Chemical Dependency Counselor License Exam Chemical Dependency Counselor License MCQ 4

Question 1

The concept of 'locus of control' is MOST relevant in treatment planning because clients with an internal locus of control tend to:

Accepted Answer

Take greater personal responsibility for their recovery outcomes

Answer

Rely more heavily on peer support networks

Answer

Believe their recovery depends on external forces like fate or others

Answer

Respond better to directive counseling approaches

Question 2

Which ASAM level of care refers to medically managed intensive inpatient services?

Accepted Answer

Level 4.0

Answer

Level 1.0

Answer

Level 2.1

Answer

Level 3.7

Question 3

Naltrexone is used in the treatment of alcohol use disorder primarily because it:

Accepted Answer

Reduces the euphoric effects of alcohol by blocking opioid receptors

Answer

Produces a disulfiram-like reaction when alcohol is consumed

Answer

Replaces alcohol with a safer controlled substance

Answer

Alleviates anxiety that drives alcohol use

Question 4

A counselor working with an adolescent client discovers the teen is currently being physically abused at home. The counselor is legally required to:

Accepted Answer

File a mandated report with child protective services

Answer

Discuss the abuse with the teen's parents before reporting

Answer

Consult a supervisor and decide together whether to report

Answer

Maintain confidentiality because the teen shared this in session

Question 5

Which harm reduction strategy involves providing sterile syringes to people who inject drugs to prevent the spread of disease?

Accepted Answer

Needle exchange program

Answer

Therapeutic community

Answer

Pharmacotherapy

Answer

Contingency management

Question 6

A client with opioid use disorder is prescribed buprenorphine/naloxone. Which statement by the client indicates a need for further education?

Accepted Answer

I can stop taking this whenever I feel ready without tapering

Answer

I should take this medication every day as prescribed

Answer

If I inject this medication it could cause me to go into withdrawal

Answer

Naloxone is added to discourage misuse by injection

Question 7

In the context of substance use counseling, 'change talk' in motivational interviewing refers to:

Accepted Answer

Client statements that favor movement toward change

Answer

The counselor directing the client to make specific behavioral changes

Answer

Discussing change strategies with the treatment team

Answer

Providing psychoeducation about the benefits of sobriety