MAC Family Counseling 5

Question 1

In a family where substance use is never directly discussed despite its obvious presence, the unspoken agreement maintaining this silence is called:

Accepted Answer

The 'Don't Talk' rule

Answer

Sharon Wegscheider-Cruse described the 'Don't Talk' rule as one of the core dysfunctional rules in families affected by addiction, where open discussion of the problem is forbidden.

Question 2

When assessing family readiness to support a member's recovery, a counselor should evaluate which stage of change for FAMILY members using the Transtheoretical Model?

Accepted Answer

Each family member's stage of change, as they may be at different stages

Answer

Family members often have different levels of readiness to change their own behaviors, and tailoring interventions to each member's stage improves outcomes.

Question 3

A counselor notices that whenever the addicted father begins to discuss his recovery progress, his wife changes the subject. This pattern is BEST understood as:

Accepted Answer

A homeostatic mechanism to avoid anxiety associated with change

Answer

Subject-changing when recovery is discussed often reflects anxiety about the unknown changes that recovery will bring to the family's established (if dysfunctional) equilibrium.

Question 4

Which of the following best describes the role of psychoeducation in family-based addiction treatment?

Accepted Answer

Providing families with information about addiction, recovery, and family impact to reduce shame and improve coping

Answer

Psychoeducation helps families understand addiction as a complex disorder, reducing shame, correcting misconceptions, and equipping them with knowledge to support recovery.

Question 5

A counselor working with a family where both parents have substance use disorders should prioritize:

Accepted Answer

Assessing child safety and connecting the family with child protective services if warranted

Answer

When parental substance use disorders are present, the safety and welfare of children must be assessed and addressed as the highest ethical and clinical priority.

Master Addiction Counselor Exam Practice Test

Master Addiction Counselor Exam Practice Test

MAC Family Counseling 5