OLERE - Oklahoma Legal and Ethical Responsibilities Confidentiality and Privileged Communication Questions and Answers

Question 1

An LPC in Oklahoma is treating a couple, John and Jane, for marital issues. During an individual session, John discloses that he has been embezzling money from his employer. Later, the employer's attorney subpoenas the LPC for John's treatment records. In this situation, the LPC's responsibility regarding the disclosure of information is to:

Accepted Answer

Assert privilege on behalf of John for the individual session records, as the subpoena alone is not sufficient for disclosure.

Answer

According to Oklahoma statutes (43A O.S. § 1-109), mental health information is confidential and privileged. A subpoena by itself is not sufficient to authorize the disclosure of this information; a valid court order is typically required. The LPC has a duty to protect the client's confidentiality and should assert privilege on the client's behalf until ordered by a court to do otherwise or upon receiving a valid client authorization.

Question 2

Under Oklahoma law, which of the following is an explicit exception to client confidentiality for Licensed Professional Counselors?

Accepted Answer

To prevent a clear and immediate danger of physical harm to a person or persons.

Answer

The Oklahoma Administrative Code for Licensed Professional Counselors (OAC 86:10-3-4) and for Licensed Marital and Family Therapists (OAC 310:400-5-2) specifies that counselors shall not disclose client confidences except in certain situations. One of these key exceptions is to prevent a clear and immediate danger to a person or persons, which aligns with the 'duty to protect' or 'duty to warn' principles.

Question 3

A therapist is providing services to a 16-year-old client in Oklahoma. The client reveals they are being emotionally and physically abused by a family member. According to Oklahoma's mandatory reporting laws, the therapist must:

Accepted Answer

Report the suspected abuse promptly to the Oklahoma Department of Human Services (OKDHS).

Answer

Oklahoma law is very clear that every person who has reason to believe a child is a victim of abuse or neglect must report it promptly to the OKDHS. This duty supersedes professional confidentiality codes. The standard is 'reason to believe,' not 'clear and convincing evidence,' and the report must be made regardless of the client's permission.

Question 4

In Oklahoma, the legal concept of 'privileged communication' between a psychotherapist and a patient belongs to whom?

Accepted Answer

The patient, who has the right to refuse disclosure of confidential communications.

Answer

According to Oklahoma Statute §12-2503, the patient has a privilege to refuse to disclose and to prevent any other person from disclosing confidential communications made for the purpose of diagnosis or treatment. The therapist claims the privilege on behalf of the patient, but the privilege itself belongs to the patient (or their legal guardian/representative).

Question 5

A client in Oklahoma informs their psychologist that they have a specific plan and the means to cause serious bodily harm to a reasonably identifiable person. To meet the 'duty to protect' requirements under Oklahoma law, which of the following actions would be considered a reasonable precaution?

Accepted Answer

Making reasonable efforts to notify the potential victim and/or a law enforcement agency.

Answer

Oklahoma Statute §59-1376 outlines the duty to protect when a patient communicates an explicit threat to a reasonably identified person. A psychologist is deemed to have taken reasonable precautions if they make reasonable efforts to communicate the threat to the potential victim, notify a law enforcement agency, or take steps to hospitalize the patient.

OLERE - Oklahoma Legal and Ethical Responsibilities Exam Practice Test

OLERE - Oklahoma Legal and Ethical Responsibilities Exam Practice Test

OLERE - Oklahoma Legal and Ethical Responsibilities Confidentiality and Privileged Communication Questions and Answers