LCSW Law & Ethics Practice TestBank Questions and answers. 100% Accurate. 1. Two social workers are dating. They are at

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LCSW Law & Ethics Practice TestBank Questions and answers. 100% Accurate. 1. Two social workers are dating. They are at dinner and they are talking about their clients. They discover that each of ... them is seeing a different member of the same couple for individual therapy. What should these social workers do? Content Area: Law: Confidentiality, Privilege, and Consent This question is about the legal responsibility of social workers outside of the therapeutic setting discussing a client. A. No action is necessary since licensed health professionals may consult for purposes of diagnosis and treatment without a release. B. Stop the discussion and obtain releases so that such discussions in the future do not breach confidentiality. C. Stop the discussion and do not talk about these clients again. D. There are no legal or ethical guidelines requiring social workers in such situations to do anything. - ✔✔-C. Stop the discussion and do not talk about these clients again. The rules of confidentiality would require the social workers to stop the discussion and not talk about these clients. 2. Revocation of a LCSW's license after having been found to have engaged in sexual misconduct with a client would occur after: Content Area: Ethics: Professional Competence and Preventing Harm This question tests your knowledge of the penalties for social workers having sex with a client. A. A social worker filed a complaint with the BBS on behalf of a client. B. The BBS found that the therapist terminated therapy in order to pursue a sexual relationship. C. The social worker gives the client the pamphlet "Professional Therapy Never Includes Sex" and discusses it with the client. D. The BBS cites the offending social worker within 10 years of the statute of limitations. - ✔✔-B. The BBS found that the therapist terminated therapy in order to pursue a sexual relationship. Terminating therapy in order to pursue a sexual relationship with a client is prohibited. 3. Your client, George, tells you that his mother just got remarried. He tells you that he is worried that the new husband's children are going to go after his inheritance. He tells you that he has very little contact with the new family and wants to keep it that way. What is your legal obligation? Content Area: Law: Limits to Confidentiality/Mandated Reporting This question tests your knowledge of how to proceed when you may need to assess for or report elder abuse. A. You must asses for elder abuse, considering "undue influence" regarding the mother's estate. B. You should refer the client to an attorney to determine if he has a case. C. Maintain confidentiality because you do not know the age of the mother. D. Report elder abuse, considering "abandonment" because he has "very little contact" with his mother. - ✔✔-C. Maintain confidentiality because you do not know the age of the mother. You would maintain confidentiality because you do not know his mother's age and you do not have "reasonable suspicion" of elder abuse. 4. Ki is a 26-year-old Korean who immigrated to the U.S. with his father 10 years ago. Ki wants to be an artist but his father has saved his money and demands that Ki goes to medical school like his grandfather. Ki says he's depressed and he would rather die than become a doctor. He says he's too stupid to pass the classes in medical school anyway. He doesn't know how to tell his father. The social worker determines that Ki is not suicidal. The most appropriate ethical intervention is to: Content Area: Ethics: Therapeutic Relationship/Services This question tests your knowledge of the ethical obligations that pertain to cultural competence. A. Recognize the importance of cultural considerations and acknowledge that Ki may have to follow his father's wishes. B. Ask Ki to bring his father in for a family session because of cultural values that encourage respect for elders. C. Inform Ki that the risks and benefits of therapy may be that he "finds himself" but may change some of his family values. D. Ask to see Ki's artwork to reframe him as an individual and your alliance as a place where he can be an individual. - ✔✔-C. Inform Ki that the risks and benefits of therapy may be that he "finds himself" but may change some of his family values. Informing a client about the risks and benefits of therapy which includes altering their sense of self and their family, is an ethical obligation. 5. June discloses that she had been molested by a step-brother when she was 15. She is now 28 and was divorced from her husband three years ago. Before seeing you, she saw another therapist and she has just told you that she had sex with him. She wants therapy to focus on the stormy relationship issues that led to her divorce, not on past sexual molestation or exploitation. You would: Content Area: Law: Legal Standards for Professional Practice, tests your understanding of the legal responsibilities of therapists who learn that a client has had sex with a previous therapist. A. Respect her wishes and continue to focus on resolving the issues on which she wants to work. B. Give her the brochure "Professional Therapy Never Includes Sex" and discuss her options. C. Report the therapist to the BBS to protect the other therapist's present and future clients. D. Work on the sexual exploitation in therapy. - ✔✔-B. Give her the brochure "Professional Therapy Never Includes Sex" and discuss her options. Therapist