PSY 661 MIDTERM QUESTIONS WITH VERIFIED
ANSWERS
HIPAA (Health Insurance Portability and Accountability Act) - Answers - The third
domain regulating the professions
Federal regulations that were passed in 1996 to provide "privacy" and "security of
patients' protected health information"
PHI (Protected Health Information) - Answers - PHI: Any health information that is
identified with a specific client/patient and therefore protected by the privacy and
security rule
HIPAA term describing any information that can be linked to a specific client in your
care
examples of PHI in client file include: intake forms, demographic information, consent
for treatment, assessment release of information, and progress notes
Privacy Rule - Answers - Privacy Rule: "...Safeguard PHI from any intentional or
unintentional use or disclosure..."
Security Rule - Answers - Security Rule: "...protect against any reasonably anticipated
threats or Hazard to the security or integrity of such information."
What are the three domains regulating the profession? - Answers - 1. LMFT- and LPC-
specific professional codes of ethics
2. State-specific degree and license requirements for both LMFTs and LPCs
3. Health Information Portability and Accountability Act (HIPAA)
What HIPAA forms are given to clients? - Answers - HIPAA consent forms and HIPAA
privacy information, where it informs them about what their rights are under HIPAA to be
able to access their records and, if they believe that their rights are being violated, who
to contact to oversee that.
Establishing the goals of therapy - Answers - - Determine client's measure of successful
outcome of therapy
- Rely upon collaboration with client
- Ask client for clarification of words or phrases
Threat of self-harm - Answers - Not uncommon, but likely not lethal • Often revealed
with hopelessness
"Ego-syntonic"? vs. "Ego-dystonic"?
Does client have plan?
, Investigate ambivalence
Rely upon supervisor and colleagues
"Ego-syntonic"? vs. "Ego-dystonic"? - Answers - - Ego-syntonic means that the client is
saying that these thoughts that I'm having are acceptable to me. I'm so hopeless and
I'm so despairing that it would be the only way that I could think of finding relief. And I'm
not really all that interested in pushing back on that. That's a more lethal kind of
consideration
- Ego-dystonic, in which the client is saying, I don't like having these thoughts. These
thoughts are unacceptable to me. I don't want to act on them. I'm afraid I might, but I
don't want to do that.
Goals of clinical intake pt.1 - Answers - Greeting the client
-The Welcome
-Introduce yourself
-Promoting comfort
-Providing clear directions
-Forms and paperwork
Consent form
-Demographics
-Assessments
-HIPAA
Learning about the client
-Centering client's concerns, purposes, and intentions
-"Scientific reality" vs. "lived reality"
-Lived reality is the meaning the reality holds for them, how did they decide to do what
they did
-Understanding the history of the client's lived reality
Goals of clinical intake pt.2 - Answers - Establishing the goals of therapy
-Determine client's measure of successful outcome of therapy
-Rely upon collaboration with client
-Ask client for clarification of words or phrases
Therapist Describles Methods of therapy
-Will vary according to training and supervision
-Important to be clear as possible
Instilling hope
-Difficult to do as a beginning therapist
-Do NOT make promises
-Look for client's skills and competencies
ANSWERS
HIPAA (Health Insurance Portability and Accountability Act) - Answers - The third
domain regulating the professions
Federal regulations that were passed in 1996 to provide "privacy" and "security of
patients' protected health information"
PHI (Protected Health Information) - Answers - PHI: Any health information that is
identified with a specific client/patient and therefore protected by the privacy and
security rule
HIPAA term describing any information that can be linked to a specific client in your
care
examples of PHI in client file include: intake forms, demographic information, consent
for treatment, assessment release of information, and progress notes
Privacy Rule - Answers - Privacy Rule: "...Safeguard PHI from any intentional or
unintentional use or disclosure..."
Security Rule - Answers - Security Rule: "...protect against any reasonably anticipated
threats or Hazard to the security or integrity of such information."
What are the three domains regulating the profession? - Answers - 1. LMFT- and LPC-
specific professional codes of ethics
2. State-specific degree and license requirements for both LMFTs and LPCs
3. Health Information Portability and Accountability Act (HIPAA)
What HIPAA forms are given to clients? - Answers - HIPAA consent forms and HIPAA
privacy information, where it informs them about what their rights are under HIPAA to be
able to access their records and, if they believe that their rights are being violated, who
to contact to oversee that.
Establishing the goals of therapy - Answers - - Determine client's measure of successful
outcome of therapy
- Rely upon collaboration with client
- Ask client for clarification of words or phrases
Threat of self-harm - Answers - Not uncommon, but likely not lethal • Often revealed
with hopelessness
"Ego-syntonic"? vs. "Ego-dystonic"?
Does client have plan?
, Investigate ambivalence
Rely upon supervisor and colleagues
"Ego-syntonic"? vs. "Ego-dystonic"? - Answers - - Ego-syntonic means that the client is
saying that these thoughts that I'm having are acceptable to me. I'm so hopeless and
I'm so despairing that it would be the only way that I could think of finding relief. And I'm
not really all that interested in pushing back on that. That's a more lethal kind of
consideration
- Ego-dystonic, in which the client is saying, I don't like having these thoughts. These
thoughts are unacceptable to me. I don't want to act on them. I'm afraid I might, but I
don't want to do that.
Goals of clinical intake pt.1 - Answers - Greeting the client
-The Welcome
-Introduce yourself
-Promoting comfort
-Providing clear directions
-Forms and paperwork
Consent form
-Demographics
-Assessments
-HIPAA
Learning about the client
-Centering client's concerns, purposes, and intentions
-"Scientific reality" vs. "lived reality"
-Lived reality is the meaning the reality holds for them, how did they decide to do what
they did
-Understanding the history of the client's lived reality
Goals of clinical intake pt.2 - Answers - Establishing the goals of therapy
-Determine client's measure of successful outcome of therapy
-Rely upon collaboration with client
-Ask client for clarification of words or phrases
Therapist Describles Methods of therapy
-Will vary according to training and supervision
-Important to be clear as possible
Instilling hope
-Difficult to do as a beginning therapist
-Do NOT make promises
-Look for client's skills and competencies
