FREE CAADC Professional Ethics and Confidentiality Questions and Answers

Question 1

What is the primary purpose of the federal confidentiality regulations known as 42 CFR Part 2?

Accepted Answer

To protect the confidentiality of individuals seeking treatment for substance use disorders from federally assisted programs.

Answer

To standardize billing practices for substance use disorder treatment.

Answer

To ensure that clients receive evidence-based treatment.

Answer

To mandate reporting of all substance use to law enforcement.

Question 2

Under 42 CFR Part 2, a written consent form to release a client's substance use disorder information is NOT considered valid unless it includes:

Accepted Answer

The specific name or title of the individual or organization to whom the disclosure is to be made.

Answer

The client's entire treatment history.

Answer

The signature of a notary public.

Answer

A general statement allowing release to 'any interested party.'

Question 3

A client from your federally assisted SUD program is brought unconscious to a hospital emergency room. The ER doctor calls your program for information to treat the patient. According to 42 CFR Part 2, you can release information without the client's consent because:

Accepted Answer

This constitutes a bona fide medical emergency.

Answer

The doctor has a right to all medical information.

Answer

The client's family has given permission.

Answer

The information will be released to another medical professional.

Question 4

A counselor is in recovery and attends the same 12-step meetings as a former client. To maintain ethical boundaries, the counselor's most appropriate course of action is to:

Accepted Answer

Discuss and establish clear boundaries with the former client about their roles in that setting.

Answer

Stop attending those meetings to avoid any contact.

Answer

Act as the former client's sponsor to continue the therapeutic relationship.

Answer

Ignore the former client completely at the meetings.

Question 5

A counselor learns during a session that a client has been abusing their child. Regarding 42 CFR Part 2 and state mandatory reporting laws:

Accepted Answer

State mandatory reporting laws for child abuse and neglect generally supersede the confidentiality protections of 42 CFR Part 2.

Answer

42 CFR Part 2 prohibits the counselor from making a report under any circumstances.

Answer

The counselor can only report the abuse if the client signs a consent form.

Answer

The counselor should report the client to the police for a crime instead of child protective services.

Question 6

When a disclosure of client information is made with valid consent under 42 CFR Part 2, what must accompany the disclosed information?

Accepted Answer

A written statement prohibiting redisclosure by the recipient.

Answer

A bill for the cost of copying the records.

Answer

The counselor's personal contact information.

Answer

A complete copy of the client's entire chart.