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North Carolina LCMHCS Jurisprudence Exam - Test
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1. Bradley was pleased to have landed a competitive position as LCMHA at a nearby county agency and to be receiving supervision from a qualified staff member. The agency asked him to start as soon as possible, and he agreed to begin the following week. His supervisor needs to inform him that he can begin seeing clients and meeting with his supervisor:	Help
Right away to start earning hours toward his LCMHC license. Even though he won't be earning supervised hours yet. As soon as he has mailed in their supervision contract. Only after the supervision contract is approved by the Board.

2. According to the Rules of the Board, the following is allowed when counting hours toward the required 3000 hours of supervised professional practice:	Help
A maximum of 50 of the 100 hours of supervision can be included. Only individual and not group supervision hours can be included. Graduate courses taken in a specialty area can be counted. A maximum of forty hours per week of supervised professional practice can be counted.

3. In each supervisory session, Olivia, LCMHCA, needs to provide her supervisor with "raw data from clinical work". Which of the following modalities would be acceptable?	Help
Audio or video recording of a session Scheduling a session the supervisor can attend as co-therapist Live observation through a one-way mirror All of the above

4. Shawna, LCMHCS, is knowledgeable regarding the hours and type of supervision that her LCMHCA supervisee is required and allowed to have to count toward her licensure. It is therefore included in the Supervision Contract exactly how many hours of individual supervision versus group supervision will be provided. Which one of the following is a correct description of the acceptable hours?

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A minimum of one hour of individual supervision or two hours of group supervision is required for every 40 hours of work (direct and indirect counseling work) with 75% of the total hours of her placement comprised of individual supervision.
An average of one hour of individual supervision or two hours of group supervision is required for every 40 hours of work (direct and indirect counseling work) over the course of the total hours of her placement.
100% of the supervision can be group supervision as long as there are 12 or fewer participants in the group. However, the total number of hours of supervision required then is 200.
A minimum of one hour of individual supervision or two hours of group supervision is required for every 40 hours of face-to-face client sessions (direct counseling work) with 50% of the total comprised of individual supervision.

5. Which of the following are supervisors required to present in written form to their supervisees:	Help
Listing of degrees, credentials, and licenses held by supervisor The supervisor's model or approach to supervision General areas of competence in mental health practice All of the above

6. A licensed clinical mental health counselor supervisor needs to submit supervision reports for supervisees every ________; and the log of clinical supervision maintained by the supervisor must include the following: _________.

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Week; start and stop time of supervision, location of supervision, and the signatures of both supervisor and supervisee
Quarter; a description of the evaluation process, the model of supervision used, and the clients discussed
Quarter; the date, supervision start and stop times, the modality of supervision, and notes of interventions
Month; the supervision start and stop times, the modality of supervision, and notes of interventions utilized

7. Which of the following actions is NOT a service allowed under the definition of the "practice of counseling"?	Help
Administering and interpreting tests for assessment of personal characteristics Settling of conflicts by mediators at community mediation centers Identifying problems requiring referral to other specialists Designing, conducting, and interpreting research with human subjects

8. Emma, a 23 year old, who was very satisfied with the counseling she was receiving from Ben, LCMHC, referred her roommate to Ben. Emma later complained to the Board that during Ben's subsequent sessions with her roommate, information was shared that breached her confidentiality. Which of the following is one of the actions the Board can take during their investigation?	Help
Subpoena individuals and records File a lawsuit against the counselor Arrange for mediation between the client and the counselor Charge Ben for the costs incurred by the Board

9. Ethan, LCMHC, has been providing counseling for loneliness, depression, and end-of-life issues to patients in hospice care. When he arrives, if a client is napping or otherwise occupied, he still notes in the chart that he visited the client. His billing the client's insurance company for these 'sessions' is fraud and is punishable under North Carolina General Statutes. In Article 24, the LCMHC Act, this behavior specifically violates the law regarding:

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Protecting the client from harm.
Practice of counseling.
Background checks for criminal history.
Third party reimbursements.

10. A newly licensed LCMHC working at an agency became aware of the suicide risk of a client during their session. Although the counselor contacted their supervisor, the counselor did not follow the suggestions of the supervisor which included further assessment and a safety plan. Shortly after the client session ended, the client died by suicide. Which one of the following was NOT a violation of the ACA Code of Ethics by the counselor?

