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Which of the following is/are part of the Professional Disclosure Statement? [Help]

A Level of licensure and whether the licensee is under supervision

B Number of years of counseling experience

C A statement of procedure for registering complaints

D All of the above

Forty contact hours of continuing counselor education, including a minimum of three contact hours of ethics, shall be completed within the two-year license renewal period. The purpose is to increase knowledge and skills in the practice of counseling. Which of the following activities is NOT acceptable as hours toward renewal of licensure? [Help]

A Continuing counselor education courses provided by an acceptable national organization or affiliate

B Authoring or co-authoring a published book on counseling-related material

C Clinical supervision provided by the licensee to others

D Activities or workshops for which the licensee was a presenter

Davis, LCMHC, was in a car accident and sustained injuries requiring an extended period of surgery and rehabilitation. He is finally able to return to work after four months and realizes he has not completed his required hours of continuing education in time for his approaching license renewal deadline. His best option is to: [Help]

A Submit his renewal form with a letter enclosed explaining the deficiency.

B Let his license lapse while earning his needed continuing education hours.

C Request an extension in writing from the Board.

D None of the above, he must complete the hours immediately.

Which of the following actions is NOT a service allowed under the definition of the "practice of counseling"? [Help]

A Administering and interpreting tests for assessment of personal characteristics

B Settlement of conflicts by mediators at community mediation centers.

C Identifying problems requiring referral to other specialists.

D Designing, conducting, and interpreting research with human subjects

Emma, a 23 year old, who was very satisfied with the counseling she was receiving from Ben, LCMHC, referred her roommate to Ben, also. Emma later complained to the Board that during Ben's subsequent sessions with her roommate, information was shared that breached her confidentiality. Which of the following is one of the actions the Board can take during their investigation? [Help]

A Subpoena individuals and records

B File a lawsuit against the counselor

C Arrange for mediation between the client and the counselor

D Charge Ben for the costs incurred by the Board

In Article 24 of the LCMHC Act, 'Protection of the public' includes a list of grounds for which the Board may deny, suspend, or revoke licensure, discipline, place on probation, require remediation or rehabilitation. Which of the following is NOT grounds for such actions? [Help]

A Was convicted of a felony or misdemeanor

B Made misleading or false statements referring to education or licensure

C Charged fees that are higher than colleagues fees

D Harassed or abused, sexually or otherwise, a client, student, or supervisee

Tomas, LCMHC, has applied for the licensed clinical mental health counselor supervisor credential. He has 4 years of full-time counseling experience as a LCMHC. He also has 2500 hours of direct client contact. Tomas has completed the educational requirements in supervision. Which statement is true? [Help]

A Tomas needs to work full-time for another year, or part-time for the additional years as determined by the board.

B Tomas can apply for the LCMHCS credential with his current qualifications.

C Tomas needs to work full-time for two more years.

D Tomas cannot apply because he needs an additional 500 hours of direct client contact.

Ethan, LCMHC, has been providing counseling for loneliness, depression, and end-of-life issues to patients in hospice care. When he arrives, if a client is napping or otherwise occupied, he still notes in the chart that he visited the client. His billing the client's insurance company for these 'sessions' is fraud and is punishable under North Carolina General Statutes. In Article 24, the LCMHC Act, this behavior specifically violates the law regarding: [Help]

A Protecting the client from harm.

B Practice of counseling.

C Background checks for criminal history.

D Third party reimbursements.

Mateo, LCMHC, lives on the border between North Carolina and Virginia and has been licensed in both states for several years. His license was revoked in Virginia due to client endangerment. Which of the following is true about his working as a counselor in North Carolina? [Help]

A There is no problem as the two licenses involve two different boards.

B There is no problem as there are two sets of laws involved.

C He is at risk for sanctions by the NCBLCMHC now and may not be able to practice in NC.

D He is automatically not allowed to work in NC.

