CLEE Study Guide 2026

Accepting a client's social media friend request creates a dual relationship, blurring professional boundaries and potentially exposing the client to personal information about the therapist, or vice versa. This can compromise the therapeutic relationship and client confidentiality. Ethically, therapists must maintain clear professional boundaries, which includes separating personal and professional online interactions to protect the client and the therapeutic process.

California law permits therapists to breach confidentiality for suicidal clients but does not universally mandate it; therapists must exercise clinical judgment based on imminence and severity.

Residents have the right to choose their physician. If a resident expresses dissatisfaction and wishes to change doctors, the nursing assistant's role is to advocate for them and facilitate their request through appropriate channels. This typically involves contacting the social worker or Registered Nurse (RN), who can then guide the resident through the process of changing physicians, respecting their autonomy.

When a client lacks decisional capacity, therapists must seek consent from a legally authorized representative (LAR) such as a conservator or authorized family member.

California Business and Professions Code §4980.43 requires at least 104 hours of direct supervisor contact (individual or group) within the 3,000 supervised hours.

CANRA does not require a direct disclosure or physical evidence; reasonable suspicion from any source — including behavioral observations — is sufficient.