Chemical Dependency Counselor License Exam Chemical Dependency Counselor License MCQ 2

Question 1

Under the NAADAC Code of Ethics, a counselor who discovers a colleague is impaired while working should FIRST:

Accepted Answer

Confront the colleague privately and encourage them to seek help

Answer

Report immediately to the licensing board

Answer

Ignore the behavior unless a client is harmed

Answer

Terminate the colleague's employment

Question 2

Which motivational interviewing technique involves the counselor summarizing the client's ambivalence about change to highlight discrepancy?

Accepted Answer

Double-sided reflection

Answer

Affirmation

Answer

Reflection

Answer

Open-ended questioning

Question 3

A client on methadone maintenance asks if they are truly 'sober.' The most therapeutically appropriate counselor response is:

Accepted Answer

Explore what sobriety means to the client and address stigma around MAT

Answer

Agree they are sober since methadone is prescribed

Answer

Explain they cannot be considered sober while on any medication

Answer

Redirect them to discuss their cravings instead

Question 4

The ASI (Addiction Severity Index) measures severity across how many life problem areas?

Accepted Answer

7

Answer

4

Answer

5

Answer

9

Question 5

Which stage of the Transtheoretical Model is characterized by a client saying, 'I've been thinking about quitting drinking but I'm not sure I'm ready'?

Accepted Answer

Contemplation

Answer

Precontemplation

Answer

Preparation

Answer

Action

Question 6

HIPAA allows substance use treatment records to be shared without client consent for which of the following purposes?

Accepted Answer

A genuine medical emergency

Answer

Insurance billing by a non-treating provider

Answer

Court-ordered criminal prosecution

Answer

Employment background checks

Question 7

A counselor notices a client is experiencing tremors, sweating, and anxiety 12 hours after their last drink. This presentation is most consistent with:

Accepted Answer

Alcohol withdrawal syndrome

Answer

Opioid withdrawal

Answer

Stimulant intoxication

Answer

Cannabis use disorder