CADC Alcohol and Drug Counselor Clinical Documentation and Confidentiality 4

Question 1

Which scenario represents a proper use of 'qualified service organization agreements' (QSOAs) under 42 CFR Part 2?

Accepted Answer

A program shares records with a billing company that signs a QSOA agreeing to be bound by 42 CFR Part 2

Answer

A QSOA allows a program to share necessary information with service organizations (such as billing companies) when the organization agrees in writing to comply with 42 CFR Part 2.

Question 2

A counselor is required to maintain records for a minimum period after discharge. This period is primarily governed by:

Accepted Answer

State law and program policy, which may vary by jurisdiction

Answer

Record retention requirements are set by state law, accreditation standards, and program policy, and may differ significantly from state to state.

Question 3

Which of the following BEST describes 'DAP' format in progress notes?

Accepted Answer

Data, Assessment, Plan

Answer

DAP notes are structured as Data (objective and subjective information), Assessment (clinical interpretation), and Plan (next steps in treatment).

Question 4

When a client signs a release of information authorizing disclosure to their primary care physician, the authorization is generally valid for:

Accepted Answer

The time period specified on the authorization form

Answer

A valid authorization must include an expiration date or event, and disclosures are permitted only within the scope and time period specified.

Question 5

A client verbally revokes their consent for a release of information. The counselor should:

Accepted Answer

Honor the revocation immediately and document it in writing

Answer

Clients may revoke consent at any time; the counselor must stop disclosures immediately and document the revocation in the record.

Alcohol and Drug Counselor Exam Practice Test

Alcohol and Drug Counselor Exam Practice Test

CADC Alcohol and Drug Counselor Clinical Documentation and Confidentiality 4