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North Carolina LCMHCA Jurisprudence Exam - Test
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1. Exceptions to confidentiality (such as child or elder abuse or neglect, a court order for disclosure, involvement of a DSS worker, or danger to the client or identified others) are carefully explained to the client in the following ways:	Help
During the first phone contact and initial interview At the initial interview and in the Professional Disclosure Statement Only when one of the exceptions arises in counseling It is better not to share the exceptions so that the client does not withhold information.

2. The LCMHCA's Professional Disclosure Statement is a detailed document which, in addition to the basic information about the counselor's degree, services provided, fees charged, and confidentiality, includes which of the following?	Help
The procedure for registering complaints, including contact information for the Board Level of licensure and name of supervisor Signature and date spaces for both the client and licensee All of the above

3. Ava, a newly licensed LCMHCA, was scheduled to see her first client at the women's shelter. In her hurry to arrive on time, she forgot to pack copies of her Professional Disclosure Statement. She decided to provide the counseling and return later with a copy for the client to read and sign. Which of the following statements about Ava is accurate?

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

4. 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. A maximum of forty hours per week of supervised professional practice can be counted. Only individual and not group supervision hours can be included. Graduate courses taken in a specialty area can be counted.

5. When applying to become a licensed clinical mental health counselor associate, the Verification of Graduate Counseling Experience form must be submitted. The appropriate person to sign this form for the applicant is:	Help
The applicant's supervisor at the practicum/internship site. A university faculty member in the counseling department. The applicant him/herself. Either 1 or 2 is acceptable.

6. 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. Which of the following statements regarding his supervision contract is correct? 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 the supervision contract. Only after the supervision contract is approved by the Board.

7. Sherrilee, LCMHCA, has been working for the past two years at a child welfare agency. She has accumulated 75 hours of individual supervision. To meet the growing needs of the agency, her supervisor has been asked to switch over to providing only group supervision to her trainees. Which of the following statements about Sherrilee do we know is accurate?	Help
She needs to find another supervisor to provide her the remaining 25 hours of required individual supervision. She will not benefit from group supervision because she is used to individual supervision. She will be able to apply the group supervision hours because they will be no more than the 25% limit for that modality. She can sue the agency and her supervisor for breach of contract.

8. 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 tape of a session Scheduling a session the supervisor can attend as co-therapist Live observation through a one-way mirror All of the above

9. Alisha, LCMHCA, is looking for a "qualified clinical supervisor." She is familiar with one of the licensed clinical social workers at the agency of her internship and was thinking of asking if they would agree to provide supervision. This LCSW would NOT be an acceptable choice because of which of the following:

Although they have five years of post-graduate counseling experience, only two of those years are post licensure.
They are not a licensed clinical mental health counselor in the state of North Carolina.
They have not yet taken a three semester credit, or equivalent, graduate level course in clinical supervision.
They have only 10 contact hours in the field of counseling supervision since their last license renewal.

10. Group supervision is an acceptable modality for a limited amount of the total supervision hours. Which of the following is/are required in order for a group to be counted as acceptable group supervision?	Help
No more than 12 supervisees per group Not less than two hours per session Supervision is face-to-face, i.e., live, interactive, and visual All of the above

11. Which of the following is NOT listed by the Board as 'appropriate' for continuing education?	Help
Human Growth and Development Social and Cultural Foundations Developing a Private Practice Research and Evaluation

12. Davis, LCMHC, was in a car accident and sustained injuries requiring an extended period of surgery and rehabilitation. He is finally able to return to work after four months and realizes he has not completed his required hours of continuing education in time for his approaching license renewal deadline. His best option is to:	Help
Submit his renewal form with a letter enclosed explaining the deficiency. Let his license lapse while earning his needed continuing education hours. Request an extension in writing from the Board. None of the above, he must complete the hours immediately.

13. 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 Settlement of conflicts by mediators at community mediation centers Identifying problems requiring referral to other specialists Designing, conducting, and interpreting research with human subjects

14. When members of a local church in the town of Franklin have personal problems, they often will meet with their minister whom they trust to counsel them. Their minister is exempt from licensure as a professional counselor if which one of the following criteria is met?	Help
No fee is charged for the service. The minister has a degree in counseling. Congregation members provide positive feedback on Yelp. None of the above, ministers are never exempt.

