Question 1

Discuss the use of touch in clinical relationships.

Accepted Answer

The use of touch in clinical relationships is a complex and often debated topic. Touch can be a powerful tool for building rapport, conveying empathy, and providing comfort to patients. However, it can also be a source of discomfort or even harm if not used appropriately.

In many healthcare settings, touch is an integral part of the therapeutic process. For example, a comforting hand on the shoulder or a reassuring pat on the back can convey empathy and support to a patient in distress. Physical touch can also be used to perform medical examinations, administer treatments, or provide physical therapy.

However, it is important for healthcare professionals to be mindful of cultural, personal, and professional boundaries when using touch in clinical relationships. Some patients may have different comfort levels with touch based on their cultural background or personal experiences. Additionally, healthcare providers must always obtain informed consent before engaging in any physical contact with a patient.

Furthermore, the #MeToo movement and increased awareness of sexual harassment have prompted a reevaluation of touch in clinical settings. Healthcare professionals must be vigilant in ensuring that their touch is always appropriate, respectful, and consensual.

In conclusion, the use of touch in clinical relationships can be a valuable tool for building rapport and providing comfort to patients. However, it must be used with sensitivity, respect for boundaries, and informed consent to ensure that it is always a positive and therapeutic experience for the patient.

Question 2

Clinical restraints on the amount of time for a meeting do all of the following EXCEPT:

Accepted Answer

A) They may be at odds with non-Western clients whose traditions regarding meetings are not so time-bound. 
B) They may help the client and clinician get more work done efficiently. 
C) They may help poorly organized clients internalize more structure. 
D) They enforce an arbitrary, unnecessary structure and should be flexible. D

Question 3

Discuss three purposes of personal self-disclosure by clinicians to clients.

Accepted Answer

Personal self-disclosure by clinicians to clients can serve several important purposes in the therapeutic relationship.

Firstly, self-disclosure can help to build rapport and trust between the clinician and the client. By sharing personal experiences or feelings, the clinician can demonstrate empathy and understanding, which can help the client feel more comfortable and open in the therapeutic setting. This can ultimately lead to a stronger therapeutic alliance and more effective treatment outcomes.

Secondly, self-disclosure can be used as a therapeutic tool to model healthy communication and emotional expression. By sharing their own experiences or struggles, clinicians can provide clients with examples of how to navigate difficult emotions or situations. This can help clients feel less alone in their own struggles and provide them with hope and inspiration for their own healing journey.

Lastly, self-disclosure can be used strategically to normalize the client's experiences and reduce feelings of shame or isolation. By sharing their own experiences, clinicians can help clients see that they are not alone in their struggles and that their feelings and experiences are valid. This can help to reduce stigma and encourage clients to be more open and honest about their own experiences, which can be crucial for effective therapy.

Overall, personal self-disclosure by clinicians can serve as a powerful tool for building rapport, modeling healthy communication, and reducing feelings of shame and isolation in the therapeutic relationship. However, it is important for clinicians to use self-disclosure judiciously and with careful consideration of the potential impact on the client.

Question 4

If an agency says you may not talk about certain topics (such as abortion) with particular clients, you should:

Accepted Answer

A) Ignore the policy if you feel it is not in the client's best interest. 
B) Explain to clients why you can't help in those areas and offer a referral to an appropriate professional. 
C) Explain to agency that church and state are separated constitutionally. 
D) Reveal to client your belief that it's hurtful to have such policies.

Question 5

Describe two situations in which it would be okay for clinicians to have "outside contact" with clients.

Accepted Answer

The answer of Describe two situations in which it would...

Question 6

Which of the following statements is TRUE?

Accepted Answer

A) Gifts from clients should always be accepted if the clients are from a culture different from that of the clinician, so as to not hurt feelings. 
B) If a client gives the clinician a gift, the clinician should give the client a gift to show mutuality. 
C) A clinician may accept a small gift. 
D) Clinicians should never accept a gift from a client as it has the potential to be manipulative.

Question 7

A client asks to meet outside of the office. Which of the following is FALSE?

