448 - OCHT College
1. What is the CMTO?
What is the mandate of the CMTO?
What are the 4 major responsibilities of the CMTO?
How many self-regulating health professions are there in Ontario?
What are the 5 major pieces of legislation governing the profesion?
What is the CMTO council?
How many people are on the council? How many RMTs vs non-members?
How long can individuals serve on the council?
What are the 7 committees and what is the role of each?
How often does council meet?
2. About the Profession
What are the Interjurisdictional Competency Standards?
3. Becoming an RMT in Ontario
4. For Registrants
What are the 2 types of certificates, and how do they differ?
What is the cost of each type of certificate and when is the fee due?
What is the late fee?
How do you change status from one certificate to the other?
How can your registration be suspended?
How can you reinstate it?
What is incorporation? Do massage therapists have to become incorporated?
5. Quality Assurance
Continuing Education Units
When are they due?
What is the difference between Category A and B?
How many of each are required?
How many TouchPoint articles must be read?
Where are the questions to be answered? How many CEUs can you obtain from that?
How are CEUs calculated in relation to hours participating in an activity?
What are the 3 criteria that CEU activities must meet to be considered valid?
How do you report your CEUs to the CMTO?
What is the Self Assessment Tool? What is its purpose?
What is the Target Level Submission?
When is it due?
What is the Peer assessment? What is its purpose?
What are the 4 components of the peer assessment?
What are the 2 ways you can be selected for peer assessment?
What are the 5 possible outcomes of the peer assessment?
What is it?
What 4 documents must be kept in it?
When and for whom must you provide your portfolio for review?
6. Standards of Practice
What are the standards of practice?
Why are they important?
What is out scope of practice?
What are the 16 CPHS Standards
What are the 17 Technique Standards?
What are the 2 additional Technique Standards?
What are Policies? Know all the Policies
What are Position Statements? Know all the Position Statements
7. Practice Advice
Does the College have a guideline on standard fees for Massage Therapy services?
What are the average rates/fees charged by Massage Therapists and are they the same across
Can I charge a different fee from my posted fee?
Can RMTs provide discounts/promotions/free giveaways to clients?
What are the advertising guidelines for Massage Therapy?
Business Concerns and HST
Do Massage Therapists have to collect Harmonized Sales Tax (HST)?
Where can I get information about HST collection and procedures?
Can the College help me review the employment contract the employer wants me to
What do I need to know about working from my home?
I have a client who is behaving inappropriately. What can I do?
Can I limit my practice to only men or only women?
Can I accept tips?
Conflict of Interest and Dual Relationships
Are RMTs permitted to enter into a relationship with their clients outside of the therapeutic
Are RMTs permitted to treat family members?
Can RMTs take the client files with them when they leave their place of employment?
Can you recommend a Massage Therapist?
Can the owner of a clinic, who is not a registrant of the College, ask a Massage Therapist to do
something that is contrary to the Regulations of the College?
I would like to hire a Massage Therapist. How can I advertise a job opening?
Leaving a Practice
If I leave my current practice, what are my responsibilities to my clients?
What happens to my client files if I leave my current practice?
Am I allowed to sell my practice?
The employer/owner says I can’t let my clients know that I am leaving or where I am going
because they consider it to be solicitation of clients and they may sue me. Is this true?
What distinguishes RMTs from other people who offer massage or massage-related therapies?
Can I provide complementary modalities as a Massage Therapist?
How do I find out if a particular technique or modality is within the scope of practice of Massage
Is acupuncture considered within the Massage Therapy scope of practice, and if so, can I do
acupuncture and include it in a Massage Therapy receipt?
Motor Vehicle Accident and Other Insurance
Can the College provide information on the Motor Vehicle Accident Insurance claims process?
Record-keeping and Receipts
Should I write a receipt for someone redeeming a gift certificate?
Must I retain custody of the files even when I leave a practice?
Do I have to maintain current CPR and First Aid if I am a registrant?
What happens if I do not want my business address given out to members of the public?
Do you put advertisements in your newsletter? Do you have job postings?
Who licenses Private Career Colleges and Community Colleges permitting them to operate
Massage Therapy programs?
How do I get a new copy of the Regulations?
What are the College’s Regulations for Massage Therapists regarding their place of employment?
