Values and Ethics · Principles and processes of obtaining informed consent
Prior to initiating remote clinical psychotherapy via videoconferencing technology, what must a social worker do to ensure ethically and legally compliant informed consent?
Answer and explanation
Correct answer: C
Informed consent for digital services requires explaining risks of electronic communication, technological limits, data privacy, and emergency protocols.
Q2Question 2
IntermediateMultiple answers
Values and Ethics · Principles and processes of obtaining informed consent
A social worker is updating clinic intake procedures to uphold professional standards regarding informed consent. Which TWO components must be explicitly disclosed and reviewed with clients before services begin? (Select TWO)
Answer and explanation
Correct answers: A, E
Mandated limits of confidentiality must be disclosed at intake so clients understand exceptions before sharing private information.
Clients must be informed of the nature, potential risks, and available alternative treatments to exercise valid self-determination.
Q3Question 3
Advanced
Values and Ethics · Principles and processes of obtaining informed consent
An 81-year-old client who lives independently is referred to an outpatient geriatric social work clinic by their primary physician following a mild vascular stroke. The client demonstrates intact orientation to person, place, and situation, and clearly articulates personal preferences regarding living arrangements, but experiences occasional mild short-term memory lapses.
During the initial session, the client's adult child attends uninvited and demands that the social worker conduct a comprehensive assessment to declare the client legally incompetent. The adult child insists on signing all consent documentation on the client's behalf, stating that managing the client's healthcare decisions has become too burdensome for the family.
The client expresses a desire to receive supportive counseling and community mobility assistance but refuses to allow the adult child to dictate medical or psychological care, asserting, "I can still make my own choices about how I live."
What is the social worker's MOST appropriate course of action regarding informed consent?
Answer and explanation
Correct answer: C
Clients are presumed competent unless legally adjudicated otherwise; the worker must support self-determination and obtain direct client consent.
Q4Question 4
Intermediate
Values and Ethics · Professional boundaries in the social worker-client/client system relationship (e.g., power differences, influence, privilege, conflicts of interest, self-disclosure, dual relationships)
A social worker in private practice has provided individual psychotherapy to a client for two years. As termination approaches, the client invites the worker to attend their upcoming wedding ceremony, stating that the therapy was essential to their marital readiness. What is the social worker's MOST appropriate response?
Answer and explanation
Correct answer: A
Social workers must maintain professional boundaries and avoid dual relationships; exploring the meaning respects the client while declining attendance.
Q5Question 5
Beginner
Values and Ethics · Professional boundaries in the social worker-client/client system relationship (e.g., power differences, influence, privilege, conflicts of interest, self-disclosure, dual relationships)
True or False: Under social work ethical standards, a clinician is permitted to terminate psychotherapy with an active client for the specific purpose of initiating a consensual romantic relationship.
Answer and explanation
Correct answer: B
Terminating a therapeutic relationship to pursue a romantic or sexual relationship with a client is explicitly prohibited by ethical standards.
Q6Question 6
Intermediate
Values and Ethics · Legal and ethical issues regarding mandatory reporting (e.g., abuse, threat of harm, impaired professionals, duty to warn)
A hospital social worker observes a licensed colleague arriving on the medical unit with slurred speech, ataxia, and the odor of alcohol while preparing to conduct a family crisis consultation. What should the social worker do FIRST?
Answer and explanation
Correct answer: A
Protecting client safety from immediate harm caused by an impaired professional is paramount; the worker must intervene to stop direct practice.
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