Chemical Dependency Counselor License Exam Case Management and Referral 2

Question 1

When conducting a needs assessment for a client newly admitted to outpatient substance use treatment, which area should be evaluated FIRST?

Accepted Answer

Client's housing stability and safety

Answer

Client's history of prior treatment episodes

Answer

Client's insurance coverage and financial resources

Answer

Client's educational and vocational background

Question 2

A chemical dependency counselor identifies that a client needs psychiatric evaluation but the client refuses. The most appropriate next step is to:

Accepted Answer

Explain the potential consequences and continue exploring the client's concerns about the referral

Answer

Document the refusal and continue treatment without further action

Answer

Terminate the counseling relationship until the client agrees to the evaluation

Answer

Contact the psychiatrist on the client's behalf without consent

Question 3

Which of the following BEST describes the role of a case manager in a multidisciplinary treatment team?

Accepted Answer

Coordinating services across systems to ensure continuity of care

Answer

Providing clinical therapy and medication management

Answer

Making treatment decisions on behalf of other providers

Answer

Advocating exclusively for cost reduction in service delivery

Question 4

A client with co-occurring opioid use disorder and hepatitis C is being discharged from residential treatment. The counselor's MOST important referral priority is:

Accepted Answer

Connecting the client to a hepatitis C specialist and medication-assisted treatment provider

Answer

Referring the client to vocational rehabilitation before any medical services

Answer

Scheduling a follow-up appointment with the residential program in 90 days

Answer

Recommending the client enroll in a 12-step program only

Question 5

The concept of 'warm handoff' in referral practice means:

Accepted Answer

Personally introducing the client to the receiving provider or making a direct phone call while the client is present

Answer

Providing the client a written list of referral resources

Answer

Mailing records to the new provider before the client's first appointment

Answer

Scheduling the referral appointment for a future date without client involvement

Question 6

Which ethical principle is MOST relevant when a case manager must ration limited community resources among multiple clients with similar needs?

Accepted Answer

Justice

Answer

Beneficence

Answer

Nonmaleficence

Answer

Fidelity

Question 7

When developing a service plan for a client with substance use disorder, the client's input is considered essential because:

Accepted Answer

Client involvement increases ownership, motivation, and likelihood of treatment success

Answer

It satisfies legal requirements for documentation only

Answer

It shifts responsibility for outcomes from the counselor to the client

Answer

Regulatory bodies require client signatures regardless of their participation