CRS Ethical Boundaries 3 — Questions and Answers
Question 1: A recovery specialist who has personally experienced addiction shares this history with every client in detail. This practice most likely:
- Builds rapport and is always therapeutically beneficial
- Risks shifting focus from client to specialist needs (Correct answer)
- Is required for peer credentialing authenticity
- Has no impact on professional boundaries
Correct answer: Risks shifting focus from client to specialist needs
Excessive self-disclosure can shift the therapeutic focus inappropriately and burden the client with the specialist's own issues.
Question 2: Which of the following best defines 'scope of practice' for a Certified Recovery Specialist?
- The geographic area in which a CRS is licensed to work
- The range of services a CRS is trained, certified, and authorized to provide (Correct answer)
- The number of clients a CRS may serve simultaneously
- The types of substances a CRS is qualified to address
Correct answer: The range of services a CRS is trained, certified, and authorized to provide
Scope of practice defines the boundaries of what a professional is qualified and authorized to do based on training and certification.
Question 3: A client in early recovery invites the CRS to their child's birthday party. The specialist should:
- Attend to show support and strengthen the therapeutic alliance
- Decline and explore the meaning of the invitation in the next session (Correct answer)
- Agree only if the party is held in a public location
- Ask a colleague to attend in their place
Correct answer: Decline and explore the meaning of the invitation in the next session
Declining and processing the invitation therapeutically maintains boundaries while using the moment as a clinical opportunity.
Question 4: Under HIPAA, which of the following is NOT a permitted disclosure without client authorization?
- Disclosures required by law enforcement with a valid warrant
- Sharing information with a client's employer to assess work readiness (Correct answer)
- Reporting communicable disease to public health authorities
- Disclosures to prevent serious and imminent threat to safety
Correct answer: Sharing information with a client's employer to assess work readiness
Sharing client information with an employer to assess work readiness is not a HIPAA-permitted disclosure without written authorization.
Question 5: A CRS discovers a colleague is in a sexual relationship with a current client. The specialist should:
- Confront the colleague privately to avoid escalation
- Advise the client to end the relationship and say nothing more
- Report the behavior to a supervisor or ethics authority (Correct answer)
- Document the concern but take no further action
Correct answer: Report the behavior to a supervisor or ethics authority
Sexual relationships between practitioners and clients are a serious ethical violation that must be reported to protect clients and uphold professional standards.
Question 6: The concept of 'professional distance' in recovery support services means:
- Maintaining a cold, clinical demeanor with all clients
- Keeping geographic separation between home and work environments
- Caring genuinely for clients while maintaining role clarity (Correct answer)
- Avoiding any emotional engagement with clients
Correct answer: Caring genuinely for clients while maintaining role clarity
Professional distance means the specialist can be warm and caring while maintaining a clear professional role and not enmeshing personally with clients.
Question 7: When a CRS is uncertain whether an action would be an ethical violation, the best first resource is:
- Asking the client's opinion on the matter
- Reviewing the relevant professional code of ethics and consulting a supervisor (Correct answer)
- Proceeding cautiously and documenting the rationale afterward
- Searching online for similar case examples
Correct answer: Reviewing the relevant professional code of ethics and consulting a supervisor
Consulting the professional code of ethics and a supervisor provides authoritative guidance before taking a questionable action.
A recovery specialist who has personally experienced addiction shares this history with every client in detail.
This practice most likely: