Chemical Dependency Counselor License Exam Sample Questions 3

Question 1

A counselor working with a Native American client should prioritize which of the following approaches?

Accepted Answer

Incorporating culturally specific healing practices and community support

Answer

Using only evidence-based Western treatment protocols

Answer

Referring the client exclusively to Native American counselors

Answer

Avoiding discussion of cultural identity to focus on the addiction

Question 2

Which neurotransmitter is most directly associated with the rewarding effects of most addictive substances?

Accepted Answer

Dopamine

Answer

Serotonin

Answer

GABA

Answer

Norepinephrine

Question 3

A client discloses they plan to harm a specific coworker when they leave the session. The counselor's FIRST obligation is to:

Accepted Answer

Warn the intended victim and notify appropriate authorities (Tarasoff duty)

Answer

Maintain confidentiality and document the threat in the client's record

Answer

Contact the client's family to inform them of the threat

Answer

Hospitalize the client immediately without any other action

Question 4

In group counseling for substance use disorders, 'universality' refers to:

Accepted Answer

The therapeutic benefit of recognizing that one's struggles are shared by others

Answer

Using universal screening tools across all populations

Answer

Applying the same treatment protocol to every group member

Answer

The universal applicability of the 12-step model

Question 5

Which medication is used as an opioid antagonist to help prevent relapse by blocking the euphoric effects of opioids?

Accepted Answer

Naltrexone

Answer

Methadone

Answer

Buprenorphine

Answer

Disulfiram

Question 6

A counselor who develops romantic feelings toward a client should:

Accepted Answer

Seek clinical supervision and, if necessary, transfer the client

Answer

Transfer the client to another counselor and then pursue the relationship

Answer

Immediately disclose the feelings to the client to maintain honesty

Answer

Document the feelings and continue treatment with heightened awareness

Question 7

The CAGE questionnaire is a brief screening tool for which substance use disorder?

Accepted Answer

Alcohol use disorder

Answer

Opioid use disorder

Answer

Cannabis use disorder

Answer

Stimulant use disorder

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