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Access to Abortion Care: Legal Limitations and Ethical Responsibilities

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1.  The Supreme Court decision in Dobbs overturning Roe v. Wade means that abortion:
  1. abortion is illegal throughout the United States after 6 weeks of pregnancy
  2. abortion is legal throughout the United States up until the time of birth
  3. states are permitted to determine their own laws restricting, supporting, or prohibiting abortion
  4. the federal government (through Congress) is responsible for regulating abortion care, including restrictions and prohibitions
2.  When serving a client who is pregnant and is requesting information about abortion care, the social worker’s primary ethical duty under standard 1.01 of the NASW Code of Ethics is to:
  1. the client
  2. the court
  3. the child protection system
  4. the agency where the social worker practices
3.  When a social worker’s ethical duties to a client conflicts with the worker’s legal duties under state or federal laws, the NASW Code of Ethics encourages social workers to:
  1. follow the social worker’s ethical duties under the NASW Code of Ethics regardless of what the law says
  2. prioritize the social worker’s legal duties regardless of what the NASW Code of Ethics says
  3. prioritize the social worker’s duties under agency policy, regardless of what the NASW Code of Ethics or law says
  4. try to find a solution in which the social worker can follow both their ethical and legal obligations
4.  Which of the following groups tends to have the greatest stigma about obtaining abortion care?
  1. Black women and other women of color
  2. White women
  3. Women living in larger urban centers
  4. Women from higher income groups
5.  Which of the following factors makes it more difficult for people to access abortion care?
  1. good access to accurate information about abortion care
  2. lack of health insurance that covers abortion care
  3. supportive family members and friends
  4. good access to transportation
6.  Women who lack access to health care are more likely to:
  1. have healthy babies
  2. have babies with higher birth weights
  3. incur health problems with their pregnancies
  4. have access to effective contraception
7.  From an “ethics perspective,” if a client requesting abortion care is unable to access it in their own state due to legal restrictions, then a social worker should:
  1. advise the client not to get abortion care because it would be illegal to do so, anywhere
  2. advise the client to obtain an abortion in their state from an unauthorized provider
  3. advise the client to lie to their physician about their health condition so that it appears that the life of the client is threatened unless abortion care is provided
  4. engage the client in discussions about what other options that they may consider, including whether it is legal to refer them for abortion care in another state
8.  If a client is uncertain about the legality of obtaining an abortion in their state or in another jurisdiction, a social worker should:
  1. provide the client with legal advice about whether and where to have an abortion
  2. provide the client with legal information or a referral to an attorney, but not legal advice
  3. ignore the law and tell the client what the client wants to hear about the legality of abortions
  4. inform the client that there is nothing that the social worker can do for the client
9.  Assume that Rhoda is a social worker working in a state that makes it illegal for a woman to obtain abortion care. A client asks Rhoda whether she can honor Rhoda’s confidentiality if they talk about the possibility of obtaining abortion care. Rhoda should respond to the client by:
  1. informing the client that Rhoda is legal obliged to report the client to police
  2. advising the client to just have the baby
  3. letting the client know that their discussions are generally confidential, but there may be a possibility that Rhoda or her client records could be subpoenaed
  4. informing the client that client-social worker conversations are 100% confidential, with no exceptions
10.  Jackson is a social worker who is helping a client obtain information about abortion care in another state. Jackson and the client are concerned that the social worker’s records could be subpoenaed by a court. Which of the following options, is Jackson’s most ethical option (even if it is not perfect)?
  1. Provide very detailed records about the client’s request and exactly how the social worker helped the client
  2. Provide detailed records that falsify the client’s reason for coming to see the social worker and make up information about what services were provided
  3. Provide minimal records that address some of the client’s general concerns but not the details of the client’s request for abortion care and the services that Jackson provided
  4. Provide accurate records of the client’s request but destroy them immediately if the police or anyone else requests the records

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