Exam Preview for 2551: Ethical and Practice Considerations for Work

Ethical and Practice Considerations for Working with Chronically Ill Clients

Please note: exam questions are subject to change.

1. What percentage of U.S. adults have at least one chronic condition? 25% 42% 60% 79%
2. Which of the following is NOT listed as a dangerous misdiagnosis for clients with genuine physical illnesses? Somatic Symptom Disorder (300.82) Conversion Disorder (300.11) Major Depressive Disorder (296.20) Illness Anxiety Disorder (300.7)
3. _________________ is the average diagnostic delay for chronic physical illnesses. 2 years 4.5 years 7 years 10 years
4. According to the meta-theme presented, all evidence-based approaches for chronic illness work toward helping clients shift from: Active agency to passive acceptance Fear and avoidance to acceptance and engagement Cognitive restructuring to emotional processing Individual therapy to group therapy
5. According to the collaborative care strategies, what is required before sharing any information with medical providers? Verbal consent and written informed consent from the client Verbal consent from the referring provider Signed release of medical records Written informed consent from the client’s employer
6. A therapist should consult with other professionals: Only when the client requests it. When there are unclear scope of practice situations, complex medical-psychological presentations, or ethical dilemmas involving medical care Only at the end of treatment When insurance requires it
7. Which gender typically experiences longer diagnostic delays? Men Women Women if they are over the age of 75 There is not a significant difference
8. A client asks you, "Do you think my symptoms could be lupus? I've been researching online." According to the presentation's scope of practice guidelines, what is the most appropriate response? "Based on your symptoms, it's possible. You should get tested for lupus markers." "I can see you're really concerned about understanding what's happening with your body. Medical diagnosis is outside my scope of practice, but your physician can best evaluate your symptoms. What I can help with is managing the anxiety and uncertainty you're experiencing while you seek medical answers." "Lupus is unlikely given your age and symptoms. Let's focus on stress management instead." "I can't diagnose medical conditions, but I think you should stop researching online as it's making you anxious.”
9. Considering one’s scope of practice, a mental health therapist can do which of the following when working with chronically ill clients? Interpret lab results or medical imaging Recommend specific medications or dosages Address trauma, grief, anxiety, and depression related to chronic illness Suggest specific medical procedures or diagnostic tests
10. According to the collaborative care strategies, which of the following represents an appropriate example of bidirectional communication with medical providers? Telling the medical team that the client's pain is psychosomatic and recommending they reduce pain medication. Sharing that the client manages anxiety well and that persistent physical symptoms may warrant further medical investigation, while also asking about upcoming procedures that might affect the client's mood. Providing the medical team with your clinical notes without client consent since it's for their benefit. Asking the medical provider to refer the client to psychiatry instead of continuing medical workup.