Before suggesting a client participate in a research project, which condition must be observed?

• A. The client is offered compensation.
• B. The research has institutional approval.
• C. The client signs a waiver.
• D. That the treatment or research not be potentially harmful and that the client is fully informed.

Answer: (D)

Protecting the client’s autonomy and safety is the focal point. Before suggesting participation in a research project, the important standard is that the research is not likely to cause harm and that the client is fully informed about what participation involves and consents voluntarily. This means clearly explaining the purpose, procedures, potential risks and benefits, any confidentiality limits, and alternatives, and ensuring the client understands and can ask questions. The client must have the capacity to consent and be free from coercion or undue influence. Institutional approval of the study is necessary for research to proceed, but it does not substitute for obtaining informed, voluntary consent from the client. Compensation or waivers aren’t required conditions for participation and do not justify bypassing informed consent.