15. The Board, by law, is responsible for setting reasonable standards for:	Help
Licensure and renewal of licenses. Supervised professional practice. Continuing counselor education. All of the above

16. In Article 24 of the Licensed Clinical Mental Health Counselors Act, 'Protection of the public' includes a list of grounds for which the Board may deny, suspend, or revoke licensure, discipline, place on probation, require remediation or rehabilitation. Which of the following is NOT grounds for such actions?	Help
Was convicted of a felony or misdemeanor Made misleading or false statements referring to education or licensure Charged fees that are higher than colleagues fees Harassed or abused, sexually or otherwise, a client, student, or supervisee

17. Sasha, LCMHCA, crossed professional boundaries with a client being counseled, by engaging in a sexual encounter. In response to the complaint filed by the client, Sasha admitted to the behavior. When applying for their LCMHC license that same year, however, they failed to disclose the misconduct to the Board. Which of the following statements describes the applicable NC General Statutes under 90-340?

Has engaged in deceit in securing or renewing a license
Has willfully concealed from the Board material information
Neither 1 or 2
Both 1 and 2

18. A LCMHCA applying for licensure as a LCMHC, had previously been disciplined by the North Carolina Substance Abuse Professional Practice Board (NCSAPPB) where they were licensed, for fraudulently submitting attendance at trainings required for her job. The NC Board of LCMHC denied their application until remediation steps were completed. The Board has the right to take this action because the:	Help
Different licensing boards communicate with each other. The LCMHC Act stipulates the LCMHCA can be subjected to discipline in this case. The NC Board did not have the right to 'double jeopardy'. ACA Code of Ethics states counselors claim only licenses that are in good standing.

19. Dahlia, LCMHCA, was submitting her application for licensure as an LCMHC. She disagreed with the total hours that her supervisor was willing to sign for on her Verification of Supervised Professional Practice form, so she changed it after the supervisor signed it. When her action was discovered the Board ordered that none of her counseling experience hours on the falsified form were to be counted. Furthermore, she received a Reprimand which means that there is a public record of the Disciplinary Action and copies are provided to the ACA and the NBCC. Dahlia's most relevant violation was:

Lack of coursework requirements for licensure.
Lack of required hours of supervised counseling experience.
Engaging in deceit in securing a license.
Perpetrating fraud in dealing with the public.

20. Mateo, LCMHC, lives on the border between North Carolina and Virginia and has been licensed in both states for several years. His license was revoked in Virginia due to client endangerment. Which of the following is true about his working as a counselor in North Carolina?	Help
There is no problem as the two licenses involve two different boards. He is at risk for sanctions by the NCBLCMHC now and may not be able to practice in NC. There is no problem as there are two sets of laws involved. He is automatically not allowed to work in NC.

21. Charlene, LCMHCA, was asked by her supervisor to housesit and take care of her 2 dogs and a cat. The supervisor 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. The supervisor, however, may have violated the LPC Practice Act and the ACS Code of Ethics by:	Help
Exercising undue influence to exploit the supervisee for her own personal advantage. Not offering to pay the supervisee for the house sitting and dog walking services. Breaching her supervisor-supervisee agreement by taking a vacation. None of the above, this is a fine arrangement because the supervisee agreed to take the offer.

22. A complaint from the Board must be responded to:	Help
By getting a release of information from the client who filed the complaint. After completing any missing parts of the client's record. Promptly, completely, and honestly. Waiting for a second notification because the claim may be dropped.

23. In addition to the stress of receiving a notice from the Board of charges against a counselor, a notice of a hearing in a proceeding, or a decision rendered with possible disciplinary action, counselors may sometimes overlook other possible embarrassing consequences, such as:	Help
The statement of charges, notice of a hearing, and decision rendered will become part of the public record. The counselor's clients may become aware of the counselor's fraudulent behavior. A possible notice in a newspaper publication listing suspects in white collar crimes. All of the above

24. In order for members of the military or their spouses to become licensed as a LCMHC in North Carolina, which of the following criteria must be met:	Help
Passed the NC licensing exam Worked as a counselor for 2 of the last 5 years Sent transcripts from a graduate program in counseling to the NCBLMHC All of the above

25. A female client discloses that her husband has been emotionally and physically abusive to her since they were married three years ago. Understanding the personality dynamics of a domestic violence relationship, and the danger in a partner suddenly leaving without a safety plan, the treatment goals would include addressing her low self-esteem and teaching her how to keep herself safe. Which of the following are ethical principles in the Preamble to the ACA Code of Ethics addressed by this goal?

