Chemical Dependency Counselor License Exam Counseling Theories and Skills 5

Question 1

A client who grew up with an alcoholic parent and now over-functions to keep peace with their substance-using spouse is BEST described as exhibiting:

Accepted Answer

Codependency

Answer

Enmeshment

Answer

Parentification

Answer

Enabling with insight

Question 2

A counselor who uses 'motivational enhancement therapy' (MET) is applying which foundational model?

Accepted Answer

Motivational interviewing principles in a structured brief format

Answer

Cognitive behavioral therapy adapted for groups

Answer

The 12-step facilitation model with motivational elements

Answer

Acceptance and commitment therapy for substance use

Question 3

Which of the following statements BEST describes the role of 'therapeutic alliance' in counseling outcomes for substance use disorders?

Accepted Answer

It is one of the strongest predictors of positive treatment outcomes

Answer

It is less important than the specific treatment technique used

Answer

It only matters in long-term residential treatment

Answer

It is primarily established through psychoeducation

Question 4

A counselor practicing Acceptance and Commitment Therapy (ACT) would help a client primarily by:

Accepted Answer

Helping the client accept difficult internal experiences and commit to values-based action

Answer

Eliminating all negative thoughts about substance use

Answer

Using exposure hierarchies to reduce cravings

Answer

Identifying and disputing irrational beliefs about sobriety

Question 5

When a client says 'My counselor doesn't really understand what addiction is like,' a supervisor reviewing the case would FIRST consider whether:

Accepted Answer

The client may be experiencing transference or resistance

Answer

The counselor should be replaced immediately

Answer

The counselor needs more training in addiction pharmacology

Answer

The client should be referred to a peer support specialist

Question 6

Which of the following BEST describes 'motivational congruence' in substance use counseling?

Accepted Answer

Treatment interventions are matched to the client's stage of change and readiness

Answer

The client and counselor agree on the treatment plan

Answer

The client's external motivation matches their internal motivation

Answer

The counselor mirrors the client's emotional state during session

Question 7

A counselor who helps a client identify 'high-risk situations' for relapse and develop coping strategies is applying which model?

Accepted Answer

Relapse Prevention (RP) model by Marlatt and Gordon

Answer

Psychodynamic model

Answer

Transtheoretical model

Answer

Humanistic self-actualization model