Exam(Latest Update ) Questions &
Answers with Rationales| 100% Correct | Grade.
1. An LPCC receives a request from a client’s insurance company for records
without the client’s written consent. What should the LPCC do?
A. Send the records immediately.
B. Refuse to send the records.
C. Obtain written consent from the client before releasing the records.
D. Only provide a verbal summary of the sessions.
Answer: C
Rationale: Client confidentiality is paramount. Records may only be released with written
consent unless legally mandated otherwise. Insurance companies require client authorization
before accessing records.
2. A client reports suicidal thoughts. The LPCC should:
A. Maintain confidentiality and avoid reporting.
B. Notify the client’s family or authorities as needed to prevent harm.
C. Ignore the statements unless the client acts on them.
D. Terminate therapy to avoid liability.
Answer: B
Rationale: Ethical and legal guidelines require counselors to take action when clients pose a
danger to themselves or others, including notifying appropriate parties.
3. An LPCC observes another counselor violating ethical standards. The first
action should be:
A. File a formal complaint with BBS.
B. Attempt to address the issue directly with the counselor.
C. Report immediately to law enforcement.
D. Do nothing to avoid conflict.
,Answer: B
Rationale: Ethical practice encourages attempting to resolve concerns at the closest level before
formal reporting.
4. A client requests therapy notes for personal use. The LPCC should:
A. Provide a full copy without review.
B. Review and provide notes as appropriate, documenting the process.
C. Refuse to provide any notes.
D. Provide notes only if the client pays a fee.
Answer: B
Rationale: Clients have rights to access their records, but the counselor must ensure information
is shared ethically and documented appropriately.
5. Dual relationships are generally:
A. Encouraged if the client requests it.
B. Avoided when they may impair objectivity or increase harm.
C. Required for better therapeutic outcomes.
D. Only a concern outside of therapy sessions.
Answer: B
Rationale: Dual relationships can impair professional judgment and risk client harm. Counselors
must avoid or carefully manage them according to ethical guidelines.
6. An LPCC suspects child abuse. The counselor should:
A. Report to CPS immediately.
B. Wait for the parent’s consent.
C. Only report if abuse is confirmed.
D. Discuss with the child only.
Answer: A
Rationale: California law mandates immediate reporting of suspected child abuse to Child
Protective Services.
7. Informed consent should include:
, A. Fees, limits of confidentiality, and counseling process.
B. Only fees.
C. Only techniques used.
D. Nothing; it is optional.
Answer: A
Rationale: Clients must be informed about fees, confidentiality limits, and the counseling
process before starting therapy.
8. If a client makes a false accusation against the LPCC, the counselor should:
A. Retaliate against the client.
B. Document the incident and consult with a supervisor or legal counsel.
C. Ignore it.
D. Terminate therapy immediately.
Answer: B
Rationale: Proper documentation and supervision help protect the counselor legally and
ethically.
9. Telehealth sessions require that the LPCC:
A. Only use secure, HIPAA-compliant platforms.
B. Can use any video platform.
C. Do not document sessions.
D. Ignore state licensing requirements.
Answer: A
Rationale: Telehealth must follow HIPAA regulations and state guidelines to ensure client
privacy and ethical practice.
10. An LPCC receives a court subpoena for client records. The counselor should:
A. Immediately release records.
B. Consult an attorney and inform the client if allowed.
C. Refuse all requests.
D. Destroy records to protect confidentiality.