Autonomy, or fostering the right to control the direction of one's life
Beneficence, or working for the good of the individual and society by promoting mental health and well-being
Nonmaleficence, or avoiding actions that cause harm
All of the above

26. Following a complaint by Client Y of a dual relationship leading to emotional distress, it was discovered that Tamara, LCMHCA, had included in her counseling record only three case notes during their six month course of counseling, no professional disclosure statement, treatment plan, billing or financial records. This incomplete record violates which of the following?	Help
ACA Code of Ethics NC General Statutes Chapter 53- Board of LCMHC rules All of the above

27. The NC Board of Licensed Clinical Mental Health Counselors is very specific in listing the required statements that make up a Professional Disclosure Statement. In the ACA Code of Ethics, however, this document is referred to as:	Help
Client Participation Agreement. Client - Counselor Working Contract. Informed Consent. Professional Disclosure Statement.

28. 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 especially when they are discriminatory in nature All of the above

29. Client R had a crush on their counselor, Lowell, LCMHC. This was flattering as well as exciting to Lowell who responded to their texts by sending his own inappropriate text messages that were of a sexual nature. Client R's husband saw the texts and reported the counselor's behavior to the Board. This case illustrates three violations of the ACA Code of Ethics and the Licensed Clinical Mental Health Counselors Act. Which of the following is NOT a violation in this case?

Exploitation of a client
Practicing outside boundaries of competence
Sexual relationships with clients
Romantic electronic interactions

30. Robert, LCMHC, recently ran into the ex-wife of a client with whom he had terminated treatment 3 years ago. Based on what he knew about her from his client, he thought there was a chance of a romantic relationship with her and invited her out for dinner. His behavior was in violation of the ACA Code of Ethics because:	Help
He had terminated with the client only 3 years ago. There is a risk that the relationship could cause harm to his former client, who may still be emotionally involved with his ex-wife. He used confidential information from his previous client about the woman to think she would be interested in him. All of the above

31. Sara, LCMHCA, spends time on Facebook with friends and family. One of her current clients, Sophie, requested to be her friend in order to send Sara photos of her activities for the purpose of demonstrating her improved mood and interest in life. Sara agrees to friend her. In the next session, the client comments on Sara's own postings. At this point Sara is aware that there may be a perception that she has a personal, although virtual, relationship with this client. To manage this boundary issue Sara decides to:

Ignore further comments received online or in session referring to the online relationship, hoping the client will lose interest.
Request the client keep her online communication to a minimum as Sara is very busy and unable to respond.
Explain that mixing personal and professional relationships is a boundary issue which is prohibited, and that Sara erred in encouraging the online relationship.
Unfriend her client without an explanation so it will look like a mistake.

32. Alonso, LCMHCA, is working at a student counseling center on the campus where he recently earned his master's degree in counseling. One of his first clients, it turns out, is a student he knows from a biology lab in which they were partners as undergraduates several years ago. According to the ACA Code of Ethics, Alonso is ethically required to consider the risks and benefits of accepting this student as a client. If he decides to go forward, he would need to take which of the following steps to ensure that his judgment in the future is not impaired and no exploitation occurs:

Discuss informed consent with a focus on explaining confidentiality and its limits, and offering referral if wanted.
Consult with his supervisor to determine if he 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

33. Peter, LCMHCA, was invited to the large, formal wedding and reception of one of his clients with whom he has been working on relationship issues. As Peter considers this example of extending counseling boundaries, he follows which professional precautions to avoid harm:	Help
He picks out an expensive gift because his client has spent a lot on the therapy. He requests that his significant other not come so as not to disclose personal information about his sexual orientation and/or marital status. He Informs the client of the risks to confidentiality and any other possible consequences. He tells the client that the ACA Code of Ethics prevents him from attending.

34. Mrs. Garcia has been receiving individual counseling for several months. She would like her significant other to join her now to work on some of their marital issues that she identified in her individual work. Because of the role change, her counselor is aware of the need to provide a new informed consent (Professional Disclosure Statement) to address anticipated consequences in which of the following areas:

Individual therapeutic relationship
Confidentiality and client records
Marital relationship and legal issues
All of the above

35. When determining whether to accept a gift from a client, the counselor takes into account:	Help
The monetary value of the gift. The client's motivation for giving the gift. The counselor's motivation for accepting the gift. All of the above.

36. The LCMHCA working at a university counseling center was found by the North Carolina Board of Licensed Mental Health Counselors (NCBLCMHC), to have violated the ACA Code of Ethics regarding their treatment of students. All of the following behaviors were violations EXCEPT which one?	Help
Contacted student's parents without the student's consent Scheduled student to be seen on a bi-weekly basis. Misrepresented counseling credentials by using the title of LCMHC. Used a platform with a student studying abroad that did not meet appropriate encryption standards

37. Respect for confidentiality includes not sharing of client information without appropriate authorization. It is also a breach of confidentiality to do which of the following?	Help
Present a case at a professional conference even with identifying information disguised. Leave mental health records out in plain view or take them home. Discuss session details including name of client with supervisor. All of the above

38. Which of the following statements regarding record keeping is accurate?

Clients have the right to examine confidential information in their record, except when access to this information may cause harm to the client.
Although services provided and session content are required in writing, client progress should not be documented because the client might disagree.
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.

