AI Ethics for Counselors and Therapists Quiz

Answers and explanations appear as you take the quiz.

1. Which section of the 2014 ACA Code of Ethics covers distance counseling, technology and social media?
   • Section A
   • Section H
   • Section E
   • Section F
2. Under US HIPAA, what should a therapist confirm before entering identifiable client information into an AI tool?
   • That the tool has a free tier
   • That it writes notes in SOAP format
   • That the client has used AI before
   • That the vendor will sign a business associate agreement
3. According to the guide, what did the 2025 Illinois law do?
   • Barred AI from providing therapy on its own while allowing administrative support under oversight
   • Required every therapist to use an AI scribe
   • Banned electronic health records in mental health care
   • Made AI vendors legally liable for all clinical notes
4. A counselor signs an AI-drafted progress note that contains an error. Who is accountable, according to the guide?
   • The AI vendor
   • The client, who consented to AI use
   • The clinician who signed the note
   • No one, if the tool was labeled HIPAA compliant
5. Why does the guide say de-identifying data does not solve every ethical problem?
   • Sharing de-identified data is always illegal
   • Insurers need client names in every AI prompt
   • It does nothing about accuracy, bias or the tool's influence on clinical judgment
   • Chatbots refuse to process de-identified prompts
6. Which failure of language-model note drafting does the technical section warn about?
   • Adding believable statements that were never said, such as recording a denied symptom as present
   • Writing notes too short for any insurer to accept
   • Encrypting notes so the clinician cannot read them
   • Converting every diagnosis to outdated ICD-9 codes
7. Which of these belongs to informed consent for AI use, as the guide describes it?
   • Telling clients about AI only if they ask
   • Requiring clients to accept AI in order to receive care
   • Mentioning AI only in an annual privacy notice
   • Telling clients when AI records or drafts anything about them, and letting them decline
8. A client says they use a companion chatbot between sessions. What response does the guide model?
   • Tell the client to stop using it immediately
   • Ask about it without judgment, talk about its limits in a crisis, and make sure the client has a real crisis line
   • Report the chatbot company to the licensing board
   • End therapy, since the client now has another source of support