Where can I get access to the Massage Therapy Act or the Regulated Health Professions Act?
Where can I find the information on the College’s Professional Misconduct Regulations?
8. Complaint Process
How is a complaint submitted to the CMTO?
How soon after the incident must a complaint be filed?
Will the CMTO accept and anonymous complaint?
What happens once a complaint is received?
What is HPARB and what is their role?
What information regarding complaints/discipline is made public?
What is a Registrar Report Investigation?
What is Alternative Dispute Resolution?
What is Fitness to Practice?
What constitutes an illegal practitioner?
What are the protected titles?
What is the definition of sexual abuse?
Regarding Mandatory reporting, what is self-reporting?
In what instances must an RMT report someone else?
In what instance must an employer/facility report and RMT?
Know the Mandatory reporting guidelines well
How much funding is provided for counseling of patients sexually abused by an RMT?
9. Forms and Documents
Code of Ethics
PHIPA – Guide
Ensuring Professional Conduct Forms
Infection Control Guidelines
Practice Names Guideline
Protecting from Health Care Fraud
Referral for Profit Bulletin
Selling Gift Certificates
Where’s My Line
MORE CMTO / Legislation Questions
1. What are the laws regarding your Certificate of Registration?
2. How do you qualify to receive a Certificate of Registration?
3. What are the regulations regarding Continuing Education?
4. What are the regulations regarding Peer Assessment?
5. What are the regulations regarding the Professional Portfolio?
6. How often can a candidate write the CMTO examinations?
7. Who can use the title “massage therapist”?
8. Who can we employ to do massage in our practice?
9. What is an ethical dilemma?
10. What is a therapeutic relationship?
11. What would the CMTO consider to be Incompetence?
12. What would the CMTO consider to be Incapacity?
13. When can we release clinical records and to whom?
14. Who can view patient records without patient consent?
15. How long do we keep clinical records?
16. What is the RHPA and who is registered under it?
17. What is our legal title?
18. What are the regulations on Dual Registration?
19. What is the CMTO policy regarding MTs performing Acupuncture?
20. What law regulated massage therapists prior to the enactment of the RHPA?
21. In what provinces is massage therapy a regulated profession?
22. Regarding the CMTO position statement on Conducting a Clinical Massage Therapy
Practice, what are the regulations regarding the physical setting of the office?
23. What type of offence would be classified as Sexual Abuse?
24. What type of offence would be classified as Sexual Impropriety?
25. Describe the Zero Tolerance policy.
26. Where are the regulations pertaining to advertising located?
27. What must/can be included in an advertisement and what cannot be included?
28. Where are the regulations pertaining to confidentiality located? Be able to describe them.
29. What is professional misconduct?
30. What are the CMTO policies on terminating a practice?
31. What are the laws and policies on insurance?
32. What are the laws on nutritional counseling?
33. What is the difference between the CMTO and the RMTAO?
34. What is the function of the RMTAO?
35. What are the laws and policies on issuing receipts?
36. What are the laws and policies on being certified in another health care profession?
37. What are the CMTO policies on the examination process?
38. How do you pass the CMTO examinations?
39. What are your options if you fail the CMTO examination?
40. What is the CMTO policy on dating patients?
41. What is the CMTO policy on sexual abuse cases?
42. What is the CMTO’s position if found innocent or guilty in a sexual abuse case?
43. What is the CMTO’s process in investigating sexual abuse cases?
44. What are the CMTO’s positions with reference to having the genital region undraped?
45. What is the Health Care Consent Act?
46. What is the CMTO’s policy on Informed Consent?
47. What is expected of a massage therapist if they hear of professional misconduct by another
health care professional?
48. What are the legal obligations on reporting abuse of a patient by another person (not
necessarily a health care worker)?
49. What are the policies on maintaining your registration?
50. What is a controlled act and when can a massage therapist perform a controlled act?
51. What are the CMTO’s committees related to discipline cases?
52. What is the appeals process in reference to a discipline committee?
53. What is PIPEDA?
54. What is PHIPA?
55. What are the CMTO’s laws and policies on practice naming?
56. What are the CMTO’s policies on discontinuing or refusing treatment to a patient?
57. What is the CMTO policy on discounting treatment cost?
HEALTH CARE CONSENT ACT
1. What is the purpose of the HCCA?
2. What is the definition of a capable patient?
3. What is the difference between a course of treatment and a plan of treatment?
4. What is capacity?
5. What is a substitute decision maker?
6. What are the 4 elements of consent?
7. What is “informed consent”?
8. What 6 “matters” must a person be informed of in order for consent to be informed?
9. When a person consents to treatment, can assume they are consenting to variations in the
treatment if the benefits, risks, etc. are not different from the original treatment?
