Question 1

Practitioners in rural settings often find themselves involved in multiple relationships.Challenges the deal with include all of the following EXCEPT:

Accepted Answer

A)  professional isolation. 
B)  high visibility in the community. 
C)  spending a minimal amount of time traveling between professional engagements. 
D)  coping with the inevitability of multiple relationships.

Question 2

Linda is considering developing a multiple or dual relationship with her client.It's important for Linda to remember:

Accepted Answer

A)  that all multiple relationships should be avoided because they are usually harmful. 
B)  that absolute answers are available to resolve dual or multiple relationship dilemmas. 
C)  to be cautious in order to protect herself from censure. 
D)  to consider whether the potential benefit outweighs the potential for harm.

Question 3

Which of the following actions would maximize the risks inherent in dual or multiple relationships?

Accepted Answer

A)  Setting healthy boundaries from the outset 
B)  Securing informed consent of clients and discuss with them both the potential risks and benefits of dual relationships 
C)  Documenting any dual relationships in clinical case notes 
D)  Becoming romantically involved with the client

Question 4

Clients can file a legal complaint against a therapist for sexual misconduct by all of the following methods EXCEPT:

Accepted Answer

A)  filing a malpractice suit. 
B)  filing an ethical complaint with the therapist's licensing board. 
C)  lodging a complaint with the AARP. 
D)  filing a criminal complaint or a civil suit.

Question 5

Which of the following is NOT a controversy of boundary issues?

Accepted Answer

A)  Age,diagnosis,life experiences such as abuse,and culture are key elements of the therapeutic relationship. 
B)  An unfortunate reality is that some practitioners have difficulty distinguishing where appropriate boundary lines should be drawn. 
C)  The goal of ethical decision-making is to take a position where the potential for exploitation is minimized. 
D)  Failing to establish clear boundaries can be very dangerous to both the client and the therapist.

Question 6

Bonnie became sexually involved with her therapist soon after therapy began.This action was initiated by the therapist who saw Bonnie's provocative behavior as an invitation to become intimate.Which of the following is NOT a possible ongoing consequence for the client being sexually exploited?

Accepted Answer

A)  Experiencing feelings of freedom and peacefulness 
B)  Experiencing feelings of shame and guilt and posttraumatic stress disorder 
C)  Experiencing depression,fear,and anger 
D)  Experiencing isolation,a stronger distrust,and suicidal tendencies

Question 7

The notion that certain actions will inevitably lead to a progressive deterioration of ethical behavior is commonly referred to as:

Accepted Answer

A)  the slippery slope phenomenon. 
B)  therapist decay. 
C)  the ethical deterioration phenomenon. 
D)  role erosion.

Question 8

_____________ is a serious breach that results in harm to clients and is therefore unethical.

Accepted Answer

A)  A slippery slope 
B)  A dual relationship 
C)  A boundary violation 
D)  A malpractice suit

Question 9

Clinicians who oppose any form of physical contact with their clients (e.g.,nonerotic touching)believe all of the following EXCEPT:

Accepted Answer

A)  it can promote dependency. 
B)  it can interfere with the transference relationship. 
C)  it can be misread by clients. 
D)  it can become a healthy romantic relationship.

Question 10

Which of the following situations does NOT have the potential to harm or exploit a client?

Accepted Answer

A)  Entering a business venture with a client 
B)  Developing a sexual relationship with a client 
C)  Establishing a social relationship with a client 
D)  Setting healthy boundaries during the initial visit

Question 11

Which of the following is NOT a code of ethics in regards to sexual contact and the therapeutic relationship from various professional organizations?

Accepted Answer

A)  Sexual intimacy with current clients,or their spouses or partners,is prohibited.Engaging in sexual intimacy with individuals who are known to be close relatives,guardians or significant others of current clients is prohibited. 
B)  Psychologists do not engage in sexual intimacies with current clients/patients; however,if a client/patient has not been treated within two years a relationship may become ethically approved. 
C)  Sexual or romantic counselorclient interactions or relationships with current clients or their family members are prohibited. 
D)  Psychologists do not engage in sexual intimacies with individuals they know to be close relatives,guardians,or significant others of current clients/patients.Psychologists do not terminate therapy to circumvent this standard.

Question 12

Changes in mental health care laws and practice have increased the need for:

Accepted Answer

A)  outreach psychotherapists. 
B)  higher costs and fewer psychotherapy hours. 
C)  gift giving. 
D)  stricter boundaries for outreach psychotherapists.

Question 13

Boundary management is:

Accepted Answer

A)  not an issue in sparsely populated areas. 
B)  less challenging in rural areas than in urban areas. 
C)  equally as challenging in rural and urban areas. 
D)  more challenging in rural areas than in urban areas.

Question 14

Which of the following is NOT a reason for discouraging the practice of accepting friends as clients or of becoming socially involved with clients?

Accepted Answer

A)  Therapists may not be as challenging as they need to be with clients they know socially because of a need to be liked and accepted by the client. 
B)  Therapists may be as effective with clients they know socially as they are with clients they have never met previously to the therapeutic relationship. 
C)  Counselors' own needs may be enmeshed with those of their clients to the point that objectivity is lost. 
D)  Counselors are at greater risk of exploiting clients because of the power differential in the therapeutic relationship.

Question 15

The ethics codes of most professional organizations provide guidelines for the ethical practice of bartering.Some more recent codes (APA,NASW,AAMFT,and ACA):

Accepted Answer

A)  state the practice of bartering is unethical no matter the circumstances. 
B)  take a more strict attitude increasing the punishment for practicing bartering. 
C)  state bartering should take place of payment; therefore,the therapeutic relationship can become more trustworthy. 
D)  take a more flexible and less punitive attitude toward bartering.

Exam 7: Managing Boundaries and Multiple Relationships