Chemical Dependency Counselor License Exam Sample Questions 5

Question 1

A counselor who repeatedly arrives late to sessions, forgets client names, and misses documentation deadlines may be experiencing:

Accepted Answer

Burnout or compassion fatigue

Answer

Compassion satisfaction

Answer

Vicarious resilience

Answer

Secondary benefit from client relationships

Question 2

Which statement about Alcoholics Anonymous (AA) is accurate in the context of professional counseling?

Accepted Answer

AA is a mutual-aid support group that can complement professional treatment

Answer

AA is a professional treatment program that can replace licensed counseling

Answer

AA is only effective for clients with severe alcohol dependence

Answer

AA is contraindicated for clients with co-occurring mental health disorders

Question 3

Which of the following describes 'harm reduction' as a treatment philosophy?

Accepted Answer

Focusing on minimizing negative consequences of substance use without requiring abstinence

Answer

Requiring complete abstinence before any treatment services are provided

Answer

Reducing the number of substances a client uses to just one

Answer

Lowering treatment expectations when a client fails to maintain sobriety

Question 4

A client reports using benzodiazepines prescribed by their physician alongside alcohol. The counselor's primary concern should be:

Accepted Answer

The potential for dangerous CNS depression due to cross-tolerance and synergistic effects

Answer

Insurance coverage for dual substance use treatment

Answer

Whether the client is also using opioids at the same time

Answer

Legal liability related to the physician's prescribing practices

Question 5

In the counseling relationship, 'transference' occurs when:

Accepted Answer

The client transfers feelings from past significant relationships onto the counselor

Answer

The counselor projects their own feelings onto the client

Answer

Treatment responsibility is transferred to another provider

Answer

The client transfers their anger about addiction onto their family

Question 6

Which of the following treatment settings provides 24-hour supervision and is most appropriate for a client with severe withdrawal risk?

Accepted Answer

Medically managed intensive inpatient treatment (ASAM Level 4)

Answer

Intensive outpatient program (IOP)

Answer

Standard outpatient counseling

Answer

Partial hospitalization program (PHP)

Question 7

A newly licensed counselor is unsure how to handle a complex case involving suicidal ideation and substance use. The most ethical action is to:

Accepted Answer

Consult with a clinical supervisor or more experienced colleague

Answer

Refer the client to a psychiatric hospital immediately without further assessment

Answer

Research the topic online and develop an independent treatment plan

Answer

Inform the client that such cases are outside the counselor's scope of practice