Master Addiction Counselor Exam Flashcards
7 cards from real MAC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Master Addiction Counselor Exam flashcards as text
According to the stages of change model (Prochaska & DiClemente), a client who is weighing the pros and cons of stopping cocaine use but has not yet committed to change is in which stage?
Answer: Contemplation
Contemplation is characterized by ambivalence and weighing the benefits and costs of change without a firm commitment to act.
Which federal regulation specifically governs confidentiality of substance use disorder patient records in federally assisted programs?
Answer: 42 CFR Part 2
42 CFR Part 2 provides stricter confidentiality protections than HIPAA specifically for substance use disorder treatment records in federally assisted programs.
A client reports drinking to manage anxiety since stopping benzodiazepines prescribed by their physician. This pattern BEST illustrates:
Answer: Cross-addiction or substitution
Substituting alcohol for benzodiazepines to manage anxiety exemplifies cross-addiction, where one substance replaces another to achieve similar effects.
Buprenorphine's pharmacological 'ceiling effect' on respiratory depression is clinically important because it:
Answer: Reduces overdose risk compared to full opioid agonists
Buprenorphine's partial agonist ceiling effect limits respiratory depression, significantly lowering overdose risk compared to full agonists like methadone.
A counselor who shares their own recovery story with a client to build rapport is using:
Answer: Therapeutic self-disclosure
Intentional, purposeful sharing of personal experience by a counselor to benefit the client is defined as therapeutic self-disclosure.
In group therapy for addiction, the therapeutic factor described as clients finding hope through observing others' progress is called:
Answer: Instillation of hope
Yalom's therapeutic factor 'instillation of hope' refers to gaining optimism about recovery by witnessing improvement in other group members.
Which of the following is the PRIMARY goal of a functional analysis in cognitive-behavioral addiction treatment?
Answer: Identifying antecedents, behaviors, and consequences of substance use
Functional analysis maps the ABC chain—antecedents, behaviors, consequences—to understand what triggers and maintains substance use patterns.