CAS Documentation & Record Management 3

Question 1

A client signs a release of information allowing the counselor to speak with their probation officer. The client later verbally revokes this consent. The counselor should:

Accepted Answer

Honor the revocation immediately for future disclosures while documenting it in the record

Answer

Consent can be revoked at any time, and the counselor must stop future disclosures and document the revocation, though prior disclosures made in good faith remain valid.

Question 2

When documenting a client's relapse in a progress note, the CAS counselor should FIRST:

Accepted Answer

Record the facts objectively, including substances used, amount, and context

Answer

Objective, factual documentation of a relapse—substance, quantity, circumstances—provides the clinical basis for adjusting the treatment plan.

Question 3

HIPAA's minimum necessary standard requires that disclosures of protected health information should:

Accepted Answer

Be limited to the least amount of information needed to accomplish the intended purpose

Answer

The minimum necessary standard mandates that only the PHI required for the specific purpose be shared, protecting patient privacy.

Question 4

Which situation would MOST likely require a mandatory report that overrides 42 CFR Part 2 confidentiality protections?

Accepted Answer

A client states they plan to physically harm an identified third party

Answer

Duty-to-warn obligations triggered by a credible, specific threat to an identified third party can override SUD confidentiality protections.

Question 5

A signed consent form for release of SUD records is valid under 42 CFR Part 2 only if it includes:

Accepted Answer

The name of the person or organization authorized to receive the information

Answer

42 CFR Part 2 requires that a valid consent identify the specific person or entity authorized to receive the disclosed information.

(CAS) Certified Addiction Specialist Practice Test

(CAS) Certified Addiction Specialist Practice Test

CAS Documentation & Record Management 3