Chemical Dependency Counselor License Exam Crisis Intervention 2

Question 1

A client in a substance-induced crisis presents with suicidal ideation but no specific plan. Which level of suicide risk does this represent?

Accepted Answer

Moderate risk requiring close monitoring and safety planning

Answer

High risk requiring immediate hospitalization

Answer

Low risk requiring routine follow-up only

Answer

No risk because there is no specific plan

Question 2

When using the ACT model in crisis intervention, what does the 'A' stand for?

Accepted Answer

Acknowledgment

Answer

Assessment

Answer

Action

Answer

Alliance

Question 3

A counselor receives a call from a client's family member stating the client has barricaded himself with alcohol and a firearm. The FIRST priority is to:

Accepted Answer

Contact law enforcement

Answer

Drive to the client's location immediately

Answer

Call the client on the phone to de-escalate

Answer

Notify the clinical supervisor

Question 4

Which therapeutic approach is most aligned with crisis intervention's focus on restoring pre-crisis functioning?

Accepted Answer

Brief problem-focused intervention

Answer

Psychoanalytic therapy

Answer

Long-term insight-oriented therapy

Answer

Schema therapy

Question 5

During a relapse crisis, a client says 'I've ruined everything—I might as well keep drinking.' This thinking pattern is best identified as:

Accepted Answer

All-or-nothing thinking

Answer

Minimization

Answer

Personalization

Answer

Magnification

Question 6

A chemical dependency counselor is working a crisis hotline. A caller is intoxicated and threatening to drive. The counselor's BEST action is to:

Accepted Answer

Attempt to keep the caller on the line and involve emergency services

Answer

Advise the caller to drink coffee and sleep it off

Answer

Hang up to avoid enabling the client's behavior

Answer

Offer to call a taxi for the client

Question 7

Which factor is MOST associated with increased lethality in a suicide risk assessment for a substance-using client?

Accepted Answer

Recent loss combined with current intoxication

Answer

History of previous treatment episodes

Answer

Ambivalence about wanting to die

Answer

Having a supportive family present