Chemical Dependency Counselor License Exam Sample Questions 4

Question 1

A client in the 'contemplation' stage of change is best described as someone who:

Accepted Answer

Is aware of the problem and seriously considering change but has not committed

Answer

Has no intention of changing their behavior in the foreseeable future

Answer

Has made small changes and is preparing to take action

Answer

Has recently made significant behavior changes

Question 2

Which of the following is an example of a dual diagnosis?

Accepted Answer

Major depressive disorder co-occurring with alcohol use disorder

Answer

Alcohol dependence and opioid dependence occurring simultaneously

Answer

Nicotine dependence alongside cannabis use disorder

Answer

Physical dependence and psychological dependence on the same substance

Question 3

According to 42 CFR Part 2, substance use disorder treatment records have stricter confidentiality protections than standard HIPAA records because:

Accepted Answer

Federal law recognizes that fear of disclosure may deter people from seeking treatment

Answer

Substance use clients are more likely to sue their providers

Answer

Insurance companies required stricter protections to reduce fraud

Answer

State licensing boards mandated additional protections for counselors

Question 4

A counselor uses 'reflective listening' during a session. Which response best demonstrates this technique?

Accepted Answer

'It sounds like you feel trapped between wanting to quit and fear of losing your social connections.'

Answer

'Have you considered attending an AA meeting instead?'

Answer

'I think you need to be more honest with yourself about the damage alcohol is doing.'

Answer

'Let me tell you about the health consequences of continued alcohol use.'

Question 5

Which of the following best describes 'enabling' behavior in a client's family system?

Accepted Answer

Family behaviors that inadvertently protect the client from consequences of their substance use

Answer

Family members attending Al-Anon meetings to support their loved one

Answer

Family members encouraging the client to enter treatment

Answer

Family participation in the client's treatment plan development

Question 6

A client who was sexually abused as a child and now uses opioids to cope is best understood through which framework?

Accepted Answer

Trauma-informed care framework

Answer

Moral model of addiction

Answer

Disease model of addiction

Answer

Social learning theory

Question 7

The primary goal of a biopsychosocial assessment in substance use counseling is to:

Accepted Answer

Gather comprehensive information across biological, psychological, and social domains to guide treatment planning

Answer

Determine the appropriate legal consequences for the client's substance use

Answer

Screen for medical conditions that require immediate hospitalization

Answer

Establish a DSM-5 diagnosis for insurance billing purposes