California Law and Ethics Practice Exam

What does the NASW Code of Ethics state regarding clients' access to their records?

1. Clients have full access to all records at all times

2. Access can be limited under specific harmful circumstances

3. Clients cannot access any part of their records

4. Social workers should not maintain any records

The correct answer is: Access can be limited under specific harmful circumstances

The NASW Code of Ethics provides guidance on clients' access to their records, acknowledging the principle that clients generally have the right to access their own records. However, this access is not absolute and can be restricted in certain situations where there may be potential harm to the client or others. For instance, if a social worker believes that providing access to specific information could lead to self-harm, harm to others, or could significantly impair the therapeutic relationship, they may limit this access to protect the overall well-being of the client. This nuanced approach aligns with ethical practices that prioritize client welfare and confidentiality while also supporting the principle of self-determination. It balances the client's right to access their information with considerations for safety and the therapeutic process. Therefore, recognizing circumstances under which access may be limited is a critical aspect of ethical social work practice.