Ethical Standards & Professional Practice Flashcards
7 cards from real CBT-I practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Ethical Standards & Professional Practice flashcards as text
A practitioner is approached to provide CBT-I via a telehealth platform that operates across multiple states. The primary ethical/legal consideration is:
Answer: Whether the practitioner holds licensure or an exemption in each state where clients are located
Interstate telehealth practice requires compliance with the licensing laws of the state where the client is located, not just where the practitioner is based.
Which situation requires mandatory reporting that would override CBT-I confidentiality?
Answer: A client reveals a credible, specific plan to harm an identified third party
A credible, specific threat to an identifiable third party triggers the duty to protect/warn, which overrides standard confidentiality obligations.
When treating a CBT-I client from a culture where family members traditionally make health decisions, the practitioner should:
Answer: Explore the client's preferences about family involvement and adapt the consent process accordingly
Culturally competent ethical practice explores individual preferences around family involvement rather than imposing a one-size-fits-all consent model.
A former CBT-I client contacts the practitioner 18 months after treatment termination seeking a personal relationship. The ethical standard is:
Answer: Personal/romantic relationships with former clients are generally prohibited or require extraordinary justification even after treatment ends
Most ethics codes prohibit or severely restrict personal relationships with former clients due to the lasting power differential and potential for exploitation.
A CBT-I practitioner is named as a defendant in a malpractice suit. The most protective documentation practice would have been:
Answer: Maintaining contemporaneous, detailed records of clinical reasoning, consent, and treatment decisions
Thorough, contemporaneous records demonstrating informed consent and evidence-based clinical reasoning are the practitioner's strongest defense in malpractice litigation.
Sleep restriction therapy is being prescribed for a client who is a commercial truck driver. Ethically, the practitioner must:
Answer: Discuss the elevated accident risk due to increased daytime sleepiness and develop a safety plan
Practitioners must disclose foreseeable risks relevant to the client's specific circumstances and collaboratively address safety before implementing sleep restriction in high-risk occupations.
Which practice best demonstrates cultural competence in CBT-I delivery?
Answer: Adapting explanations of sleep biology and behavioral strategies to the client's cultural health beliefs
Culturally competent CBT-I integrates the client's cultural framework and health beliefs into psychoeducation and behavioral recommendations to improve engagement and outcomes.