1
Q
When is it the responsibility of the psychologist to report homicidal or suicidal actions?
A
Only when it is your client who is engaging in these actions.
2
Q
When is it the responsibility of the psychologist to report abuse of a child or elder?
A
ANY report of ANY child or elder abuse must be reported by the psychologist.
3
Q
If someone calls you to report child abuse, what do you do?
A
Yes – sexual abuse is always reported
4
Q
If you are under what age, can you have sex with someone who is relatively the same age? This does not require a mandated report.
A
Someone 14 years old
5
Q
At what age can someone have consensual sex in the state of California? These situations do NOT require a mandated report
A
16-years-old
6
Q
Who can have sex with anyone, except with someone who is 21 years old or older? These situations require a mandated report
A
Someone who is 14- or 15-years-old
7
Q
If a 13-year-old and a 14-year-old are having consentual sex, what should a psychologist do?
A
Report child abuse
8
Q
Leud and lecivious behavior: Fondling through acts without intercourse
A
Under 14, you cannot have it with anyone
If 14- or 15-years old, must report if partner is 10 years old
9
Q
Why is child abuse not necessarily mandated if a psychologist learns that a child has suffered substantial physical injury?
A
The physical injury may have been sustained from other actions.
10
Q
Your 15-year-old patient tells you that she was date raped by her boyfriend. She does not want anyone to know. What are your obligations?
A
You should make a child abuse report.
*Key, she is a minor. Boyfriend’s age is irrelevant because this act is non-consensual.
11
Q
Any non-consensual act of sex must be…
A
Reported
12
Q
You have a contract with an assisted living facility. A 73-year-old patient tells you that when staff are upset with him, they punish him by withholding his meals. He reports that recently he went about 24 hours without anything to eat or drink. What do you do?
A
Make a report to the local Ombudsman
13
Q
When a person who is demented or psychotic, what do you do?
A
Check out the report. If no corroborating information, you do not need to make a report.
14
Q
When do you report to local Ombudsman
A
When elder abuse happens outside of the elders home.
15
Q
When elder abuse happens within the elder’s home, to whom do you report the incident?
A
Police OR Adult Protective Services
16
Q
When elder abuse happens outside of the elder’s home, to whom do you report the incident?
A
Police AND local Ombudsman
17
Q
Child abuse includes death inflicted by other than accidental means upon a child by another person.
A
True
18
Q
A positive toxicology screening at the time of delivery is, in and of itself, a basis for reporting child abuse.
A
False
19
Q
When a child is suffering serious emotional damage as evidenced by severe anxiety, depression, withdrawal, or aggressive behavior, a child abuse report is mandated
A
False – this is optional
20
Q
Failure to report child abuse is a misdemeanor punishable by up to one year in county jail, a fine of $1,000, or both
A
FALSE - punishable by 6 months
21
Q
You are treating an emancipated minor who has revealed that her live-in boyfriend has been beating her. There are visible bruises. In this situation:
A
You should report child abuse.
There is nothing in the code that speaks to emancipated minors regarding child abuse.
22
Q
(T/F) Any sexual intercourse between an adult and a minor under the age of 18 is statutory rape.
A
True.
23
Q
Is it acceptable for a 20-year-old to have sex with a 14-year-old
A
Yes
24
Q
Who may not take a mandated report regarding sexual abuse between a teacher and student?
A
the school district police
25
Your patient tells you her boss at work has an "alcohol problem," and that he has recently confided in her that in the past week, on two separate occasions, he punched his 17-year-old in the face and swore at him.
You must report child abuse.
26
A few afternoons a week, you do pro bono work as a psychologist at a public youth center for children of low SES. One of the physical education aides asks you whether you have made a child abuse report on a 9-year-old girl. How do you respond?
Let me know whether or not you made a report.
You can share information with any employee who is also a mandated reporter.
27
When two or more individuals in a joint facility become aware of a need to report, what happens?
They can select one person to make the report.
28
If a psychologist is at a soccer game with his child and sees another parent hit his child, is he mandated to report?
No, only when acting in a professional capacity.
29
What constitutes physical abuse?
- brusies are left
- closed hand used
- object used
30
Sexual Abuse includes
- Sexual Assault
- Sexual Exploitation
31
What is severe neglect
Severe malnutrition, causing the child to be endangered, intentional failure to provide adequate food, clothing, shelter, or medical care
32
What is General Neglect?