A newly licensed LCMHC at an agency became aware of the suicide risk of a client during the session. Although the counselor contacted their supervisor, the counselor did not follow the suggestions of the supervisor. Shortly after the session, the client died by suicide. All except one of the following were violations of the Ethics Code. Which was not a violation in this case? [Help]

A Practicing professional counseling in such a manner as to endanger the welfare of clients.

B Practicing outside one's boundaries of competence.

C Contacting one's supervisor during a session.

D All of the above

During the three months George was providing counseling services to client Amy, he engaged in touching Amy's arms, temple, and back of head during the session. When Amy ended therapy and complained to the Board, George stated these behaviors were part of his interventions. Amy however, had never given permission and there was no documentation in the notes regarding this treatment method. Which of the following areas of the ACA Code of Ethics and NCBLCMHC Laws was George in violation of? [Help]

A Extending counseling boundaries

B Documenting boundary extensions

C Client welfare

D All of the above

A complaint from the Board must be responded to: [Help]

A By getting a release of information from the client who filed the complaint.

B After completing any missing parts of the client's record.

C Promptly, completely, and honestly.

D Waiting for a second notification because the claim may be dropped.

In addition to the stress of receiving a notice from the Board of charges against oneself, a notice of a hearing in a proceeding, or a decision rendered with possible disciplinary action, counselors may sometimes overlook other possible embarrassing consequences, such as: [Help]

A The statement of charges, notice of a hearing, and decision rendered will become part of the public record.

B The counselor's clients may become aware of the counselor's fraudulent behavior.

C A possible notice in a newspaper publication listing suspects in white collar crimes.

D All of the above.

Ava, a newly licensed clinical mental health counselor, was scheduled to see her first client at the women's shelter. In her hurry to arrive on time, she forgot to pack copies of her Professional Disclosure Statement. She decided to provide the counseling and return later with a copy for the client to read and sign. Which of the following statements about Ava is accurate? [Help]

A Her decision to stay for the client's appointment was justified because being late for an appointment is disrespectful of the client.

B She was unable to provide professional counseling or receive remuneration because the Professional Disclosure Statement was not provided prior to the session.

C She gave the client an oral version of her Professional Disclosure Statement and received verbal consent so there was no problem with charging the fee.

D She was allowed to use the Professional Disclosure Statement of another LCMHC who was also on the premises at the shelter.

In order for members of the military or their spouses to become licensed as mental health counselors in North Carolina, which of the following criteria must be met: [Help]

A Passed the NC licensing exam

B Worked as a counselor for 2 of the last 5 years

C Sent transcripts from a graduate program in counseling to the NCBLMHC

D None of the above

Mr. and Mrs. Lee bring their 15 year old daughter, Kuma, for counseling due to her recent tearfulness, isolation and weight loss following a breakup with her romantic partner. At the initial interview, Mr. and Mrs. Lee tell their counselor that they would like to have family counseling. Kuma has been nonverbal so far in the session, ignoring the counselor's questions and it is not clear that she is agreeable to participating in family sessions. The best ethical decision at this point is to: [Help]

A Abide by the parents' request and begin family sessions as they have the right to insist on the treatment and their presence will prevent Kuma from manipulating the counselor.

B At the end of the session tell the parents that family therapy will not work and that Kuma needs individual therapy.

C Open a discussion with Mr. and Mrs. Lee and Kuma of alternative initial modalities Kuma may prefer such as individual or teen group counseling with a tentative goal of family sessions in the future.

D Tell Kuma that she can just sit quietly with her parents until she feels like participating because the insurance provides unlimited sessions.

Jonny, LCMHC, is an elder in his church and frequently provided counseling to members of the church. His counseling often enforced and promoted his belief that a same sex relationship is a sin, which was based on his Biblical belief. According to the ACA Code of Ethics, which of the following would be the ethical approach to a discussion of same sex relationships? [Help]

A Respecting the diversity of clients

B Avoiding imposing personal values, attitudes, beliefs and behaviors

C Seeking training in areas in which one is at risk of imposing one's own values onto clients especially when they are discriminatory in nature

D All of the above

Upon ending the clinical relationship with an attractive client, John, a LCMHC, began flirting with this person on social media. He did not think he was in violation of the ACA Code of Ethics because it was not in person and they had terminated therapy. He was brought before the board, however, because: [Help]

A Five years since the last professional contact is the earliest John can have a romantic relationship with a client, either in person or through electronic interactions.

