PSS Ethical Problem-Solving and Confidentiality 3

Question 1

Under 42 CFR Part 2, substance use disorder treatment records receive protections that are:

Accepted Answer

Stricter than general HIPAA rules and require specific written consent for most disclosures

Answer

42 CFR Part 2 imposes more stringent confidentiality requirements on SUD records than standard HIPAA, requiring explicit written consent for nearly all disclosures.

Question 2

A peer specialist receives a subpoena for records related to a person they support. The correct response is to:

Accepted Answer

Consult with a supervisor and agency legal counsel before releasing anything

Answer

A subpoena does not automatically override confidentiality—legal counsel must determine if a valid exception applies before records are released.

Question 3

Dual relationships in peer support are problematic primarily because they:

Accepted Answer

Create conflicts of interest that can compromise the support relationship

Answer

Dual relationships blur boundaries and can lead to bias, exploitation, or compromised objectivity in the support relationship.

Question 4

A person served by a peer specialist asks the peer specialist to be their Facebook friend. The most ethical response is to:

Accepted Answer

Decline and explain the professional boundary around social media connections

Answer

Social media connections with people served create boundary violations by blending personal and professional relationships.

Question 5

A person in peer support says, 'I want to hurt my neighbor who keeps harassing me.' The peer specialist's first priority is to:

Accepted Answer

Explore the statement to assess intent, plan, and means

Answer

Assessing the seriousness of a threat—intent, plan, access to means—must precede any reporting or intervention decision.

(PSS) Certified Peer Support Specialist Practice Test

(PSS) Certified Peer Support Specialist Practice Test

PSS Ethical Problem-Solving and Confidentiality 3