10. When a person consents to treatment can you assume they are consenting to the same
treatment in a different setting if there is no change in the benefits etc?
11. List the persons who may give or refuse consent on an incapable person’s behalf
12. How old must the person giving consent for an incapable person be?
13. If 2 or more people in the same “category of ranking” disagree about giving consent for an
incapable person, who makes the decision?
14. For the purpose of this act, what is the definition of “spouse”, “partner”, and “relative”?
15. If you normally treat a specific patient at one clinic and then you also work at another clinic
and they come to the other clinic for a treatment, do you have to obtain consent again?
16. What is the age of consent for a massage therapy treatment?
17. If you feel a person is “incapable” of providing informed consent, what do you do?
MASSAGE THERAPY ACT
1. What is our Scope of practice?
2. How many members make up the Council? and who are they?
3. Who can vote in elections?
4. How often are the President and Vice-President elected and who votes on them?
5. What is our restricted title?
6. What is the fine for using this restricted title if you are not allowed to?
7. What does “Transitional” refer to?
8. How often must exams be offered?
9. What happens if you fail an exam once?
10. What happens if you fail an exam 3 times?
11. What 4 things must your advertising NOT contain?
12. What must your daily appointment record contain?
13. What is an equipment service record?
14. What must your financial record for each client contain?
15. What must your client health record contain?
16. How long must you retain client health records?
17. Must records be kept in paper form? or is an electronic copy acceptable?
18. Who can you provide a copy of a client health record to?
19. Can you charge a fee for providing copies from a client health record?
20. Under what circumstances is it permitted to allow another health professional to examine a
client health record?
21. READ the 49 statements about what constitutes professional misconduct
22. Under what circumstances is it ok to discontinue your professional services with a client?
23. Is it ok to charge a fee less than your posted fees?
24. What is meant by “continuing education and professional activity”?
25. What are the 4 components of the quality assurance program?
26. What does the professional portfolio contain?
27. How often must the self-assessment be completed?
28. When must your professional portfolio be submitted to the college?
29. Regarding continuing education credits, what is a “credit cycle”?
30. When do credits need to be submitted to the registrar?
31. What happens if you fail to accumulate the required credits or fail to submit proof of the
32. How are members chosen to undergo peer assessment?
33. Why is a member required to undergo a peer assessment?
34. What is the purpose of the peer assessment?
35. Can a member request a different peer assessor than the one appointed to them?
36. Do members have access to the report made by the peer assessor
37. If the peer assessment report indicates that the knowledge, skills or judgment of the member
are unsatisfactory, what happens?
38. Outline the procedure following a complaint or report alleging that a member has
demonstrated behavior or made remarks of a sexual nature towards a patient, the member
has admitted to such behavior or remarks and the matter is referred to the Committee
39. What are the 2 classes of certificates of registration?
40. It is a registration requirement for a certificate of registration of any class that the applicant
provide details of any of the following that relate to the applicant:
41. The member shall provide the College with details of any of the following that relate to the
member and that occur or arise after the registration of the member:
42. What are the registration requirements for a general certificate of registration?
43. A member must provide how many hours of direct client care?
44. Regarding certificate of registration, why would a member’s certificate be revoked?
45. What is a non-exemptible registration requirement for an inactive certificate of registration?
46. Under what conditions can an inactive certificate holder be issued a general certificate of
47. If the registrar suspends a member’s certificate of registration, at what point is the certificate
48. If you have any changes in your address, name, practice location etc….how long to do have
to notify the CMTO?
49. If you have an inactive certificate of registration, can you still practice in Ontario? Other
provinces? Other countries?
50. How many times can you fail the CMTO MCQ or OSCE before you have to take an entire
massage therapy program over again?
REGULATED HEALTH PROFESSIONS ACT and RHPA Study Guide
1. What is the Regulated Health Professions Act?
2. In what year was the decision made to allow “the people” to govern the health professions?
3. How many self-governing health professions exist?
4. Approximately what percentage is the public represented on the governing councils of the
regulated health professions?
