CPRP Ethics & Professional Responsibilities 5 — Questions and Answers
Question 1: A CPRP practitioner is leaving an agency and wants to notify clients about their departure. The ethical obligation is to:
- Leave without direct client notification to minimize emotional impact
- Provide adequate notice, offer transition planning, and ensure continuity of care (Correct answer)
- Notify only clients who ask directly
- Transfer all records without informing clients of the transition
Correct answer: Provide adequate notice, offer transition planning, and ensure continuity of care
Practitioners must avoid client abandonment by ensuring adequate notice and supporting smooth transitions when leaving a position.
Question 2: The concept of 'least restrictive environment' in psychiatric rehabilitation is MOST directly an expression of which ethical value?
- Beneficence
- Justice
- Autonomy and self-determination (Correct answer)
- Nonmaleficence
Correct answer: Autonomy and self-determination
The least restrictive environment principle maximizes individual freedom and choice, directly reflecting the value of autonomy.
Question 3: A practitioner's social media post inadvertently reveals identifiable information about a client. The FIRST action should be:
- Leave the post up to avoid drawing more attention to it
- Remove the post immediately and report the breach per agency and HIPAA protocols (Correct answer)
- Send a private message to the client apologizing
- Wait to see if the client notices before taking action
Correct answer: Remove the post immediately and report the breach per agency and HIPAA protocols
A privacy breach requires immediate corrective action (removing the content) and following mandatory breach notification procedures.
Question 4: Which of the following BEST describes the practitioner's role in supported decision-making for clients with cognitive challenges?
- Make decisions on behalf of the client to ensure correct outcomes
- Provide information and support to help the client make their own informed decisions (Correct answer)
- Obtain family consent instead of client consent
- Limit client choices to reduce the risk of poor decisions
Correct answer: Provide information and support to help the client make their own informed decisions
Supported decision-making empowers clients to make their own choices with appropriate assistance rather than substituting others' judgment.
Question 5: A practitioner suspects a client may be mandated to services by the court but the referring source has not disclosed this. The ethical approach is to:
- Pretend not to suspect anything to maintain rapport
- Clarify the nature of the referral and any legal obligations directly with the client and appropriate parties (Correct answer)
- Refuse to provide services until all legal facts are confirmed
- Only provide voluntary services regardless of any court mandate
Correct answer: Clarify the nature of the referral and any legal obligations directly with the client and appropriate parties
Clarity about service conditions, including any mandated elements, is essential for genuine informed consent and an honest therapeutic relationship.
Question 6: When documenting client information, the ethical standard requires that records be:
- Detailed enough to document everything the practitioner observes or thinks
- Accurate, timely, objective, and limited to information necessary for service delivery (Correct answer)
- Shared freely with all members of the interdisciplinary team without restriction
- Written primarily to satisfy billing and reimbursement requirements
Correct answer: Accurate, timely, objective, and limited to information necessary for service delivery
Ethical documentation is accurate, relevant, timely, and limited to what is necessary to support the client's care.
Question 7: Under the USPRA ethical principle of respect for persons, practitioners are required to:
- Agree with all client decisions regardless of clinical judgment
- Honor each person's dignity, individuality, and right to self-determination (Correct answer)
- Apply identical service approaches to all clients equally
- Prioritize organizational policies over client preferences in all cases
Correct answer: Honor each person's dignity, individuality, and right to self-determination
Respect for persons means recognizing the inherent worth and individuality of each client, including their right to direct their own lives.
CPRP Ethics & Professional Responsibilities 5
A CPRP practitioner is leaving an agency and wants to notify clients about their departure.
The ethical obligation is to: