Professional Ethics and Multicultural Competence Flashcards
7 cards from real CBT practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Professional Ethics and Multicultural Competence flashcards as text
A client informs the CBT therapist that they have been recording their sessions without consent. The therapist's most appropriate immediate response is to:
Answer: Calmly address the behavior, explore the client's motivation, and clarify the policies regarding recordings
The therapist should address the recording in a non-punitive manner, explore what need the client was trying to meet, and clarify consent and privacy policies going forward.
The BACB's Ethics Code requires behavior analysts and CBT practitioners to prioritize which of the following when conflicts arise?
Answer: Client welfare first, followed by other stakeholders
Professional ethics codes consistently place client welfare as the highest priority when conflicts arise between competing stakeholder interests.
A therapist is providing CBT to a refugee client who survived political torture. Which ethical and cultural consideration is MOST critical?
Answer: Adapting pacing, trauma-informed approaches, and understanding that distrust of authority may reflect realistic past experiences, not pathology
Trauma-informed and culturally competent care requires adapting CBT pacing and interpreting trauma responses (like distrust of authorities) as adaptive survival responses, not pathological distortions.
When a therapist's own unresolved personal issues begin interfering with their clinical work, the most ethically responsible action is to:
Answer: Seek personal therapy and/or consultation and consider limiting the relevant caseload if necessary
Therapist self-care and management of countertransference are ethical obligations; seeking personal therapy or consultation when personal issues affect clinical work is the expected professional response.
A CBT therapist working with a Native American client should be aware that:
Answer: Collective identity, spiritual beliefs, and historical trauma from colonization may significantly shape the client's worldview and therapeutic expectations
Culturally competent practice with Native American clients requires awareness of collective identity, spirituality, and the ongoing psychological impact of historical and intergenerational trauma.
A client who is a licensed nurse asks the therapist for a copy of her records to share with her new primary care physician. The therapist should:
Answer: Honor the client's right to access their own records and provide a copy per HIPAA regulations, with appropriate documentation
HIPAA grants clients the right to access their own health records; therapists must provide copies upon request, subject to limited exceptions, within 30 days.
Which of the following is an example of 'benevolent deception' that would be ethically problematic in CBT?
Answer: Withholding a terminal diagnosis from a client at the family's request without the client's knowledge
Withholding significant health information from a competent client at a family's request violates the ethical principles of autonomy and veracity, even when motivated by good intentions.