Chemical Dependency Counselor License Exam Crisis Intervention 5

Question 1

A client presents with benzodiazepine withdrawal symptoms including seizure activity. Which action is OUTSIDE the scope of a chemical dependency counselor's role?

Accepted Answer

Administering a benzodiazepine to control the seizure

Answer

Calling 911 for emergency medical services

Answer

Notifying the clinical supervisor

Answer

Keeping the environment calm and safe until EMS arrives

Question 2

Which of the following is the BEST example of a protective factor that reduces suicide risk in a client with a substance use disorder?

Accepted Answer

Strong religious or spiritual beliefs against suicide

Answer

Living alone with independent housing

Answer

A history of multiple psychiatric hospitalizations

Answer

Previous suicide attempts with low lethality

Question 3

A counselor uses the mnemonic IS PATH WARM to screen for suicide risk. What does the 'W' stand for?

Accepted Answer

Withdrawal

Answer

Warning signs

Answer

Worthlessness

Answer

Will to live

Question 4

A client who experienced childhood sexual abuse is now in crisis after a relapse triggered by an anniversary date. Which trauma-informed crisis response is MOST appropriate?

Accepted Answer

Acknowledge the connection between the anniversary, trauma history, and the relapse without deep trauma processing

Answer

Avoid discussing the trauma to prevent retraumatization during the crisis

Answer

Discharge the client to a trauma specialist before addressing substance use

Answer

Confront the client's use of trauma as an excuse for the relapse

Question 5

When assessing a client's coping resources during a crisis, the counselor is primarily evaluating:

Accepted Answer

Internal strengths and external supports available to manage the crisis

Answer

The client's intellectual quotient and academic history

Answer

The client's insurance benefits and treatment eligibility

Answer

Prior criminal justice involvement related to substance use

Question 6

A counselor is wrapping up a crisis session. Which action is MOST consistent with effective crisis resolution?

Accepted Answer

Collaborating with the client to create a written follow-up plan with specific next steps

Answer

Instructing the client not to contact the counselor until the next scheduled appointment

Answer

Providing a list of hotline numbers and ending the session

Answer

Advising the client to rest and return only if the crisis worsens

Question 7

A counselor learns that a client in crisis has been posting farewell messages on social media. This behavior MOST indicates:

Accepted Answer

Saying goodbye—a preparatory behavior that warrants immediate risk assessment

Answer

Attention-seeking behavior that does not require clinical concern

Answer

A healthy use of social support during a difficult time

Answer

Boundary violations that should be addressed in a future session