National Counselor Exam (NCE)

What is the ethical requirement before a counselor discusses a client’s treatment with a physician?

1. Talk to the physician before the client

2. Inform the client after contacting the physician

3. Have the client sign a release-of-information consent form

4. Ask the physician for their opinion on treatment

The correct answer is: Have the client sign a release-of-information consent form

Having the client sign a release-of-information consent form is the correct answer because it adheres to the ethical standards of confidentiality and respect for the client’s autonomy. Before a counselor can share any information about a client’s treatment with a third party, such as a physician, it is vital to obtain explicit consent from the client. This process ensures that the client is aware of what information will be shared, with whom, and for what purpose, fostering trust in the therapeutic relationship. This requirement is rooted in ethical guidelines, such as those established by the American Counseling Association, which emphasize the importance of client confidentiality and informed consent. It allows clients to have control over their personal information and helps prevent any unintentional breaches of confidentiality. The other options do not align with these ethical practices. Simply talking to the physician before involving the client may compromise the client's trust and violate confidentiality. Informing the client after contacting the physician does not fulfill the requirement of consent prior to sharing any information. Lastly, asking the physician for their opinion on treatment does not address the need for client consent and could lead to discussions of sensitive information without the client’s knowledge or approval. Thus, securing a signed release-of-information consent form is crucial and ethical in facilitating such communications.