Negligent failure to provide adequate food, clothing, shelter, medical care, or supervision, where no physical injury occurred, YET COULD HAVE
33
When elder abuse happens within the elder's home, what is the time frame for written report?
Two working days
34
When elder abuse happens outside of the elder's home, what is the time frame for a written report?
Two hours -- if serious bodily injury
24 hours - if absence of bodily injury
35
When elder abuse happens in a state hospital, to whom should it be reported?
State Department of State Hospitals AND local law inforcemen.
36
When elder abuse happens in a state hospital, what is the time frame for a written report?
2 hours
37
How old is an elder?
60
38
Who qualifies as a dependent adult?
- 18-59 years old
- has a physical or mental limitations that interfere with carrying out normal activities, or protecting his/her rights
39
If a child abuse report needs to be made for an urgent matter, how must the report be made?
Phone call
40
If a child abuse report needs to be made for a non-urgent matter, how must the report be made?
Electronic
41
What is the timeframe that a written report for child abuse must be submitted?
Written report = 36 hrs
42
When in doubt if a report of abuse should be made, what should you do?
Consult with peer or reporting abuse agency
43
When is elder/dependent abuse required?
- Observed incident
- Has knowledge of an incident
- Elder/Dependent adult told reporter
44
If an injury in a care setting occurs, when must you report?
If injury was the result of suspected abuse
45
Physical Abuse of elders/dependent adult
- Physical restraint
- Chemical restraint (over sudating)
- assult/battery
46
What is self-neglect with elders or dependent adults?
Failure of the person themselves to take care of themselves
47
Are self-neglect instances reportable as a mandated reporter?
Yes
48
When can a physical disclose HIV status to a patient's partner?
Only after the physician has attempted to secure the patient's consent.
49
Are physicians required to disclose HIV status to a patient's partner?
No, this is optional.
50
May psychologists disclose a patient's HIV status to a patient's partner without consent?
No, never.
51
A 19-year-old woman comes to you for individual therapy. She reports that when she was 15 years old, she saw a therapist who sexually molested her. You should:
Call Child Protective Services and NOT report the therapist to the BOP.
52
Why would you not report to the BOP a report of another therapist sexually molesting a client 4 years ago?
We cannot breach confidentiality with a client to report a colleague to the board.
53
When you receive a subpoena to appear with your records, what should you do?
Comply with the subpoena
54
What is a subpoena duces tecum?
Appear with records in hand.
55
Who can order you to breach confidentiality?
A judge
56
You are hired by the court to conduct a court-ordered evaluation of a 16-year-old boy. His parents tell you that they do not want you to test him. You should:
Proceed with the evaluation
57
A 15-year-old client tells you that her previous therapist frequently yelled at her, and on occasion threatened her with physical violence if she continued using drugs. Your client further states that she credits this therapist with getting her "clean" and "straight". Which of the following would be your best course of action?
Report the therapist to Child Protective Services
58
To use a collection agency, a psychologist should follow the guidelines delineated in:
APA's Ethical Principles of Psychologists and Code of Conduct -- the only agency that delineates this process
1) Must notify the patient in advance of using the collection agency.
59
A psychologist has notified his patient of his privacy policy, in compliance with the Health Insurance Portability and Accountability Act (HIPAA). According to the law, the psychologist must also secure a patient's authorization to:
Share information with an employer (ROI)
60
What does HIPAA Cover
- treatment
- payment
- business operations
61
You are treating a 22-year-old patient who is struggling with relationship issues. She tells you that while she was a sophomore in high school, her therapist touched her inappropriately. In addition to assessing the current risk this therapist poses, you must:
Give her the brochure Therapy Never Includes Sexual Behavior, and discuss the brochure with her.
62
Healthcare providers who are treating someone must report when...
They are providing medical services AND the wound was created by abuse
63
Are psychologists allowed to report assault or abuse on an adult?
No -- this is a breach of confidentiality.
64
If someone who is HIV positive tells their therapist they are intending to infect their partner with HIV without their knowledge, is this covered under Tarasoff?
No
65
Under what three conditions is it illegal for a therapist to engage in sexual contact with a patient?
- While the client is a patient
- Within two years following termination of therapy
- By means of therapeutic deception
66
A client tells you that a former therapist and she are engaging in consensual sex. What is your legal obligation?
