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Definitions |
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a child (
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child abuse
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3 steps to value clarification
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Choosing
Prizing
Acting
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failure to respond to emergency department call
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negligence
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Informed consent consists of (4 things)
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Disclosure
Comprehension
Competence
Voluntariness
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What is the ethical mandate for counselor when they determine they cannot adequately help a client?
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Refer
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voluntary agreement by a person who possess sufficient mental capacity to make intelligent choice to allow another person to perform a proposed medical procedure on himself/herself
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consent
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What medication was ranked most deadly due to medical error?
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Insulin
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the prevention, relief, reduction, or soothing of symptoms of disease/disorder w/o effecting a cure
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palliative care
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elements of abandonment...
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1. medical care was unreasonably discontinued2. discontinuance of medical care was against the pt's will3. the physician failed to arrange for care by another physician4. foresight indicated that discontinuance might result in physical harm5. actual harm was suffered by the pt
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written document for client to plan and communicate care and treatment choices when they can no longer speak for themselves
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advanced directive
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permissive licensure
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early acts taht allowed people to register as an RN if they wanted to, 1st passed in NC in 1903. All states passed similar laws by 1923
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causes for diciplinary action
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voluntary alternatives to traditional actions tat allow individuals to recover from additions without loosing their licensure
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What certification implies?
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Levels of support for competence; some are mandatory (school counselors); some voluntary NCC; demonstrates competence and preparation in key areas
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Is senior or child abuse less likely to be reported?
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Senior abuse
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endorsement
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where states may grant a liencure to a person because of similarities in the two states
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When are subpoenas used?
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Court document used often in discovery or pretrial process.
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What is counselor impairment?
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counselors who are unable to overcome periods of stress, unable to perform their responsibilities or client care; associated with blurred boundaries-alcohol or drug use
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Employee rights...
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1. right to equal pay for equal work (EPA) 19632. right to refuse to participate in care3.right to be free from sexual harassment4. right to be free from discrimination and harassment of all types5. right to be treated with dignity and respect6. right to fair treatment in employment7. right to be free from retaliation for filing a claim or complaint against an employer (whistleblower rights)8.right to suggest changing physician9.public policy10. right to be free from intimidation11. right to a safe workplace free of dangerous conditions, toxic substances and other potential safety hazards11. right to privacy and confidentiality
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What is it an example of when a physician explains the risk, benefits and alternatives of a treatment to a patient?
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Informed consent
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once the board issues a license it is good for how long
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2 years
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What are critical situations to document?
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1)danger to self or others.2)action taken 3)people consulted in situation 4)recording words used 5)any situation that could be reviewed later by ethics panel. 6)one involving legal actions
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What are consequences for counselors who do not keep notes? (3)
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1)could be accused of unprofessional practice 2)absence of notes could not keep a counselor from being asked to reveal information 3)Notes help counselor function as a professional.
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times when CPS gets involved...
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Reported malnutrition or failure of a child to thrive. Reported medical neglect of a child. Symptoms of serious emotional problems in a child when emotional or other abuse, abandonment, or neglect is suspected. A sibling or other child remaining in a home where one or more children have been pronounced dead on arrival or have been injured and later died as a result of suspected abuse, abandonment or neglect.
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nurses role in informed consent
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CONFIRM (not obtain) signed consent is in chart
witness patient education (patient advocate)
document if patient refuses
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Why is the concept of privileged communication a problem for the legal system?
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Idea of withholding information GOES AGAINST basic concepts in legal system; both sides in court entitled to discovery of evidence; cannot do that with privilege
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What are the three main types of records counselors keep?
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administrative records, recordings and clinical case notes
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What are competence concerns around internet and technology as it relates to counseling?
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Few ways to regulate service or evaluate competence of providers
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What are the four characteristics that make boundary relationships problematic?
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1-they can be hard to recognize2-outcome of dual relationship can range from beneficial to extremely harmful3-with the exception of sexual relationships, there is NO consensus on dual relationships for counselors4-some dual relationships are unavoidable
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right to equal pay for equal work. gender discrimination prohibited. fair wages for work performed.
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Equal pay act (EPA) 1963
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A pt is consider competent to make decisions UNLESS?
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Court determines them otherwise OR2 physicians declare them incapacity
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What is the best practices for handling recordings of sessions for educational purposes?
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Students use for their purpose, then destroy them. Counselors can use for supervision then destroy.
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What are a counselor's obligation with regard to AIDS/HIV positive clients who put others at risk by behavior?
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Statutes vary; evaluate case by case; seek consultation; high level of mistrust in some groups of clients at risk for HIV;
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What issues should a counselor take into consideration when offered a gift from a client?
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Value of gift, client's motivation for giving, counselor's motivation for wanting gift, (can't benefit from client)
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T/F hospitals have the duty to obtain informed consent
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F- physician/ PA has this duty
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what is the definition of "contact hour"
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fifty min of participation in a learning experience that meets the definition of CNE
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What are the main purposes of record keeping in counseling?
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TWO MAIN REASONS: to provide best service to client (ethical reason); and to protect themselves (legal reason)
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where does more work need to be done to increase sensitivity to diverse clients?
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research shows that white counselors must seek out experiences that allow them to interact with those who are culturally different than they are.
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What are the steps to PA licensure in Florida?
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Graduate from an accredited PA program, Pass the PANCE/PANRE, overview from DOH site, NCCPA verification form, License verification form, training program verification form, supervision data form and PA application and instructions.
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What should a counselor do if a client requests his/her information be released?page 111
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Counselors should honor request. If a counselor believes it will hurt client, discuss issues.
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Licensure: what is it related to other credentials
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refers to the most rigorous form of regulation; state regulation of a profession; only those that are licensed may practice the profession in a state
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certification: what is it and how it relates to other credentials
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Refers to the title of , such as 'professional counselor', can only be used by those who are certified, but anyone can practice without being certified; NATIONAL VOLUNTARY CREDENTIALS & STATE DEPT of school counselors
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