Question 1

You are a therapist seeing a couple in marital therapy. The wife announces in the first session that she wants a divorce, but the husband wants to try to work things out. What ethical dilemma does this situation present?

Accepted Answer

A) Choice of goals for therapy 
B) Choice of therapeutic techniques 
C) Who is the client 
D) Confidentiality

Question 2

Louis Riel was executed for his role in the 1885 North-West rebellion despite the following psychiatric evidence that he was either insane at the time or was unfit to stand trial:

Accepted Answer

A) Testimony that substance use affected Riel's judgment 
B) Testimony that Riel had post-traumatic stress symptoms from repressed childhood abuse 
C) Testimony that Riel had spent time in psychiatric institutions 
D) Testimony that he could tell the difference between right and wrong but doubted himself

Question 3

People often spend more time detained when they are found not criminally responsible on account of a mental disorder than they would have if they had been found guilty and given a typical sentence for their crime.

Accepted Answer

A) True 
 B)False

Question 4

The Tarasoff case led to the ruling that a therapist who learns that a client is threatening to harm someone:

Accepted Answer

A) Must take steps to have the person committed. 
B) Must physically detain the client. 
C) Must warn the intended victim of the client. 
D) Must break confidentiality and notify police or other authorities that the person is dangerous.

Question 5

Which of the following are among the dimensions on which provinces differ with respect to their criteria for involuntary admission?

Accepted Answer

A) Criterion for harm, definitions of mental disorder, need for treatment 
B) Criterion for social support, definitions of mental disorder, need for treatment 
C) Criterion for harm, degree of comorbidity, need for treatment 
D) Criterion for harm, definitions of mental disorder, treatment availability

Question 6

What has prompted the mayor of Vancouver to suggest a movement towards re-institutionalization?

Accepted Answer

A) An abundance of empty psychiatric ward beds in the city 
B) A desire to be the national leader in mental health treatment 
C)  Not enough space in jails for petty drug criminals 
D) Not enough housing for people with mental illness

Question 7

A child in a residential treatment centre is refusing to participate in treatment. The director of the center tells the child's therapist that unless the child's aggressive behaviour improves, the child will be discharged. What ethical dilemma is raised here?

Accepted Answer

A) Conflict about who the client is 
B) It is not clear what choice of techniques is appropriate 
C) Informed consent 
D) Confidentiality

Question 8

The current defence of "not criminally responsible" was previously termed:

Accepted Answer

A) Criminally irresponsible. 
B) Not guilty by reason of insanity. 
C) Not guilty due to mental defect. 
D) Not guilty due to lack of mens rea.

Question 9

Which of the following conflicts has Simon Fraser University researcher Verdun-Jones written about extensively?

Accepted Answer

A) Treating multiple members of the same family 
B) Protecting the client's rights while ensuring the public's safety 
C) The issue of maintaining dual relationships with the client 
D) Communicating a potentially stigmatizing diagnosis to a client

Question 10

If there are competing goals for therapy between the client and therapist, the therapist's goals should prevail.

Accepted Answer

A) True 
 B)False

Question 11

Which province differs from the rest of Canada in that even if the rest of the criteria for Involuntary Admission by Jurisdiction are satisfied, individuals are not committed if they are capable of making a treatment decision?

Accepted Answer

A) Ontario 
B) British Columbia 
C) Quebec 
D) Saskatchewan

Question 12

Informed consent must be obtained from research participants.

Accepted Answer

A) True 
 B)False

Question 13

A review conducted by Canadian researchers on the insanity defence (aka NCRMD)found that:

Accepted Answer

A) It is rarely used 
B) It typically only successful when applied to severely disordered people 
C) People who are found to be insane are often detained for very long periods of time 
D) All of the above

Question 14

Which of the following was not one of the recommendations made by Simmie (1998)and Boyle and Vincent (1998)in their Toronto Star series on mental illness?

