LMSW Practice Test

What must be clarified to clients about confidentiality at the start of treatment?

1. Clients have a right to confidentiality that is limited by the need to report or act upon child and elder abuse and serious threats of harm to self or others.

2. There are numerous risks to treatment that the client should accept.

3. The agency may arbitrarily terminate treatment.

4. Fees may rise during the course of treatment.

The correct answer is: Clients have a right to confidentiality that is limited by the need to report or act upon child and elder abuse and serious threats of harm to self or others.

Clients must be informed about the framework of confidentiality at the beginning of treatment, particularly the circumstances that may necessitate breaching that confidentiality. The correct answer emphasizes that clients have a right to confidentiality, but this right is not absolute. It is essential for clients to understand that confidentiality may be limited in specific situations, such as instances of child or elder abuse, or if there are serious threats of harm to themselves or others. This clarification is crucial for fostering an environment of trust while ensuring that the client is fully aware of the legal and ethical responsibilities of the therapist to protect vulnerable individuals and prevent harm. This understanding helps establish a clear boundary within the therapeutic relationship, allowing clients to engage more openly in treatment while also being aware of the necessary legal obligations that practitioners must uphold. Thus, clear communication about these limitations not only helps to manage clients' expectations but also serves to reinforce the professional responsibilities of the social worker.