LMHC Substance Abuse and Addictions Counseling 3

Question 1

The term 'co-occurring disorders' in addiction counseling refers to a client who has:

Accepted Answer

Both a mental health disorder and a substance use disorder

Answer

Multiple substance addictions simultaneously

Answer

A substance use disorder and a chronic physical illness

Answer

Two or more mental health diagnoses without substance involvement

Question 2

Which medications are FDA-approved for Medication-Assisted Treatment (MAT) of opioid use disorder?

Accepted Answer

Methadone and buprenorphine

Answer

Naltrexone alone

Answer

Disulfiram and acamprosate

Answer

Naloxone and flumazenil

Question 3

A CAGE questionnaire score of 2 or more is clinically significant and indicates the need for:

Accepted Answer

Further clinical evaluation for alcohol use disorder

Answer

Reassurance that drinking is within normal limits

Answer

Immediate inpatient hospitalization for detoxification

Answer

Referral to Alcoholics Anonymous only

Question 4

When beginning counseling with a client suspected of having a substance use disorder, the LMHC's first priority should be to:

Accepted Answer

Conduct a comprehensive biopsychosocial assessment

Answer

Prescribe or recommend appropriate medications

Answer

Refer directly to a 12-step program

Answer

Contact the client's family members for collateral information

Question 5

Contingency management in addiction treatment is best described as:

Accepted Answer

Using positive reinforcement such as vouchers to reward drug-negative urine samples

Answer

Managing medication schedules for clients in outpatient treatment

Answer

Setting conditional limits on the frequency of therapy sessions

Answer

Planning protocols for managing medical emergencies during withdrawal

Question 6

An LMHC is ethically and legally required to breach confidentiality regarding a client's substance use when:

Accepted Answer

The client reveals a specific plan to drive intoxicated targeting an identifiable person

Answer

The client is using marijuana in a state where it is legal

Answer

The client's employer requests information to verify sobriety

Answer

Family members express general concern about the client's alcohol use

Question 7

In addiction counseling, 'enabling' refers to:

Accepted Answer

Behaviors by significant others that inadvertently protect the client from consequences and maintain substance use

Answer

Helping clients access community treatment resources

Answer

Providing motivational support and encouragement during recovery

Answer

Assisting clients with medication adherence and management