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The Code of Ethics states confidentiality may be broken when there is imminent risk of serious harm. The ethical response is to explain this to the client while prioritizing safety. Respecting confidentiality or delaying action could endanger the client. The exam emphasizes understanding confidentiality exceptions.

Exploring the meaning and impact of attending respects client autonomy while maintaining professional boundaries. Automatic refusal may harm rapport, while blind acceptance risks boundary issues. The exam emphasizes thoughtful boundary management.

The first step when a client expresses self-harm risk is to ensure immediate safety through risk assessment and safety planning. Family notification or law enforcement may follow if imminent risk requires it, but collaborative planning comes first. Termination is inappropriate and unethical. The exam emphasizes prioritizing client safety in crisis intervention.

Prolonged exposure therapy involves repeatedly revisiting traumatic memories in a safe environment to reduce avoidance and desensitize fear responses. EMDR uses bilateral stimulation, DBT addresses emotion regulation, and narrative therapy reframes life stories but is not specific to trauma exposure. The exam tests ability to recognize evidence-based trauma therapies.

Familism is a cultural value emphasizing family loyalty, obligations, and interconnectedness, often seen in collectivist cultures. Individualism prioritizes personal goals, cultural relativism is the principle of understanding cultures in their own context, and acculturation refers to adapting to another culture. Social workers must recognize how cultural values shape client behavior and decisions, ensuring culturally responsive practice.