B He did not have an informed consent with this person regarding role changes and possible conflicts.

C He was married and the Board considered this immoral behavior.

D All of the above

Client R had a crush on their counselor, Lowell, LCMHC. This was flattering as well as exciting to Lowell who responded to their texts by sending his own inappropriate text messages that were of a sexual nature. Client R's husband saw the texts and reported the counselor's behavior to the Board. This particular case illustrates ALL EXCEPT WHICH of the following violations of the ACA Code of Ethics and the LCMHC Act? [Help]

A Exploitation of a client

B Practicing outside boundaries of competence

C Sexual relationships with clients

D Romantic electronic interactions

June, a client at a busy social service agency, had not revealed to her counselor that she was in a domestic violence situation. Because of her circumstances she missed many appointments without cancelling, and her phone number was turned off so her counselor was unable to reach her. Many months later June contacted the agency to resume counseling. She was told by intake that she was ineligible to return due to her past absences. June reached out to her counselor directly. Once learning about June’s situation what is the counselor’s appropriate response? [Help]

A Secure June's consent and advocate with the agency to allow her to return to counseling.

B Tell June they cannot help her because there is a wait list.

C Give June a list of referrals to other agencies.

D None of the above

Sara, LCMHC, spends time on Facebook with friends and family. One of her current clients requests to be her friend in order to send Sara photos of her activities for the purpose of demonstrating her improved mood and interest in life. Sara agrees to friend her. In the next session, the client comments on Sara's own postings. At this point Sara is aware that there may be a perception that she has a personal, although virtual, relationship with this client. To manage this boundary issue Sara decides to: [Help]

A Ignore further comments received online or in session referring to the online relationship, hoping the client will lose interest.

B Request the client keep her online communication to a minimum as Sara is very busy and unable to respond.

C Explain that mixing personal and professional relationships is a boundary issue which is prohibited, and that Sara erred in encouraging the online relationship.

D Unfriend her client without an explanation so it will look like a mistake.

Alonso, LCMHC, is working at a student counseling center on the campus where he earned his master's degree in counseling. One of his clients, it turns out, is a student he knows from a biology lab in which they were partners as undergraduates several years ago. According to the ACA Code of Ethics, Alonso is ethically required to consider the risks and benefits of accepting this student as a client. If he decides to go forward, he would need to take which of the following steps to ensure that his judgment in the future is not impaired and no exploitation occurs: [Help]

A Discuss informed consent with a focus on explaining confidentiality and its limits, and offering referral if wanted.

B Consult with his supervisor or colleague to determine if he has considered all the risks.

C Document in the client's record the rationale for making this decision, including potential benefits and anticipated consequences.

D All of the above

In the case of a counselor attending a client's wedding, the ACA Code of Ethics requires that the counselor: [Help]

A Discuss the anticipated consequences with the client and document the rationale.

B Give the client an excuse to not attend so as not to breach confidentiality.

C Attend but do not approach the client at the event.

D Accept the invitation so that the client feels you are more than just their therapist.

A counselor who begins a new type of relationship, such as having current or former clients in paid or volunteer positions at one's agency, is entering what is considered an ethical slippery slope. Potentially harmful results that are likely to occur include: [Help]

A Dual roles which are not fully clarified, discussed and documented.

B Friendships which may then become intimate.

C Breach of confidentiality because of difficulty maintaining boundaries between the roles.