sex with a client is prohibited. When a client reveals that s/he has had sex with a former therapist, the treating mental health professional is required to give her/him the brochure "Professional Therapy Never Includes Sex," as well as discuss it with them. 6. Dr. Sveda has been treating Carliss for seven years during which time the fee has been $50. Carliss finally earns his Ph.D. and gets a job for substantially more money than he had been making. Dr. Sveda tells Carliss he'd like to revisit the fee that Carliss has been paying. Carliss becomes quite upset and tells Dr. Sveda that it would be unethical for him to raise the fee. Dr. Sveda calls for consultation and is given the proper answer which is that social workers are discouraged from increasing a client's fees: Content Area: Ethics: Business Practices and Policies This question tests your knowledge of ethical considerations in raising client fees. A. Without providing adequate notice. B. To avoid exploitation of the client. C. Unless all client fees are increased. D. According to strict ethical standards for the mental health profession. - ✔✔-A. Without providing adequate notice. Ethical standard standards require that clients be given notice of fee increases before they occur. 7. Joe and Marcie Green and their three children ages 12, 15 and 17, have been in family therapy with you for about 9 months on a regular basis. Joe says that they are getting along much better. Marcie says that the children seem to be willing to spend more time at home and are arguing less with each other. They think that things are so much better that they are ready to end treatment. What is your ethical obligation after deciding to terminate family therapy? Content Area: Ethics: Therapeutic Relationship/Services This question tests your knowledge of the ethical obligations that pertain to provide clients with information about the therapeutic process, which includes termination. A. Recommend staying in therapy if there are any regressive symptoms in any individual. B. Document your agreement with them that they are ready to terminate. C. Recommend individual therapy if there are any regressive symptoms in any individual. D. Terminate because ethically you are not permitted to extend treatment beyond a client's ability to benefit. - ✔✔-C. Recommend individual therapy if there are any regressive symptoms in any individual. If the family wants to terminate but one person might still be in need of individual treatment, it would be ethical to recommend this. 8. Which of the following is true in a court custody case? Content Area: Law: Confidentiality, Privilege, and Consent This question examines the parameters of privilege. A. A minor does not hold his/her own privilege. B. The court may appoint an attorney to represent the best interests of the child. C. The parents can waive their child's privilege. D. The parents' attorney can waive privilege on behalf of the child. - ✔✔-B. The court may appoint an attorney to represent the best interests of the child. The courts can assign a guardian ad litem, if needed, to represent the best interests of the child. 9. How should physical abuse of a dependent adult be reported by a mental health professional? Content Area: Law: Limits to Confidentiality/Mandated Reporting This question tests your understanding of the legal issue of reporting dependent adult abuse. A. If there is serious bodily harm, within 24 hours. B. By telephone within two working days and in writing as soon as possible. C. By telephone as soon as possible and in writing within two working days. D. By telephone as soon as possible and in writing within 36 hours. - ✔✔-C. By telephone as soon as possible and in writing within two working days. Mandated reporters must report dependent adult abuse "immediately or as soon as possible by telephone, and shall prepare and send a written report within two working days." 10. Jessica, age 14, comes to see you with her mother. She appears withdrawn and fatigued and refuses to speak with you. Her mother explains that in the last few months Jessica's behavior has changed drastically. How would you manage this family's treatment needs from an ethical perspective? Content Area: Ethics: Therapeutic Relationship/Services This question tests your knowledge of the steps to take in starting treatment with a new family unit. A. Explain the family systems model. B. If you are unable to make progress with the family, give them three referrals. C. Evaluate how willing the mother is to reframe the problem as the "family problem" rather than Jessica as the problem. D. Discuss the risks and benefits of seeing them as a unit and of seeing Jessica individually. - ✔✔-D. Discuss the risks and benefits of seeing them as a unit and of seeing Jessica individually. You would need to determine the unit of treatment before doing any of the other actions. 