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In regards to boundaries in the counseling relationship, Lazarus takes the position that:


A) certain ethics and boundaries actually diminish therapeutic effectiveness.
B) all boundaries should be eliminated because they destroy the counseling relationship.
C) strong boundaries must be maintained in order to avoid malpractice suits.
D) traits such as flexibility, spontaneity, and warmth tend to be characteristics of therapists who maintain strong boundaries.

E) A) and D)
F) All of the above

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Joe has a counseling practice and is also teaching psychology part-time at a university. He is well-liked and trusted by students and some have asked for private counseling. Joe has decided to wait until semester break before taking them on as clients. Joe would be:


A) exhibiting ethical behavior by telling his students that he will counsel them at the end of the semester.
B) in a dual relationship with his students, which may cause ethical problems.
C) playing favoritism by not counseling all of his students.
D) not qualified to counsel his students because he is a part-time instructor.

E) A) and B)
F) All of the above

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Linda is considering developing a multiple or dual relationship with her client. It's important for Linda to remember:


A) that all multiple relationships should be avoided because they are usually harmful.
B) that absolute answers are available to resolve dual or multiple relationship dilemmas.
C) to be cautious in order to protect herself from censure.
D) to consider whether the potential benefit outweighs the potential for harm.

E) None of the above
F) All of the above

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Departures from commonly accepted practices that could potentially benefit clients are referred to as:


A) unethical boundaries.
B) boundary crossings.
C) boundary violations.
D) interpersonal boundaries.

E) B) and C)
F) A) and D)

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Which one of the following is NOT considered a guideline to minimizing the likelihood of sexual transgressions by clinicians?


A) Seek professional support during times of personal loss or crisis.
B) Differentiate between having sexual attraction to clients and acting on this attraction.
C) Avoid terminating the therapeutic relationship, even when sexual feelings obscure objectivity.
D) Make it a practice to examine and monitor feelings and behaviors toward clients.

E) A) and D)
F) None of the above

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When in conflict with clinical needs, context, competence, or consent, even the most well-intentioned nonsexual physical contact may be experienced as:


A) appropriate, gentle, and wanted contact.
B) aggressive, frightening, intimidating, demeaning, arrogant, unwanted, insensitive, threatening, or intrusive.
C) passive, soothing, calming, comforting, gentle, and peaceful.
D) completely indifferent for both therapist and client.

E) B) and D)
F) A) and C)

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Which of the following actions would maximize the risks inherent in dual or multiple relationships?


A) Setting healthy boundaries from the outset
B) Securing informed consent of clients and discuss with them both the potential risks and benefits of dual relationships
C) Documenting any dual relationships in clinical case notes
D) Becoming romantically involved with the client

E) C) and D)
F) None of the above

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Boundary management is:


A) not an issue in sparsely populated areas.
B) less challenging in rural areas than in urban areas.
C) equally as challenging in rural and urban areas.
D) more challenging in rural areas than in urban areas.

E) None of the above
F) All of the above

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Few professional codes of ethics specifically address the topic of giving or receiving gifts in the therapeutic relationship. The AAMFT does have such a guideline and it states that marriage and family therapists:


A) cannot give to or receive from clients gifts of substantial value or that impair the integrity or efficacy of the therapeutic relationship.
B) can give to or receive from clients small gifts of little monetary value.
C) can give to or receive from clients gifts when given during an appropriate and healthy therapeutic relationship.
D) cannot give or receive gifts under any circumstances.

E) All of the above
F) B) and D)

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Marty is counseling with an Asian client who recently returned from a trip to Japan to visit relatives. His client wants to give him an inexpensive souvenir. It is important for Marty to:


A) refuse the gift on ethical grounds.
B) explain that the gift would change their relationship and create a conflict of interest.
C) be aware that accepting the gift may be culturally appropriate with this client.
D) explain that he cannot accept the gift until the counseling relationship is over.

E) B) and C)
F) A) and D)

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Neglecting to attend to family-of-origin issues can lead to such as being attracted to clients.


A) blind spots
B) bartering
C) the ethical deterioration phenomenon
D) the slippery slope phenomenon

E) None of the above
F) A) and C)

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Which of the following is NOT a controversy of boundary issues?


A) Age, diagnosis, life experiences such as abuse, and culture are key elements of the therapeutic relationship.
B) An unfortunate reality is that some practitioners have difficulty distinguishing where appropriate boundary lines should be drawn.
C) The goal of ethical decision making is to take a position where the potential for exploitation is minimized.
D) Failing to establish clear boundaries can be very dangerous to both the client and the therapist.

E) A) and B)
F) B) and C)

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In the authors' view, non­erotic touching between counselor and client should be:


A) a spontaneous and honest expression of the therapist's feelings.
B) incongruent with what they feel.
C) a therapeutic technique used to extinguish catharsis.
D) considered unethical.

E) A) and B)
F) C) and D)

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