5. What is the responsibility of the Minister of Health and Long Term Care?
6. What is the role of the Health Professions Regulatory Advisory Council?
7. How many people are on the Advisory Council?
8. What is the role of the Health Professions Appeal and Review Board?
9. How many people are on the Health Professions Appeal and Review Board?
10. What is a Health Regulatory College?
11. What is the duty of a College?
12. What are the 7 committees that each regulatory college is made up of? And what is the
purpose of each?
13. Specifically why would a member be referred to the Registration Committee?
14. What is a controlled Act?
15. How many controlled acts exist?
16. How many controlled acts apply to RMTs?
17. Under what circumstances can confidentiality of patient information be breached?
18. What defines sexual abuse of a patient?
19. What is the purpose of quality assurance?
20. What is the purpose of peer assessment?
21. What is the purpose of the portfolio/self-assessment?
22. What is a health regulatory college register? What information is contained in the register?
23. Regarding complaints to the colleges, what are the most typical complaints?
24. Regarding complaints, does a complainant need to have a patient’s permission to submit a
complaint about practice issues towards a patient?
25. What is professional misconduct?
26. What is incompetence?
27. If a member of a college is found guilty of professional misconduct, what is the maximum fine
they could be expected to pay?
28. If a member of a regulated health profession has their certification revoked due to sexual
abuse of a patient, how long do they have to wait for reinstatement of their license?
29. What is “incapacity” (of a regulated health professional)?
PHIPA – IPC Information and Privacy Commissioner
1. What does PHIPA stand for?
2. What does PIPEDA stand for?
3. What is the difference between PIPEDA and PHIPA?
4. What is the purpose of PHIPA?
5. What is a health information custodian?
6. What is an “agent” of a health information custodian?
7. What is a “contact person”?
8. What is personal health information?
9. How does PHIPA protect personal health information?
10. According to PHIPA, an individual must consent to the collection, use and disclosure of
personal health information. PHIPA states that consent must be: (4 criteria)
11. What is the difference between express and implied consent?
12. When is express consent required?
13. When is implied consent sufficient?
14. What is “circle of care”?
15. What is “a lock-box”?
16. When can personal health information be disclosed without consent?
17. Can personal health information be disclosed in the event of an emergency?
18. Are individuals permitted to access their own personal health information?
19. How do individuals obtain access to their personal health information?
20. How long does a custodian have to respond to an individual’s request for access to personal
21. Can a custodian refuse to provide access to an individual’s personal health information?
22. Is there a fee associate with an access request?
23. How is PHIPA enforced?
ETHICS AND PROFESSIONALISM
Massage Therapists as Regulated Professionals
1. Peter, who is always well presented, is a very successful taxi driver working in the city of
Toronto. He has been driving taxi for over 20 years, has both an A & C class license and an
excellent driving record. Is being a taxicab driver an occupation or a profession?
a. A profession because Peter has over 20 years experience on the job and both an A & C
b. An occupation because taxi drivers do not have to undertake post- secondary education
in order to acquire the knowledge and skills necessary to be a taxi driver.
c. A profession because Peter always wears a uniform on the job and operates a very
lucrative taxi business.
d. An occupation because Peter is extremely committed to providing excellent customer
2. The primary reason Peter provides his taxi service to the public is because?
He wants to ensure that his clients have safe and effective taxi services.
He is committed to developing exceptional taxi service for the city of Toronto.
He wants to build the reputation and credibility of taxicab drivers in Toronto
He wants to make a profit from providing his services.
3. The social contract theory of health regulations refers to?
a. The theory that society and health professionals enjoy a mutually beneficial social
b. The idea that society has entered into a written agreement with a professional group of
people to provide specific services.
c. The belief that health professionals should have a written statement from society that
outlines their responsibilities.
d. The agreement between a regulated health profession and society that offers the
profession the power and privileges afforded to a healthcare profession in exchange for
the professions commitment to directly benefit the clients’ it serves.
4. Ester is providing shiatsu services to her clients in a small independent office she has
established at a local mall. She loves her work and her clients love her and believe that she does
wonderful work. Is Ester a healthcare professional?
a. Yes, because her business cards and stationary clearly state that she provides
professional healthcare services.
b. Yes, because she belongs to a Bodywork Association.
c. No, because she is not a member of a regulated healthcare profession.
d. No, because body workers do not have as much education as Massage Therapists.