11. Your former supervisor refers a client to you and suggests that you split the client fee as you did while under her supervision. You would: Content Area: Ethics: Business Practices and Policies This question tests your knowledge of how to manage referrals that meets ethical obligations. A. Report this unethical behavior to the BBS. B. Negotiate a new split fee arrangement. C. Inform the supervisor that it is unethical to split fees. D. Inform the supervisor that since you are now a licensed social worker she can only get 25% of the client's total fee. - ✔✔-C. Inform the supervisor that it is unethical to split fees. It is not ethical for LCSW's to split fees. NASW's ethical standards state that Licensed Clinical Social Workers do not offer or accept payment for referrals. *12. You are given an unwrapped book of inspirational religious poetry by one of your clients as a holiday gift. This book strongly contradicts your personal religious beliefs. You decide to: Content Area: Ethics: Professional Competence and Preventing Harm This question tests your ability to deal with the therapeutic alliance and potential counter-transference in light of gift-giving. A. Accept the gift in the spirit in which it was given and say nothing about your spiritual beliefs. B. Evaluate what would be in the client's best interests and how accepting or rejecting the gift might affect treatment. C. Gently explain to your client that you cannot accept such a personal gift. D. Thank the client for her thoughtfulness but let her know that your policy is that you don't accept gifts from clients. - ✔✔-B. Evaluate what would be in the client's best interests and how accepting or rejecting the gift might affect treatment. Depending on the clinical issues, cost of the gift, length of time you've been seeing the client etc. this answer would allow you to act according to the client's needs. 13. Which of the following techniques would be considered out of a mental health professional's scope of competence if they did not receive the needed specialized training? Content Area: Law: Legal Standards for Professional Practice This question focuses on your knowledge of a mental health professional's scope of competence. A. Couples therapy B. Hypnotherapy C. Psychotherapy D. Adolescent therapy - ✔✔-B. Hypnotherapy. Hypnotherapy needs specific additional training beyond the education required to obtain a mental health professional license. 14. You terminated therapy with Margaret after 3 years because she wanted to work with a therapist with her same sexual orientation. You gave her a referral to a new therapist who she has seen a few times. Several weeks later Margaret leaves you a message saying that she is having a conflict at work and wants to speak with you because only you can help her. When documenting this call you would: Content Area: Ethics: Therapeutic Relationship/Services This question tests your knowledge of how to document your care for a client, even a former client. A. Note that you told her that you cannot ethically treat her because she is already in treatment with another therapist. B. Indicate that you assessed her risk as "low" and suggested that she call her therapist C. Confirm that you had a signed termination agreement. D. Get a release to speak with her other therapist to coordinate care. - ✔✔-B. Indicate that you assessed her risk as "low" and suggested that she call her therapist Although the client has terminated, you still have an ethical obligation that pertains to crisis management. If her crisis were acute, you would have to do more than simply refer her back to her therapist. *15. You've been treating a woman who is in the midst of a divorce. You receive a subpoena in the mail from her husband's lawyer asking for your client's records. You: Content Area: Law: Confidentiality, Privilege, and Consent This question tests your knowledge of how to respond to a subpoena. A. Contact your client to determine if she wants you to waive or assert privilege. B. Would contact the husband's lawyer and assert privilege. C. Ignore the subpoena since there is no one to whom you can assert privilege. D. Must comply with the subpoena since it is an official court document and you would otherwise be in contempt of court. - ✔✔-A. Contact your client to determine if she wants you to waive or assert privilege. Clients hold their own privilege and a social worker must consult with the client to determine whether privilege is to be waived or asserted. 16. Mike, your 17-year-old client, has a history of fire-setting. He is in therapy as a result of a court order and his parents know he is in treatment. He tells you that he is angry with his ex-girlfriend and says that he plans to set fire to her house tonight. What should you do? Content Area: Law: Limits to Confidentiality/Mandated Reporting This question is assessing your ability to determine a Tarasoff situation. A. Call his parents so they can be sure that he doesn't go unsupervised. B. Maintain confidentiality. C. Call the police immediately and his ex-girlfriend's family. D. Call the police immediately. - ✔✔-C. Call the police immediately and his ex-girlfriend's family. In the vignette described there is imminent peril and there is a reasonably identified victim(s). The Duty to Protect includes the mandate to notify the police first and a warning to the identified victim is permitted. 17. A social worker consults with another professional about a particularly challenging case. Has an ethical violation occurred? Content Area: Ethics: Professional Competence and Preventing Harm This question assesses your ability to collaborate with other professionals when issues arise outside the social worker's expertise. A. Yes, if the social worker does not reveal confidential client information to the other professional. B. No, if the social worker does not reveal identifying information about the client to the other professional. C. Yes, if the social worker has a signed consent by the client to consult. D. No, if the other professional agrees to keep the client information confidential. - ✔✔-B. No, if the social worker does not reveal identifying information about the client to the other professional. According to the National Association of Social Worker's (NASW) Code of Ethics, section (1.07) (q) Privacy and Confidentiality, "Social workers should not disclose identifying information when discussing clients with consultants unless the client has consented to disclosure of confidential information or there is a compelling need for such disclosure." This section implies that the client's direct consent to consult with another professional is required only if identifying information about the client is revealed. Thus, if general aspects of the case are discussed with another professional, permission from the client is not needed. *18. When unable to reach a client by phone, a social worker texts the client's mother to tell her that her son is talking seriously about running away from home because of the step-father's abuse. She texts back to tell you that he is home safely but "thanks for the heads-up." What are the social worker's ethical obligations regarding the confidentiality of minors? Content Area: Ethics: Therapeutic Relationship/Services This question tests your knowledge of how to handle informed consent about the limits of confidentiality in the treatment of minors. A. Obtain written informed consent from the minor that allows texts to parents in an emergency. B. Tell minor clients how you will contact parents if you think there is an emergency. C. Tell minor clients that you will show them any texts from parents. D. Obtain informed consent from parents about your mandates to break confidentiality. - ✔✔-B. Tell minor clients how you will contact parents if you think there is an emergency. Discussing the limits of confidentiality is an element of informed consent. *19. Maria and Juan have been seeing you for couples' counseling for six weeks. In the 7th session, Maria brings you a batch of fresh, hot, home-baked oatmeal raisin cookies. You would: Content Area: Ethics: Business Practices and Policies This ethical question, with a flair of human diversity, reviews ethical policy as it relates to gift giving. A. Accept the cookies and explore their meaning with Maria and Juan. B. Refuse the cookies and explore their meaning with Maria and Juan. C. Accept the cookies and eat one immediately. D. Refuse the cookies and tell Maria about your "no gift policy." - ✔✔-A. Accept the cookies and explore their meaning with Maria and Juan. Accepting the cookies and exploring their meaning with Maria and Juan would be the best choice available. The cookies are a small gift which may have a cultural component. It is important, once the decision to accept the gift is made, that the personal meanings behind it are explored. 20. You are conducting a research study on divorce. In the informed consent process, what information do you need to provide your clients? Content Area: Ethics: Business Practices and Policies This question assesses your knowledge of procedures when conducting research using human participants. A. The importance of the client remaining in the study until the very end to maintain the validity of the study. B. That dual relationships may be inevitable due to the nature of the study. C. That any information obtained may be used in the study. D. The client has the right to withdraw from the study at any time. - ✔✔-D. The client has the right to withdraw from the study at any time. The client has the right to withdraw from the study at any time, and we as therapists, are to respect the client's wishes. *21. If a social worker digitally recorded a session with a client and then receives a subpoena for records because the client is claiming emotional distress, the recorded session would be provided to the court if: Content Area: Law: Limits to Confidentiality/Mandated Reporting This question tests your knowledge of how to respond to a subpoena. A. The client signed a release to record a session. B. The client signed a waiver of privilege for the records. C. The client signed a consent form allowing the session to be videotaped. D. Digital recording must be disclosed with any records in a subpoena. - ✔✔-B. The client signed a waiver of privilege for the records. No records would be disclosed until the client or the client's representative waived privilege. *22. A client is referred to you by his attorney. The client tells you that he is reluctant to talk to you because he doesn't want what he says in therapy coming out in court. Choose the statement that could BEST explain privilege to this client: Content Area: Law: Confidentiality, Privilege, and Consent This question tests your knowledge of privilege. You must be able to distinguish between confidentiality and privilege as well as between law and ethics. A. It is an ethical concept involving the right of a social worker to withhold information in a legal proceeding. B. It is a legal and ethical principle which involves a restriction on the volunteering of information about a client. C. It is a legal principle that protects client conversations unless there is a court order. D. Attorney/client privilege extends to the client of a social worker that the attorney uses for referrals. - ✔✔-C. It is a legal principle that protects client conversations unless there is a court order. Privilege is the legal right of the client not to have confidential information revealed during a legal proceeding. Only a client, judge or court order would challenge privilege. *23. A client who was referred by his rabbi comes in to see you for issues of grief related to the loss of his mother two weeks ago. Recently your mother died too. What would you do FIRST? Content Area: Ethics: Professional Competence and Preventing Harm This question tests your