Ethical Issues in Marriage and Family Therapy
Textbook Exam Questions
Course Introduction
This course examines the complex ethical considerations central to the practice of marriage and family therapy. Students will explore key ethical codes, legal regulations, and professional standards that govern therapeutic relationships and interventions with couples and families. Topics include confidentiality, informed consent, boundaries, dual relationships, cultural competence, and managing conflicts of interest. Through case studies and practical scenarios, students develop critical thinking skills and ethical decision-making frameworks to navigate challenging situations, ensuring the wellbeing and rights of clients while maintaining professional integrity.
Recommended Textbook
Ethics in Counseling and Therapy Developing an Ethical Identity 1st Edition by Rick A. Houser
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16 Chapters
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Chapter 1: Introduction
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Q1) _________refers to an awareness of a situation involving an ethical or moral dilemma.
A) moral sensitivity
B) moral judgment
C) moral development
D) moral character
Answer: A
Q2) Counselor ethical development as dynamic and ____________.
A) sporadic
B) intermittent
C) continuous
D) irregular
Answer: C
Q3) __________has/have been defined as "a generic term for several ways of examining the moral life"
A) Beliefs
B) Morality
C) Theories
D) Ethics
Answer: D
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Chapter 2: Professional Identity and Ethics
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Sample Questions
Q1) Schemas are generally developed around specific scripts or views of roles and situations.
A)True
B)False
Answer: False
Q2) The 6 stage of Kohlberg's Moral Development model is:
A) Interpersonal conformity
B) Adherence to authority and laws
C) Principled ethics
D) Hedonistic orientation
Answer: C
Q3) Erik Erickson (1968) has made significant contributions to the identification and understanding of personal self-identity
A)True
B)False
Answer: True
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Page 4
Chapter 3: Awareness and Sensitivity to Ethical Issues
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Sample Questions
Q1) Ethical decisions based on these ideologies are based on context and not necessarily on principles that cut across situations.
A) Cognitive
B) Moral
C) Ethical
D) Expedient
Answer: D
Q2) Some researchers suggested that ______ model is incomplete as it does not truly incorporate the powerful role of noncognitive intuitions and associated emotions.
A) Erikson's
B) Kohlberg's
C) Freud's
D) Jung's Answer: B
Q3) Ethical sensitivity is not associated with advanced empathy.
A)True
B)False
Answer: False
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Chapter 4: Cognitions and Reasoninghermeneutics
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Q1) The process of gaining some control over events, outcomes, and resources of importance to an individual or group is:
A) competence
B) empowerment
C) sympathy
D) empathy
Q2) What is multicultural competency and why is it important?
Q3) There are two elements that constitute autonomy: freedom to choose a course of action and competence to make an informed choice.
A)True
B)False
Q4) As counselors, we are encouraged to adopt the ethical codes and the philosophical frameworks developed in our professional training programs and that are founded on _________ views.
A) Eastern
B) Western
C) Northern
D) Southern
Q5) What is confidentiality and when is it important to break it?
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Chapter 5: Client Autonomy and Client Rights
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Q1) Consent and informed consent originated within medicine, and therefore they have a relatively long history.
A)True
B)False
Q2) E. Brussgaard studied untreated syphilis in Caucasians and published his results in
A) 1969
B) 1929
C) 1959
D) 1979
Q3) What is assent and how would you go about obtaining it?
Q4) The Nuremberg War Crimes Tribunal of 1946 provided insight into the importance of providing informed consent prior to participating in medical procedures.
A)True
B)False
Q5) Discuss autonomy as it relates to informed consent.
Q6) Assent does not hold the same legal status as consent.
A)True
B)False
Page 7
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Chapter 6: Dual Relationships
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Sample Questions
Q1) Social role theory initially focused on roles related to _________ and position.
A) age
B) ethnicity
C) gender
D) culture
Q2) Pearson and Piazza (1997) identified several types of relationships that affect professionals. Please list and describe the four types of relationships they identified.
Q3) The ACA Code of Ethics does not provide insight and direction concerning dual relationships.
A)True
B)False
Q4) "Hearing your difficult life story makes me feel sad" is an example of:
A) a self-linking statement
B) a self-involving statement
C) a self-disclosing statement
D) a self-connecting statement
Q5) Avoiding dual relationships in certain circumstances is always possible. A)True
B)False
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Chapter 7: Counselor Competence
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Q1) What is counselor burnout and how does it impair counselor competence?
Q2) The application of scientific principles and procedures in counseling and human development to provide assistance in understanding and solving problems that the consultee may have in relation to a third party, be it individual, group or organization is referred to by the CRCC as:
A) brainstorming
B) devising
C) administrative supervision
D) consultation
Q3) This model incorporates several functional competency domains that are relevant in understanding counselors' competency activities: assessment/diagnosis, intervention, consultation, research/evaluation, supervision/teaching, and management/administration.
A) cube
B) linear
C) global
D) sphere
Q4) Discuss the importance of continuing education and how you plan to stay current in the counseling field once you are licensed.
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Chapter 8: Diversity and Multicultural Competence
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Q1) Racial differences may be understood through the definition of ________, which refers to physical characteristics interacting with social influences on an organism/human.
A) renotype
B) phenotype
C) genotype
D) khenotype
Q2) ________ are the fastest growing minority in the United States.
A) Latinos
B) Asians
C) Whites
D) Blacks
Q3) According to the U.S. Census Bureau, the population estimates of major minority groups in the United States, such as Asian, Black, and Latino groups, are approximately____ million.