Accepted Answer

A) It is never appropriate for a clinician to attend a client's wedding or graduation ceremony because it blurs the boundary between professional relationship and a friendship. 
B) A clinician may accompany a client to another agency to get a service or help. 
C) When a client asks to meet a clinician in a setting other than the normal meeting place, the clinician should consider the request and discuss it with a supervisor. 
D) When meeting outside of the customary meeting place, it is important that the roles are clear and that the boundaries are still well defined.

Question 8

Caleb tells his counselor Martine that he finds her very attractive. Martine should:

Accepted Answer

A) Tell him "thank you", she appreciates the compliment and is flattered that he thinks so. 
B) Tell him that it is inappropriate in a professional relationship for him to say such things. 
C) Transfer him to another clinician so that there is no risk of ethical violations. 
D) Talk to her supervisor about how to respond to his comment.

Question 9

When a client asks a clinician a personal question, the clinician should:

Accepted Answer

A) Think about the effects of both answering and not answering the question. 
B) Tell the client that they don't answer questions and that it is not appropriate for them to ask. 
C) Always answer the question so that the client feels respected. 
D) Answer the question but not dwell on it or its meaning.

Question 10

Clinicians may use self-disclosure for all of the following purposes EXCEPT:

Accepted Answer

A) To address what is happening in the relationship. 
B) Because they have had a similar experience and want to tell the client. 
C) To model new behaviors. 
D) As a way to help the client get information about something.

Question 11

At the beginning of their session, Teradora has asked her clinician if they can meet for a double session today instead of the usual single session. Before answering her, the clinician should consider all of the following EXCEPT:

Accepted Answer

A) How much additional money the clinician can make for this extra work. 
B) Why Teradora is asking for more time. 
C) How Teradora will understand the clinician's response, whether it is yes or no. 
D) The availability of other resources and supports.

Question 12

Discuss four principles that clinicians should follow when sexual feelings arise in the clinical relationship.

Accepted Answer

The answer of Discuss four principles that clinicians should follow...

Question 13

Penelope and her husband and children were attending a play in town. Penelope saw one of her clients, Sorrelina, in the lobby of the theater. She wasn't sure if Sorrelina saw her. Penelope should:

Accepted Answer

A) Go up to Sorrelina, say hello, and introduce her husband and children to Sorrelina. 
B) Pretend she didn't see Sorrelina and not mention it in their work. 
C) Tell her family that they have to leave the play because a client of hers is also there. 
D) At their next meeting, tell Sorrelina that she saw her at the play.Ask Sorrelina if she saw her, and then ask Sorrelina how they should handle things in the future if they see each outside of the office.

Question 14

Which of the following statements is TRUE?

Accepted Answer

A) Self-disclosure may be particularly important because in some cultures people only discuss business after a warm up period. 
B) It is important to evaluate the effects of self-disclosure and directly check in with the client about the information revealed. 
C) Shared information allows clients to reciprocate empathy. 
D) Receiving information about the clinician gives the client more power in the relationship than they would otherwise have with less transparent clinicians. 
E) All of the above

Question 15

Name and discuss three factors that will affect a clinician's response to a client's request for more time with the clinician.

Accepted Answer

The answer of Name and discuss three factors that will...

Exam 12: Addressing Self-Disclosure and Other Boundary Issues

Discuss the use of touch in clinical relationships.

Clinical restraints on the amount of time for a meeting do all of the following EXCEPT:

Discuss three purposes of personal self-disclosure by clinicians to clients.

If an agency says you may not talk about certain topics (such as abortion) with particular clients, you should:

Describe two situations in which it would be okay for clinicians to have "outside contact" with clients.

Which of the following statements is TRUE?

A client asks to meet outside of the office. Which of the following is FALSE?

Caleb tells his counselor Martine that he finds her very attractive. Martine should:

When a client asks a clinician a personal question, the clinician should:

Clinicians may use self-disclosure for all of the following purposes EXCEPT:

At the beginning of their session, Teradora has asked her clinician if they can meet for a double session today instead of the usual single session. Before answering her, the clinician should consider all of the following EXCEPT:

Discuss four principles that clinicians should follow when sexual feelings arise in the clinical relationship.

Penelope and her husband and children were attending a play in town. Penelope saw one of her clients, Sorrelina, in the lobby of the theater. She wasn't sure if Sorrelina saw her. Penelope should:

Which of the following statements is TRUE?

Name and discuss three factors that will affect a clinician's response to a client's request for more time with the clinician.