Accepted Answer

A) Prevent mental illness by improving risk assessment measures in children 
B) Increase funding for community mental health services 
C) Increase the use of community treatment orders 
D) Have the most effective medications available for "first line" treatment of schizophrenia

Question 15

The parents of Glen Race, a 26-year-old man with paranoid schizophrenia who was wanted for three murders, argued that their son's killing spree could have been prevented if:

Accepted Answer

A) Deinstitutionalization had not recently occurred in Nova Scotia 
B) Nova Scotia adhered to the M'Naghten Rules 
C) Nova Scotia had community treatment orders 
D) Glen's prior capable wish was approved

Question 16

The result of the Tarasoff case was that duty to warn was extended to include intended victims.

Accepted Answer

A) True 
 B)False

Question 17

Which of the following statements is true?

Accepted Answer

A) In Canada, psychologists are ethically bound and legally bound to warn third parties about harm. 
B) In Canada, psychologists are neither ethically nor legally bound to warn third parties about harm. 
C) In Canada, psychologists are ethically bound but not legally bound to warn third parties about harm. 
D) In Canada, psychologists are legally bound but not ethically bound to warn third parties about harm.

Question 18

Which of the following landmark cases lead to the accused being required to know what is wrong, but also being able to apply that knowledge at the time of the act?

Accepted Answer

A) Regina v. M'Naghten 
B) Regina v. Swain 
C) Regina v. Chaulk 
D) Regina v. Oommen

Question 19

Based on a Toronto Star investigative journalism (1998)report on mental health reform, the following was recommended:

Accepted Answer

A) Community treatment orders should be utilized more extensively 
B) Less expensive first generation medication for schizophrenia should be more available 
C) The mentally ill should be diverted from the criminal justice system 
D) There should be a reduction of costly boarding homes, group homes and supportive housing units

Question 20

Louis Riel believed that he had been selected by the spirits to bring forward the message of the Métis. Indeed, Riel displayed many symptoms of:

Accepted Answer

A) Omnipotence 
B) Megalomania 
C) Delusions of grandeur 
D) Delirium

Exam 18: Legal and Ethical Issues

You are a therapist seeing a couple in marital therapy. The wife announces in the first session that she wants a divorce, but the husband wants to try to work things out. What ethical dilemma does this situation present?

Louis Riel was executed for his role in the 1885 North-West rebellion despite the following psychiatric evidence that he was either insane at the time or was unfit to stand trial:

People often spend more time detained when they are found not criminally responsible on account of a mental disorder than they would have if they had been found guilty and given a typical sentence for their crime.

The Tarasoff case led to the ruling that a therapist who learns that a client is threatening to harm someone:

Which of the following are among the dimensions on which provinces differ with respect to their criteria for involuntary admission?

What has prompted the mayor of Vancouver to suggest a movement towards re-institutionalization?

A child in a residential treatment centre is refusing to participate in treatment. The director of the center tells the child's therapist that unless the child's aggressive behaviour improves, the child will be discharged. What ethical dilemma is raised here?

The current defence of "not criminally responsible" was previously termed:

Which of the following conflicts has Simon Fraser University researcher Verdun-Jones written about extensively?

If there are competing goals for therapy between the client and therapist, the therapist's goals should prevail.

Which province differs from the rest of Canada in that even if the rest of the criteria for Involuntary Admission by Jurisdiction are satisfied, individuals are not committed if they are capable of making a treatment decision?

Informed consent must be obtained from research participants.

A review conducted by Canadian researchers on the insanity defence (aka NCRMD) found that:

Which of the following was not one of the recommendations made by Simmie (1998) and Boyle and Vincent (1998) in their Toronto Star series on mental illness?

The parents of Glen Race, a 26-year-old man with paranoid schizophrenia who was wanted for three murders, argued that their son's killing spree could have been prevented if:

The result of the Tarasoff case was that duty to warn was extended to include intended victims.

Which of the following statements is true?

Which of the following landmark cases lead to the accused being required to know what is wrong, but also being able to apply that knowledge at the time of the act?

Based on a Toronto Star investigative journalism (1998) report on mental health reform, the following was recommended:

Louis Riel believed that he had been selected by the spirits to bring forward the message of the Métis. Indeed, Riel displayed many symptoms of: