Chemical Dependency Counselor License Exam Chemical Dependency Counselor License MCQ 3

Question 1

Which federal regulation specifically governs the confidentiality of substance use disorder patient records beyond standard HIPAA protections?

Accepted Answer

42 CFR Part 2

Answer

42 CFR Part 2 provides heightened confidentiality protections specifically for records from federally assisted substance use disorder programs.

Question 2

In group therapy for substance use disorders, the therapeutic factor of universality refers to:

Accepted Answer

Members discovering their struggles are shared by others

Answer

Universality, identified by Yalom, is the curative factor in which group members realize they are not alone in their struggles.

Question 3

A client reports using heroin daily and wants to stop. The MOST appropriate immediate clinical action is:

Accepted Answer

Conduct a medical withdrawal assessment and facilitate medical detox

Answer

Opioid withdrawal can be medically serious; a clinical assessment followed by medically supervised detox is the priority before other treatment.

Question 4

Which approach is the foundation of Cognitive Behavioral Therapy (CBT) for substance use disorders?

Accepted Answer

Identifying and restructuring maladaptive thoughts that trigger use

Answer

CBT for SUD focuses on identifying cognitive distortions and high-risk thoughts, then replacing them with adaptive coping strategies.

Question 5

When a client presents with co-occurring substance use disorder and PTSD, best practice indicates:

Accepted Answer

Address both disorders simultaneously with integrated treatment

Answer

SAMHSA recommends integrated, concurrent treatment for co-occurring disorders as the most effective approach.

Chemical Dependency Counselor License Exam Practice Test