of Clinical Practice Questions and
Answers 100% Pass
What is the difference between confidentiality and privilege? - ✔✔Confidentiality is the
client's right to have information shared within therapy stay between the therapist and
client. Privilege is the client's right to keep information discussed in therapy out of legal
proceedings.
What are the two basic principles related to breaking confidentiality? - ✔✔1. No
surprises
2. Share the absolute minimum
What are the limits to confidentiality? - ✔✔1. Patient consent
2. Treatment emergencies
3. Harm to self, harm to others, and grave disability
4. Quality of care review
5. Multidisciplinary care
6. Subpoenas, court orders, and other legal requirements
7. Crimes involving hospitalized patients
8. Employee Programs
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, 9. Mandated reporting
What is the difference between holding privilege and claiming privilege? - ✔✔Only the
holder of privilege has the right to invoke or waive privilege.
Who can hold privilege - ✔✔1. Clients
2. Legal guardians and conservators
3. Client representatives
Who can claim privilege? - ✔✔1. The holder of privilege
2. Those authorized by the holder of privilege
3. The therapist
What are exceptions to privilege? - ✔✔1. When the client's mental health is the reason
for the legal case
2. For court ordered evaluations
3. When therapy is used to commit a crime or avoid being detained (e.g. using therapy
as an alibi)
4. For issues regarding a deceased client's will or final words that only the therapist
knows about
5. When client is a danger to self, others, or property AND disclosure can prevent the
harm from occurring
6. When the client or therapist is required to make a report that is open to public
inspection
7. When the client is under 16, is a victim of a crime, and disclosure is in the best interest
of the client
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