Certified Advanced Alcohol and Drug Counselor (CAADC) Practice Exam

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Which of the following is considered an ethical decision when handling client information?

  1. Refuse to disclose any information ever

  2. Only disclose information when prompted by the client

  3. Balance client confidentiality with potential harm

  4. Share all details with colleagues for better support

The correct answer is: Balance client confidentiality with potential harm

Balancing client confidentiality with potential harm is considered an ethical decision when handling client information because it reflects the complexity of ethical decision-making in the counseling profession. Counselors are required to maintain confidentiality to foster a trusting therapeutic relationship; however, there are specific circumstances in which breaching confidentiality is warranted, particularly when there is a risk of harm to the client or others. This approach emphasizes the importance of assessing the situation and understanding the legal and ethical obligations that may require disclosure to protect the safety of the client or the public. In this context, the other options do not adequately address the responsible management of client information. For example, refusing to disclose any information ever could prevent necessary interventions in emergencies. Simply disclosing information when prompted by the client ignores potential situations where the counselor may need to act in the best interest of safety, despite client requests. Sharing all details with colleagues, even under the guise of better support, breaches confidentiality and can lead to ethical violations, undermining the integrity of the client-counselor relationship.