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Confronting Risky Temptations in Professional Practice - Test
by Gerald P. Koocher, Ph.D., ABPP and Patricia Keith‑Spiegel, Ph.D.

Course content © copyright 2010-2021 by Gerald P. Koocher, Ph.D. and Patricia Keith-Spiegel, Ph.D.. All rights reserved.

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1. Therapists who commit high risk boundary violations: Help
Usually have degrees from lower rated academic institutions.
 Are generally not licensed yet.
 Have serious mental health problems.
 May be intelligent and well-trained and usually behave ethically.
2. What is the most important factor in avoiding high risk temptations? Help
Practicing in a setting with many other professionals close by
 Maintaining self-awareness
 Minimizing eye contact with clients
 Discussing any sexual attraction to clients directly with them
3. Which of the below is NOT a category of high-risk red flags? Help
Need to enhance one's own self-esteem
 Positive feelings towards clients
 Expecting the client to fulfill your personal or social needs
 Signs that the client is "in charge" or the more powerful individual in the relationship.
4. Employing a client, even in a position that does not involve access to confidential information, is risky because: Help
The client would be too disturbed to perform adequately on the job.
 Therapists will expect more than clients-employees could deliver.
 The role of helping professional and the role of an employer are incompatible.
 The client is very likely to become dissatisfied with therapy.
5. Therapists who practice in an isolated setting without ongoing interactions with other professionals are: Help
More likely to look to their clients to fulfill their own needs.
 Less likely to face ethical dilemmas.
 Antisocial.
 Less stressed.
6. According to the authors, a therapist should not respond IN KIND to a client's negative review posted online because: Help
It is easier to just have the negative review removed.
 No one will likely ever see it.
 The person who posted the review may press ethics charges for defamation of character or breach of confidentiality.
 Licensing boards carefully monitor online reviews.
7. Therapists who also engage in forensic work must remain aware of: Help
The role shift that occurs.
 The fact that attorneys seeking the services of mental health professionals and counselors have their clients' needs at the top of their agenda.
 The potential incompatibility of therapeutic and advocacy roles.
 All of the above.
8. Feelings of sexual attraction towards clients: Help
Should always be discussed with the client.
 Are very rare.
 Are very common.
 Should always be kept to oneself no matter how strong or frequent.
9. When a client divulges to the therapist an attraction and desire to enter into a sexual relationship, the best response is to: Help
Quickly interpret the unconscious meaning.
 Explore how engaging in sexual activity would not be in the client's best interests.
 Say "thank you but no thanks," and move on.
 Tell the client it is OK to kiss but that's it.
10. Therapists who engage in sexual intimacies with clients may have which of the following personal problems: Help
Social isolation
 Crises in their personal sex, love, or family relationships
 Feelings of failure as a professional
 All of the above are possible personal problems associated with sexual intimacies with clients.
11. Mental health professional associations currently hold that sexual relationships with former clients: Help
Are acceptable so long as at least one year has passed since therapy was terminated.
 Are disallowed in perpetuity by all professional mental health associations.
 Raise concerns about such alliances even though they do not hold the same time limitations.
 Are acceptable upon the termination of therapy so long as they are adults capable of consenting to such an arrangement.
12. Sexual relationships with a client's significant others is: Help
Unethical.
 Acceptable if both parties are consenting adults.
 Acceptable if the client approves in writing.
 Acceptable if the therapist terminates the client relationship first.

 

 

  
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