RMT 104 PD Final Exam Review Latest Update
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- Misconception about boundaries - CORRECT ANSWER: #1: "I want to be natural with
clients; boundaries create barriers."
#2: "I'll just use my common sense"
#3: "I've learned technique, and that's all I need to know"
#4: "I don't need to know anything about psychological dynamics;
I'm not a psychotherapist."
#5: "I have needs, too."
#6: "My connection with my clients is through the healing energy in my hands, and that's what's important."
#7: "But I know practitioners who are careless about boundaries and still
are successful."
Absolute non negotiable ethical standards - CORRECT ANSWER: 1. Confidentiality
- Scope of practice
- Record Keeping or fraud
- Verbal or physical abuse
- Draping and informed consent
- Sexual relationships or sexual harassment
- Impaired client or practicing under the influence
- Treatment, Environment and Hygiene
Bartering - CORRECT ANSWER: Exchanging a manual therapy session for goods or
services other than another manual therapy session 1 / 3
Basic Session Framework - CORRECT ANSWER: - Clients know what to expect & what is expected of them
- Sessions start and end on time
- Sessions occur at the same time and place at regular intervals
- Nothing interrupts a session
- Avoid discussing treatment with clients outside office
- Carefully safeguard client's rights to privacy and confidentiality
- Don't ask Clients to attend to your needs
Boundaries - CORRECT ANSWER: a boundary is like a protective circle around the
professional relationship that separates what is appropriate within that relationship from what is not.
Client's passivity - CORRECT ANSWER: - Rarely express unhappiness with what we're doing
- Don't speak up when we make them uncomfortable
- Power difference can be exaggerated by certain circumstances: A male therapist
working on a female client, A client who is in crisis
Clients Asking Personal Questions - CORRECT ANSWER: - Consider carefully how you respond
- Avoid giving more information than client needs or than you want to reveal about
- If you don't know why a client is asking a question & are uncomfortable answering say,
- Turn focus back on client in a friendly way
- If client is just trying to make polite conversation, clarify that he or she can just relax &
yourself
"I'm curious why you're asking."
focus on his or her own concerns
Clients Asking Questions Outside Your Scope of Practice - CORRECT ANSWER: - Be
willing to say, "I don't know" 2 / 3
- Say, "Sorry, but I don't have training in that area."
- Don't pretend to know more than you do
- Clients will appreciate your honesty
- Showing that you honor your limits helps them trust you
- Acknowledging your own limits is freeing to you, too
Clients Who Are Demanding - CORRECT ANSWER: - Don't take their behavior
personally
- Avoid negative countertransference
- Keep in mind clients may be acting out of fear from past trauma
- Responding with impatience or difficulty might only reinforce their fears
- Acknowledge client's dissatisfaction
- Let them know you are doing your best & ask what else you can do to help them
Code of Ethics (https://cmtbc.ca/law-standards/code-of-ethics/) - CORRECT ANSWER:
- Duty to patients
- Duty to public
- Duty to the professions
- Duty to oneself
- Practicing if impaired prohibited
- Sexual Conduct prohibited
- Guarantees of Cure prohibited
- Conflict of interest
Common problems with
dual relationships - CORRECT ANSWER: - Becoming friends with clients
- Working with friends and relatives
- Mixing social occasions with work
- / 3