Chemical Dependency Counselor License Exam Co-Occurring Disorders and Dual Diagnosis 3

Question 1

When completing a biopsychosocial assessment for a client with co-occurring disorders, which domain is often underexplored?

Accepted Answer

Trauma history and adverse childhood experiences (ACEs)

Answer

Current substance use patterns

Answer

Employment status

Answer

Current living situation

Question 2

A client with bipolar disorder and cocaine use disorder is currently stable. What should the counselor include in the relapse prevention plan?

Accepted Answer

Both mood episode warning signs and substance use triggers as they are interrelated

Answer

Only substance use triggers

Answer

Only mood episode warning signs

Answer

A plan to taper off psychiatric medications

Question 3

Which best describes 'self-medication hypothesis' in the context of dual diagnosis?

Accepted Answer

Individuals use substances to manage or reduce distressing psychiatric symptoms

Answer

Clients prescribe their own medications without physician oversight

Answer

Clients administer medications to family members

Answer

Counselors provide over-the-counter medications to clients

Question 4

Which level of care is most appropriate for a client with severe PTSD and active opioid use disorder who cannot maintain safety in outpatient settings?

Accepted Answer

Residential dual-diagnosis treatment program

Answer

Standard outpatient counseling (once per week)

Answer

Intensive outpatient program (IOP) only

Answer

Detox only with no follow-up care

Question 5

A client discloses that their primary care doctor does not know about their cocaine use. What should the counselor do?

Accepted Answer

Encourage the client to disclose to their doctor and discuss the importance of integrated care

Answer

Contact the doctor immediately without the client's consent

Answer

Ignore the information as it is outside the counselor's scope

Answer

Discharge the client for withholding information from their physician

Question 6

According to SAMHSA, which of the following is a key principle of co-occurring disorder treatment?

Accepted Answer

Recovery is possible for individuals with co-occurring disorders

Answer

Mental health and substance use disorders must always be treated in separate programs

Answer

Clients with co-occurring disorders cannot benefit from peer support services

Answer

Medication-assisted treatment is inappropriate for dual-diagnosis clients