Question
6. Your coworker Max tells you that he is new to the field. He has had no training in how to use restraints. He tells you that he feels confident he can effectively restrain a client though. You see that he is quite large, and it would be unlikely a client could overpower him. Max asks you when he can use restraint on his own when working with clients. What should you say?
Anytime a client is agitated
As a last resort
If a client is yelling
Not at all until he is trained
7. Lonnie repeatedly makes sexual comments about another client’s body. The other client, Mary, has asked Lonnie to stop. She is very uncomfortable with his sexual comments. She asks a staff person for help. The staff person explains that unfortunately, Lonnie has the right to freedom of speech, and they can’t stop him. He tells Mary she should “take it as a compliment and just move on.” As this person’s coworker, what should you do?
Give your coworker credit for how well he handled the situation.
Report your coworker for violating Mary’s rights.
Secretly tell Mary that she should file a complaint against your coworker.
Insist that Lonnie be terminated from the program.
8. You assist a clinician at your organization with an anger management group. Several of the members of the group are quite vocal about their beliefs. Some of their beliefs are racist. The clinician decides to limit the group to only White individuals. Her hope is that by doing so, she can prevent the members who are racist from disrupting the group. Why does this approach violate the legal rights of clients?
It is discriminatory toward individuals who may want to participate but are not White.
It doesn’t teach the group members who have racist beliefs how to get along with non-Whites.
The other group members may view the clinician as also having racist beliefs.
It reduces the training opportunities that are available to you as this clinician’s assistant.
9. Under which of the following circumstances would you need a signed authorization from the client before releasing their confidential information?
When calling emergency medical personnel because the client is a danger to themselves or others
When you witness a client abusing their child
When you receive a court order from a judge to testify in a court hearing
When a client wants you to talk to one of their family members about their services
10. A patient on an inpatient unit is distressed because of her delusions. She keeps yelling about aliens stealing her thoughts. The other patients don’t seem to notice. However, the staff members are annoyed with her behavior. One of the staff members suggests increasing her dose of antipsychotic medications. Their hope is that the medication will sedate her and keep her quiet. Which statement is true?
They can use this approach because medication is not a form of restraint.
They can use this approach to keep the client from annoying the staff.
Using medication in this way is an unlawful use of chemical restraint.
Using medication in this way is consistent with best practices.
Anytime a client is agitated
As a last resort
If a client is yelling
Not at all until he is trained
7. Lonnie repeatedly makes sexual comments about another client’s body. The other client, Mary, has asked Lonnie to stop. She is very uncomfortable with his sexual comments. She asks a staff person for help. The staff person explains that unfortunately, Lonnie has the right to freedom of speech, and they can’t stop him. He tells Mary she should “take it as a compliment and just move on.” As this person’s coworker, what should you do?
Give your coworker credit for how well he handled the situation.
Report your coworker for violating Mary’s rights.
Secretly tell Mary that she should file a complaint against your coworker.
Insist that Lonnie be terminated from the program.
8. You assist a clinician at your organization with an anger management group. Several of the members of the group are quite vocal about their beliefs. Some of their beliefs are racist. The clinician decides to limit the group to only White individuals. Her hope is that by doing so, she can prevent the members who are racist from disrupting the group. Why does this approach violate the legal rights of clients?
It is discriminatory toward individuals who may want to participate but are not White.
It doesn’t teach the group members who have racist beliefs how to get along with non-Whites.
The other group members may view the clinician as also having racist beliefs.
It reduces the training opportunities that are available to you as this clinician’s assistant.
9. Under which of the following circumstances would you need a signed authorization from the client before releasing their confidential information?
When calling emergency medical personnel because the client is a danger to themselves or others
When you witness a client abusing their child
When you receive a court order from a judge to testify in a court hearing
When a client wants you to talk to one of their family members about their services
10. A patient on an inpatient unit is distressed because of her delusions. She keeps yelling about aliens stealing her thoughts. The other patients don’t seem to notice. However, the staff members are annoyed with her behavior. One of the staff members suggests increasing her dose of antipsychotic medications. Their hope is that the medication will sedate her and keep her quiet. Which statement is true?
They can use this approach because medication is not a form of restraint.
They can use this approach to keep the client from annoying the staff.
Using medication in this way is an unlawful use of chemical restraint.
Using medication in this way is consistent with best practices.
Answers
GPT-4o mini
Here are the appropriate responses to each scenario:
**6. What should you say to Max about using restraints?**
- **Not at all until he is trained.**
It is crucial that any individual working in a field that involves the use of restraints is properly trained. The use of restraints should be approached with caution and is only permissible within the framework of established guidelines and after appropriate training.
**7. What should you do regarding your coworker's handling of Lonnie's behavior?**
- **Report your coworker for violating Mary’s rights.**
The coworker's dismissal of Mary’s concerns and the lack of intervention to stop the inappropriate behavior are significant violations of Mary’s rights and create a hostile environment. Reporting this behavior is necessary to ensure a safe and respectful environment for all clients.
**8. Why does the clinician's approach of limiting the group to only White individuals violate clients' legal rights?**
- **It is discriminatory toward individuals who may want to participate but are not White.**
Restricting participation based on race delineates discrimination and undermines the principle of equal access to therapeutic services. It does not address the racism present in the group but instead perpetuates exclusionary practices.
**9. Under which circumstance would you need signed authorization from the client before releasing their confidential information?**
- **When a client wants you to talk to one of their family members about their services.**
Confidentiality laws require a signed authorization for any disclosure of information to third parties like family members, except in specific circumstances such as those involving immediate danger or legal proceedings.
**10. Which statement is true regarding the use of medication in this context?**
- **Using medication in this way is an unlawful use of chemical restraint.**
Medications should not be used to control behavior solely to benefit staff or to simply sedate a patient. This constitutes chemical restraint, which is considered unethical and unlawful unless it is part of a legitimate treatment plan aimed at addressing the patient’s specific clinical needs.
**6. What should you say to Max about using restraints?**
- **Not at all until he is trained.**
It is crucial that any individual working in a field that involves the use of restraints is properly trained. The use of restraints should be approached with caution and is only permissible within the framework of established guidelines and after appropriate training.
**7. What should you do regarding your coworker's handling of Lonnie's behavior?**
- **Report your coworker for violating Mary’s rights.**
The coworker's dismissal of Mary’s concerns and the lack of intervention to stop the inappropriate behavior are significant violations of Mary’s rights and create a hostile environment. Reporting this behavior is necessary to ensure a safe and respectful environment for all clients.
**8. Why does the clinician's approach of limiting the group to only White individuals violate clients' legal rights?**
- **It is discriminatory toward individuals who may want to participate but are not White.**
Restricting participation based on race delineates discrimination and undermines the principle of equal access to therapeutic services. It does not address the racism present in the group but instead perpetuates exclusionary practices.
**9. Under which circumstance would you need signed authorization from the client before releasing their confidential information?**
- **When a client wants you to talk to one of their family members about their services.**
Confidentiality laws require a signed authorization for any disclosure of information to third parties like family members, except in specific circumstances such as those involving immediate danger or legal proceedings.
**10. Which statement is true regarding the use of medication in this context?**
- **Using medication in this way is an unlawful use of chemical restraint.**
Medications should not be used to control behavior solely to benefit staff or to simply sedate a patient. This constitutes chemical restraint, which is considered unethical and unlawful unless it is part of a legitimate treatment plan aimed at addressing the patient’s specific clinical needs.