Counseling · NCE

NCE: Ethics and Professional Practice

Counselor ethical codes, confidentiality limits, and professional practice concepts tested on the National Counselor Examination.

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What organization publishes the primary Code of Ethics for professional counselors in the United States?
American Counseling Association (ACA)
Under what circumstance can a counselor break confidentiality without a court order?
When there is imminent danger to the client or a third party, or abuse of a minor or vulnerable adult
What is the primary purpose of informed consent in counseling?
To ensure the client understands the goals, methods, risks, benefits, and limitations of counseling
Define dual relationship in counseling.
A situation where a counselor has more than one type of relationship with a client, such as being both counselor and friend or counselor and employer
What does counselor competence mean?
Having the knowledge, skills, training, and experience necessary to work effectively with a specific client population or presenting problem
Define the duty to warn.
The legal and ethical obligation to warn a third party if a client poses a serious, foreseeable danger to them
What is privileged communication?
A legal protection that prevents a counselor from being required to disclose client information in court proceedings
What is scope of practice for a counselor?
The range of client populations, presenting problems, and treatment methods for which a counselor has appropriate training and competence
How long should a counselor maintain client records?
Generally 5 to 7 years after the last session (varies by state law and agency requirements)
What must be included in an informed consent document for counseling?
Purpose of counseling, fees, risks and benefits, limits of confidentiality, counselor qualifications, and the client's right to refuse treatment
When should a counselor refer a client to another professional?
When the client's needs exceed the counselor's competence, when there is a conflict of interest, or when the counselor is unable to help effectively
What does the ACA code recommend about counselor-client romantic or sexual relationships?
They are prohibited during the counseling relationship and typically for a minimum of two years after termination
Define self-disclosure in counseling.
The act of sharing personal information or experiences from the counselor's own life with the client
When is self-disclosure appropriate in counseling?
When it is brief, serves the client's therapeutic goals, is relevant to the client's situation, and does not shift focus to the counselor's needs
What is non-maleficence?
The ethical principle of avoiding harm to clients, often expressed as first, do no harm

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