5. If Shiatsu were to be established as a regulated health profession in Ontario why would the
new Shiatsu College want to establish accountability mechanisms for the profession?
To demonstrate its’ accountability to society
To follow the model and format of all other healthcare professions.
To set professional standards for its’ members.
To ensure that they have a disciplinary mechanism for members.
6. Quincy is an elderly man for whom English is a second language. He is receiving Massage
Therapy treatments from a RMT for arthritic pain and immobility. The social contract between the
profession and society ensures that Quincy receives competent and ethical care by?
a. Providing him with quality patient care and respecting his vulnerability with regards to his
age and possible language barrier.
b. Providing him with research based treatment.
c. Providing him with access to the services of Massage Therapists.
d. Providing him with a paraffin wax treatment for his arthritis.
7. Brian is taking a continuing education course. As a Registered Massage Therapist his purpose
for doing so is?
To make sure he fulfills continuing education requirements and keeps his license.
To ensure that he remains competent and current in the practice of the profession.
To satisfy a personal interest in learning more taping techniques.
To learn this material and then at some later point teach it at the college where he is
8. Tim a RMT is partnering with a researcher at the University of Toronto to research the effects
of Massage Therapy for patients with diabetes. How does Tim’s participation in research
demonstrate the accountability of Massage Therapists as regulated healthcare professionals?
By demonstrating the efficacy of Massage Therapy for diabetes patients.
By providing Massage Therapists with an opportunity to acquire research skills.
By demonstrating that Massage Therapists are capable of undertaking research.
By compelling Massage Therapists to participate in research.
9. Disciplining of members who breach regulatory requirements is necessary because?
It maintains the power and authority of the College over therapists.
Ensures that unethical therapists are punished for their actions.
Maintains the profession’s commitment and responsibility to discipline its’ members.
Serves to deter therapists from wrongdoing.
10. An RMT tells a client a sexual joke and uses crude sexual language to refer to specific parts
of the client’s body. This incident is reported to the College by the client. What would be the
appropriate action for the College to take once they receive this complaint?
Forward the complaint to the Inquiries, Complaints and Reports Committee.
Forward the complaint to the Discipline Committee.
Have the Registrar suspend the therapist’s registration as soon as possible.
Have the Registrar revoke the therapist’s registration as soon as possible
Competence and Accountability
1. In order for a Massage Therapist to be considered competent he or she must possess a certain
level of function in terms of?
Knowledge, skills, attributes and ethics.
Massage skills, safety requirements and communication skills.
Massage skills and communication skills.
Knowledge of health science, clinical science and safety requirements.
2. Deepak explains his treatment plan to his client. His explanation includes goals and focus of
treatment as well as the anticipated response to treatment. He fails however to discuss any
contraindications to treatment with the client. Has Deepak met the requirements of competence?
a. Yes, because his technique was excellent.
b. Yes, because his technique wa sexcellent and he obtained the clients consent.
c. Yes, because his technique was excellent and he practiced excellent oral
d. No, because he failed to discuss any contraindications to treatment with the client.
3. Terry, a RMT, who suffers from schizophrenia and has not been taking his medication, is
having a very difficult time coping with life. During one especially stressful week Terry is feeling
absolutely overwhelmed and irrational. He decides to treat as many clients as possible, as quickly
as possible and then take a vacation and go white water rafting. Is Terry mentally capable of
providing massage therapy to his clients?
a. Yes, because regardless of how he is feeling he still has the knowledge and skills he
needs to provide his clients with Massage Therapy treatments.
b. No, because without his medication he is not mentally competent to perform treatment.
c. No, because it is too taxing on him to be working while feeling so badly.
d. Yes, because Terry feels and believes himself to be competent to provide treatment.
4. Keisha received her Massage Therapy training at the Advanced College of Massage Therapy.
The school’s curriculum is grounded in a document called the Basic Curriculum Document for
Advanced Massage, which was created by the school’s curriculum committee. Is this document
the recognized curriculum standard for Registered Massage Therapy in Ontario?
a. Yes, because it was created and implemented by a team of Massage Therapists in
conjunction with Ph.D’s.
b. Yes, because the document is clearly and comprehensively written.
c. No, because the document was not previously reviewed by the Massage Therapy
d. No, because the appropriate document for Massage Therapy training is the InterJurisdictional Practice Competencies and Performance Indicators for Massage
Therapists at Entry-to-Practice Document.