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Endangering the welfare of a client
Practicing outside one's boundaries of competence
Contacting one's supervisor during a session
Assessment techniques not adequate for proper diagnosis

11. Charlene, LCMHCS, is planning a two week vacation this summer. She asked one of her supervisees to housesit and take care of her 2 dogs and a cat. Charlene thought it was a reasonable trade since she has a very nice house with a lovely view and the supervisee lives in a small apartment. However, she may have violated the Licensed Clinical Mental Health Counselors Act and the ACS Code of Ethics by:

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Not offering to pay the supervisee for the house sitting and dog walking services.
Breaching her supervisor-supervisee agreement by taking a vacation.
Exercising undue influence to exploit the supervisee for her own personal advantage.
None of the above, this is a fine arrangement because the supervisee agreed to take the offer.

12. Ava, a newly licensed clinical mental health counselor associate, contacted her supervisor when she arrived for her first scheduled client session at the women's shelter because she had forgotten to bring her Professional Disclosure Statement. Which of the following statements would reflect the correct response by the supervisor?

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A decision to stay for the client's appointment was justified because being late for an appointment is disrespectful of the client.
Ava was unable to provide professional counseling services or receive remuneration because the Professional Disclosure Statement was not provided prior to the session.
Ava could give the client an oral version of her Professional Disclosure Statement and receive verbal consent so there was no problem with charging the fee.
Ava was allowed to use the Professional Disclosure Statement of another LCMHCA who was also on the premises at the shelter.

13. In the event that an area outside of the supervisor's competence arises during the supervision process, what action is expected of the supervisor?	Help
Research the unfamiliar area Referral or addition of another colleague supervisor Change the assignment of the supervisee None of the above

14. Sandra, LCMHCA, disclosed in supervision that she had been getting increasingly depressed and anxious due to family issues. The supervisor, following the ACS Code of Ethics, did which of the following?	Help
Listened and then discussed how this might be impacting her care of clients. Reassured her this is not uncommon in the field of mental health. Suggested she try an antidepressant to get better faster. All of the above

15. According to the ACS Code of Ethics, the primary purpose of supervision is to:	Help
Help the supervisee develop self-awareness and confidence as a counselor. Oversee the supervisee's provision of professional services to clients. Be a gatekeeper for licensure as a counselor. Impart the supervisor's theoretical framework through clinical experience.

16. According to the ACS Code of Ethics, if a supervisee has more than one supervisor (e.g., field placement, university) the supervisors are to:	Help
Avoid communicating so they are not biased in their evaluations. Obtain written consent to allow for exchange of information. Wait until there is a concern or need to contact the other supervisor(s). Ask the supervisee if they would like you to communicate with the other supervisor.

17. Martin, a new LCMHCA, informed his supervisor about a session the previous day in which his client had suicidal ideation. The supervisor's first reaction was anger that they were not informed at the time of the session the previous day. The supervisor then realized that they had not provided Martin which of the following requirements under the ACS Code of Ethics?	Help
An assessment of client's danger to self or others Procedures for handling crisis situations Availability to supervisee at all times All of the above

18. Supervisors are expected to provide their supervisees with an established plan for evaluation. Which of the following schedules for evaluation is outlined in the ACS Code of Ethics and the ACA Code of Ethics and meets best practices for supervision?

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Half-yearly evaluation checklist describing the client outcomes for the supervisee because the outcomes provide the best measure of the supervisee's competence
Ongoing feedback during regular supervision hours and predetermined periodic formal evaluations because this gives the supervisee the opportunity to incorporate changes throughout the year
One end of year formal evaluation because the supervisee needs the freedom to try techniques and behaviors without worrying about pleasing the supervisor
The ACS Code states that if supervisors just do what is comfortable for them, their supervisees will do fine.

19. If a supervisor has concerns about whether their supervisee is impaired and their clients may be at risk, it is expected that the supervisor will:	Help
Intervene and render assistance. Advise the supervisee that their next evaluation may be unacceptable for continued employment. Contact the supervisee's clients and inform them of their counselor's impairment. Talk with other staff to find out if they have concerns, also.

20. All of the following are reasons to avoid providing a recommendation for a supervisee, EXCEPT which one of the following?	Help
Reasonable belief the supervisee is not qualified. Supervisee is unable to provide competent professional services. Supervisee still owes payment for the supervisor's services. Supervisee presents a risk of harm to others.

21. Which of the following is important for a supervisor to be aware of in their supervision?	Help
Circumstances that could be potential or current conflict of interest Engaging in multiple relationships with supervisee that may interfere with supervision Acknowledging the intellectual property of others including a supervisee All of the above.

22. At the end of the second year of supervised practice, before receiving her final evaluation, Desiree, LCMHCA, decided to give her supervisor a gift. She selected a $150 gift card to an expensive restaurant as a show of appreciation, thinking it was impersonal enough to be accepted. Her supervisor, aware of the ethics of receiving gifts:	Help
Accepted with gratitude. Took Desiree out with them to enjoy the gift. Refrained from accepting the gift card. Accepted the gift but did not plan to ever use it themselves.

