LPCC Safety and Infection Control 4

Question 1

A client who is a nurse discloses they are currently impaired by alcohol while at work with patients. The counselor's ethical obligation is PRIMARILY to:

Accepted Answer

Report to the state nursing board using mandatory reporting channels for impaired healthcare professionals

Answer

Maintain confidentiality and address the issue therapeutically in future sessions

Answer

Contact the client's hospital employer directly

Answer

Encourage the client to voluntarily resign from their position

Question 2

Which of the following client behaviors warrants the MOST urgent safety intervention by an LPCC?

Accepted Answer

Describing a specific plan to harm a named individual with a stated time and method

Answer

Expressing frustration about a coworker and saying 'I could kill him'

Answer

Reporting recurring nightmares about violence

Answer

Disclosing a history of fighting in adolescence

Question 3

In telehealth counseling, which of the following represents a unique infection control consideration?

Accepted Answer

Ensuring shared devices or public locations do not expose confidential session content to others

Answer

Requiring clients to complete health screenings before each video session

Answer

Mandating that clients be in a healthcare-approved setting during sessions

Answer

Using encrypted equipment to prevent viral transmission

Question 4

When a client with active psychosis reports that neighbors are poisoning their food, the safety assessment should PRIMARILY focus on:

Accepted Answer

Assessing for risk of harm to self or others and evaluating need for hospitalization

Answer

Validating the client's fears to build therapeutic alliance

Answer

Reporting the neighbors to local law enforcement

Answer

Encouraging the client to move to a new location

Question 5

A counselor notices signs of domestic violence in a client who is an adult and is not currently in imminent danger. The MOST ethically sound approach is to:

Accepted Answer

Provide safety planning, document the conversation, and support the client's autonomy to make decisions

Answer

File a mandatory report with law enforcement regardless of the client's wishes

Answer

Require the client to leave the relationship before continuing therapy

Answer

Contact the alleged abuser to discuss the situation

Question 6

Which disinfection level is appropriate for counseling office surfaces such as desks and chairs between client sessions?

Accepted Answer

Low-level disinfection using an EPA-registered disinfectant

Answer

Sterilization using an autoclave

Answer

High-level disinfection with glutaraldehyde solution

Answer

Surgical antisepsis with iodine scrub

Question 7

A client discloses they are HIV-positive and does not intend to inform their sexual partner. The counselor should FIRST:

Accepted Answer

Assess the situation fully, consult ethics codes and state law, and explore the client's willingness to disclose

Answer

Immediately report to the local public health department

Answer

Notify the partner directly to prevent HIV transmission

Answer

Terminate the therapeutic relationship due to ethical conflict