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The Ethics of Social Work Practice with Videoconferencing and Other Technology

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1.  According to the NASW Code of Ethics (s.1.02 and 1.03), social workers should:
  1. Avoid using technology with clients unless absolutely necessary
  2. Persuade clients to use technology because services mediated through technology are always more effective and less costly
  3. Offer clients options regarding whether to use technology and allow them to decide
  4. Always meet first with clients in-person before deciding whether to use videoconferencing or other technology
2.  The primary purpose of ensuring that your technology is HIPAA-compliant is to:
  1. Protect client confidentiality
  2. Safeguard the social worker’s confidentiality
  3. Promote informed consent
  4. Avoid boundary confusion or violations
3.  When engaging clients in informed consent about the use of avatars in therapy, social workers should ensure that the clients understand:
  1. There are no risks to the use of avatars
  2. The use of avatars is required by insurance companies
  3. The client is waiving all rights to confidentiality
  4. The benefits and risks of using avatars
4.  Rex’s agency has a policy allowing social workers to accept friend requests from clients on their personal social media. This policy violates which area of the NASW Code of Ethics:
  1. Informed consent
  2. Maintaining appropriate boundaries
  3. Disposing of records safely
  4. Client-self-determination
5.  Fiona’s agency has a policy that says clients should only communicate with their social workers through specified communication technologies that are encrypted and password protected. This policy supports ethical practice in relation to _________________.
  1. cultural humility
  2. professional competence
  3. confidentiality
  4. social justice
6.  Rihanna’s agency's policy instructs social workers to assess whether using technology with clients is appropriate by viewing the client as an expert in their own culture and what is culturally appropriate. This policy supports ethical practice in relation to ___________________________.
  1. mental capacity
  2. cultural humility
  3. avoiding conflicts of interest
  4. knowing everything about a client’s culture before engaging with them
7.  Alejandro’s workplace, an outpatient addiction treatment center, requires all clients to use biofeedback as part of their intervention plan. This policy conflicts with the ethical principle of _________________________.
  1. autonomy (including self-determination)
  2. mental competence
  3. privacy (including confidentiality)
  4. sanctity of life
8.  Social workers should engage clients in informed consent discussions regarding the use of videoconferencing or technology should:
  1. Prior to meeting with the client
  2. During the first meeting with the client
  3. After the first meeting with the client
  4. Throughout the social work process (including beginnings, middles, and ends)
9.  A social work practitioner stops providing in-person services and starts conducting all services through videoconferencing. Two clients say they do not want to engage via video conferencing. The social worker should:
  1. Terminate services immediately
  2. Jointly assess the clients’ reasons and offer other options
  3. Report the client to adult protective services
  4. Convince the clients that videoconferencing is better than in-person services
10.  A client wants to know whether text-based therapy is covered for reimbursement by the client’s health care insurance. Which of the following social worker responses is most ethical?
  1. I will check with your insurance company and let you know before we start services.
  2. It might be, but it might not be. Nobody can say for sure.
  3. Don’t go through your insurance company. It’s better to pay fee-for-service so we don’t have to go through all that bureaucracy.
  4. After our first session, you can try to submit the bill for reimbursement and see what the insurance company says.

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