Chemical Dependency Counselor License Exam Screening and Assessment 4

Question 1

A counselor administers the PHQ-9 during an intake assessment. This instrument is designed to screen for:

Accepted Answer

Major depressive disorder symptoms

Answer

Alcohol use disorder severity

Answer

Post-traumatic stress disorder

Answer

Cognitive impairment due to substance use

Question 2

During assessment, a client reports using heroin daily for three years and experiencing muscle aches, sweating, and anxiety when they stop using. These withdrawal symptoms are MOST consistent with:

Accepted Answer

Opioid use disorder with physiological dependence

Answer

Stimulant use disorder

Answer

Sedative-hypnotic use disorder

Answer

Cannabis use disorder

Question 3

Which of the following best describes 'trauma-informed assessment' in a chemical dependency context?

Accepted Answer

Integrating awareness of trauma's prevalence and impact into assessment practices without re-traumatizing the client

Answer

Assessing only clients who self-report a history of trauma before asking substance use questions

Answer

Administering a trauma-specific instrument before all other screening tools

Answer

Excluding clients with active PTSD from substance use assessments until stabilized

Question 4

When a client presents with both a substance use disorder and a mental health disorder, the assessment process should:

Accepted Answer

Assess both disorders simultaneously using an integrated approach

Answer

Focus exclusively on the substance use disorder since it is primary

Answer

Address the mental health disorder first and defer substance use assessment

Answer

Refer the client to separate providers for each disorder before assessing

Question 5

The term 'tolerance' as assessed in a substance use evaluation refers to:

Accepted Answer

The need for markedly increased amounts of a substance to achieve the desired effect

Answer

A client's ability to manage stress without using substances

Answer

The degree to which a client accepts their diagnosis

Answer

Physical symptoms that appear during abstinence from substances

Question 6

A counselor conducting a mental status examination during assessment would evaluate which of the following domains?

Accepted Answer

Appearance, orientation, mood, affect, cognition, and thought content

Answer

Insurance eligibility and prior authorization status

Answer

Urine drug screen results and blood alcohol concentration

Answer

Family genogram and multigenerational substance use patterns

Question 7

Which ethical principle requires a counselor to obtain voluntary, informed consent before conducting a substance use assessment?

Accepted Answer

Autonomy

Answer

Beneficence

Answer

Nonmaleficence

Answer

Justice