California Law and Ethics Practice Exam

In what circumstance may a client's right to self-determination be limited according to the NASW Code of Ethics?

1. When it conflicts with agency policy

2. When the client is not a legal adult

3. When it poses a serious, foreseeable, and imminent risk to self or others

4. When requested by family members

The correct answer is: When it poses a serious, foreseeable, and imminent risk to self or others

The situation wherein a client's right to self-determination may be limited, as outlined by the NASW Code of Ethics, is when the client poses a serious, foreseeable, and imminent risk to themselves or others. The Code emphasizes the importance of respecting clients' wishes and their autonomy; however, this respect must be balanced against the ethical obligation to protect individuals from harm. When a client’s actions or decisions could lead to significant danger to themselves or to others, that risk takes precedence, and professionals may need to intervene to prevent harm. In practice, this involves tense judgments about whether a client truly has the capacity to make informed decisions in the context of their well-being and the safety of others. This ethical imperative serves to uphold not only the safety of individuals involved but also the integrity of the profession, ensuring that practitioners respond appropriately to urgent situations that jeopardize health and safety. Other circumstances mentioned, such as conflicts with agency policy or requests from family members, do not have the same ethical grounding for overriding a client’s autonomy. Additionally, while minors or individuals who are not legal adults may have their rights limited, this is typically guided by different legal frameworks rather than a specific limitation under the ethical guidelines.