23. While working at a counseling agency, Chevy, LCMHC, provided his supervisor with a verbal two-week resignation notice. However, he did not return to the counseling agency for the two weeks, and failed to appropriately terminate and transfer his active clients. Which of the following statements about Chevy's behavior is a violation of the ACA Code of Ethics?	Help
He failed to protect the welfare of his clients. He did not provide pretermination counseling. He did not prepare a plan for transfer of his clients. All of the above.

24. Jonny, LCMHC, is an elder in his church and frequently provided counseling to members of the church. His counseling often enforced and promoted his belief that same sex relationships are a sin, which was based on his Biblical belief. According to the ACA Code of Ethics, which of the following would be the ethical approach to a discussion of same sex relationships?	Help
Respecting the diversity of clients Avoiding imposing personal values, attitudes, beliefs and behaviors Seeking training in areas in which one is at risk of imposing one's own values onto clients All of the above

25. Upon ending the clinical relationship with an attractive client, John, a LCMHC, began flirting with this person on social media. He did not think he was in violation of the ACA Code of Ethics because it was not in person and they had terminated therapy. He was brought before the board, however, because:	Help
Five years since the last professional contact is the earliest John can have a romantic relationship with a client either in person or through electronic interactions. He did not have an informed consent with this person regarding role changes and possible conflicts. He was married and the Board considered this immoral behavior. All of the above.

26. Alonso, LCMHCS, is supervising at a student counseling center. One of his supervisees was assigned a client who turned out to be a former classmate of the supervisee from a few years ago. Alonso's responsibility is to help the supervisee with which of the following behaviors?	Help
Discuss informed consent with a focus on explaining confidentiality and its limits, and offering referral if wanted. Determine if the supervisee has considered all the risks. Document in the client's record the rationale for making this decision, including potential benefits and anticipated consequences. All of the above

27. Counselors working in an organization (e.g., school, agency, institution) that provides counseling do not refer clients to their private practice unless the policies of the organization make explicit provisions for self-referrals. Where there are such provisions in place, the clients must be:	Help
Transferred to another counselor in the organization first, so the relationship is terminated, then call the original counselor's private practice. Offered the option of continuing privately with the same counselor, or staying with the agency. Given other options open to them, as well, if they decide to seek private counseling. None of the above, no agencies allow self-referrals.

28. Joel, LCMHC, recently started his private practice. He posted online his newly established fees based on discussions with colleagues. He did not expect to have difficulty filling his hours with clients, however, the first several clients who called for appointments, were cash paying and not able to afford his full fee. He did not want to start a precedent of reduced fees until he was more established and could afford to take these clients, so the ethical step he took was to:

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Tell them to call him in a few weeks and if he could not fill his appointments with higher paying clients he would reconsider.
Inform them that counseling may be beyond their means at this point.
Refer them to comparable, more affordable services.
Refer them to an insurance agent he worked with who can help them purchase some health insurance.

29. Mark, a LCMHC is having medical concerns of his own. As a result he is missing or cancelling numerous appointments with numerous clients. Which is true?	Help
He can't get in trouble with the licensing Board because he has informed his clients of his illness. He is in jeopardy of reprimand and possible loss of his license as this is a form of client abandonment. If he gets appropriate treatment this won't be a problem. Because his clients like him this won't be a problem.

30. You are a counselor in a local private practice and one of the clients on your caseload is currently in court proceedings because of an open case with the NC Department of Social Services. Today, the Office Manager hands you a subpoena from the court for your counseling records from work with this client. You do not have a written consent on file from the client to disclose confidential information and have not actually seen the client in over a month. You should:

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Disclose all of the contents of the client's file since you know they will not return to counseling and you therefore will not be able to get the written consent.
Attempt to get a written consent from the client and if unsuccessful, try to keep disclosure of confidential information from being required by the court. If this is also unsuccessful, disclose information to the court, but keep it minimal.
Convince the client that they should reveal all of the confidential information that they have shared with you so that you do not have to turn over material from the counseling file.
Ignore the court subpoena and let the case proceed without your participation or release of confidential information.

31. Bonnie, LCMHCS, is hired by a community health clinic to expand the mental health program. In her first staff meeting she addresses the importance of privacy and confidentiality with supervisees, students, clerical assistants and even volunteers. The principle she is following from the ACA Code of Ethics is:	Help
She needs to protect the agency from legal actions. Her own counseling license is on the line for any complaints to the Board. Counselors make every effort to ensure confidentiality of clients is maintained by subordinates. If there are too many complaints, her department will lose their funding and services will no longer be available to those who need them.

