Prepare for CPCE Ethics Questions with These Counseling Case Studies

Preparing for the CPCE ethics section requires more than memorizing definitions—you need to think critically, apply the ACA Code of Ethics, and evaluate complex client situations. One of the best ways to build these skills is by studying real-world case studies that reflect the types of questions you’ll see on the exam.

Let’s walk through several CPCE-style ethical counseling case studies designed to challenge your thinking and help you prepare for test day with confidence.

CPCE Case Study 1: Confidentiality and Danger to Others

  • Scenario: A client discloses during a session that they have been having violent thoughts about a coworker and are considering harming them. They refuse to allow you to inform anyone.
  • Ethical Dilemma: Balancing confidentiality with the duty to warn and protect.
  • Key Concepts: Tarasoff ruling, duty to warn, limits of confidentiality.

CPCE Case Study 2: Dual Relationships in a Small Community

  • Scenario: You live and work in a small rural town and are approached by a neighbor for counseling services. They are struggling with anxiety but insist on seeing you since you’re the only counselor nearby.
  • Ethical Dilemma: Navigating dual relationships and maintaining objectivity.
  • Key Concepts: Boundary setting, dual relationships, informed consent.

CPCE Case Study 3: Cultural Competence and Bias

  • Scenario: A client shares religious beliefs that differ from your own and asks for guidance that contradicts your personal values. You find yourself struggling to remain neutral.
  • Ethical Dilemma: Balancing personal beliefs with cultural competence and client autonomy.
  • Key Concepts: Nonmaleficence, respect for diversity, self-awareness.

CPCE Case Study 4: Informed Consent with Adolescents

  • Scenario: A 15-year-old is referred for counseling by their school. They confide in you about drug use and ask that their parents not be told.
  • Ethical Dilemma: Managing informed consent, confidentiality, and legal obligations when working with minors.
  • Key Concepts: Minor consent laws, parental rights, professional judgment.

CPCE Case Study 5: Technology and Boundaries

  • Scenario: A client sends a friend request to your personal social media profile. You’re unsure whether to accept it, especially since the client has never mentioned it in session.
  • Ethical Dilemma: Maintaining professional boundaries in digital communication.
  • Key Concepts: Social media ethics, boundary maintenance, documentation.

Why Case Studies Matter for CPCE Ethics Prep

The CPCE tests your ability to apply ethical principles in real-world scenarios. By reviewing case studies like these, you can:

  • Practice identifying ethical issues quickly
  • Apply ACA Code of Ethics guidelines to complex situations
  • Develop responses aligned with best practices and professional standards

To boost your preparation, consider working through case studies in small groups, discussing them with a mentor, or reviewing your state’s laws alongside the ACA Code of Ethics. Be sure to:

  • Stay current with ethical standards and updates from the ACA.
  • Practice identifying the MOST ethical course of action, not just what feels right.
  • Use a decision-making model when analyzing dilemmas.

Test Your CPCE Ethics Knowledge With Pocket Prep

Pocket Prep’s CPCE® Prep offers scenario-based practice aligned with the eight CACREP core areas. Strengthen your understanding of counseling concepts through realistic, real-life applications. Build confidence with interactive question formats that reinforce key knowledge and improve your test-day performance.