5. Malcolm has recently passed his registration examination and set himself up in practice with
two associates. One of his clients, Tim, asks Malcolm to provide him with cranial sacral
treatments for his migraines. Malcolm has virtually no training in cranial sacral therapy but doesn’t
want Tim to think that he is not competent as a Massage Therapist just because he hasn’t done
any post-grad work in cranial. Besides, as Malcolm rationalizes, Tim won’t know the difference.
Will Malcolm, if he proceeds, be providing Tim with competent Massage Therapy treatment?
a. Yes, because Tim requested this treatment.
b. Yes, because Malcolm knows that his pseudo-cranial treatment will not harm Tim and
might even psychologically benefit him.
c. No, because Malcolm is not knowledgeable and skilled in cranial sacral treatment and is
not being honest about this reality.
d. No, because Tim was feeling ill when Malcolm provided him with the treatment.
6. Libby is performing a reassessment on a client. She has reviewed the treatment goals for the
client and obtained his consent but just doesn’t have enough time to answer his questions about
the treatment. According to the professions Standards of Practice has Libby met the requirements
of technical quality, interpersonal quality, safety and timeliness?
Yes, because the client needs a reassessment.
No, because she didn’t respond to the client’s questions.
Yes, because she did everything she could do in the time allotted.
Yes, because she believes she will achieve the therapeutic outcomes she wants.
7. Lauren is draping her client for treatment. She fails to ensure that the draping is secure and
exposes the client’s buttock, much to the client’s dismay. Is Lauren meeting draping requirements
outlined in the Standards of Practice document?
a. Yes, because the exposure was accidental.
b. Yes, because she utilized excellent interpersonal communication skills to deal with the
c. No, because Lauren failed to ensure that the client’s draping was secure.
d. No, because Lauren should have encouraged her client to keep her clothes on during
8. Isabelle has had very little success treating Tyrone for the pain and immobility he is suffering
due to a motor vehicle accident. She is also trained in acupuncture and decides to integrate some
basic acupuncture points into her Massage Therapy treatment. The integration of Massage
Therapy and acupuncture by a Massage Therapist during a Massage Therapy treatment without
the consent of the client is?
a. Appropriate, because these combined modalities will be more effective in treating the
b. Inappropriate, because acupuncture is not within the Scope of the Practice of Massage
c. Appropriate, because the client has requested that the therapist utilize as many
therapeutic modalities as possible to treat his condition.
d. Inappropriate, because Isabelle did not obtain consent to integrate the two modalities.
9. Larry’s client Rick asks him to use intense and unusual pressure in treating him. He says he
knows it’s kind of weird but he likes to ‘hurt a little’. Larry tells Rick that it isn’t necessary to apply
so much pressure and that doing so is actually making his condition worse. Rick responds with,
“I’m the client and it’s your job to provide me with the treatment I want”. Must Larry provide Rick
with the treatment he wants even if he knows that the treatment will likely harm him?
a. No, because a therapist can always utilize his professional judgment and refuse to
provide treatment to a client if he believes doing so would injure the client.
b. No, because therapists can always do what they think is right regardless of what the
c. Yes, because the client’s best interests must be defined by the client not the therapist.
d. Yes, because therapists must accommodate their clients wishes.
10. Damon and Michelle work together in a multidisciplinary clinic. Damon doesn’t like Michelle
and utilizes every opportunity he can to disparage Michelle to her clients and at the same time
exaggerates his own strengths and abilities. Damon is breaching the principle(s) of?
Respect for Persons.
Responsible Caring and Responsibility to Society.
Integrity in Relationships.
Respect for Persons, Integrity in Relationships and Responsibility to Society.
1. Nicolai would really like a 60 minute massage treatment to help him relax and unwind after
work but can only afford a 30 minute treatment. Is this an example of client vulnerability?
Yes, because Nicolai wants the additional 30 minutes and could benefit from them.
No, because the therapist is too busy to provide Nicolai with an extra 30 minutes.