32. Payton, LCMHCS, is supervising a counselor associate who recently started working with a 10 year old boy around the pending divorce of his parents, each of whom are from different religious backgrounds. Payton plans to instruct the supervisee to consider which of the following?	Help
What is the current custody order? The cultural diversity of the family The supervisee's level of expertise in dealing with complex issues All of the above

33. Madison, LCMHCS, is training a supervisee who has joined the group practice where she works. As she discusses record keeping, which of the following statements is accurate?

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Although services provided and session content are required in writing, client progress should not be documented because the client might disagree.
Clients have the right to examine confidential information in their record, except when access to this information may cause harm to the client.
Counseling records should be destroyed immediately when a client is terminated or a client case is closed.
Because the client record is a confidential document, there is less concern about what to include or not include in the counseling notes.

34. Carol Ann, LCMHC, has been missing supervision appointments and acting more irritable lately. Her supervisor entered her office and found her teary eyed. Carol Ann then disclosed her emotional instability due to her mother's terminal illness, her caregiving responsibilities for her mother, and sleep deprivation. The supervisor's ethical responsibility to Carol Ann and her clients led them to do which of the following?

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Tell Carol Ann that as her supervisor, they are duty bound to report her troubles to the Director of the agency.
Share their findings with the rest of the team so they can know what is going on and be sympathetic.
Assist Carol Ann in recognizing her own professional impairment and suggest that time off may be the ethical choice.
Suggest that Carol Ann may benefit from a prescription for a sleep medication.

35. In addition to her job at an agency, Annika, LCMHCS, had a private practice. When a request for records for one of her private clients came to the director of the agency, it was uncovered that Annika was using agency letterhead for correspondence as well as client records. This was determined to be a violation of which section of the ACA Code of Ethics?	Help
Interdisciplinary teams and sharing of information Imposing personal values Accuracy in representing services to the public Maintaining boundaries and professional relationships

36. The ACA Code of Ethics states that "counselors do not use counseling, teaching, training, or supervisory relationships to promote their products or training events in a manner that is deceptive or would exert undue influence…" Based on this section of the Code, which of the following statements is true?	Help
They may not advertise their new techniques and skills. Counselors may produce their own materials such as Relaxation CDs for required purchase by clients. Counselor educators may use textbooks they author in their classrooms. Supervisors may require supervisees to attend their out-of-town trainings.

37. While providing counseling, Theo, LCMHCS, recommended to Client Y that they attend a 10 day retreat facilitated and organized by himself. Although the client was hesitant, Theo encouraged them, telling them as their individual counselor he would look out for them. Theo's recommendation:	Help
Created a conflict of interest because of his financial interest in the program. Exercised undue influence over Client Y when he recommended that his client attend. Involved a role change without informed consent. All of the above

38. While treating a six-year-old in counseling for issues of trauma, Margaret, LCMHCA, was not aware of the custody order that was put in place by the court. She was going to write a letter to the court with custody recommendations based only on her observations. The supervisor explained that all EXCEPT which one of the following behaviors could be ethical violations?	Help
Not verifying the custody order before starting counseling Taking on the dual role of counselor and evaluator. Making recommendations to the court based on an incomplete assessment. Using a newly learned trauma treatment, under supervision.

39. Brianna, LCMHCS, ran a busy therapy office, which included her hiring of staff to provide therapeutic services. When an anonymous complaint was filed about staff/client abuse, it was found that counseling was provided by unlicensed and unsupervised staff. Brianna's behavior violates the ACA Code of Ethics in her lack of which of the following:	Help
Selection of competent staff and assigning of responsibilities compatible with their skills Monitoring effectiveness of treatment by staff through supervision Paying a salary that would bring in a more caring staff Both 1 and 2

40. Marjorie, LCMHC, was recently hired to join a group practice. Only after starting to see clients in this setting, did she find out that the billing practices were not always above board. For example, insurers were billed if clients did not show for an appointment as well as for telephone sessions conducted without approval by the insurance company. Marjorie utilized an ethical decision-making model to determine the appropriate steps to take in this situation, beginning with reviewing the ACA Code of Ethics for a clear understanding of the section on Negative Conditions. According to the ACA Code, which of the following actions is the NEXT step in Marjorie's plan?

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Alert her employer to the inappropriate billing practices and attempt to effect change through constructive action in the organization.
Turn in her resignation after explaining to her employer the reason she cannot work there.
Report the practice to the NCBLCMHC and consider voluntary termination of employment.
Face the reality that everyone does this kind of billing. Otherwise, practices would lose a lot of money on no shows.

