Chemical Dependency Counselor License Exam General Practice 2

Question 1

Which of the following best describes the 'transtheoretical model' stage where a client acknowledges a problem but is not yet committed to change?

Accepted Answer

Contemplation

Answer

Precontemplation

Answer

Preparation

Answer

Action

Question 2

A counselor discovers their client is a former romantic partner. The most appropriate first action is to:

Accepted Answer

Consult a supervisor and arrange for client referral

Answer

Continue counseling since the relationship has ended

Answer

Immediately terminate all contact with the client

Answer

Disclose the prior relationship to the client and proceed

Question 3

Which neurotransmitter is most directly implicated in the rewarding effects of alcohol and opioids?

Accepted Answer

Dopamine

Answer

Serotonin

Answer

GABA

Answer

Norepinephrine

Question 4

Motivational Interviewing is best described as:

Accepted Answer

A client-centered method for eliciting intrinsic motivation to change

Answer

A directive confrontational approach to breaking denial

Answer

A 12-step facilitation technique for group therapy

Answer

A behavioral exposure protocol for cravings management

Question 5

Under HIPAA, a chemical dependency counselor may release a client's records without consent in which of the following situations?

Accepted Answer

A court issues a valid subpoena or court order

Answer

A family member requests records to help support recovery

Answer

An employer requests records to confirm treatment attendance

Answer

A colleague at the same agency requests records for curiosity

Question 6

Which of the following is a hallmark symptom of opioid withdrawal?

Accepted Answer

Lacrimation, rhinorrhea, and muscle aches

Answer

Euphoria and increased energy

Answer

Vivid hallucinations and seizures

Answer

Hyperthermia and diaphoresis only

Question 7

A client in early recovery says, 'I can have just one drink at a wedding—I'm cured now.' Which counseling concept should the counselor address?

Accepted Answer

Controlled use belief

Answer

Codependency

Answer

Euphoric recall

Answer

Secondary gain