CADC Documentation and Case Management 3

Question 1

Under 42 CFR Part 2, substance use disorder treatment records receive special protection because:

Accepted Answer

Disclosure could harm patients by deterring them from seeking treatment

Answer

42 CFR Part 2 provides heightened confidentiality protections to encourage individuals to seek SUD treatment without fear of legal consequences.

Question 2

When documenting a client's discharge summary, which information is MOST important to include for continuity of care?

Accepted Answer

Goals achieved, unresolved issues, and aftercare recommendations

Answer

A discharge summary must document progress toward goals, remaining needs, and aftercare recommendations to support continuity of care.

Question 3

A counselor discovers a documentation error in a client's chart from a previous session. The CORRECT way to correct it is to:

Accepted Answer

Draw a single line through the error, write the correction, and initial and date it

Answer

The standard for correcting medical records is a single line through the error with the correction, initials, and date — never obliterate the original.

Question 4

Which of the following BEST reflects the broker model of case management?

Accepted Answer

The case manager links clients to community resources but does not provide direct services

Answer

In the broker model, the case manager's primary role is to assess needs and connect clients to appropriate community services without direct service provision.

Question 5

What is the PRIMARY purpose of documenting a client's informed consent before treatment begins?

Accepted Answer

To ensure the client understands and voluntarily agrees to treatment terms

Answer

Informed consent ensures clients voluntarily agree to treatment after understanding its nature, risks, benefits, and alternatives.

(CADC) Certification Prep and Alcohol and Drug Counselor Practice Test

(CADC) Certification Prep and Alcohol and Drug Counselor Practice Test

CADC Documentation and Case Management 3