knowledge of how to manage counter-transference. A. Talk about this situation in your own therapy. B. Seek professional consultation. C. Refer the client to another mental health professional who specializes in grief and loss issues. D. Determine if you can deal with this client at this time. - ✔✔-D. Determine if you can deal with this client at this time. "A", "B", and "C" are all possibilities once you "Determine if you can deal with this client at this time." *24. Steven comes to you for help with debilitating anxiety. He says that his anxiety is beginning to interfere with his relationships and his job. He is afraid to drive his car because he thinks that he is going to hit someone. He doesn't know how he will ever take a girl out on a date or get to work if he doesn't get control over this. He thinks he should be able to get over this by himself. The therapist should begin by: Content Area: Ethics: Therapeutic Relationship/Services This question tests your knowledge of ethical obligations when selecting treatment interventions. A. Teaching him relaxation techniques and pairing those with thoughts and images of driving his car. B. Explaining the benefits of a behaviorist approach for severe anxiety. C. Documenting in an initial treatment plan the client's goals for treatment of anxiety. D. Assessing whether a medication evaluation would be necessary. - ✔✔-D. Assessing whether a medication evaluation would be necessary. From an ethical point (safety-minded) of view, a therapist would first need to consider all treatment modalities to help a client. In this case, that would include considering whether his anxiety is so severe that medication would help him benefit from therapeutic interventions. *25. Which of the following is not considered by law to be unprofessional conduct by a social worker? Content Area: Law: Legal Standards for Professional Practice This question asks you to identify unlawful unprofessional conduct. A. A conviction after pleading no contest to a DUI. B. Thanking a friend for a referral by taking her out to dinner. C. Being arrested for shoplifting. D. Poor record keeping. - ✔✔-C. Being arrested for shoplifting. The law (Business and Professions Code 4982(a) says unprofessional conduct addresses licensees or registrants who have been "convicted" of an offense, not just arrested. 26. A social worker has been working with a client who informs the social worker that he has been living as a woman since he was 35. He is now 45 and wants to begin transitioning into an anatomical woman. The client tells the social worker that he already has confirmed that his insurance will pay for it but he is self-employed so it is going to be very expensive. How should the social worker proceed? Content Area: Ethics: Therapeutic Relationship/Services This question tests your knowledge of how to manage diversity from an ethical point of view. A. Ask if the client would like to be referred to as "he" or "she." B. Use a the client's signed consent form to determine if he signs it as a woman or as a man. C. Include a diagnosis of "Gender Dysphoria" on any insurance forms if he signs a release to allow this. D. If the social worker feels that any counter-transference will impact the therapy, refer the client to a specialist. - ✔✔-A. Ask if the client would like to be referred to as "he" or "she". From a diversity perspective, the social worker should directly and respectfully ask the client if s/he would like to be referred to as "he" or "she." 27. You find out that your 14-year-old client's mother is beating her for not making her bed in the mornings. You have determined you need to make a child abuse report. What is your legal responsibility as a mandated reporter? Content Area: Law: Limits to Confidentiality/Mandated Reporting This test item addresses your responsibility as a mandated reporter. A. To contact an agency designated to take a report and follow up with a written report within 36 hours. B. To contact an agency designated to take a report and follow up with a written report within fortyeight hours. C. To contact an agency designated to take a report and follow up with a written report within two working days. D. To contact an agency designated to take a report and follow up with a written report within seventytwo hours - ✔✔-A. To contact an agency designated to take a report and follow up with a written report within 36 hours. Your responsibility is to contact a designated agency and follow up with a written report within 36 hours. 28. After working with a rape survivor for 3 weeks, the social worker determines that the client would benefit from an adjunctive referral to a therapist who specializes in EMDR. All of the following would be clinical considerations in making such a referral except? Content Area: Ethics: Professional Competence and Preventing Harm This question addresses issues related to using concurrent social workers. A. It would be necessary to obtain a release in order to work collaboratively with the EMDR therapist. B. The treatment plan may need to be modified, as the trauma-related symptoms may begin to shift and lead to other issues that need processing. C. The social worker should not make this type of referral yet as the client is still in a vulnerable condition. D. There may be an impact on your therapeutic relationship with this client who may compare or feel torn between two therapists. - ✔✔-C. The social worker should not make this type of referral yet as the client is still in a vulnerable condition. EMDR can be especially effective when a person is suffering from a recent trauma. In addition, you have already determined the client's need for this referral. 