Chemical Dependency Counselor License MCQ Flashcards

The concept of 'locus of control' is MOST relevant in treatment planning because clients with an internal locus of control tend to:

Answer: Take greater personal responsibility for their recovery outcomes

Clients with an internal locus of control believe their actions influence outcomes, which supports personal accountability in recovery.

Which ASAM level of care refers to medically managed intensive inpatient services?

Answer: Level 4.0

ASAM Level 4.0 is medically managed intensive inpatient treatment, providing 24-hour nursing care and daily physician management.

Naltrexone is used in the treatment of alcohol use disorder primarily because it:

Answer: Reduces the euphoric effects of alcohol by blocking opioid receptors

Naltrexone is an opioid receptor antagonist that blocks the reinforcing euphoric effects of alcohol, reducing cravings and the reward of drinking.

A counselor working with an adolescent client discovers the teen is currently being physically abused at home. The counselor is legally required to:

Answer: File a mandated report with child protective services

Counselors are mandated reporters; suspected child abuse must be reported to child protective services regardless of confidentiality obligations.

Which harm reduction strategy involves providing sterile syringes to people who inject drugs to prevent the spread of disease?

Answer: Needle exchange program

Needle exchange (syringe services) programs are a core harm reduction intervention that reduces HIV and hepatitis C transmission without requiring abstinence.

A client with opioid use disorder is prescribed buprenorphine/naloxone. Which statement by the client indicates a need for further education?

Answer: I can stop taking this whenever I feel ready without tapering

Abruptly stopping buprenorphine without a taper can precipitate withdrawal; clients need education about proper discontinuation under medical supervision.

In the context of substance use counseling, 'change talk' in motivational interviewing refers to:

Answer: Client statements that favor movement toward change

Change talk consists of the client's own verbal expressions of desire, ability, reasons, or need to change, which the counselor elicits and reinforces.