MAC Ethical Practice 5

Question 1

Which of the following BEST describes the ethical concept of 'fidelity' in addiction counseling?

Accepted Answer

Honoring commitments and being trustworthy with clients

Answer

Fidelity refers to the counselor's obligation to be honest, keep promises, and honor the trust placed in them by clients.

Question 2

A counselor receives a subpoena for a client's records in a divorce proceeding. The MOST appropriate immediate action is to:

Accepted Answer

Consult legal counsel and notify the client before releasing any records

Answer

A subpoena is not a court order; the counselor should seek legal advice and notify the client, as 42 CFR Part 2 provides strong protections against such disclosures.

Question 3

An addiction counselor in recovery shares extensive details of their own relapse history during a group session without therapeutic intent. This behavior PRIMARILY raises concerns about:

Accepted Answer

Inappropriate self-disclosure that may shift focus from clients' needs

Answer

Self-disclosure by counselors must be purposeful and client-focused; sharing extensive personal history without therapeutic intent is ethically problematic.

Question 4

A group member discloses information during a group session that another member later shares with the community. The counselor's PRIMARY ethical responsibility was to:

Accepted Answer

Establish confidentiality agreements and educate members at group outset

Answer

Counselors must establish and reinforce confidentiality agreements with group members from the start to minimize breaches.

Question 5

A counselor who is also in recovery tells a skeptical client, 'I've been where you are, and I promise treatment works.' This statement is MOST problematic because it:

Accepted Answer

Constitutes a guarantee of outcomes, which is unethical

Answer

Counselors may not promise or guarantee treatment outcomes, as this is both ethically prohibited and clinically inaccurate.

Master Addiction Counselor Exam Practice Test

Master Addiction Counselor Exam Practice Test

MAC Ethical Practice 5