CBIS Ethical Standards and Practice 2

Question 1

A CBIS professional discovers that a colleague is billing for services not rendered to a brain injury client. The most appropriate first step is to:

Accepted Answer

Address the concern through the organization's internal compliance process

Answer

Ignore it as an internal matter

Answer

Report directly to law enforcement

Answer

Confront the colleague publicly

Question 2

When documenting a brain injury client's progress, ethical documentation practice requires that notes be:

Accepted Answer

Accurate, timely, and objective

Answer

Written days after the session to allow reflection

Answer

Shared only with the billing department

Answer

Kept exclusively in the clinician's personal files

Question 3

A CBIS specialist works in a rural area where they are the only brain injury professional available. A client requests a social relationship after discharge. The specialist should:

Accepted Answer

Carefully consider the boundary implications and consult ethics guidance before proceeding

Answer

Accept because rural settings create exceptions to boundary rules

Answer

Decline and refer the client elsewhere immediately

Answer

Agree if the client has no other social support

Question 4

Under HIPAA, a brain injury specialist may share a client's protected health information with family members only when:

Accepted Answer

The client provides written authorization or the disclosure meets a HIPAA exception

Answer

The family member pays for services

Answer

The specialist believes the family needs to know

Answer

The client is present during the conversation

Question 5

A CBIS professional feels personally uncomfortable treating a client whose TBI resulted from a crime they committed. The ethical obligation is to:

Accepted Answer

Seek supervision or consultation and ensure continuity of care if transfer is needed

Answer

Refuse treatment based on personal values

Answer

Provide treatment without addressing the discomfort

Answer

Report the client's criminal history to authorities

Question 6

Which principle best describes the ethical obligation to provide brain injury services that produce demonstrable benefits and minimize risk?

Accepted Answer

Beneficence and nonmaleficence

Answer

Autonomy

Answer

Justice

Answer

Fidelity

Question 7

A brain injury client's legal guardian requests information the client has explicitly stated they do not want shared. The CBIS specialist should:

Accepted Answer

Balance the guardian's legal authority with the client's expressed wishes and consult relevant statutes

Answer

Automatically comply because the guardian has full legal authority

Answer

Refuse all communication with the guardian

Answer

Wait until the client changes their mind