NU 672 COUNSELLING AND
PSYCHOTHERAPY
FINAL EXAM
Exam Elaborations Questions &
Answers
2026
, A counselor working with an adolescent who discloses substance use must balance
confidentiality with safety. Which principle guides the counselor’s decision to inform
parents?
- A. Autonomy
- B. Beneficence
- C. Justice
- D. Fidelity
Answer: B. Beneficence
Rationale: Beneficence requires acting in the patient’s best interest, which may include
breaching confidentiality to protect health and safety.
---
In counseling older adults, respecting their decision to refuse treatment despite family
pressure reflects which ethical principle?
- A. Nonmaleficence
- B. Autonomy
- C. Veracity
- D. Justice
Answer: B. Autonomy
Rationale: Autonomy emphasizes the patient’s right to make independent choices, even if
others disagree.
---
When a counselor avoids dual relationships with clients, they are primarily upholding:
- A. Justice
- B. Fidelity
- C. Nonmaleficence
- D. Veracity
Answer: C. Nonmaleficence
Rationale: Dual relationships risk harm to clients, violating the principle of “do no harm.”
---
A therapeutic environment that ensures equal access to counseling services regardless of
socioeconomic status demonstrates:
- A. Justice
- B. Autonomy
- C. Fidelity
- D. Beneficence
Answer: A. Justice
Rationale: Justice requires fairness and equitable distribution of resources.
---
2
PSYCHOTHERAPY
FINAL EXAM
Exam Elaborations Questions &
Answers
2026
, A counselor working with an adolescent who discloses substance use must balance
confidentiality with safety. Which principle guides the counselor’s decision to inform
parents?
- A. Autonomy
- B. Beneficence
- C. Justice
- D. Fidelity
Answer: B. Beneficence
Rationale: Beneficence requires acting in the patient’s best interest, which may include
breaching confidentiality to protect health and safety.
---
In counseling older adults, respecting their decision to refuse treatment despite family
pressure reflects which ethical principle?
- A. Nonmaleficence
- B. Autonomy
- C. Veracity
- D. Justice
Answer: B. Autonomy
Rationale: Autonomy emphasizes the patient’s right to make independent choices, even if
others disagree.
---
When a counselor avoids dual relationships with clients, they are primarily upholding:
- A. Justice
- B. Fidelity
- C. Nonmaleficence
- D. Veracity
Answer: C. Nonmaleficence
Rationale: Dual relationships risk harm to clients, violating the principle of “do no harm.”
---
A therapeutic environment that ensures equal access to counseling services regardless of
socioeconomic status demonstrates:
- A. Justice
- B. Autonomy
- C. Fidelity
- D. Beneficence
Answer: A. Justice
Rationale: Justice requires fairness and equitable distribution of resources.
---
2