39. Licensed clinical mental health counselors and associates generally meet with a peer group on a regular basis for supervision. Which of the following statements is true about this process?

They can freely discuss clients because these professionals abide by confidentiality within the group.
They need an authorization from their client to discuss the case in this group.
They can discuss their case, but only without disclosing information that reasonably could lead to the identification of their client.
They can freely discuss clients because the group has signed confidentiality contracts.

40. Carol Ann, LCMHCA, has been missing appointments with clients and acting more irritable lately. A colleague 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 and resulting sleep deprivation. The colleague's ethical responsibility to Carol Ann and her clients led her to do which of the following?

Tell Carol Ann that she is duty bound to report her troubles to the Director of the agency.
Share her 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.

41. Zach, LCMHCA, has completed his supervised professional experience and applied for his license as a licensed clinical mental health counselor. To help him attract clients to his newly established practice once he receives his license, he is asking some of his current and recent clients to make statements which he can post on his website as testimonials. Which of the following statements is true?

Counselors do not solicit testimonials from current or former clients.
Clients may be vulnerable to undue influence.
It is acceptable to use testimonials that are not solicited as long as the implications are explained and permission is received.
All of the above

42. According to the ACA Code of Ethics, licensed clinical mental health counselor associates, in relationships with professional colleagues in other disciplines:	Help
Should not focus on developing relationships because there are so many other things to learn. Should always defer to their colleagues since they are more experienced. Should actively participate and contribute to decisions with their colleagues on multidisciplinary teams. Can worry less about ethical standards because their more experienced colleagues will keep them informed.

43. Joseph, LCMHCA, 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:

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.

44. During a counseling interview, translating from a person's natural language may not be accurate or precise and there may be cultural variations in terms used to describe symptoms. Therefore, counselors need to:	Help
Earn proficiency in at least a second language. Be sensitive to cultural and language differences in their clients when assessing and diagnosing. Require an interpreter to be present with English as second language clients. Refuse to work with clients who are not able to communicate well in English.

45. Akeem, LCMHCA provided a mental health assessment of his client. He comes into his supervisor's office and shares his data, which the supervisor notices are on test forms that appear to be copies and not original forms. His supervisor's ethical response in this situation is to:

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.

46. During the course of providing counseling to Client Z and her children, Lorayne, LCMHCA was asked by their attorney to provide a family assessment to the court. Her supervisor, however, pointed out the following ethical violation if Lorayne provided such a report:	Help
The report would need to be edited by the supervisor which meant confidentiality was breached. The counselor associate had been meeting with the family for a few months which is not long enough for an assessment. The counselor associate would be acting in a dual relationship as therapist and evaluator. The attorney sent a signed release by the client.

47. Hank, a 35 year old unemployed client, who has been in counseling with Alexis, LCMHCA, has accepted a job in California and is planning to move there with his wife and two children. He is uncertain about his adjustment to the big changes which lie ahead for him and requested that Alexis continue counseling for a short time using Zoom. Before agreeing to his request, the first step for Alexis would be to:

Clarify whether the law in California requires her to be licensed in that state.
Research the geographical location and locate a crisis line for him there in case she is not available.
Find local counselors through an online search to refer him to once he gets settled.
None of the above, counseling is against the law across state lines.

48. Aaron, a new LCMHCA is using distance counseling with Anna. Anna became angry with Aaron when he didn't respond until Monday to an email she sent over a weekend. Aaron should:	Help
Give Anna emergency procedures to follow when the counselor is not available. Apologize for his delay in responding and explain why he was busy over the weekend. Tell Anna she has no right to be angry and that she is over reacting. Refer Anna to another therapist due to her anger.

49. When there is an ethical dilemma and the laws and the ethics code are at variance, which statement describes the correct action according to the ACA Code of Ethics?

The counselor must follow the directive of the agency since that is the employer, even if this causes conflict for the counselor.
Client confidentiality always takes priority because that falls under both the Legal and the Ethics Codes.
The counselor states their commitment to the ACA Code of Ethics, takes steps to resolve the conflict, and if necessary, may adhere to the law.
This is a moot question because Laws and Ethics are basically the same and it will not ever be a problem.

50. It is part of the ACA Ethics Code that LCMHCAs:	Help
Assist in the process of enforcing the ACA Code of Ethics. Cooperate with investigations of the ACA Ethics Committee. None of the above until one is an experienced counselor. Both 1 and 2

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