Deck 2: The Therapeutic Relationship: Ethics, Boundaries, and Cultural Competencies

Question 1

Which concept is the ability to accept another person's beliefs despite own personal feelings?

A) Trust
B) Respect
C) Authenticity
D) Sympathy

Answer 1

B
Explanation: Respect is the ability to accept another person's beliefs despite your own personal feelings. Respect in the therapeutic relationship is an acceptance of the client as a whole person. Acceptance does not necessarily mean approval or agreement; it means acknowledging the right of another person to have unique feelings, thoughts, and beliefs.

Question 2

Which aspect of ethics requires that professionals remain loyal and dedicated to their clients, and that professionals keep their promises and honor commitments?

A) Autonomy
B) Justice
C) Beneficence
D) Fidelity

Answer 2

D
Explanation: The principle of fidelity requires that professionals remain loyal and dedicated to their clients, and that professionals keep their promises and honor commitments.

Question 3

Which aspect of cultural competency involves self-exploration and examination of one's own cultural and professional background and biases toward other cultures?

A) Desire
B) Knowledge
C) Encounter
D) Awareness

Answer 3

D
Explanation: Cultural awareness is the process of conducting a self-exploration and examination of one's own cultural and professional background and biases toward other cultures, including the existence of racism and other "-isms" in health care delivery.

Question 4

A good therapeutic relationship is one of the best predictors of which therapy-related factor?

A) Client compliance
B) Positive outcomes
C) Legal actions
D) Arbitration counsel

Question 5

Which nonverbal expression demonstrates empathy?

A) Avoiding eye contact
B) Avoiding mirroring the look on the client's face
C) Determining what emotional affect the client has
D) Keeping arms crossed

Question 6

Which concept is the desire to understand what another person is experiencing without mistaking it for own experience?

A) Empathy
B) Tolerance
C) Sympathy
D) Ambivalence

Question 7

Which concept means confidence in and reliance upon others to act in accordance with accepted social, ethical, or legal norms?

A) Trust
B) Respect
C) Validity
D) Congruence

Question 8

Which principle involves protecting information from unauthorized access or release, loss, theft, and from its modification?

A) Fidelity
B) Authenticity
C) Justice
D) Confidentiality

Question 9

Under which circumstance can massage therapists legally breach confidentiality?

A) Records are requested by a client's spouse
B) Records are subpoenaed by a court order
C) Transferring records from one massage therapist to another
D) Complying with verbal request for records by a client's physician

Question 10

Which example demonstrates respect?

A) Self-disclosure of personal information to the client
B) Counseling a distressed client
C) Giving the client the massage he or she asked for
D) Draping the client improperly

Question 11

Which term means moral principles that govern behavior?

A) Autonomy
B) Laws
C) Empathy
D) Ethics

Question 12

The therapeutic relationship is a professional one that exists to meet the needs of whom?

A) Client
B) Therapist
C) Client's family
D) Massage regulatory board

Question 13

Which term means adherence to a set of values and obligations, formally agreed-upon codes of conduct, and reasonable expectations of clients, colleagues, and co-workers?

A) Therapeutic relationships
B) Professionalism
C) Conflicts of interest
D) Reciprocity

Question 14

Which aspect of cultural competency involves directly interacting and engaging with individuals from culturally diverse backgrounds?

A) Skill
B) Knowledge
C) Encounter
D) Awareness

Question 15

Which aspect of ethics involves respecting the rights of competent individuals to make their own decisions?

A) Autonomy
B) Veracity
C) Beneficence
D) Fidelity

Question 16

Which concept allows the application of professional knowledge and clinical expertise to help clients achieve their treatment goals?

A) Dual relationship
B) Healing touch
C) Therapeutic relationship
D) Subjective rapport

Question 17

Which statement describes cultural competency?

A) Ability of professionals to speak languages of more than one culture
B) Behaviors, attitudes, and policies that enable professionals to work effectively in cross-cultural situations
C) Behaviors, attitudes, and policies that enable professionals to determine which culture is best
D) Ability of professionals to be tolerant of cross-cultural situations

Question 18

Which term does Rogers use to describe helping clients feel comfortable even if their feelings, thoughts, and beliefs are different from the massage therapist's?

A) Therapeutic accordance
B) Healing therapeutic space
C) Countertransference reversal
D) Unconditional positive regard

Question 19

Which aspect of ethics obligates professionals to act in ways that benefit the wellbeing of others?

A) Autonomy
B) Non-malfeasance
C) Beneficence
D) Fidelity

Question 20

Which legislation requires professionals to report concerns of neglect or abuse to appropriate state agencies?

A) Consumer protection
B) Mandatory reporting
C) Malpractice regulation
D) Civil rights act

Question 21

What is the most common social dual relationship between therapists and their clients?

A) Friend
B) Family member
C) Business associate
D) Codependent

Question 22

What term means improper treatment of an individual due to carelessness or thoughtlessness?

A) Abuse
B) Neglect
C) Sympathy
D) Misperception

Question 23

Which term is defined the existence of multiple roles a therapist and a client?

A) Dual relationships
B) Transference
C) Countertransference
D) Power differentials

Question 24

Which strategy establishes and maintains professional boundaries?

A) Develop and follow a treatment plan
B) Have more than one source of income
C) Put client needs ahead of self-care needs
D) Meet personal needs within the therapeutic relationship

Question 25

Which term describes the unconscious transfer of emotions and resultant behaviors associated with a significant person in the client's life onto someone else such as the therapist?

