CBT-I Ethical Standards & Professional Practice 2

Question 1

A CBT-I practitioner discovers that a client is also receiving sleep coaching from an unlicensed online service. What is the most ethically appropriate first step?

Accepted Answer

Discuss the concurrent services openly with the client and assess potential conflicts

Answer

Ethical practice requires transparent communication with clients about concurrent services to avoid conflicting advice and protect client welfare.

Question 2

When a CBT-I client discloses that their insomnia is partly due to caring for a terminally ill spouse, the practitioner should:

Accepted Answer

Acknowledge the grief context and consider referral for bereavement support alongside CBT-I

Answer

Competent ethical practice involves recognizing comorbid psychosocial stressors and facilitating appropriate adjunct referrals while continuing evidence-based sleep treatment.

Question 3

Which action best reflects the ethical principle of fidelity in CBT-I practice?

Accepted Answer

Honoring commitments made to clients about treatment structure and follow-up

Answer

Fidelity refers to trustworthiness and keeping promises, such as adhering to agreed-upon session schedules and treatment plans.

Question 4

A CBT-I practitioner is asked by a client's employer to confirm whether the client is receiving treatment for work-performance-related insomnia. The practitioner should:

Accepted Answer

Refuse to disclose any information without specific written authorization from the client

Answer

Confidentiality requires that no information be disclosed to third parties, including employers, without explicit written informed consent from the client.

Question 5

A practitioner realizes mid-treatment that the client's insomnia may stem from undiagnosed sleep apnea. The ethical obligation is to:

Accepted Answer

Refer the client for a sleep study and adjust the treatment plan accordingly

Answer

Competence and client welfare require recognizing the limits of CBT-I and facilitating medical evaluation when an underlying physiological condition is suspected.

(CBT-I) CBT Insomnia Certification Practice Test

(CBT-I) CBT Insomnia Certification Practice Test

CBT-I Ethical Standards & Professional Practice 2