49. Documenting opinions, facts, or sensitive information about a third party may be considered: a. The most important part of a client’s record & necessary for good therapy. b. Defamation of character & grounds for litigation against a therapist. c. Irrelevant information, but necessary for a complete biopsychosocial assessment. d. A breach of confidentiality only in the context of couple’s therapy. 50. Even if state law stipulates that clinical records must be retained for a specific time, clinicians might consider storing records indefinitely because: a. Different professions have different regulations. b. An injured party can file suit decades after alleged malpractice. c. The client may want to come back for service years later. d. Old records are often used for training novice practitioners. 51. Trying to streamline record keeping in a psychiatric inpatient unit, clinicians providing group therapy write one generic note, copying it to each patient’s chart. This practice is an ethical violation because the: a. Information about group therapy is unnecessary. b. Documentation is inaccurate & incomplete. c. Group members are often editorializing. d. Funding source may want more information. 52. Henry provides administrative & clinical supervision to several mental health practitioners. Susan, one of Henry’s supervisees, does great clinical work but is consistently late in documentation. She was placed on a performance improvement plan that did not yield positive results. During her performance review, Susan protests that she is bringing in the most revenue from clients & is known as one of the best clinicians in the agency. She doesn’t understand how late documentation could be any more important than clinical effectiveness & bringing in money! Henry’s most appropriate response would be to tell Susan that: a. If it isn’t written, it didn’t happen. b. She is putting clients, the agency, & her own reputation at risk. c. If she died tomorrow, nobody would know what was happening with her clients. d. She cannot get a bonus if she is unable to prove what she does.
53. Some behavioral professionals disagree on the validity of diagnostic codes for children because: a. The ICD & DSM models are too categorical, omitting client criteria that exist in a continuum of behavior & circumstances. b. Payers refuse to reimburse for family therapy. c. Psychiatry, psychotherapy, & social work are professionally at odds with one another. d. Providers prefer clear, concise diagnostic coding. 54. Within integrated care settings, behavioral providers must use care when properly obtaining informed consent from patients because: a. Patients are bothered by the complexity of documents. b. Healthcare providers use continuity of care principles that differ from behavioral informed consent. c. Integrated care is growing & rapidly evolving. d. Patients are overwhelmed by medical & psychological problems. 55. Legal professionals can educate clinicians about proper documentation because: a. Clinicians can get lower legal fees by networking with attorneys. b. Law school provides better training & knowledge. c. Attorneys can discuss specific documentation violation risks based on actual cases. d. Clinicians need to obtain yearly continuing education. 56. The use of texting in clinical practice is increasingly used for: a. Adolescent populations & should be summarized in the clinical record. b. Communicating with a provider’s billing platform. c. Communicating with other providers. d. Updating a supervisor about difficult case decisions.
Course Code: PYTX03ET
EliteLearning.com/Psychology
Book Code: PYTX1325
Page 66
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