CAS Risk Management & Mitigation 3

Question 1

Under the ethical principle of duty to warn, a CAS counselor is legally obligated to break confidentiality when a client:

Accepted Answer

Makes a credible specific threat to harm an identifiable third party

Answer

The Tarasoff duty to warn applies when there is a specific, credible threat against an identifiable victim, requiring the counselor to notify authorities and/or the potential victim.

Question 2

Which protective factor most reliably reduces long-term relapse risk in individuals recovering from alcohol use disorder?

Accepted Answer

Strong social support network engaged in recovery

Answer

Peer and family social support is consistently identified as the strongest protective factor against relapse in longitudinal outcome research.

Question 3

A client in a methadone maintenance program tests positive for cocaine during a random urine drug screen. The MOST appropriate clinical response is:

Accepted Answer

Explore triggers and circumstances with the client and adjust the treatment plan accordingly

Answer

A positive screen is a clinical data point that should prompt collaborative problem-solving and treatment plan revision rather than punitive discharge.

Question 4

When assessing suicide risk in a client with stimulant use disorder, the counselor should be particularly alert to increased danger during:

Accepted Answer

The crash or withdrawal phase following a binge

Answer

The stimulant crash involves profound dysphoria, anhedonia, and hopelessness that dramatically elevate suicide risk.

Question 5

Which document BEST serves as a legally and ethically sound tool for managing risk with a suicidal client?

Accepted Answer

A collaborative safety plan with specific coping steps, contacts, and crisis resources

Answer

Evidence-based safety planning, not no-suicide contracts, is the recommended standard because it actively builds coping skills and support connections.

(CAS) Certified Addiction Specialist Practice Test

(CAS) Certified Addiction Specialist Practice Test

CAS Risk Management & Mitigation 3