CBIS Ethical Standards and Practice 3

Question 1

A CBIS professional receives a subpoena for a client's therapy records. The appropriate first step is to:

Accepted Answer

Notify the client and consult legal counsel before releasing records

Answer

Immediately release all records to comply with the court

Answer

Refuse entirely because therapy records are always privileged

Answer

Destroy the records to protect confidentiality

Question 2

In brain injury rehabilitation, 'scope of practice' means a CBIS professional should:

Accepted Answer

Practice only within the competencies defined by their credential and training

Answer

Provide any service the client requests regardless of training

Answer

Expand services based on client need even without training

Answer

Follow only state licensure rules and ignore national credential standards

Question 3

A CBIS specialist learns that a client is planning to drive despite being assessed as unsafe due to TBI cognitive deficits. After counseling the client, the client still plans to drive. The specialist should:

Accepted Answer

Warn identifiable potential victims and consider reporting to the DMV per applicable state law

Answer

Accept the client's autonomy and take no further action

Answer

Immediately notify the police

Answer

Discharge the client from services

Question 4

A pharmaceutical company offers a CBIS professional a paid speaking fee to present their TBI medication at a conference. The ethical obligation includes:

Accepted Answer

Disclosing the financial relationship to the audience

Answer

Accepting the fee as standard professional compensation

Answer

Declining only if the medication is ineffective

Answer

Reporting the offer to licensing boards automatically

Question 5

Which of the following best describes 'informed assent' in brain injury practice with clients who have diminished decision-making capacity?

Accepted Answer

The client is provided information in an accessible format and their agreement is sought even when a surrogate has legal authority

Answer

The legal guardian's signature is sufficient; the client need not be involved

Answer

The client is excluded from all treatment discussions

Answer

Assent is identical to informed consent

Question 6

A CBIS professional is asked to testify as a fact witness about a client's treatment. Before testifying, the professional must:

Accepted Answer

Obtain a client release or court order authorizing disclosure

Answer

Refuse to testify to protect confidentiality

Answer

Summarize records from memory to avoid releasing documents

Answer

Only testify if paid an expert witness fee

Question 7

When a CBIS professional disagrees with an insurance company's denial of a medically necessary brain injury service, the ethical response is to:

Accepted Answer

Advocate for the client through appropriate appeals and documentation processes

Answer

Accept the denial without challenge

Answer

Terminate services immediately to avoid liability

Answer

Bill the client directly without disclosure