Chemical Dependency Counselor License Exam Counseling Theories and Skills 2

Question 1

A client with alcohol use disorder insists their drinking is 'not that bad compared to others.' Which defense mechanism is this?

Accepted Answer

Rationalization

Answer

Projection

Answer

Sublimation

Answer

Reaction formation

Question 2

According to Motivational Interviewing, which counselor behavior is most likely to increase client resistance?

Accepted Answer

Confronting the client directly about denial

Answer

Reflecting ambivalence

Answer

Exploring the client's own reasons for change

Answer

Using open-ended questions

Question 3

A counselor using the Transtheoretical Model identifies that a client acknowledges a problem but is not yet planning to change. The client is in which stage?

Accepted Answer

Contemplation

Answer

Precontemplation

Answer

Preparation

Answer

Maintenance

Question 4

In Cognitive Behavioral Therapy for substance use, 'thought records' are used primarily to:

Accepted Answer

Identify and challenge automatic negative thoughts

Answer

Document session progress for supervision

Answer

Track cravings and urges over time

Answer

Monitor medication adherence

Question 5

Which theoretical orientation views addiction primarily as a result of unresolved unconscious conflicts and early childhood experiences?

Accepted Answer

Psychodynamic theory

Answer

Behavioral theory

Answer

Systems theory

Answer

Humanistic theory

Question 6

A counselor notices a client frequently changes the subject when discussing family relationships. The best initial response is to:

Accepted Answer

Gently reflect the pattern and invite exploration

Answer

Confront the avoidance directly and forcefully

Answer

Move on to avoid causing distress

Answer

Refer the client to family therapy immediately

Question 7

Reality Therapy, developed by William Glasser, focuses primarily on helping clients:

Accepted Answer

Take responsibility for current choices and behaviors

Answer

Explore unconscious drives

Answer

Desensitize to substance-related cues

Answer

Understand the pharmacology of their substance use