Chemical Dependency Counselor License Exam Case Management and Referral 5

Question 1

A client discloses they have been living in their car since leaving residential treatment two weeks ago. The counselor's IMMEDIATE case management priority is:

Accepted Answer

Connecting the client to emergency shelter and housing resources while continuing addiction treatment

Answer

Scheduling an additional therapy session to process the client's feelings about homelessness

Answer

Recommending the client return to residential treatment without addressing housing

Answer

Documenting the situation for the next team meeting in two weeks

Question 2

Which of the following BEST illustrates the principle of client self-determination in case management?

Accepted Answer

The counselor presents options and supports the client in making informed choices about their own care

Answer

The counselor selects referral resources based on their professional judgment without consulting the client

Answer

The counselor follows agency protocol regardless of the client's stated preferences

Answer

The counselor delays referral until the client demonstrates readiness as measured by attendance

Question 3

A counselor is completing a biopsychosocial assessment to guide case management planning. Which domain is UNIQUE to the psychosocial component of this assessment?

Accepted Answer

Family relationships, social supports, employment, and legal history

Answer

Vital signs and laboratory results

Answer

Current medications and medical diagnoses

Answer

Presenting substance type and withdrawal risk

Question 4

When a client requires services beyond the scope of the current treatment program, the counselor's ethical obligation is to:

Accepted Answer

Refer the client to appropriate resources while maintaining coordination and continuity of care

Answer

Continue providing all services in-house to maintain the therapeutic relationship

Answer

Advise the client to seek services independently without case management support

Answer

Delay the referral until the client has completed the current level of care

Question 5

In recovery-oriented systems of care (ROSC), what distinguishes peer recovery support services from traditional clinical case management?

Accepted Answer

Peer support is delivered by individuals with lived experience of recovery who offer experiential guidance

Answer

Peer support services are provided by licensed clinicians with advanced degrees

Answer

Peer support services focus exclusively on medication management

Answer

Peer support replaces all clinical treatment and case management functions

Question 6

A counselor discovers that a referred community agency has a six-month waiting list. The MOST appropriate case management response is:

Accepted Answer

Place the client on the waiting list while identifying interim bridge services to address needs until the primary service is available

Answer

Place the client on the waiting list and provide no interim support

Answer

Cancel the referral and document that services are unavailable

Answer

Encourage the client to seek the service in another city or state

Question 7

Which of the following scenarios BEST demonstrates appropriate follow-up after a referral?

Accepted Answer

Contacting the client and receiving provider to confirm the appointment was kept and services were received

Answer

Closing the case immediately after the referral is made

Answer

Waiting for the receiving agency to report back without proactive follow-up

Answer

Assuming successful follow-through if the client does not contact the counselor with problems