VIII. Ethical and Professional Vignettes Read the following
ethical dilemmas, and using the Ethical Standards of Human Service
Professionals in Appendix B, write a response to each dilemma. Case Note
Security
1. A client who is coming to your agency demands to see her
case notes. In them, you have indicated that you suspect she may be lying about
her Social Security eligibility and that you also suspect she might be
paranoid. What do you do?
2. A client whom you have been seeing at a crisis center
comes in and asks to see all records pertaining to him. These include crisis
logs that have
VIII. Ethical and Professional Vignettes Read the following
ethical dilemmas, and using the Ethical Standards of Human Service
Professionals in Appendix B, write a response to each dilemma. Case Note
Security
1. A client who is coming to your agency demands to see her
case notes. In them, you have indicated that you suspect she may be lying about
her Social Security eligibility and that you also suspect she might be
paranoid. What do you do?
2. A client whom you have been seeing at a crisis center
comes in and asks to see all records pertaining to him. These include crisis
logs that have information in them about other clients, as well as case notes
you have made concerning his contacts. What do you do? Confidentiality and
Primary Obligation: Client, Agency, or Society?
3. You are working for social services, and in the course
of a conversation with a client, you discover that she has been using heroin.
An agency dictate states that any client suspected of using illegal drugs must
be immediately referred to rehabilitation, and if he or she refuses, you can no
longer see the client at your agency. When you explain this rule to the client,
she gets angry, walks out, and states shell blow this place up. What do you
do?
4. In your conversation with a client at the homeless
shelter, you discover that he is drinking and taking barbituates in amounts
that you believe could kill him. You mention this risk to him, but he tells you
to mind your own business. What do you do?
5. In the course of working with a client, she expresses her
concern about her grandmother. The grandmother lives by herself, is depressed,
has stopped eating, and has lost a considerable amount of weight. You contact
the grandmother, but she refuses services. What do you do?
6. While you are talking with a 15-year-old male client, he
informs you that on a recent vacation he was sexually molested by an uncle. He
asks you not to tell his parents. What do you do?
7. A 15-year-old client tells you he is having sexual
relations with his 14-year-old stepsister. What do you do?
8. An adult client informs you that he constantly thinks
about killing his ex-girlfriend and her new boyfriend. He denies that he
actually will act on these feelings but says that he just thinks about it a
lot. What do you do?
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