Yes, because Nicolai really can't afford an extra 30 minutes.
No, because the inability to afford as much service as one would like does not in and of
itself constitute vulnerability.
2. Ramona tells Jose that she is not taking on any new clients. She does this because she
believes that Jose is gay and she's not comfortable with homosexuals. Her behavior
Disrespect for Jose as a person by discriminating against him.
Respect for herself by choosing not to work with Jose.
Control over who she does and doesn't treat.
Personal autonomy indecision-making.
3. Jane has been treating Paul for just over one month for a motor vehicle accident injury, and
during this time both have developed strong feelings towards each other. Jane knows that it is not
appropriate for her to date a client and decides to terminate the therapeutic relationship with Paul
in order to immediately begin a personal one with him. Jane’s decision to terminate the
therapeutic relationship in order to begin a personal relationship with Paul is?
a. A good decision because they both feel very strongly about each other.
b. A good decision because Jane terminated the therapeutic relationship before beginning a
personal relationship with Paul.
c. A bad decision because their personal relationship might not work out and then she has
lost a client.
d. A bad decision because it is considered unethical to terminate a therapeutic relationship
with a client to begin a personal relationship, without the appropriate cooling off period.
4. Alex is providing Massage Therapy to Simone in order to fulfill the goal of meeting their mutual
best interests. Can this relationship be described as a therapeutic relationship?
a. No, because the therapeutic relationship has only one sole and expressed purpose;
serving the best interests of the client.
b. Yes, because the interests of both parties are being protected and promoted.
c. No, because this agreement has not been documented in writing.
d. Yes, because Simone has consented to this arrangement.
5. Bob pretends to like and even admire his associate Don in order to get Don to give him a break
on the lease. Is Bob's behavior consistent with the principle of respect for persons?
Yes, because Bob respects himself enough to get the best lease deal he can.
No, because Bob is using Don as a means to an end (ie: a good lease deal).
No, because if Don finds out the truth his feelings will be hurt.
Yes, because Bob knows he's got Don wrapped around his finger and could easily have
gotten an even bigger discount.
6. Cheryl and her client Dorothy really hit it off. They have a lot in common and always chat up a
storm whenever Dorothy comes in for her treatment. One day when Cheryl is having a bad day at
work she shares with Dorothy her marital problems and Dorothy lends a sympathetic ear. When
the treatment is over they both hug and leave the treatment room feeling better. The relationship
between Cheryl and Dorothy demonstrates?
A lack of boundaries.
An excellent give-and-take in the therapeutic relationship.
A healthy and positive experience that benefits both parties.
A way Dorothy can thank Cheryl for all the times she provided her with moral support and
a sympathetic ear.
7. Susan is an RMT who teaches a treatments course at a local college. Lucas one of her
students is injured in a car accident and needs Massage Therapy but can't afford to see a
therapist. Susan offers to treat him for free after school at the college. This is an example of?
A kind thing to do and a great person.
A dual relationship.
A stroke of really good luck for Lucas.
A teacher being taken advantage of.
8. Robina is treating a middle aged man who reminds her of her father who passed away a few
years ago. Not only does he look and sound like him but he also showers her with the same kind
of praise and affection her father did and consequently both client and therapist end up benefiting
from the therapeutic relationship. This is an example of?
Good luck on both their parts that fate has brought them together.
A mutually beneficial arrangement.
9. Irene provides her consent to treatment verbally and in writing but halfway through the
treatment decides to withdraw her consent. Can Irene withdraw her consent to treatment any time
a. Yes, a client can withdraw consent to treatment at any time.
b. No, once consent is provided in writing that consent is binding.
c. Yes, if she does so just after the treatment has begun.
No, unless the therapist agrees.
10. RMT Sophia and her client Tory unbeknownst to either of them have a mutual friend and end
up attending a party together. During the course of the party Sophia innocently tells a very funny
story about Tory which Tory shared with her during a treatment session? Has Sophia breached
a. Yes, because all information revealed in the therapeutic relationship is private and
b. No, Tory couldn't possibly mind Sophia telling such a funny story.
c. Yes, but in this case it doesn’t matter because Sophia knows that Tory has told her story
to other people.
d. No, because Tory and her husband laughed when Sophia told the story.
11. RMT Mike pats his client on the bottom as she leaves his treatment room and tells her that
she is a very sexy lady and that her husband is a lucky guy. This is an example of?
