Chemical Dependency Counselor License MCQ Flashcards

The primary goal of a relapse prevention plan developed using Marlatt's model is to:

Answer: Help the client identify triggers and develop coping skills to manage high-risk situations

Marlatt's relapse prevention model focuses on identifying high-risk situations and building cognitive and behavioral coping skills to manage them.

Cultural humility in chemical dependency counseling BEST described as:

Answer: An ongoing process of self-reflection and openness to learning about a client's cultural context

Cultural humility is a lifelong process of self-reflection, openness, and willingness to learn from clients about their own cultural context rather than assuming expertise.

Which of the following screening tools is specifically designed to identify problematic alcohol use in primary care settings?

Answer: AUDIT

The AUDIT (Alcohol Use Disorders Identification Test) was developed by the WHO specifically to screen for hazardous and harmful alcohol use.

A client who has been abstinent for 8 months suddenly experiences an intense, unexpected craving after smelling beer at a restaurant. This is BEST explained by:

Answer: Conditioned cue reactivity

Conditioned cue reactivity occurs when environmental stimuli previously associated with substance use trigger cravings through classical conditioning.

According to the DSM-5, Substance Use Disorder severity is determined by:

Answer: The number of diagnostic criteria met within a 12-month period

DSM-5 specifies mild (2–3 criteria), moderate (4–5 criteria), and severe (6+ criteria) SUD based on the number of 11 criteria met in 12 months.

A counselor who shares their own personal recovery story with a client is practicing:

Answer: Appropriate self-disclosure

Sharing one's recovery story is considered appropriate self-disclosure when it is purposeful, brief, and serves the client's therapeutic needs.

Which of the following best describes the 'abstinence violation effect' (AVE)?

Answer: A client's cognitive and emotional response of guilt and self-blame after a lapse that increases the risk of full relapse

AVE is the cognitive-emotional process where a client interprets a lapse as total failure, leading to shame and increased likelihood of full relapse.