CBT-I Ethical Standards & Professional Practice 3

Question 1

A CBT-I client who is a nurse asks the practitioner detailed questions about hypnotic medication dosing for her patients. The practitioner should:

Accepted Answer

Clarify that medication guidance is outside the CBT-I scope and suggest appropriate clinical resources

Answer

Scope of practice boundaries require practitioners to redirect questions that fall outside their competency, even when the client has professional credentials.

Question 2

When obtaining informed consent for CBT-I, which element is most critical to include?

Accepted Answer

The temporary worsening of sleepiness that may occur during sleep restriction

Answer

Clients must be warned about the initial increase in daytime sleepiness from sleep restriction so they can make an informed decision and take necessary safety precautions.

Question 3

A practitioner trained in CBT-I is asked to supervise a trainee who will deliver the intervention. Ethical supervisory practice requires:

Accepted Answer

Ensuring the trainee is competent and that client welfare is monitored throughout supervision

Answer

Supervisors bear ethical and often legal responsibility for supervisee conduct and must actively monitor client welfare, not merely observe administrative compliance.

Question 4

A CBT-I practitioner who experiences personal burnout and chronic fatigue notices it is affecting session quality. The ethical course of action is to:

Accepted Answer

Seek consultation or personal therapy and consider reducing caseload to protect client welfare

Answer

Ethical codes require practitioners to monitor their own health and take corrective action when impairment may compromise client care.

Question 5

Which statement best describes the ethical use of outcome measures in CBT-I?

Accepted Answer

Standardized measures like the ISI should be used to track progress and inform treatment decisions

Answer

Regular use of validated instruments such as the Insomnia Severity Index supports evidence-based, client-centered care and transparent documentation.

(CBT-I) CBT Insomnia Certification Practice Test

(CBT-I) CBT Insomnia Certification Practice Test

CBT-I Ethical Standards & Professional Practice 3