LMHC Professional Practice and Ethics 2

Question 1

A licensed mental health counselor is asked by a client to write a letter supporting their disability claim. According to ethical guidelines, the counselor should:

Accepted Answer

Only write such a letter if it is consistent with the clinical record and the counselor has sufficient knowledge of the client's condition

Answer

Refuse all requests for letters outside of therapy notes

Answer

Write the letter to support the client regardless of clinical findings

Answer

Refer the client to another provider to avoid dual relationships

Question 2

Which of the following represents an ethical violation of professional boundaries?

Accepted Answer

Entering into a business partnership with a current client

Answer

Attending a client's graduation ceremony at the client's specific invitation, with appropriate clinical discussion

Answer

Providing a client with a brief, warm handshake if culturally appropriate

Answer

Accepting a small, culturally significant gift that would be offensive to refuse

Question 3

The ACA ethical standard on informed consent requires that clients be informed of all EXCEPT:

Accepted Answer

The counselor's personal values and religious beliefs

Answer

The limitations of confidentiality

Answer

The counselor's theoretical orientation

Answer

Their right to refuse treatment or withdraw consent

Question 4

A counselor is providing telehealth services to a client who lives in a different state than where the counselor is licensed. Ethically and legally, the counselor should:

Accepted Answer

Verify and comply with the licensing requirements of both the counselor's state and the client's state

Answer

Continue services as long as the client's state does not prosecute violations

Answer

Only obtain licensure in the client's state and allow the home state license to lapse

Answer

Assume federal telehealth regulations override all state licensing requirements

Question 5

According to the HIPAA Privacy Rule, which of the following is a permissible disclosure of protected health information (PHI) WITHOUT client authorization?

Accepted Answer

Treatment, payment, and healthcare operations (TPO)

Answer

Disclosing records to the client's employer at the employer's request

Answer

Sharing information with the client's family members for any purpose

Answer

Providing records to research institutions for commercial purposes

Question 6

A counselor discovers that a client they terminated services with six months ago has begun dating the counselor's close friend. What is the MOST ethical course of action?

Accepted Answer

Consult with a supervisor and consider whether any action is needed, maintaining confidentiality throughout

Answer

Disclose all clinical information to the friend to protect them

Answer

Contact the former client and request they end the relationship

Answer

Take no action because the therapeutic relationship has ended