A) 4
B) 14
C) 104
D) 504
Q4) Discuss the structure of the Latino family.
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Chapter 9: Use of Technology and Ethics
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Q1) EMR stands for:
A) Elective Medical Record
B) Electronic Medical Record
C) Emergency Medical Record
D) Efficient Medical Record
Q2) Eliza was set up as a _______ counselor and elicited responses from clients, who were to explain their feelings.
A) Rogerian
B) Behavioral
C) Cognitive
D) Solution Focused
Q3) In 1995 it was difficult to find an online counselor; however, 5 years later there were more than 2,000 online clinics and more than 8,000 therapists listed as providing online counseling.
A)True
B)False
Q4) How can fear of flying be treated through virtual reality?
Q5) Compare and contrast the three methods of online counseling.
Q6) What is an EMR and what are the benefits of using it in counseling?
Q7) Describe the use of CAI programs.
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Chapter 10: Supervision and Ethics
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Sample Questions
Q1) ____ states have laws requiring professionals such as counselors to report suspected child abuse.
A) 46
B) 42
C) 33
D) 50
Q2) This phase of Ronnestad and Skovholt's model involves the counselor engaged in practice for a number of years in which he or she has worked with a range of clients in a variety of settings.
A) lay helper
B) novice professional
C) experienced professional
D) senior professional
Q3) The role of the supervisor may be understood based on the counselor job functions that are being supervised, for example, administrative or clinical.
A)True
B)False
Q4) Describe potential dual relationships that may occur between supervisor and supervisee.
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Chapter 11: Ethical Use of Research in Counseling Practice
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Q1) Evidence-based practice (EBP) is, arguably, the most consequential and controversial development in mental health during the past decade.
A)True
B)False
Q2) EBP information (professional knowledge) is an element in the _______ethical decision-making model and needs to be considered when one is confronted with an ethical dilemma.
A) hermeneutic
B) structured
C) counseling
D) therapy
Q3) The _____________approach was noted to be effective with smoking, alcohol abuse, and screening behaviors
A) Solution Focused
B) Transtheoretical Model of Change
C) Cognitive Behavioral Therapy
D) Rogerian
Q4) In what field was Evidence-Based Practice first introduced? What other fields utilize Evidence Based Practice?
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Chapter 12: Professional Codes of Ethics and the Law
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Sample Questions
Q1) Bragg (2009) cited the specific goals of _____, which are to promote access to health insurance; cut fraud, abuse, and waste; and increase the efficiency of health care.
A) HERPA
B) QUIPA
C) HIPPA
D) FERPA
Q2) What are professional code of ethics? List three professional code of ethics that apply to the counseling discipline.
Q3) A. Roberts et al. (2008) noted that some of the largest monetary judgments against counselors for malpractice were the consequence of clients' committing suicide.
A)True
B)False
Q4) A criminal act with which mental health professionals have been charged is sex with minors.
A)True
B)False
Q5) What guidelines does the ACA Code of Ethics provide regarding working with clients who have HIV/AIDS?
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Chapter 13: Western Theories of Ethics
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Q1) A basic premise of ____________theory is that humans seek out happiness and pleasure.
A) human
B) natural
C) utilitarian
D) biological
Q2) Humans follow ______ law in what they do by nature; this is a law based on conscience.
A) natural
B) common
C) civil
D) criminal
Q3) _______ values are composed of two values, life and procreation
A) biological
B) worldly
C) natural
D) human
Q4) Procreation is a human value in natural law.
A)True
B)False
Page 15
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Chapter 14: Eastern Theories of Ethics
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Q1) Ethics in Hinduism may be understood as including virtues such as humility, patience, and honoring others.
A)True
B)False
Q2) Xin is similar to ______ views of conscience.
A) Southern
B) Western
C) Eastern
D) Northern
Q3) Three main sources of ethical thinking in Asian cultures include all but what:
A) Confucianism
B) Buddhism
C) Hinduism
D) Taoism
Q4) According to Hinduism, this means telling the truth:
A) Hinduism
B) Confucianism
C) Buddhism
D) Sataya
Q5) According to Confucian ethics, what is Li?
Page 16
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Chapter 15: Middle Eastern Ethical Theories
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Q1) Islamic ethics is more of a moral relativism approach rather than an absolutism theory.
A)True
B)False
Q2) Give a brief history of Islam.
Q3) Judaic ethics is founded on several sources including the__________.
A) Torah
B) NIV
C) Qur'an
D) Judaic Bible
Q4) Not killing others is considered to be a:
A) Good or required act
B) Undesirable act
C) Neutral act
D) Desirable act
Q5) The primary contributor to Islam was the Prophet:
A) Muhammad Ali
B) Osama Bin Laden
C) Muhammad ibu Abd Allah
D) Allah Ali Laden
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Chapter 16: Native American, Hispaniclatino, and African Ethics
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Q1) Approximately 3,000 years ago, Americans Indians first were introduced to White Europeans.
A)True
B)False
Q2) Discuss the importance of respect for other people in Native American ethics.
Q3) Africans as a whole are composed of groups from various tribes and groups from Africa with various influences and characteristics that may influence ethics and morality including all but which:
A) Bushmen
B) Nilotic
C) Swahili
D) Rentorins
Q4) There were ____ million Native Americans prior to the entrance of Europeans into the Native Americans' world.
A) 112
B) 20
C) 5
D) 80
Page 18
Q5) Describe industry, generosity, and moderation and their relation to African ethics.
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