LCDC Counseling Skills 2

Question 1

Group therapy in substance use treatment is effective primarily because it:

Accepted Answer

Provides peer support, reduces isolation, and offers a setting to practice new skills

Answer

Is less expensive than individual therapy

Answer

Allows counselors to see more clients simultaneously

Answer

Replaces the need for individual sessions

Question 2

A counselor notices a client becoming angry and withdrawing during a group session about relapse. The best response is to:

Accepted Answer

Acknowledge the client's reaction with a brief check-in and allow them to participate at their own pace

Answer

Confront the client directly in front of the group

Answer

Remove the client from the group immediately

Answer

Ignore the reaction and continue the session

Question 3

The technique of 'rolling with resistance' in Motivational Interviewing means:

Accepted Answer

Avoiding argumentation by reflecting resistance back without confrontation

Answer

Agreeing with the client's denial

Answer

Using gentle persuasion to change the client's mind

Answer

Ignoring resistant statements

Question 4

When using the decisional balance technique, the counselor asks the client to explore:

Accepted Answer

The pros and cons of both changing and not changing

Answer

Only the negative consequences of substance use

Answer

The benefits of sobriety exclusively

Answer

Past treatment successes and failures

Question 5

Which statement about 12-step facilitation therapy is accurate?

Accepted Answer

It is an evidence-based approach that encourages engagement with AA or NA as a supplement to professional treatment

Answer

It requires clients to believe in a specific religion

Answer

It is contraindicated for clients with co-occurring disorders

Answer

It replaces professional counseling

Question 6

Active listening in substance use counseling includes all of the following EXCEPT:

Accepted Answer

Offering unsolicited advice before the client finishes speaking

Answer

Paraphrasing the client's message

Answer

Using minimal encouragers such as 'uh-huh' and nodding

Answer

Reflecting the client's feelings