D All of the above

While providing counseling, Theo, LCMHC, recommended that Client Y attend a 10 day retreat facilitated and organized by Theo, himself. Although Y was hesitant, Theo encouraged his client, saying that as Y's individual counselor he would look out for them. However, Theo's recommendation: [Help]

A Created a conflict of interest because of his financial interest in the program.

B Exercised undue influence over Client Y when he recommended that his client attend.

C Involved a role change without informed consent.

D All of the above

Joel, LCMHC, recently started his private practice. He posted online his newly established fees based on discussions with colleagues. He did not expect to have difficulty filling his hours with clients, however, the first several clients who called for appointments, were cash paying and not able to afford his full fee. He did not want to start a precedent of reduced fees until he was more established and could afford to take these clients, so the ethical step he took was to: [Help]

A Tell them to call him in a few weeks and if he could not fill his appointments with higher paying clients he would reconsider.

B Inform them that counseling may be beyond their means at this point.

C Refer them to comparable, more affordable services.

D Refer them to an insurance agent he worked with who can help them purchase some health insurance.

Martin is a LCMHC in private practice in a rural community. John is a professional fitness trainer. John approached Martin asking to barter services, 1 hour of counseling for 1 hour of fitness training. Which of the following should be considered when entering into such an agreement? [Help]

A Who is suggesting the bartering?

B Do others in the community accept bartering as a practice?

C Is there potential harm to the client?

D All of the above

Under which of these circumstances is it NOT appropriate to terminate the counseling relationship? [Help]

A The counselor realizes they lack the skills necessary to serve the client.

B It becomes apparent the client no longer needs counseling.

C The counselor feels in jeopardy of harm by the client.

D The counselor's personal values, attitudes or beliefs are different from those of the client.

Mark, a LCMHC is having medical concerns of his own. As a result he is missing or cancelling numerous appointments with numerous clients. Which statement is true? [Help]

A He can't get in trouble with the licensing Board because he has informed his clients of his illness.

B He is in jeopardy of reprimand and possible loss of his license as this is a form of client abandonment.

C If he gets appropriate treatment this won't be a problem.

D Because his clients like him this won't be a problem.

Respect for confidentiality includes not sharing of client information without appropriate authorization. It is also a breach of confidentiality to do which of the following? [Help]

A Present a case at a professional conference even with identifying information disguised.

B Leave mental health records out in plain view or take them home.

C Discuss session details including name of client with supervisor.

D All of the above

You are a counselor in a local private practice and one of the clients on your caseload is currently in court proceedings because of an open case with the NC Department of Social Services. Today, the Office Manager hands you a subpoena from the court for your counseling records from work with this client. You do not have a written consent on file from the client to disclose confidential information and have not actually seen the client in over a month. You should: [Help]

A Disclose all of the contents of the client's file since you know she will not return to counseling and you therefore will not be able to get the written consent.

B Attempt to get a written consent from the client and if unsuccessful, try to keep disclosure of confidential information from being required by the court. If this is also unsuccessful, disclose information to the court, but keep it minimal.

C Convince the client that she should reveal all of the confidential information that she has shared with you so that you do not have to turn over material from the counseling file.

D Ignore the court subpoena and let the case proceed without your participation or release of confidential information.

Bonnie LCMHC, is hired by a community health clinic to expand the mental health program. In her first staff meeting she addresses the importance of privacy and confidentiality with counseling staff, students, clerical assistants and even volunteers. The principle she is following from the ACA Code of Ethics is: [Help]

A She needs to protect the agency from legal actions.

B Her own counseling license is on the line for any complaints to the Board.

C Counselors make every effort to ensure confidentiality of clients is maintained by subordinates.

D If there are too many complaints, her department will lose their funding and services will no longer be available to those who need them.

Because Shannon, LCMHC, is not a provider for her client's new insurance company, her client is planning to find another counselor. The client has requested a copy of her record to bring to her new counselor. Shannon told her that she would spend part of a remaining session reviewing the record with her and then give her a copy. Shannon's actions are based on the ethics code that states that counselors: [Help]

A Provide assistance and consultation in interpreting counseling records.

