Chemical Dependency Counselor License Exam Case Management and Referral 3

Question 1

A counselor learns that a client's transportation barrier is preventing attendance at outpatient sessions. The MOST appropriate case management response is:

Accepted Answer

Explore transportation assistance programs, telehealth options, or closer service locations

Answer

Discharge the client for non-attendance

Answer

Reduce session frequency without addressing the underlying barrier

Answer

Refer the client back to residential treatment

Question 2

A client who completed treatment six months ago calls requesting help accessing food assistance. The counselor's BEST response under a continuing care model is:

Accepted Answer

Provide referral information and connect the client to community resources as part of ongoing recovery support

Answer

Decline assistance since the client has completed formal treatment

Answer

Require the client to re-enroll in treatment before receiving case management services

Answer

Direct the client exclusively to 211 without any counselor involvement

Question 3

Which documentation element is MOST critical when making a referral to ensure continuity of care?

Accepted Answer

Relevant clinical history, current needs, and the specific reason for referral

Answer

A summary of the client's demographic information only

Answer

A copy of the client's insurance card

Answer

Notes from the most recent 12-step meeting attended

Question 4

In case management, 'level of care' determination is PRIMARILY based on:

Accepted Answer

Standardized criteria such as ASAM that match client needs to appropriate service intensity

Answer

The client's personal preference for treatment setting only

Answer

Insurance coverage limitations alone

Answer

The availability of beds at local facilities

Question 5

A counselor suspects a client is experiencing domestic violence but the client has not disclosed it. The MOST appropriate case management approach is:

Accepted Answer

Create a safe, supportive environment and gently inquire using a validated screening tool

Answer

Confront the client directly and demand disclosure before continuing treatment

Answer

Document the suspicion and take no further action to protect client privacy

Answer

Contact law enforcement immediately without speaking to the client

Question 6

The PRIMARY purpose of a case conference in chemical dependency treatment is to:

Accepted Answer

Review client progress and coordinate care decisions across multiple providers

Answer

Assign blame for treatment failures among team members

Answer

Reduce the counselor's individual caseload documentation burden

Answer

Determine billing codes for submitted services

Question 7

When a client transitions from inpatient detoxification to outpatient treatment, the counselor's MOST important action to prevent relapse is:

Accepted Answer

Ensuring a scheduled appointment at the outpatient program before discharge from detox

Answer

Providing the client with a list of AA meeting locations only

Answer

Waiting for the client to contact outpatient services independently

Answer

Recommending a 30-day waiting period before beginning outpatient services