this one a try later!
B. Let the client know that the child protection agency must be notified
about the incident. (Rationale: This would require a mandated report).
,A 7-year-old child is referred to the school therapist because he is unable to sit still in
class. The child exposes a large, red rash on his torso and complains that the lotion his
mom puts on it makes it worse. The therapist calls the mother who shares that she
doesn't have time to take her son to the doctor and that she had the same thing as a
kid and had to learn to be tough. Ethically the therapist should.
A. Inform the mother that she must take the child to the medical doctor.
B. process a possible child neglect report with mother.
C. Schedule meeting with mom and child.
D. Schedule an appointment at a community health clinic.
Give this one a try later!
B. Process a possible child neglect report with mother. (Rationale: There is
enough here to file a report for medical neglect. If the mother understands
that there will be a report made she may change her mind).
A therapist in private practice works predominantly with adolescents and uses text
messaging to remind them of upcoming appointments. The therapist accidentally
sends a message to a client that was intended for her son that says, "I love you." How
should the therapist ethically manage the situation?
A. Acknowledge mistake and discuss the boundary violation.
B. Explore the impact of texting on therapeutic relationship.
C. Stop using text messaging in clinical practice.
D. Send follow-up text apologizing for the mix-up.
Give this one a try later!
A. Acknowledge mistake and discuss the boundary violation. (Rationale: A is
best because it includes discussing the boundary violation. Even though it
was a texts ent to the wrong person, it still included the client into the
therapist's personal relationship).
, During a session, a client informs the therapist that she is concerned for her neighbor
who has been behaving strangely since his wife died. The client explains that her
neighbor, an elderly man in his 70s, has been doing yard work naked. In addition, the
client informs the therapist that she has seen the man foraging in the trash cans and
running through the streets shouting profanities. How should the therapist proceed?
A. Main client's confidentiality.
B. Encourage the client to make a report to adult protective services.
C. Request client signs a release prior to contacting adult protective services.
D. Explain that the therapist must file a report to adult protective services.
Give this one a try later!
D. Explain that the therapist must file a report to adult protective services.
(Rationale: This qualifies as self-neglect and thus warrants a mandated
report to adult protective services).
A therapist has been meeting with a client for several months. During a session, the
client informs the therapist she is moving out of the area to a different part of the
state. She tells the therapist that she doesn't want to find a new therapist and would
like to continue by receiving therapy by Skype. How should the therapist legally and
ethically respond to the client's request?
A. Terminate services and provide 3 referrals
B. Discuss treatment options in the client's new community.
C. Start internet therapy and obtain informed consent.
D. Refer patient to providers in her new area.
Give this one a try later!
