CRM CRM Certification, Scope of Practice & Legal Frameworks 2 — Questions and Answers
Question 1: Confidentiality in recovery mentorship can be broken without client consent in which of the following situations?
- A client misses two consecutive sessions
- A client expresses a credible, imminent plan to harm themselves or another person (Correct answer)
- A client disagrees with their treatment plan
- A client's family member asks for a progress report
Correct answer: A client expresses a credible, imminent plan to harm themselves or another person
Duty-to-warn laws require disclosure when a client poses a credible, imminent danger to themselves or others — this overrides confidentiality.
Question 2: 42 CFR Part 2 is a federal regulation specifically designed to protect the confidentiality of:
- Mental health treatment records in general
- Records of substance use disorder treatment (Correct answer)
- HIV/AIDS treatment information
- Criminal justice records related to drug offenses
Correct answer: Records of substance use disorder treatment
42 CFR Part 2 provides heightened confidentiality protections for records related to substance use disorder treatment programs receiving federal funding.
Question 3: A recovery mentor working within a clinical setting should document client interactions primarily to:
- Fulfill billing requirements for insurance reimbursement of clinical therapy
- Maintain accurate records of contacts, referrals, and progress to support continuity of care (Correct answer)
- Build a case against clients who are non-compliant
- Share updates with anyone who asks about the client
Correct answer: Maintain accurate records of contacts, referrals, and progress to support continuity of care
Documentation ensures continuity of care, accountability, and an accurate record of the support provided — it is not punitive or for unauthorized disclosure.
Question 4: Professional codes of ethics for CRMs typically require mentors to:
- Always agree with clients to maintain the relationship
- Practice within their competence and refer when client needs exceed their scope (Correct answer)
- Keep client relationships open-ended with no clear goals
- Prioritize organizational needs over client wellbeing
Correct answer: Practice within their competence and refer when client needs exceed their scope
Ethical codes require CRMs to know the limits of their competence and to refer clients to qualified professionals when needs exceed their scope.
Question 5: Cultural competence in CRM practice means:
- Speaking multiple languages fluently
- Understanding and respecting how cultural identity shapes a client's experience of recovery and health (Correct answer)
- Treating all clients identically regardless of background
- Avoiding any discussion of a client's cultural practices
Correct answer: Understanding and respecting how cultural identity shapes a client's experience of recovery and health
Cultural competence requires understanding how culture, identity, and lived experience shape a client's worldview and tailoring support accordingly.
Question 6: If a CRM suspects a client is in immediate danger of overdose, the first step should be:
- Document the concern and address it at the next session
- Call 911 and administer naloxone if available (Correct answer)
- Notify the client's family and wait for their response
- Transfer the case to a clinical supervisor before acting
Correct answer: Call 911 and administer naloxone if available
An overdose is a medical emergency requiring immediate action — calling 911 and using naloxone if available can save a life.
CRM CRM Certification, Scope of Practice & Legal Frameworks 2
Confidentiality in recovery mentorship can be broken without client consent in which of the following situations?