OLERE Clinical Record Keeping 2

Question 1

Under Oklahoma law and professional standards, how long must a licensed counselor retain adult client records after the last date of service?

Accepted Answer

7 years

Answer

3 years

Answer

5 years

Answer

10 years

Question 2

Which of the following should NOT be included in a clinical case note under best practice standards?

Accepted Answer

The counselor's personal opinions about the client's character

Answer

Client's reported symptoms and affect

Answer

Assessment and clinical formulation

Answer

Plan and next session objectives

Question 3

A counselor discovers an error in a previously completed clinical note. The appropriate way to correct the error is to:

Accepted Answer

Draw a single line through the error, note the correction, date and initial it

Answer

Delete the original note and write a corrected version

Answer

Use correction fluid to cover the error in paper records

Answer

Leave the error as is to maintain the integrity of the original record

Question 4

A counselor is closing their private practice. What obligation does the counselor have regarding client records?

Accepted Answer

Records must be stored securely, clients must be notified, and proper transfer arrangements must be made

Answer

Records may be destroyed immediately since the practice is closing

Answer

Records become the property of the clients upon practice closure

Answer

Records should be donated to a local mental health agency for future use

Question 5

Under HIPAA's minimum necessary standard, an Oklahoma counselor must:

Accepted Answer

Disclose only the minimum amount of protected health information necessary to accomplish the intended purpose

Answer

Share all available records whenever any legitimate request is made

Answer

Always share complete records to avoid accusations of withholding information

Answer

Allow clients to determine how much information is shared with third parties

Question 6

Which of the following is true about the security requirements for electronic clinical records under HIPAA?

Accepted Answer

Electronic records require administrative, physical, and technical safeguards

Answer

Email is an acceptable method for transmitting client records if the subject line is generic

Answer

HIPAA security requirements only apply to large healthcare organizations, not solo practitioners

Answer

Encrypted records stored on personal devices do not require additional security measures