Chemical Dependency Counselor License Exam General Practice 4

Question 1

A client discloses during a session that they plan to harm a specific third party. The counselor's duty under Tarasoff requires:

Accepted Answer

Warning the identifiable potential victim and notifying law enforcement

Answer

Maintaining confidentiality and documenting the threat in the file

Answer

Immediately hospitalizing the client involuntarily

Answer

Consulting a supervisor only and taking no further action

Question 2

Which of the following statements about methadone maintenance therapy (MMT) is TRUE?

Accepted Answer

MMT is a form of harm reduction that reduces illicit opioid use and overdose deaths

Answer

Methadone is only effective when combined with residential treatment

Answer

Clients on MMT cannot maintain meaningful employment or family life

Answer

Methadone eliminates cravings completely within the first week

Question 3

The term 'psychological dependence' refers primarily to:

Accepted Answer

A compulsive emotional and mental need to use a substance for its effects

Answer

Physical symptoms during withdrawal from a substance

Answer

Increased tolerance requiring higher doses for the same effect

Answer

Cross-tolerance between two different substances

Question 4

An African American client tells a White counselor, 'You can't possibly understand what I've been through.' The culturally competent response is to:

Accepted Answer

Acknowledge the client's experience and explore how cultural context affects their recovery

Answer

Reassure the client by saying race doesn't matter in therapy

Answer

Immediately refer the client to a counselor of the same race

Answer

Ignore the comment and redirect to the presenting problem

Question 5

In the ASAM Patient Placement Criteria, Level II.1 refers to:

Accepted Answer

Intensive outpatient treatment (IOP)

Answer

Medically managed intensive inpatient services

Answer

Clinically managed residential services

Answer

Opioid treatment programs only

Question 6

Which of the following is a key principle of Alcoholics Anonymous (AA) as it applies to the 12-step model?

Accepted Answer

Acknowledging powerlessness over alcohol and relying on a higher power for recovery

Answer

Sobriety is maintained through willpower and personal discipline alone

Answer

Professional counseling must accompany all 12-step participation

Answer

Members are required to disclose their full name and history publicly

Question 7

Which assessment tool is specifically designed to screen for alcohol use disorders in primary care settings?

Accepted Answer

AUDIT (Alcohol Use Disorders Identification Test)

Answer

ASI (Addiction Severity Index)

Answer

CAGE questionnaire only

Answer

DAST-10 (Drug Abuse Screening Test)