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

Codependency involves excessive emotional or psychological reliance on a partner, often developed in families affected by addiction.

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

MET is a manualized, time-limited adaptation of Motivational Interviewing originally developed for Project MATCH.

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

Research consistently shows that the quality of the therapeutic alliance is one of the most robust predictors of positive outcomes across treatment approaches.

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

ACT focuses on psychological flexibility — accepting internal experiences rather than fighting them, and taking action consistent with personal values.

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

Such statements may reflect transference (projecting past relational experiences onto the counselor) or resistance to the therapeutic process.

Chemical Dependency Counselor License Exam Practice Test

Chemical Dependency Counselor License Exam Practice Test

Chemical Dependency Counselor License Exam Counseling Theories and Skills 5