MAC Ethical Practice 4

Question 1

A client with opioid use disorder requests access to their own treatment records. Under HIPAA, the counselor should:

Accepted Answer

Grant access within 30 days unless a specific exception applies

Answer

HIPAA grants clients the right to access their own protected health information, typically within 30 days of the request.

Question 2

Which situation requires mandatory reporting regardless of client confidentiality protections?

Accepted Answer

A client discloses ongoing physical abuse of their 8-year-old child

Answer

Active child abuse is a mandatory reporting situation in all US states and supersedes confidentiality obligations.

Question 3

A counselor is offered a paid referral fee by a residential treatment facility for every client they send. Accepting this fee would violate which ethical standard?

Accepted Answer

Prohibition on fee-splitting and kickbacks

Answer

Fee-splitting and kickbacks are prohibited because they create financial incentives that can compromise client welfare and referral integrity.

Question 4

When terminating services with a client who still has ongoing treatment needs, the counselor's ethical obligation includes:

Accepted Answer

Providing referrals and continuity of care planning before termination

Answer

Ethical termination requires providing appropriate referrals and ensuring continuity of care so clients are not abandoned.

Question 5

A counselor suspects a client may be suicidal but the client denies any intent. The MOST ethical and clinically appropriate action is to:

Accepted Answer

Conduct a thorough suicide risk assessment and document the findings

Answer

A structured risk assessment with thorough documentation is required when suicidality is suspected, regardless of the client's denial.

Master Addiction Counselor Exam Practice Test

Master Addiction Counselor Exam Practice Test

MAC Ethical Practice 4