Give the patient a copy of the brochure, Therapy Never Includes Sexual Behavior, and discuss with the patient.
67
Is consent needed in a court-ordered evaluation?
No
68
Is consent required for treatment summaries with court-ordered treatment?
Yes
69
When there is a discrepancy between Federal Law (HIPAA) and CA Law, which do you follow?
Whichever is stricter
70
What are the three rules of HIPAA?
Privacy
Transaction -- electronic transmissions
Security -- addresses physical security of patient records
71
Where there is a contradiction between HIPAA and CA Law, which do you follow?
HIPAA, except in the case of minors.
72
What is PHI?
Health information that identifies a patient, treatment, condition, or payment
73
What are Psychotherapy notes?
Analyzing content of session (dreams, transference) -- must be kept separate from PHI
74
What is generalized consent?
Information given to the patient describing PHI may be disclosed for three reasons:
1) treatment, 2) payment, 3) carry out health care operations
75
A request for custody evaluations by a family that you have been treating is...
Unethical -- you must refuse the evaluation
76
Fees should always be...
discussed as early as feasible.
77
Your patient, who is a psychologist, discloses to you in session that he is having sex with a patient. What is your best course of action...
maintain confidentiality
78
According to the APA Ethics code, what should you ideally establish before the end of the first session?
1) Informed consent secured from adults and assent secured from minors
2) Clarification of who the patient is and the limits of confidentiality
3) Fees and office policies explained and agreed to
79
When is consultation appropriate for psychologists instead of referring to another provider?
When the psychologist has some familiarity with the specific disorder or a similar disorder or population.
80
A social worker at the clinic where you work tells you that he is very concerned about his teenage daughter, who is truant from school and hanging out with a "bad crowd." He would like your input and states he would be willing to see you in private practice. In this instance, you:
Could give your input, as long as you make it clear that your input is as a colleague, and not as a therapist.
81
When should a psychologist terminate therapy?
When it is reasonably clear that the client no longer needs, is not benefitting from, or is being harmed by treatment.
82
While you are in the process of conducting a custody evaluation, the case is transferred to a judge who happens to be your therapy client. You should:
Discuss the conflict with the judge and clarify roles.
83
You are a psychologist hired to do pre-employment testing for a company. You are contacted by a person you previously tested, who has authorized you to release his test report to his current therapist. You should:
Do not give him the test report.
The company is the client, not the person being tested -- he is not entitled to his test data.
84
You run a group practice. One of the psychologists you employ has become significantly depressed; she has missed a number of appoitnments with her patients and has fallen behind in charting of patient notes. You should:
Recommend that she seek treatment and that she make alternative arrangements for her patients.
85
You run a group practice. One of the psychologists you employ has become significantly depressed; she has missed a number of appoitnments with her patients and has fallen behind in charting of patient notes. Which areas of the ethics codes are in violation?
- personal problems
- ethical violations
86
A lawyer refers a patient to you for an assessment. The patient is severely neuropsychologically impaired. You may not perform the assessment unless you have:
Informed the patient about the nature and purpose of the assessment.
87
When someone has questionable capacity for consent, what should you do?
Inform the patient about the nature and purpose of the assessment in reasonably understandable language
88
You are in the process of purchasing an apartment complex as a business investment. After escrow has begun, you come to find out that your client owns the property. You should:
terminate escrow
89
Your best friend asks you to see her husband, what do you do?
Say no
90
Your client completes an MMPI-2. In order for his results to be interpreted by an outside agency, the agency must:
meet professional standards for test interpretation
91
What do you do in an emergency if you have no experience treating the population or the situation?
We can treat until more appropriate services can be secured
92
Bartering for goods or services is acceptable, as long as...
It is not clinically contraindicated or exploitative
93
You have been treating a 23-year-old patient for several years for GAD. In a recent session, he discloses that he thinks he may be gay. You have never worked with a gay patient before; however, you did have a class on Gender and Sexuality in graduate school. You should:
seek consultation and/or supervision to continue to treat your patient.
**Key consideration is the duration of time that you have been seeing this client**
94
The APAs Ethics Code General Principles are...
Aspirational and set forth underlying principles that should direct the behavior of psychologists
95
The APAs Ethical Code 10 Ethical Standards are...
enforceable and provide the specific guidelines for the ethical behavior of psychologists
96
The Five General Principles include...