B Provide reasonable access to records when requested by competent clients.

C Limit access only when there is compelling evidence that such access would cause harm to the client.

D All of the above.

Licensed clinical mental health counselors and associates generally meet with a peer group on a regular basis for supervision. Which of the following statements is true about this process? [Help]

A They can freely discuss clients because these professionals abide by confidentiality within the group.

B They need an authorization from their client to discuss the case in this group.

C They can discuss their case, but only without disclosing information that reasonably could lead to the identification of their client.

D They can freely discuss clients because the group has signed confidentiality contracts.

Since his licensure, Richard, LCMHC, has been counseling adults. His positive experience with his own children who are now adolescents has resulted in an interest in working with that population. Since he has no training in this specialty, his next step would be to: [Help]

A Start counseling a few adolescents and see if he enjoys them as much as he thought he would.

B Seek out education, training, and supervised experience.

C Apply to another MA program with a specialty track for adolescents.

D All of the above.

Carol Ann, LCMHC, has been missing appointments with clients and acting more irritable lately. A colleague entered her office and found her teary eyed. Carol Ann then disclosed her emotional instability due to her mother's terminal illness, her caregiving responsibilities and resulting sleep deprivation. The colleague's ethical responsibility to Carol Ann and her clients led her to do which of the following? [Help]

A Tell Carol Ann that as her friend and colleague, they are duty bound to report her troubles to the Director of the agency.

B Share their findings with the rest of the team so they can know what is going on and be sympathetic.

C Assist Carol Ann in recognizing her own professional impairment and suggest that time off may be the ethical choice.

D Suggest that Carol Ann may benefit from a prescription for a sleep medication.

The ACA Code of Ethics states that "counselors do not use counseling, teaching, training, or supervisory relationships to promote their products or training events in a manner that is deceptive or would exert undue influence..." Based on this section of the Code, which of the following statements is true? [Help]

A They may not advertise their new techniques and skills.

B Counselors may produce their own materials such as Relaxation CDs for sale to clients without ensuring informed choice.

C Counselor educators may use textbooks they author in their classrooms.

D Supervisors may require supervisees to attend their out-of-town trainings.

A LCMHC wants to refer a client to her husband for nutritional counseling. First she must: [Help]

A Get a signed consent to share pertinent information.

B Explain the benefits of nutritional counseling to the client.

C Show the client the husband's credentials to reassure them they will be in good hands.

D It is not ethical to make this referral as the LCMHC will indirectly benefit financially from such a referral.

In addition to her job at an agency, Annika, LCMHC, had a private practice. When a request for records for one of her private clients came to the director of the agency, it was uncovered that Annika was using agency letterhead for correspondence as well as client records. This was determined to be a violation of which section of the ACA Code of Ethics? [Help]

A Interdisciplinary teams and sharing of information

B Imposing personal values

C Accuracy in representing services to the public

D Maintaining boundaries and professional relationships

A LCMHC provided testimony in an ongoing custody dispute. Without having completed a psychological evaluation of the parents, the counselor provided their own conclusions, including their 'gut feeling' to make recommendations. Which of the following ethics code violations occurred in this situation? [Help]

A Reports to third parties were not accurate or honest

B Credentials were not current

C Exploitation of others due to excessive fee charged

D Consent for Evaluation was not obtained

Marjorie, LCMHC, was recently hired to join a group practice. Only after starting to see clients in this setting, did she find out that the billing practices were not always above board. For example, insurers were billed if clients did not show for an appointment as well as for telephone sessions conducted without approval by the insurance company. Marjorie utilized an ethical decision-making model to determine the appropriate steps to take in this situation, beginning with reviewing the ACA Code of Ethics for a clear understanding of the section on Negative Conditions. Which of the following actions is the NEXT step in Marjorie's plan? [Help]

A Alert her employer to the inappropriate billing practices and attempt to effect change through constructive action in the organization.

B Turn in her resignation after explaining to her employer the reason she cannot work there.

