When using screening tools, how should practitioners respect client autonomy?

• A. Use validated tools, explain purpose, obtain consent, ensure confidentiality, interpret results collaboratively, and use results to inform next steps
• B. Use unvalidated tools
• C. Refuse consent
• D. Share results with friends

Answer: (A)

Respecting client autonomy in screening means engaging the client as an active partner throughout the process. This starts with using tools that have demonstrated validity and reliability, so the information gathered is meaningful and trustworthy. Practitioners should clearly explain why screening is being done, what the tool measures, how the results will be used, and who will have access to them. Obtaining informed consent and outlining confidentiality protects the client’s rights and helps them feel safe in sharing information. After the tool is used, results should be reviewed with the client in a collaborative way, discussing what the findings mean and what options or next steps fit the client’s preferences and goals. Using the results to plan next steps together reinforces empowerment and respect for the client’s choices.

Unvalidated tools can lead to inaccurate conclusions, which undermines trust and decision-making. Refusing consent or sharing results with others outside the approved confidentiality boundaries also violates autonomy and ethical practice.