CBT Professional Ethics and Multicultural Competence 3

Question 1

Under HIPAA, a therapist may share protected health information with another treating provider:

Accepted Answer

For treatment purposes without explicit client authorization, though notification is best practice

Answer

HIPAA's treatment exception allows providers to share protected health information for treatment coordination without explicit written authorization, though many practitioners notify clients as a matter of good practice.

Question 2

A White therapist working with a Black client experiences uncertainty about whether to address a racial microaggression the client reported receiving at work. The most competent ethical action is to:

Accepted Answer

Follow the client's lead, validate the experience, and address it if clinically relevant to treatment goals

Answer

Multicultural competence requires the therapist to validate racial experiences and address them when clinically relevant, rather than avoiding potentially uncomfortable topics.

Question 3

The ethical concept of 'fidelity' in therapy refers to:

Accepted Answer

Honoring commitments, keeping promises, and being trustworthy in the therapeutic relationship

Answer

Fidelity is the ethical principle of being faithful and trustworthy, which includes honoring commitments made to clients within the therapeutic relationship.

Question 4

A CBT therapist who holds conservative religious values is asked to treat an LGBTQ+ client seeking help with relationship issues. The therapist should:

Accepted Answer

Provide competent, affirming care or refer to a therapist who can, ensuring the client is not abandoned

Answer

Ethical practice requires affirming care for LGBTQ+ clients; if the therapist cannot provide this, they must refer competently to avoid client abandonment, and must never engage in conversion practices.

Question 5

Which scenario most clearly represents a violation of informed consent in CBT?

Accepted Answer

Beginning exposure exercises without explaining the rationale, expected discomfort, or client's right to decline

Answer

Informed consent requires that clients understand what they are agreeing to, including the nature, purpose, potential discomfort, and their right to refuse any intervention.

(CBT) Cognitive Behavioral Therapy Certification Practice Test

(CBT) Cognitive Behavioral Therapy Certification Practice Test

CBT Professional Ethics and Multicultural Competence 3