Chemical Dependency Counselor License Exam Screening and Assessment 5

Question 1

The TWEAK screening tool is most commonly used to identify at-risk drinking in which specific population?

Accepted Answer

Pregnant women during prenatal visits

Answer

Adolescent males in juvenile justice settings

Answer

Older adults in geriatric care settings

Answer

Veterans returning from combat deployment

Question 2

During a substance use assessment, a client minimizes the extent of their alcohol use compared to records obtained from collateral sources. This discrepancy is BEST described as:

Accepted Answer

Denial or minimization, a common feature of substance use disorders

Answer

Malingering, requiring immediate discharge

Answer

Evidence of a factitious disorder

Answer

A contraindication for further assessment

Question 3

Which of the following is a key component assessed in the SOCRATES (Stages of Change Readiness and Treatment Eagerness Scale)?

Accepted Answer

Recognition of a drinking problem, ambivalence, and taking steps to change

Answer

Severity of physiological withdrawal symptoms

Answer

Social support network strength and quality

Answer

Duration and frequency of substance use history

Question 4

A thorough substance use history collected during assessment should include which of the following elements?

Accepted Answer

Age of first use, substances used, frequency, amount, route of administration, and consequences

Answer

Only current substances used in the past 30 days

Answer

Current prescription medications only, verified by pharmacy records

Answer

Lifetime legal charges related to substance use

Question 5

Which laboratory test result, when elevated, most directly supports a clinical impression of heavy chronic alcohol use discovered during assessment?

Accepted Answer

Elevated gamma-glutamyl transferase (GGT)

Answer

Elevated serum creatinine

Answer

Elevated fasting glucose

Answer

Elevated thyroid-stimulating hormone (TSH)

Question 6

In the context of a substance use assessment, 'cross-addiction' or 'cross-dependence' refers to:

Accepted Answer

A client using substances to manage withdrawal from a different substance in the same pharmacological class

Answer

Two family members in the same household both meeting criteria for substance use disorder

Answer

A counselor experiencing vicarious trauma from working with clients who use substances

Answer

Using one therapeutic modality to treat two different substance use disorders simultaneously

Question 7

Which of the following assessment findings would MOST strongly support a diagnosis of Severe Alcohol Use Disorder under DSM-5 criteria?

Accepted Answer

Client meets 6 or more of the 11 DSM-5 criteria for alcohol use disorder

Answer

Client reports drinking socially 2–3 times per week without negative consequences

Answer

Client has a family history of alcohol use disorder but does not currently drink

Answer

Client reports one episode of blacking out in the past year