41. Joseph, LCMHC, completed a mental health assessment of his client for the purpose of employment with a national security agency. Following the authorized release of the report to the agency, he was again contacted and requested to send his test data for closer review. Joseph's response was to:

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Provide the data because it is the client's right to have his data sent to another party.
Refuse to release the test data as it needs to remain secure for the future validity of the tests.
Tell the agency he would release the data only to a mental health professional that is qualified to interpret the data.
Ignore the request because the agency is so bureaucratic they will probably forget to follow up.

42. Anna, LCMHCA, completed an educational assessment of a 12 year old Haitian boy who had recently immigrated to the U.S. In her clinical interview with him she had considered him above average in intelligence and was surprised at the poor scores he obtained in the testing. Her supervisor reviewed the materials with her and pointed out the most likely explanation for the discrepancy was:	Help
The client was probably malingering so he could get extra attention from adults in the school. Anna had probably scored the tests incorrectly. The client may have ADHD and was unable to focus. The tests were not normed on children of his culture.

43. Parker, LCMHCS, is supervising Akeem, LCMHCA in mental health assessment. Akeem comes into Parker's office and shares his data, which the supervisor notices are on test forms that appear to be copies and not original forms. The supervisor's ethical response in this situation is to:

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Thank Akeem for his attempt to save the agency the cost of new forms as the budget has been recently cut.
Explain to Akeem that the Code of Ethics prohibits "reproducing test materials without the acknowledgment and permission of the publisher."
Remind Akeem to make sure the copy is "dark enough so that recording errors do not occur" because that is why copies are not acceptable by the Code of Ethics.
No response is necessary because Akeem is simply following agency policy.

44. The supervisor-supervisee relationship parallels the counselor-client relationship in which one of the following ways?	Help
Sexual or romantic relationships with supervisees are prohibited for 5 years after terminating the relationship. Supervisors consider the risks/benefits of extending the conventional boundaries. Family members may become supervisees as long as confidentiality is explained. All of the above

45. Jared, LCMHCS, found himself romantically attracted to his new supervisee. When they rejected him he began to sexually harass the supervisee. Which is the most relevant ethical standard from the ACA Code of Ethics that Jared violated?	Help
Inform supervisees about the process of supervision including their preferred model. In case of romantic attraction, supervisor must transfer supervisee immediately to another supervisor. Counseling supervisors do not subject supervisees to sexual harassment. Consider all information gained in supervision confidential.

46. Which of the following is NOT a gatekeeping function of a LCMHCS?	Help
Initial and ongoing evaluation of supervisee Awareness of supervisee's limitations that might impede performance Providing remedial assistance when needed Recommending dismissal from training programs when supervisee unable to demonstrate competent professional services

47. The correct action for a supervisor to take when a supervisee requests therapy from the supervisor is to:	Help
Extend supervisor-supervisee boundaries with a contract. Assist supervisee in identifying appropriate services. Delineate certain sessions as supervision and others as therapy. Tell the supervisee they should wait to start therapy until the supervision is completed.

48. Grace, LCMHCS, is preparing an introductory workshop on 'counseling with couples' to present to her supervision group and interested staff at the agency where she is employed. Her plans include discussing how taboos against divorce may be present in some cultures. Which one of the following is the most relevant ethical principle Grace is applying in her plans?	Help
Self-growth is an expected outcome of counselor education. Counselor educators infuse materials related to multiculturalism/diversity into workshops for professional development. Counselor educators provide instruction based on knowledge available in the profession. Counselor educators promote the use of techniques that are grounded in theory.

49. William, LCMHCS, has started videotaping his supervisory sessions for use as a teaching tool in his workshops for training supervisors. It is incumbent upon him to do which of the following?	Help
Obtain permission from his supervisees to videotape their sessions. Obtain permission from his supervisees to present specific clips from the tape for a specified audience. Only use a segment of a tape which does not provide identifying data if a client is being discussed. All of the above

50. You are a counselor in private practice. A full fee client has just asked for a reduction in their fee reporting financial difficulties. You go online to their social media to confirm what they are saying. You find that their business is doing well and that they are planning an expensive vacation. You feel justified in your actions because:	Help
This will help you determine whether or not to reduce the client's fee. You have discovered that the client lied to you. You will now have a more authentic relationship with this client. You can help the client understand that there are consequences to lying. It is unethical to view a client's social media presence without their consent.

North Carolina LCMHCS Jurisprudence Exam - Test by ContinuingEdCourses.Net

North Carolina LCMHCS Jurisprudence Exam - Test
by ContinuingEdCourses.Net