A dual relationship.
A therapist with an attitude.
12. RMT Larry refuses to treat Steve because Steve is disabled. The decision to not treat Steve
because he is disabled is ethically?
a. Wrong, because it involves discrimination against Steve on the basis of his disability.
b. Right, because therapists have a right to choose who they will and will not provide
c. Wrong, because Larry is missing a great opportunity to secure a new client.
d. Right, because he cannot provide competent treatment to someone he does not want to
13. RMT Ethan observes a client’s husband calling her “Booty” and thinks this is a cute nickname
and proceeds to call her “Booty” during a treatment session. This behaviour is?
a. Ethically appropriate because it’s a cute nickname.
b. Inappropriate because Ethan is treating the client too casually and assuming a level of
familiarity that is not appropriate in the therapeutic relationship.
c. Not a bad idea because the client likes the nickname “Booty”.
d. A bad idea because the husband doesn’t like anyone else calling his wife by the
nickname he gave her.
14. RMT Leslie doesn’t have time to change after her five-mile jog and just rushes into the office
in her sweaty shorts and t-shirt to treat her first client. This behaviour is?
a. Appropriate because it is more important that the client receive the treatment than how
she looks while providing it.
b. Appropriate because getting a whole 60 minutes of treatment is important and the client
would get less time if Leslie were to change.
c. Inappropriate because Leslie did not use some perform to drown out the smell of
d. Inappropriate because therapists must maintain appropriate personal and office hygiene
at all times.
15. Betty’s new family doctor calls RMT Ian and asks him for some background information on
Betty. Ian releases the information, via email, without Betty’s consent because she is away on
vacation. Has Ian met the requirements for maintaining client confidentiality?
a. Yes, because he provided this information to another health care professional to further
the client’s best interests.
b. Yes, because although he tried he couldn’t contact Betty as she was on vacation.
c. No, because he did not obtain Betty’s consent.
d. No, because he sent this information to her new family doctor electronically.
16. One day in a state of frustration Nate tells his therapist that he has full-blown AIDS and is
going to do everything he can to transmit it to every woman he meets. Must his therapist maintain
a. No, because therapists are required to breach confidentiality in order to protect the public
b. Yes, because if Nate finds out that he breached confidentiality he might cause the
therapist physical harm.
c. Yes, because maintaining client confidentiality is an absolute requirement, which
therapists must never breach.
d. Yes, because if his other clients find out that he breached client confidentiality they may
not wish to continue to utilize his services.
17. Calvin keeps electronic treatment records for all his clients. While he is away on vacation an
associate therapist in the office views these records and retrieves a client file. Should Calvin be
held accountable for this?
a. Yes, because therapists are required to take appropriate measures to safeguard and
prevent unauthorized access to patient information.
b. No, because it is not Calvin’s fault that his associate accessed his client’s treatment
records without his permission.
c. No, because electronic data is very difficult to protect.
d. No, because Calvin cannot be his brother’s keeper.
18. Celine gives her client Abby her home telephone number so they can chat when they both
have some free time. This behaviour is?
a. Appropriate, because Celine and Abby get along well and enjoy each others company.
b. Inappropriate, because it does not maintain a professional boundary between client and
therapist and involves the sharing of personal information with the client.
c. Appropriate, because it helps promote a positive and friendly therapeutic relationship.
d. Inappropriate, because it involves the sharing of personal information with a client
19. Kelly tells her client Sherry that she will not provide her with treatment unless she consents to
try Bowen technique. This behaviour is?
a. Appropriate, because therapists know best what therapy is appropriate for their clients.
b. Inappropriate, because it breaches the requirements of competent choice which is a part
of informed consent.
c. Appropriate, because the therapist has the client’s best interests at heart.
d. Inappropriate, because it breaches the requirement of volunteerism which is a part of
20. RMT Sylvester explains to his client his proposed treatment plan fully and completely using
technical language and clinical illustrations. Has Sylvester met the requirement of informed
a. Yes, because Sylvester provided all the information the client needed, relevant to the
b. Yes, because he provided medical illustrations to assist the client in understanding the
c. No, because therapists must ensure that they provide information to clients in such a way
that clients are able to understand the information.
d. No, because he did not provide sufficient information.