Chemical Dependency Counselor License Exam Case Management 5

Question 1

A case manager is working with a pregnant client with opioid use disorder. Which treatment approach is consistent with current evidence-based guidelines?

Accepted Answer

Support medically supervised opioid agonist therapy (e.g., methadone or buprenorphine) as the standard of care

Answer

Recommend immediate abstinence from all opioids to protect the fetus

Answer

Advise the client to manage withdrawal at home to avoid medications

Answer

Defer all treatment until after delivery

Question 2

What distinguishes 'case management' from 'counseling' in chemical dependency treatment?

Accepted Answer

Case management focuses on linking clients to resources and coordinating services; counseling focuses on therapeutic interventions

Answer

Case management involves psychotherapy; counseling involves service coordination

Answer

There is no meaningful distinction between the two roles

Answer

Case management is performed only by licensed psychiatrists

Question 3

A client's treatment plan has not been updated in 18 months. This is a problem because:

Accepted Answer

Treatment plans must reflect the client's current status, needs, and evolving goals to be clinically relevant

Answer

Insurance companies require monthly updates regardless of client progress

Answer

Outdated plans indicate the case manager is overworked

Answer

It violates a federal law requiring quarterly updates

Question 4

When a client relapses after a period of sustained recovery, the case manager should FIRST:

Accepted Answer

Assess the circumstances of the relapse and collaboratively revise the treatment plan

Answer

Restart the client at the beginning of the treatment program

Answer

Place the client on a 30-day probation from services

Answer

Immediately refer the client to a detoxification facility without assessment

Question 5

A case manager is discharging a client from outpatient treatment. Which action is most important for supporting long-term recovery?

Accepted Answer

Developing an individualized continuing care plan with identified relapse prevention strategies and community supports

Answer

Advising the client they no longer need professional support

Answer

Simply closing the case in the electronic health record

Answer

Scheduling one final session and then ending all contact

Question 6

Which of the following best describes the 'broker' function in case management?

Accepted Answer

Identifying needed services and connecting clients with appropriate community resources

Answer

Providing direct therapeutic counseling to the client

Answer

Negotiating treatment fees with insurance companies

Answer

Supervising other staff members' caseloads

Question 7

A client with alcohol use disorder also presents with untreated hypertension. The case manager's responsibility is to:

Accepted Answer

Coordinate a referral to primary care and ensure follow-through while addressing how alcohol affects blood pressure

Answer

Provide direct medical treatment for the hypertension

Answer

Focus exclusively on the alcohol use disorder and disregard medical issues

Answer

Advise the client to research hypertension treatment on their own