Chemical Dependency Counselor License Exam Case Management 4

Question 1

A case manager notices that a client's urine drug screen is inconsistent with reported sobriety. The most clinically appropriate response is to:

Accepted Answer

Explore the result with the client using a non-judgmental, motivational approach

Answer

Discharge the client from treatment for dishonesty

Answer

Report the client to law enforcement

Answer

Ignore the result and continue with the current treatment plan unchanged

Question 2

When is it appropriate for a case manager to involve natural supports (family, friends) in a client's treatment planning?

Accepted Answer

When the client provides informed consent and it is clinically indicated

Answer

Only when mandated by a court

Answer

Anytime the case manager believes it would be helpful

Answer

Only during the discharge planning phase

Question 3

What is the role of community resources in chemical dependency case management?

Accepted Answer

To supplement clinical treatment by addressing social determinants of health

Answer

To replace professional counseling services

Answer

To reduce the case manager's workload

Answer

To satisfy insurance billing requirements

Question 4

A client reports that their prescribed buprenorphine has been stolen. The case manager should:

Accepted Answer

Consult with the prescribing provider and document the incident thoroughly

Answer

Immediately discontinue the client's buprenorphine prescription

Answer

Assume the client is diverting medication and discharge them

Answer

Provide the client with extra medication from the office supply

Question 5

Which type of monitoring best measures whether case management services are achieving intended outcomes?

Accepted Answer

Tracking client progress against measurable treatment plan goals

Answer

Counting the number of referrals made

Answer

Reviewing how many sessions occurred

Answer

Monitoring billing records for accuracy

Question 6

A case manager is working with a client who has chronic pain and a history of opioid use disorder. The most important coordination task is:

Accepted Answer

Communicating with both the pain management physician and the addiction treatment team to align care plans

Answer

Advising the client to refuse all pain medications

Answer

Requesting that the pain physician defer all decisions to the addiction counselor

Answer

Keeping the pain management and addiction treatment teams separate to avoid confusion

Question 7

Which action represents a breach of case management ethical boundaries?

Accepted Answer

Accepting a gift of significant monetary value from a grateful client

Answer

Helping a client apply for Medicaid coverage

Answer

Consulting a supervisor about a difficult case

Answer

Providing a client with a list of community resources