Chemical Dependency Counselor License Exam Treatment Planning and Documentation 4

Question 1

A counselor disagrees with a client's treatment goal but the client insists on it. The ethical course of action is to:

Accepted Answer

Incorporate the client's goal while noting clinical concerns and working collaboratively toward revision

Answer

Override the client's preference and document the counselor's goal instead

Answer

Refuse to write a plan until the client agrees with the counselor's recommendation

Answer

Transfer the client to another counselor without explanation

Question 2

Which of the following is a primary purpose of the biopsychosocial assessment in treatment planning?

Accepted Answer

To identify the full range of factors influencing the client's substance use and inform individualized treatment goals

Answer

To satisfy insurance billing requirements only

Answer

To assign a DSM diagnosis for legal purposes

Answer

To screen for malingering

Question 3

Under 42 CFR Part 2, which of the following requires patient consent before disclosure to a third party?

Accepted Answer

Sharing treatment records with a managed care organization for claims processing unless patient has consented

Answer

Reporting a crime on program premises to law enforcement

Answer

Disclosing information in a medical emergency

Answer

Reporting child abuse to state authorities

Question 4

A client's treatment plan objective states: 'Client will identify three personal triggers for substance use by the next session.' Which SMART criterion is MISSING?

Accepted Answer

Time-bound

Answer

Specific

Answer

Measurable

Answer

Relevant

Question 5

When should a crisis safety plan be documented in a client's treatment record?

Accepted Answer

Whenever a client presents with suicidal ideation, homicidal ideation, or imminent risk of harm

Answer

Only during inpatient admission

Answer

At annual treatment plan reviews only

Answer

When requested by the client's attorney

Question 6

A treatment plan that addresses only the client's substance use disorder while ignoring a documented anxiety disorder violates which treatment planning standard?

Accepted Answer

Comprehensiveness

Answer

Brevity

Answer

Confidentiality

Answer

Flexibility

Question 7

Which type of note is most appropriate for documenting a counselor's critical analysis of client behavior patterns observed across multiple sessions?

Accepted Answer

A process note or clinical case formulation note

Answer

A brief contact note

Answer

A medication administration record

Answer

An incident report