Chemical Dependency Counselor License MCQ Flashcards

Under the NAADAC Code of Ethics, a counselor who discovers a colleague is impaired while working should FIRST:

Answer: Confront the colleague privately and encourage them to seek help

NAADAC ethics prioritize colleague welfare by first encouraging self-referral before escalating to formal reporting.

Which motivational interviewing technique involves the counselor summarizing the client's ambivalence about change to highlight discrepancy?

Answer: Double-sided reflection

A double-sided reflection acknowledges both sides of the client's ambivalence to highlight the discrepancy between current behavior and stated goals.

A client on methadone maintenance asks if they are truly 'sober.' The most therapeutically appropriate counselor response is:

Answer: Explore what sobriety means to the client and address stigma around MAT

Exploring the client's personal definition of sobriety and validating medication-assisted treatment (MAT) as a legitimate recovery path is most therapeutic.

The ASI (Addiction Severity Index) measures severity across how many life problem areas?

Answer: 7

The ASI assesses severity in 7 areas: medical, employment, alcohol, drug, legal, family/social, and psychiatric.

Which stage of the Transtheoretical Model is characterized by a client saying, 'I've been thinking about quitting drinking but I'm not sure I'm ready'?

Answer: Contemplation

Contemplation is marked by awareness of the problem and consideration of change without commitment to act within the next 30 days.

HIPAA allows substance use treatment records to be shared without client consent for which of the following purposes?

Answer: A genuine medical emergency

Under 42 CFR Part 2 and HIPAA, records may be disclosed without consent in a bona fide medical emergency to protect the client's life.

A counselor notices a client is experiencing tremors, sweating, and anxiety 12 hours after their last drink. This presentation is most consistent with:

Answer: Alcohol withdrawal syndrome

Tremors, diaphoresis, and anxiety appearing 6–24 hours after last alcohol use are hallmark early signs of alcohol withdrawal syndrome.