Chemical Dependency Counselor License Exam Counseling Theories and Skills 3

Question 1

During a group counseling session, a member repeatedly interrupts others. The MOST therapeutically appropriate response is to:

Accepted Answer

Use the behavior as material for group exploration of boundaries

Answer

Terminate the group member's participation

Answer

Ignore the behavior to avoid conflict

Answer

Privately warn the member after session

Question 2

A counselor using Dialectical Behavior Therapy (DBT) with a client who has co-occurring borderline personality disorder and substance use would emphasize:

Accepted Answer

Distress tolerance and emotional regulation skills

Answer

12-step fellowship attendance

Answer

Uncovering childhood trauma memories

Answer

Identifying irrational beliefs using the ABC model

Question 3

Which of the following BEST describes the concept of 'unconditional positive regard' as used in person-centered counseling?

Accepted Answer

Accepting the client as a person regardless of their behavior or statements

Answer

Agreeing with everything the client says

Answer

Avoiding all negative feedback to preserve the therapeutic alliance

Answer

Providing rewards for positive behavior change

Question 4

The term 'secondary gains' in the context of substance use counseling refers to:

Accepted Answer

Benefits the client receives as a result of using substances, such as peer acceptance

Answer

Financial profits from selling substances

Answer

Improvements in physical health during early recovery

Answer

Gains made in secondary treatment settings

Question 5

A counselor uses role-playing in session to help a client practice refusing a drink at a party. This is an example of which skill-building approach?

Accepted Answer

Behavioral rehearsal

Answer

Psychodrama

Answer

Empty chair technique

Answer

Free association

Question 6

According to Rational Emotive Behavior Therapy (REBT), the primary cause of emotional disturbance is:

Accepted Answer

Irrational beliefs about activating events

Answer

Early childhood trauma

Answer

Genetic predisposition to emotional sensitivity

Answer

Social reinforcement of maladaptive behaviors

Question 7

A counselor who shares a brief personal experience to normalize a client's feelings is using which technique?

Accepted Answer

Self-disclosure

Answer

Transference

Answer

Countertransference disclosure

Answer

Immediacy