Confidentiality and Privileged Communication Flashcards

Under Oklahoma's duty to protect obligations, a counselor's duty is triggered when a client makes a threat that is:

Answer: Specific and serious against an identifiable person or persons

Oklahoma's duty to protect applies when a client makes a credible, specific threat of serious physical harm against an identifiable third party. Vague or general expressions of hostility do not trigger the duty.

An Oklahoma counselor shares client information at a professional conference as a case study without using any identifying information. This is:

Answer: Generally permissible if all identifying information has been removed

Using case material for educational purposes is generally permissible if all identifying information has been effectively removed. The counselor must ensure the case cannot be identified through any combination of details.

A client in Oklahoma revokes their release of information to their primary care physician mid-treatment. The counselor should:

Answer: Honor the revocation immediately for future disclosures and notify the physician that sharing will cease

Clients have the right to revoke authorizations at any time under HIPAA. The counselor must honor the revocation immediately for future disclosures and notify the physician that they can no longer share information.

Which of the following is true about the counselor-client privilege in Oklahoma when the client dies?

Answer: The client's legal representative or estate may be able to assert or waive the privilege

In Oklahoma, when a client dies, the privilege typically passes to the client's legal representative or estate, who may assert or waive it on behalf of the deceased client. The privilege does not automatically expire at death.

A counselor receives a request for records from a health insurance company conducting a routine audit. The counselor should:

Answer: Verify the request is properly authorized, provide only minimum necessary information, and document the disclosure

Insurance audits may be a permissible purpose under HIPAA for healthcare operations, but the counselor should verify proper authorization, apply the minimum necessary standard, and document all disclosures.

Oklahoma law provides for a mandatory breach of confidentiality in which of the following circumstances?

Answer: When there is reasonable suspicion of child abuse or neglect requiring mandatory reporting

Oklahoma's mandatory reporting laws require counselors to breach confidentiality when they have reasonable suspicion of child abuse or neglect. This is a legal requirement, not optional.