1000 Flashcards National Counselor Examination (NCE)
A client discloses intent to harm another Duty to warn/protect (Tarasoff principle). Break confidentiality if
identifiable person. What is the counselor's ethical serious threat exists.
duty?
Confidentiality can be broken without consent in Imminent danger to self or others.
cases of ____ danger.
What is beneficence? Ethical principle requiring counselors to act in the best interest of the
client.
A counselor begins dating a former client 2 Potential violation; ACA discourages relationships within 5 years due to
months after termination. Ethical? power imbalance.
Define dual relationship. Any situation where counselor has more than one relationship with a
client (professional, social, financial).
1 of 93
,1000 Flashcards National Counselor Examination (NCE)
What is a boundary crossing vs boundary Crossing = potentially helpful deviation; Violation = harmful,
violation? exploitative, unethical.
____ is unauthorized disclosure of client Breach of confidentiality.
information.
What is fidelity in ethics? Maintaining trust, loyalty, and keeping promises to clients.
Counselor shares client story without identifying Depends—still requires consent; risk of indirect identification.
details in public lecture. Ethical?
What is autonomy? Client's right to make independent decisions about treatment.
What is nonmaleficence? "Do no harm" principle.
2 of 93
,1000 Flashcards National Counselor Examination (NCE)
A client refuses treatment. Counselor must Client autonomy unless danger to self/others.
respect?
Ethical decision-making requires consideration of Professional ethical codes (ACA, NBCC).
____ codes.
What is countertransference? Counselor's emotional reaction to client based on personal issues.
Counselor becomes overly protective of a client. Countertransference.
Likely issue?
What is transference? Client projects feelings from past relationships onto counselor.
Confidentiality is absolute. False - it has legal and ethical exceptions.
Why is confidentiality important? Builds trust and supports therapeutic alliance.
____ is required when counseling minors depending Parental consent/assent.
on jurisdiction.
What is privileged communication? Legal protection preventing disclosure in court without client consent.
3 of 93
, 1000 Flashcards National Counselor Examination (NCE)
Who holds privilege? The client, not the counselor.
Court subpoena requests records. Counselor Verify validity and consult legal/ethical guidelines before releasing.
should?
What is HIPAA? Federal law protecting client health information privacy.
What is the minimum necessary standard? Only necessary information should be disclosed.
Ethical record keeping requires ____ Accurate, timely, and objective.
documentation.
What is abandonment in counseling? Unilateral termination without proper referral or notice.
Counselor suddenly leaves job without referral Client abandonment.
plan. Issue?
What is competence? Practicing only within education, training, and experience.
4 of 93
A client discloses intent to harm another Duty to warn/protect (Tarasoff principle). Break confidentiality if
identifiable person. What is the counselor's ethical serious threat exists.
duty?
Confidentiality can be broken without consent in Imminent danger to self or others.
cases of ____ danger.
What is beneficence? Ethical principle requiring counselors to act in the best interest of the
client.
A counselor begins dating a former client 2 Potential violation; ACA discourages relationships within 5 years due to
months after termination. Ethical? power imbalance.
Define dual relationship. Any situation where counselor has more than one relationship with a
client (professional, social, financial).
1 of 93
,1000 Flashcards National Counselor Examination (NCE)
What is a boundary crossing vs boundary Crossing = potentially helpful deviation; Violation = harmful,
violation? exploitative, unethical.
____ is unauthorized disclosure of client Breach of confidentiality.
information.
What is fidelity in ethics? Maintaining trust, loyalty, and keeping promises to clients.
Counselor shares client story without identifying Depends—still requires consent; risk of indirect identification.
details in public lecture. Ethical?
What is autonomy? Client's right to make independent decisions about treatment.
What is nonmaleficence? "Do no harm" principle.
2 of 93
,1000 Flashcards National Counselor Examination (NCE)
A client refuses treatment. Counselor must Client autonomy unless danger to self/others.
respect?
Ethical decision-making requires consideration of Professional ethical codes (ACA, NBCC).
____ codes.
What is countertransference? Counselor's emotional reaction to client based on personal issues.
Counselor becomes overly protective of a client. Countertransference.
Likely issue?
What is transference? Client projects feelings from past relationships onto counselor.
Confidentiality is absolute. False - it has legal and ethical exceptions.
Why is confidentiality important? Builds trust and supports therapeutic alliance.
____ is required when counseling minors depending Parental consent/assent.
on jurisdiction.
What is privileged communication? Legal protection preventing disclosure in court without client consent.
3 of 93
, 1000 Flashcards National Counselor Examination (NCE)
Who holds privilege? The client, not the counselor.
Court subpoena requests records. Counselor Verify validity and consult legal/ethical guidelines before releasing.
should?
What is HIPAA? Federal law protecting client health information privacy.
What is the minimum necessary standard? Only necessary information should be disclosed.
Ethical record keeping requires ____ Accurate, timely, and objective.
documentation.
What is abandonment in counseling? Unilateral termination without proper referral or notice.
Counselor suddenly leaves job without referral Client abandonment.
plan. Issue?
What is competence? Practicing only within education, training, and experience.
4 of 93