29. You are working with a 13-year-old client whose parents are going through a divorce. She texts you one day to tell you that even though she lives full-time with her mother, her dad is now hiring a lawyer for her to come live with him. You receive a subpoena for your records for the purpose of a custody hearing. You would: Content Area: Law: Confidentiality, Privilege, and Consent This question evaluates your understanding of how to respond to a subpoena. A. Assert privilege until a guardian ad litem has been appointed for the client. B. Contact the parent under whose authorization you are treating the 13-year-old and assert or waive privilege, depending on that person's wishes. C. Speak to both parents and assert or waive privilege depending on their wishes. D. Release the records in order to comply with the subpoena and avoid being in contempt of court. - ✔✔-A. Assert privilege until a guardian ad litem has been appointed for the client. When subpoenas are received for testimony or records involving clients who are minors therapists should assert privilege until the parent(s) or guardians of the child obtain "guardian ad litem" status. *30. In her first session, Shannon, who is highly anxious, asks you how long therapy will last. You would: Content Area: Ethics: Therapeutic Relationship/Services This question is checking your understanding of developing a therapeutic alliance and the importance of explaining the process of therapy at the outset of treatment (informed consent). A. Interpret her question as an anxiety reaction. B. Outline the process of treatment. C. Encourage her to explore the concerns that brought her to therapy. D. Explore past therapy experiences. - ✔✔-B. Outline the process of treatment. Engaging in the process of informed consent, for example, explaining the therapeutic process at the beginning of therapy is an ethical obligation. *31. After being in weekly therapy for 9 months, the client asks if she and the social worker can use telehealth to have sessions on an as-needed basis. If the social worker determines that this is clinically appropriate, what does the social worker need to do to make sure that online sessions are legal? Content Area: Law: Legal Standards for Professional Practice This question tests your knowledge about the legalities associated with fee negotiations. A. Disclose any fees which are different from in-person sessions. B. Tell the client about confidentiality protections she must have on her computer. C. Maintain separate files for the different modalities. D. Get her consent for video recording in writing. - ✔✔-A. Disclose any fees which are different from inperson sessions. Fee disclosures are legally required before changes to treatment occur. 32. In your first session with Peter and Veronica, they disclose to you that although they have a five year relationship, Veronica is married to someone else. You should: Content Area: Ethics: Professional Competence and Preventing Harm This question pertains to issues impacting conjoint therapy. A. Refuse to see Veronica but counsel Peter. B. Refuse to counsel either of them until Veronica tells her husband about this affair. C. Counsel both of them. D. Counsel Veronica and her husband. - ✔✔-C. Counsel both of them. As social workers, it is important for us not to impose our values and beliefs on our clients. 33. A couple comes in to see you for therapy. They are referred by the wife's individual therapist. The husband has recently discovered his wife has been cheating on him and he is unsure if he wants to continue the relationship. What is solely an ethical responsibility in treating this couple? Content Area: Ethics: Therapeutic Relationship/Services This question addresses your ethical responsibility in treating a couple. A. Getting a signed release from both the husband and the wife to speak with the wife's therapist. B. Designating a fee prior to the commencement of therapy. C. Informing the couple of your "no secrets" policy. D. Having the wife sign a release to speak with her therapist. - ✔✔-C. Informing the couple of your "no secrets" policy Informing the couple of your "no secrets" policy is solely an ethical responsibility. *34. Gladys, age 65, reports she has kicked her 67-year-old husband when it looked like he wasn't listening to her. He tells you that his hearing is poor and most of the time he heard her the first time anyway. What would you do? Content Area: Law: Limits to Confidentiality/Mandated Reporting This question addresses the parameters involved in reporting elder abuse. A. Report immediately to Adult Protective Services and make a written report within 2 working days. B. Refer him to an MD for possible improvements in his hearing. C. Since they are spouses, do conjoint work pertaining to anger management. D. Maintain confidentiality since you are not mandated to report since both spouses are 65 and older. - ✔✔-A. Report immediately to Adult Protective Services and make a written report within 2 working days. There is a mandated responsibility here since you have knowledge or reasonable suspicion of elder abuse. You would report immediately by phone and follow up with a written report within 2 working days. *35. Toward the end stages of therapy a client asks his social worker if they can use text or email between sessions to communicate as the final sessions get more spread apart. The social worker suggests that texts and emails won't [Show More]

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