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Social Work Across State and National Boundaries: Ethical Issues and Responses

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1.  Janis practices clinical social work out of an office in Ohio. She serves clients in Maine via videoconferencing. To serve clients in Maine, she needs to be licensed in:
  1. Maine
  2. Ohio
  3. United States of America (federal licensure)
  4. Licensing is not required for clinical social work via video conferencing
2.  Tema is a social worker located in Texas. To be legally permitted to provide parent coaching via text messaging with clients in Florida, which of the following is true?
  1. Tema needs to be licensed in Florida (only)
  2. Tema needs to be licensed in Texas (only)
  3. Tema needs to be licensed in both Florida and Texas
  4. Tema does not need to be licensed in either state if licensing is not required for parent coaching.
3.  Arlo is providing in-person clinical social work counseling to Charlene in Nebraska. Charlene goes on vacation to Thailand and uses a meditation app that Arlo recommended. In this situation, where does Arlo need to be licensed as a clinical social worker?
  1. Thailand
  2. Nebraska
  3. Both Thailand and Nebraska.
  4. In Nebraska and in the country where the company that owns the meditation app is located.
4.  Petr is licensed to practice social work in a state that legally requires social workers to “report serious, imminent threats to intended victims.” Petr is counseling a client who says he has plans to kill a neighbor. The client lives in a state where social workers have a “legal duty to protect a person threatened with harm,” but not necessarily a legal duty to report. Based on the location of practice in this situation, which legal duty should Petr follow?
  1. Legal duty to warn
  2. Legal duty to protect (which could include a warning, if needed)
  3. Legal duty to maintain confidentiality (and not warn or protect)
  4. Legal duty to contact the police immediately and initiate an involuntary admission into psychiatric facility)
5.  Dierdre recently moved from Ontario, Canada to North Carolina. She continues to practice Telemental health with clients in Ontario. To determine where she owes income taxes on her practice, she should check with the laws of:
  1. Ontario and Canada
  2. North Carolina and the United States
  3. Ontario, Canada, North Carolina, and United States
  4. United States only
6.  A client files a malpractice lawsuit against Julia for breaching a standard of care. When deciding which community standards to apply when determining whether Julia breached those standards, a judge is likely to focus on the community standards of social workers where:
  1. Julia lives
  2. The client is located during counseling
  3. The client is a citizen
  4. The client has a permanent residence
7.  When purchasing professional liability insurance, social workers who practice Telehealth in more than one state should make sure that the insurance covers them:
  1. All over the world
  2. In the state where they conduct most of their practice
  3. In the state where they are located
  4. In each state where they are serving clients
8.  Jose lives and practices clinical social work in a state that requires client records to be maintained for at least 6 years after termination of services. Through videoconferencing, he also serves clients who live in states that require records to be kept for at least 7 years after termination of services. Jose should:
  1. Dispose of his records after 6 years.
  2. Keep his records for at least 7 years.
  3. Give the records to his clients upon termination of services.
  4. Erase all electric records upon termination of services.
9.  Anita lives in Colorado and provides clinical social work services via teleconferencing to clients in Costa Rica. She discovers that there is a conflict between her ethical obligations under the NASW Code of Ethics (in the USA) and Costa Rican laws. Anita should deal with this conflict by:
  1. Following the NASW Code of Ethics (regardless of the Costa Rican laws).
  2. Following Costa Rican laws (regardless of the NASW Code of Ethics.
  3. Consult with others (such as attorneys and social work ethics consultants) to determine the best course of action.
  4. Terminate services immediately and refuse to speak with the clients in Costa Rico ever again.
10.  When developing informed consent forms for Telemental health services for clients located in different countries, social workers should:
  1. Use the same consent form for all clients, regardless of where they are located.
  2. Stop serving clients in other countries because it is illegal according to federal (USA) laws.
  3. Tailor the terms of the consent form to address potential ethical and legal issues that may arise from engaging in Telemental health services across international boundaries.
  4. Inform clients that they will be applying only American laws, ethics, and cultural values in all their interactions with clients.

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