C Report the practice to the NCBLCMHC and consider voluntary termination of employment.

D Face the reality that everyone does this kind of billing. Otherwise, practices would lose a lot of money on no shows.

Joseph, LCMHC, completed a mental health assessment of his client for the purpose of employment with a national security agency. Following the authorized release of the report to the agency, he was again contacted and requested to send his test data for closer review. Joseph's response was to: [Help]

A Provide the data because it is the client's right to have his data sent to another party.

B Refuse to release the test data as it needs to remain secure for the future validity of the tests.

C Tell the agency he would release the data only to a mental health professional that is qualified to interpret the data.

D Ignore the request because the agency is so bureaucratic they will probably forget to follow up.

During a counseling interview, translating from a person's natural language may not be accurate or precise and there may be cultural variations in terms used to describe symptoms. Therefore, counselors need to: [Help]

A Earn proficiency in at least a second language.

B Be sensitive to cultural differences in their clients when assessing and diagnosing.

C Require an interpreter to be present with English as second language clients.

D Refuse to work with clients who are not able to communicate well in English.

Anna, LCMHC, completed an educational assessment of a 12 year old Haitian boy who had recently immigrated to the U.S. In her clinical interview with him she had considered him above average in intelligence and was surprised at the poor scores he obtained in the testing. Her supervisor reviewed the materials with her and pointed out the most likely explanation for the discrepancy was: [Help]

A The client was probably malingering so he could get extra attention from adults in the school.

B Anna had probably scored the tests incorrectly.

C The client may have ADHD and was unable to focus.

D The tests were not normed on children of his culture.

The ACA Code of Ethics specifies that counselor educators are responsible for which of the following? [Help]

A Teaching only the use of techniques that are grounded in theory and have a scientific foundation

B Providing career advisement for their students

C Inserting multicultural issues through a specific course on the topic and not over promoting it in other courses

D None of the above

Counselors plan, design, conduct, and report research in a manner that: [Help]

A States clearly that confidentiality cannot be maintained.

B Is consistent with ethical principles, and federal and state laws.

C Informs host institutions that their regulations may be too rigid.

D Determines when scientific standards do not apply.

Daria, a LCMHC provided tele-health counseling services to Client X, who was located out-of-state. The counselor did not verify with the board in the client's location whether this was permissible. This behavior may violate the ACA Code of Ethics because: [Help]

A Clients need to verify their own rights with their state government.

B Counselors ensure that they and their clients are aware of pertinent legal rights and regulations in both locations.

C There would be no ethical violation because other states restrictions do not apply to North Carolina counselors.

D It would not be a violation because providing counseling services to clients who are out-of-state is not permissible at all.

When Donald, LCMHC, became aware that distance counseling was inadequate for one of his clients who had moved to the West coast, his best option included which of the following: [Help]

A Immediately terminating the therapy.

B Assisting the client in finding local counseling.

C Continuing the therapy hoping it will improve.

D None of the above

You are a counselor in private practice. A full fee client has just asked for a reduction in their fee reporting financial difficulties. You go online to their social media to confirm what they are saying. You find that their business is doing well and that they are planning an expensive vacation. You feel justified in your actions because: [Help]

A This will help you determine whether or not to reduce the client's fee.

B You have discovered that the client lied to you. You will now have a more authentic relationship with this client.

C It is unethical to view a client's social media presence without their consent.

D You can help the client understand that there are consequences to lying.

When there is an ethical dilemma and the laws and the ethics code are at variance, which statement describes the correct action according to the ACA Code of Ethics? [Help]

A The counselor must follow the directive of the agency since that is the employer, even if this causes conflict for the counselor.

B Client confidentiality always takes priority because that falls under both the Legal and the Ethics Codes.

C The counselor states their commitment to the ACA Code of Ethics, takes steps to resolve the conflict, and if necessary, may adhere to the law.

D This is a moot question because Laws and Ethics are basically the same and it will not ever be a problem.

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