Exam Pack: Final Prep with Verified Answers
2024/2025
11. A client announces a desire to terminate therapy at the beginning of your
fifth session. The client would like to become friends and tells you that the two
of you could have the same kind of conversations but they could go on longer.
She tells you that she is already interviewing other therapists which is "better
for me because they take insurance." You would:
Content Area: Ethics: Therapeutic Relationship/Services
This question tests your knowledge of ethical standards as they pertain to
dual relationships and termination.
A. Respect her wishes to terminate and explain that you will not respond to
emails or social network posts that invite your friendship.
B. Attempt to process her desire to terminate as clinical material.
C. Seek consultation in case your counter-transference conveyed to your
client that you wanted to be friends.
D. Tell her you cannot terminate therapy under these circumstances. - correct
answer A. Respect her wishes to terminate and explain that you will not
respond to emails or social network posts that invite your friendship.
You may terminate a client if they want to end therapy, but if they want to
terminate in order to pursue a friendship, you would need to process how this
will occur before the therapy ends.
,12. Your client Juan tells you that his brother, Jose, was stabbed to death a
year ago by his cousin in a drug deal gone bad. Juan further states that he
told his cousin that he intends to murder him for stabbing Jose, but he is going
to wait until his aunt dies because she would be too upset by the death of her
only son. He tells you that the cousin lives in another state, but he will find him
when the time comes. In this situation, what is your legal responsibility?
Content Area: Law: Limits to Confidentiality/Mandated Reporting. This
question tests your knowledge of how to proceed legally in a possible Tarasoff
situation.
A. Under the Ewing v. Goldstein decision you must contact the aunt and warn
her about the threat to kill her son.
B. Under the Tarasoff decision you must call the police and warn the victim.
C. Maintain confidentiality.
D. This is privileged information and may not be disclosed without a
subpoena. - correct answer C. Maintain confidentiality.
Based on the information given in this question you would maintain
confidentiality. Juan's threat is dependant upon the death of another person
which eliminates the "imminence" that breaking confidentiality under Tarasoff
requires.
13.You have been seeing Amber and John as a couple when they announce
their upcoming wedding plans and invite you to attend. They warmly thank
you for your help and say they want you to be included in their special day.
Your best response would be:
, Content Area: Ethics: Professional Competence and Preventing Harm. This
question tests your knowledge of how to manage dual relationships.
A. Thank you, but social workers are not allowed to have interaction with
clients outside of therapy.
B. Thank you for your acknowledgement of our work together. Let's discuss
the implications.
C. My policy is that I will attend the wedding, but not the reception.
D. I will attend, but because of confidentiality, I must be introduced as a friend
or teacher rather than your social worker. - correct answer B. Thank you for
your acknowledgement of our work together. Let's discuss the implications.
Having a discussion about therapeutic boundaries and dual relationships
minimizes the chances for misunderstandings and clarifies your role at this
ceremony.
14. While checking messages at the end of the day, you listen to a voicemail
from a girl named Megan. She states that she got your number from her friend
Claire whom you "helped a lot a couple of years ago." Megan says she's
having a hard time getting used to high school and feels like she "doesn't fit in
anywhere." Megan asks if she can see you tomorrow and says she doesn't
want her parents to know. Before treating Megan without parental consent,
you need to determine that all of the following factors are present EXCEPT:
Content Area: Law: Confidentiality, Privilege, and Consent
This question tests your knowledge of how to proceed with consent to treat a
minor.