Chemical Dependency Counselor License Exam Crisis Intervention 3

Question 1

Roberts' Seven-Stage Crisis Intervention Model begins with which stage?

Accepted Answer

Assessing lethality and safety

Answer

Establishing rapport

Answer

Planning treatment

Answer

Identifying major problems

Question 2

A counselor is conducting a SLAP assessment. What does SLAP stand for?

Accepted Answer

Specificity, Lethality, Availability, Proximity

Answer

Suicide, Lethality, Alcohol, Plan

Answer

Severity, Level, Affect, Plan

Answer

Safety, Likelihood, Access, Prevention

Question 3

A client in early recovery presents to an outpatient session in acute alcohol withdrawal with a blood pressure of 170/100 and tremors. The counselor's IMMEDIATE action should be to:

Accepted Answer

Refer immediately to medical evaluation or emergency services

Answer

Begin motivational interviewing to address the relapse

Answer

Provide psychoeducation about withdrawal symptoms

Answer

Schedule a follow-up appointment for the next day

Question 4

Which element is ESSENTIAL in a safety plan developed with a suicidal client in substance use treatment?

Accepted Answer

Identifying triggers and listing means restriction steps

Answer

Setting a firm discharge date from treatment

Answer

Requiring the client to sign a no-suicide contract

Answer

Informing the client's employer about the crisis

Question 5

Psychological first aid (PFA) in the context of a substance use crisis emphasizes which core principle?

Accepted Answer

Promoting a sense of safety, calm, and connectedness

Answer

Immediate exploration of childhood trauma

Answer

Confronting denial as the primary therapeutic task

Answer

Administering rapid cognitive assessments

Question 6

Under HIPAA and most state laws, a counselor may breach confidentiality during a crisis ONLY when:

Accepted Answer

There is a serious, credible, and imminent threat to an identified person

Answer

The client has a history of substance use

Answer

The client refuses to consent to release of information

Answer

The client's family requests information about the crisis

Question 7

A client who relapsed after six months of sobriety expresses shame and says 'I'm hopeless.' Which crisis counseling response is MOST therapeutic?

Accepted Answer

Normalize struggle, affirm strengths, and explore what can be learned from the lapse

Answer

Remind the client of the consequences of continued use

Answer

Advise the client to attend 90 meetings in 90 days immediately

Answer

Reduce the treatment plan goals to minimize future failure