1) Beneficence and Nonmaleficence
2) Fidelity and Responsibility
3) Integrity
4) Justice
5) Respect for People's Rights and Dignity
97
When conflicts arise between ethics and the law, psychologists should
"clarify the nature of the conflict, make known their commitment to the Ethics Code and take reasonable steps to resolve the conflict”
98
If a psychologist knows of an ethical violation by another psychologist colleague, the psychologist should...
speak directly to the colleague, assuming an “informal resolution”seems appropriate and confidentiality will not be violated
99
If a psychologist’s attempt at an informal resolution is unsuccessful, or if the violation is inappropriate for an informal resolution, the psychologist should...
take further action, such as referral to an ethic committee or licensing board; such action should not be taken if confidentiality rights will be violated
100
To practice in new areas, Psychologists must...
seek appropriate training, supervision, or consultation
101
Psychologists may provide services for which they are not fully competent if...
an individual would otherwise be unable to obtain services, provided psychologists have closely related prior training/experience, and pursue further training
102
Psychologists must recognize when personal problems may interfere with their work, and are required to...
seek consultation about whether to limit, suspend, or terminate practice
103
Multiple relationships are acceptable if they:
- Do not impair a psychologist's objectivity, competence, or effectiveness
- Do not harm or exploit the other party
104
If a harmful multiple relationship does occur, the psychologist must...
“attempt to resolve it with due regard for the best interests of the affected person and maximal compliance with the Ethics Code”
105
When psychologists are required to serve in more than one role in a judicial or administrative proceeding (e.g., consultant for one party and fact witness for the court), psychologists must...
Clarify their roles and the limits of confidentiality, and update this clarification as often as changes occur.
106
When psychologists provide services at the request of a third party (e.g., an insurance company, EAP, the courts), psychologists should...
clarify at the outset of treatment their role, the limits of confidentiality, etc.
107
When should Psychologists discuss the limits of confidentiality with any persons or organizations with whom they work...
Confidentiality should generally be discussed at the outset of treatment, and thereafter as new situations warrant
108
During consultation, what client information should be shared...
Only that which is absolutely necessary for the purpose of the consultation
109
What should psychologists due with respect advertising?
Psychologists must not make intentionally deceptive statements
110
A psychologist hires an advertising agency to promote their business. The agency uses deceptive terminology as part of their new website. Whose responsibility is it to correct these statements?
The psychologists
111
May a psychologist compensate a media employee for publicity or reporting?
No
112
How must paid ads be identified?
As such...paid ads.
113
Under what circumstances are testimonials used:
- Never from current patients
- Not from previous patients who are vulnerable to undue influence
114
Solicitation of new business is prohibited under what circumstances
when people are vulnerable to undue influence
115
If a client who is in an emergency asks for their records, yet they have not paid their bill, may a psychologist withhold their records?
No
116
Bartering is permissible if...
- It is not clinically contraindicated
- It is not exploitative
117
Fee splitting is permissible when...
It is based on services provided, rather than on the referral itself
118
Under what circumstances may a course instructor require the disclosure of personal information (e.g., history of absue)...
- When the educational program made it clear in its admission and within program materials
OR
- When disclosure of personal information may help students who are having personal problems that interfere with their clinical work or when those problem pose risk of harm
119
When is it permissible for an educational program to mandate individual or group therapy?
Students must have the option of obtaining treatment from providers unaffiliated with the program
AND
Instructors evaluating students may not provide therapy to those students (Multiple Relationships)
120
Psychologists may dispense with informed consent when permitted by law, or when the research involves
1) normal educational practices; 2) anonymous questionnaires, naturalistic observations, or archival research; or 3) the study of a job or organization’s effectiveness
121
Deception in research is to be avoided unless:
- It is justified by the study's "prospective scientific, educaitonal, or applied value."
- Alternative procedures, without deception, are not available.
122
When must subjects be debriefed regarding the deception of research for which they participated?
As early as possible
123
Animals are only to be subjected to pain or stress when:
- An alternative procedure is unavailable
- The study is justified in terms of its “prospective scientific, educational, or applied value”
124
Students should receive first authorship when
when their dissertations are published as articles
125
CPLEE PsychPrep Questions
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