Following a recent in-patient admission for schizophrenia a client has been referred for multi-disciplinary care and case management at your place of work. The client informs you that they have not been taking their psychiatric medication and they ask you specifically not to tell their family. ~At the beginning of the first meeting, you clearly outlined the client’s rights to confidentiality, and the limits to confidentiality. The client also completed an intake and consent form ensuring that all details about the service provision were clearly outlined. In doing so, you have already addressed the two primary ethical issues for consideration, confidentiality, & informed consent.Prior to meeting the client, you did notice that the client had not completed all parts of the intake, and you notice that they have not filled out the part of the form where they can note if they identify as Aboriginal or Torres Strait Islander, and so you ask in the interview. The client reports that they are Aboriginal, and that they didn’t write this down, as they are known to the Aboriginal Liaison Officer at the hospital and assumed this information would be passed on. The client explains that they are from a remote community in NSW, and they do not want to involve their family, as this would be a long trip for them, and they don’t want to worry them with this.Explain what you would do in managing the ethical decision making in this particular case?Type your response in the field below before clicking Next to continue to Scenario 2. [Approx. 250 words]

Psychologists must safeguard the confidentiality of their clients’ information during the provision of psychology services. However, there are instances where a psychologist may disclose confidential information. Select from the list below the circumstances where a psychologist may disclose a client’s information:[Select all that apply] Group of answer choicesWhere another health professional asks for informationWhere there is a legal obligation to disclose informationWith the consent of the clientWith the consent of the person with legal authority to act on the client’s behalfWhere there is a specified risk of harm

Psychotherapists recognize that the law is generally in place to uphold client-therapist confidentiality. However, there are situations that may occur where the therapist is under obligation to break that confidence. This obligation can vary depending upon where the therapist is practicing and it may occur as a result of their employment contract or of the law. Where such an issue does occur, the therapist is expected to firstly try and discuss the presenting issue with their client. However, in situations where the factors under consideration are particularly urgent, it is accepted that this cannot always be the case.Legitimate breaches of confidentiality relate to circumstances where the information the client has shared relates to acts of terrorism; information of this nature must be reported. There are other circumstances where breaching confidentiality may be considered legitimate, for example, in the case of serious crime or suspected child abuse. Individual employers and independent therapists have their own boundaries but must agree on this contractually with their clients at the outset of the therapeutic relationship.

An older adult in a nursing home has been referred to a neuropsychologist for a neuropsychological assessment of their memory and mood to better understand their clinical profile. The request has been made by the treating doctor who is interested to better understand if depression or a neurocognitive disorder may be impacting the client’s symptoms. Based on the information above, which is the primary ethical principle that should be consulted before conducting the assessment at the first meeting this client? Group of answer choicesA.3 Informed consentA.6 Release of information to clientsB.2 Record KeepingB.1 CompetenceC.1 Reputable behaviourC.7 Ethics investigations and concernsC.4 Non-Exploitation

At the beginning of the first meeting, you clearly outlined the client’s rights to confidentiality, and the limits to confidentiality. The client also completed an intake and consent form ensuring that all details about the service provision were clearly outlined. In doing so, you have already addressed the two primary ethical issues for consideration, confidentiality, & informed consent.Prior to meeting the client, you did notice that the client had not completed all parts of the intake, and you notice that they have not filled out the part of the form where they can note if they identify as Aboriginal or Torres Strait Islander, and so you ask in the interview. The client reports that they are Aboriginal, and that they didn’t write this down, as they are known to the Aboriginal Liaison Officer at the hospital and assumed this information would be passed on. The client explains that they are from a remote community in NSW, and they do not want to involve their family, as this would be a long trip for them, and they don’t want to worry them with this.Considering this further information, outline the primary ethical principles and considerations. Type your response in the field below before clicking Next to continue to Part C. [Approx. 250 words]

The nurse plans care for a crew member who is suspected of newly diagnosed paranoid schizophrenia. The nurse knows that questioning the client about the patient’s false ideas will elicit which of the following responses?Cause the patient to defend the idea.Help the patient clarify thoughts.Facilitate better communication.Lead to a breakdown of the defense.