A) Empathy
B) Transference
C) Countertransference
D) Fidelity

Question 26

Which type of boundary helps an individual identify own feelings and keep them separate from the feelings of others?

A) Physical
B) Biological
C) Emotional
D) Financial

Question 27

What term means improper treatment that is intentional and deliberate?

A) Abuse
B) Neglect
C) Insensitivity
D) Misperception

Question 28

Which example demonstrates a financial boundary?

A) Posting your fee schedule and accepted forms of payment
B) Sharing personal religious and political views with clients
C) Obtaining consent before working on the gluteal region
D) Intentionally evoking an emotional response from the client

Question 29

Which term means the spaces between the therapist's power and the client's vulnerability?

A) Professional boundaries
B) Professional resolutions
C) Ethics differentials
D) Interpersonal skills

Question 30

What is the term for the imbalance of authority in the therapeutic relationship with clients in the vulnerable position?

A) Power resurgence
B) Cultural competency
C) Power differential
D) Boundary distribution

Question 31

Which example demonstrates a physical boundary?

A) Starting and finishing a massage session on time
B) Sharing personal religious and political views with clients
C) Obtaining consent before working on the gluteal region
D) Intentionally evoking an emotional response from the client

Question 32

What type of boundary encompasses beliefs, thoughts, and ideas while also safeguarding self-esteem?

A) Physical
B) Intellectual
C) Time
D) Location

Question 33

Which example is a sign of countertransference?

A) Becoming angry when the client cancels an appointment
B) Shortening the session time if the client is late
C) Giving the client the office email address
D) Calling the client as a reminder for a massage session

Question 34

What characteristic differentiates friendships from therapeutic relationships?

A) Choice
B) Mutuality
C) Trust
D) Reciprocity

Question 35

Which type of boundary is necessary for emails, texting, and social media?

A) Intellectual
B) Financial
C) Digital
D) Emotional

Question 36

What term describes a therapist's revealing thoughts, feelings, and personal history to clients?

A) Self-disclosure
B) Confidentiality
C) Empathy
D) Cultural competency

Question 37

Which example shows a common scenario involving a financial conflict of interest for massage therapists?

A) Selling products to clients
B) Using more than one therapeutic modality
C) Being an independent contractor
D) Using a cell phone for business calls

Question 38

Which response is appropriate for the massage therapist if a client has an emotional release during the session?

A) End the client's treatment immediately
B) Charge the client an additional fee
C) Assume the role of psychotherapist for the client
D) Bring the focus back to the client's body

Question 39

Which example demonstrates a time boundary?

A) Starting and finishing a massage session promptly
B) Sharing religious and political views with clients
C) Obtaining consent before working on the gluteal region
D) Intentionally evoking an emotional response from the client

Question 40

Which term describes the unconscious transfer or displacement of unresolved emotions by the professional onto a client?

A) Sympathy
B) Transference
C) Countertransference
D) Fidelity

Question 41

Which type of sexual misconduct consists of unwelcome verbal hostility, threats, jokes, and circulation of unwelcome graphic material?

A) Harassment
B) Exacerbation
C) Activity
D) Risk

Question 42

Which example demonstrates a way a massage therapist can decrease the risk of sexual misconduct?

A) Avoiding terms of endearment, such as "honey" or "sweetie"
B) Dressing for work as though going on a date to increase tips
C) Wearing tight or revealing clothing to perform the session
D) Using the words "release" or "happy ending" in advertisements

Question 43

Which activity is an indication the client is sexualizing the massage?

A) Snoring or drooling during part of the session
B) Requesting additional draping, such as a blanket
C) Wearing undergarments under the drape
D) Moving the pelvis repetitively

Question 44

Which procedure is an appropriate way of dealing with a client's erection?

A) Ask questions about the client's parents
B) Apply pressure to the client's abdomen
C) Tell the client that erections are unimpressive
D) Turn down the thermostat to lower the client's body temperature

Question 45

Which step of the model for ethical decision making involves seeking advice from mentors, teachers, peers, or other trusted professionals?

A) Identify the problem or dilemma
B) Obtain consultation
C) Identify potential issues involved
D) Consider possible and probable courses of action

Question 46

Which action is required of massage therapists who know first hand about sexual misconduct by another therapist?

A) Letting the therapist know the exact nature of the allegations
B) Informing the therapist's supervisor of the allegation
C) Filing a report with the state licensing board
D) Keeping information confidential until contacted by the authorities

Question 47

According to the NCBTMB's standards of practice, at least how much time should lapse between discontinuing the client-therapist relationship and initiating a mutual romantic or sexual relationship with a client?

A) 6 weeks
B) 6 months
C) 18 months
D) 24 months

Question 48

Which action is part of the model for ethical decision making?

A) Blaming the person who started the problem
B) Imposing a preferred solution to a conflict
C) Agreeing to whatever another person wants
D) Identifying potential issues involved

Question 49

Which term can be defined as sexual interaction between someone in an authoritative role and a subordinate?

A) Interest
B) Activity
C) Misconduct
D) Assault

Question 50

Which action by the massage therapist is appropriate when terminating a massage while in session?

A) Answering any of the client's questions while in the room
B) Leaving the massage room without notifying the client
C) Removing hands from the client and stepping toward the door
D) Waiting in the massage room for the client to get dressed