It is not surprising that ethical concerns about managed care include
damage to the physician-patient relationship, and particularly patient trust, by MCOs’ financial incentives for the provider to limit
2 Page 3 Managed Care: Some Basic Ethical Issues 3 care, incentives that create serious conflicts of interest, and …
When practitioners devote a portion of their professional time and skills to services for which there is no expectation of significant financial return they are?
When practitioners devote a portion of their professional time and skills to services for which there is no expectation of significant financial return, they are:
providing pro bono services
.
When a counselor works in managed care system client’s goals do you need?
When a counselor works in a managed care system, client’s goals need to be:
highly specific, limited to reduction of problematic symptoms
, and often aimed at teaching coping skills.
What is the first level of ethical functioning?
| Term ASPIRATIONAL ETHICS Definition HIGHER LEVEL OF ETHICAL FUNCTIONING | Term MANDATORY ETHICS Definition FIRST LEVEL OF ETHICS CHARACTERIZED BY COMPLIANCE WITH THE LAW AND THE CODES | Term NON-MALIFICENCE Definition AVOIDANCE OF HARM | Term AUTONOMY Definition MAXIMUM SELF-DETERMINISM ON THE PART OF THE CLIENT |
|---|
When a therapist believes referring a client to be the appropriate course of action due to a lack of competence in the client’s issue?
When a therapist believes referring a client to be the appropriate course of action due to a lack of competence in the client’s issues:
it would be considered unethical to not refer to a more competent therapist
.
When a counselor works in a managed care system?
When a counselor works in a managed care system, client’s goals need to be:
highly specific, limited to reduction of problematic symptoms
, and often aimed at teaching coping skills.
What is the best predictor of treatment outcome?
Interestingly enough, patients and therapists often (but not always) agree on the quality of their relationship. However, it is the
patient’s perception of the quality of the relationship
that is the strongest predictor of treatment success.
Is concerned with inner concepts of right and wrong or good and bad behavior?
Morality cont
. ideas about what is right and wrong. Guides to behavior that rational persons put forward for governing their behavior. prescriptive in that it attempts to determine what moral standards should be followed so that human behavior and conduct may be morally right.
Is the process whereby clients place past feelings or attitudes they had toward significant people in their lives onto their therapist?
As a process,
transference
is clients’ unconscious displacement of feelings, attitudes, sensations, and thoughts about or toward persons in their early life to their therapist.
What is the first step toward making an ethical decision?
The first essential step towards ethical decision making is:
Identifying the problem of Dilemma
.
What is ethical level?
Philosophers divide ethics into into three different levels, which range from the very abstract to the concrete:
metaethics, normative ethics, and applied ethics
. … Understanding these levels is a good step toward grasping the breadth of subject.
What is an extreme consequence of boundary violations?
▶ Compassion fatigue/burnout. ▶ Fry also lists “extreme” consequences of boundary violations: ▶
Loss of job
. ▶ Loss of license. ▶ Loss of professional identity.
What does Nonmaleficence mean in nursing?
Non-maleficence
This means that
nurses must do no harm intentionally
. Nurses must provide a standard of care which avoiding risk or minimizing it, as it relates to medical competence. An example of nurses demonstrating this principle includes avoiding negligent care of a patient.
Is a serious breach that results in harm to clients?
A serious breach that results in harm to clients and is therefore
unethical
.
Why would you refer a client to another professional?
A counsellor may refer a client on if, for example, the difficulty the client is experiencing is
outside of their knowledge base
. The counsellor may have a working knowledge of say eating disorders but feels the client would be best served by seeing someone with specialist rather than generic knowledge.
When should a therapist refer a client?
It is appropriate to refer someone to another
professional if something within the counseling relationship affects your ability to provide therapy
. Some people, for instance, may flirt casually with their therapists. The flirting could create an opportunity to discuss transference and provide room for exploration.
