Exam 7: The Professional Relationship: Limits, Dilemmas, and Problems

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Using dishonesty in a professional setting, especially when it comes to something as serious as a medical diagnosis, can evoke a range of conflicting emotions. On one hand, there may be a sense of guilt and ethical discomfort at the idea of deceiving a client and potentially causing harm by providing a false diagnosis. There may also be a fear of the potential consequences if the dishonesty is discovered, such as damage to one's professional reputation and legal repercussions.

On the other hand, there may be a feeling of empathy and a desire to help the client access the services they need, especially if those services are not otherwise available. There may also be a sense of frustration with the limitations of the healthcare system and a belief that the ends justify the means in this particular situation.

Ultimately, the use of dishonesty in this context can create a significant internal conflict for the professional involved. It forces them to weigh the potential benefits to the client against the ethical and moral implications of their actions. It may also lead to feelings of moral distress, as the individual grapples with the misalignment between their personal values and the demands of their professional role.

In conclusion, the use of dishonesty in a client's interest can evoke a complex mix of emotions, including guilt, fear, empathy, frustration, and moral distress. It is a challenging ethical dilemma that requires careful consideration and a deep understanding of the potential consequences for both the client and the professional involved.

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The class should divide into groups to answer the following questions based on the vignette:

1. What ethical issues are present in this scenario?
2. What are the potential consequences of Alex's actions for himself, Zoe, and the hospital?
3. What should Alex have done differently in this situation?
4. What steps should the hospital take to address this situation and prevent similar incidents in the future?
5. What are the implications for the profession of social work as a whole?

Each group should discuss and analyze the ethical dilemmas, professional boundaries, and potential harm caused by Alex's actions. They should also consider the impact on Zoe's treatment and the hospital's reputation. Finally, they should propose recommendations for addressing the situation and preventing similar incidents in the future. Each group should then present their findings and recommendations to the class for further discussion and reflection.