Instructions: In the foundation year, you were exposed to the NASW Code of Ethics and began
to look at potential ethical dilemmas that can arise in clinical work. This year, we will continue
to reflect on ethical reasoning in resolving conflicts. Please read the following case vignette
below and write at least a two-page (500-word) essay discussing the issue. Please adhere to the
APA format. This assignment does require you to read:
National Association of Social Workers. (2017). Guide to the everyday professional conduct of
social workers. Washington, DC: Author.
Angela was hired to perform psychosocial assessments with clients served by a home-health
agency. She was assigned to visit Mr. Harrak, who had recently been released from the hospital
following a hip replacement. He and his wife had immigrated from Morocco several years ago at
the request of their daughter. Mr. Harrak had limited English speaking ability, although his wife
was fairly fluent in English, her second language.
At Angela’s first visit with Mr. Harrak, he was alert and resting comfortably on the sofa; the
home appeared clean and orderly. His wife said that his pain was being managed successfully
and he had been eating reasonably well, but his sleep was often disrupted due to stress. Since
their move to the United States, Mr. Harrak had been having difficulties adjusting to the culture
and he missed his family back home. When Angela approached Mr. Harrak to offer support, she
observed several round, inflamed, bruise-like patches on his neck. Angela pointed them out with
concern and was told by Mrs. Harrak that they were the result of wet-cupping procedures that
she performed on her husband to help him relax and to support his healing. This treatment, she
explained, was recommended by the Islamic prophet Muhammad and has been used in her home
country ever since. Mr. Harrak nodded with a smile as his wife spoke and translated the
conversation for him. Angela then concluded her visit and left the home.
As she drove back to the office, Angela wondered whether she should file a report with Adult
Protective Services. She was concerned about Mr. Harrak receiving what appeared to be harmful
treatments at the hands of his wife. Yet, Angela had no knowledge of cupping and needed to
learn more. She also knew that she needed to consult with the nursing supervisor about next
steps. Her decision had implications for Mr. Harrak, herself, and her organization.
Is there a potential ethical conflict? What is it? What are the competing “values” in this vignette?
Make distinctions between complex clinical issues and potential ethical conflicts.1
● Two pages (not including title and reference pages)
● 12-point, Times New Roman font
● Double-spaced with 1-inch margins on all sides
● APA compliance: title page (name, title, course, date), running header, page numbers,
proper citations, reference page