MAC Master Addiction Counselor Exam 2

Question 1

A client on methadone maintenance reports using heroin two days ago. According to harm reduction principles, the counselor's FIRST priority is to:

Accepted Answer

Explore reasons for the relapse and adjust the treatment plan

Answer

Harm reduction prioritizes keeping clients engaged in treatment; exploring the relapse context informs plan adjustments rather than punitive measures.

Question 2

Which neurotransmitter system is MOST directly implicated in the reinforcing effects of opioids?

Accepted Answer

Dopaminergic mesolimbic pathway

Answer

Opioids stimulate dopamine release in the nucleus accumbens via the mesolimbic pathway, producing rewarding effects.

Question 3

A counselor notices a supervisee consistently avoids confronting clients about dishonesty. This is BEST addressed through:

Accepted Answer

Clinical supervision focusing on countertransference

Answer

Clinical supervision is the appropriate venue to explore countertransference reactions that interfere with effective counseling.

Question 4

The ASAM Patient Placement Criteria use six dimensions to guide level-of-care decisions. Which dimension addresses a client's readiness to change?

Accepted Answer

Dimension 4: Readiness to Change

Answer

ASAM Dimension 4 specifically evaluates the client's readiness and motivation to change as a placement factor.

Question 5

A client with alcohol use disorder also meets criteria for major depressive disorder. The MOST appropriate approach is to:

Accepted Answer

Address both disorders concurrently with integrated treatment

Answer

Co-occurring disorders are best managed with integrated dual-diagnosis treatment that addresses both conditions simultaneously.

Master Addiction Counselor Exam Practice Test

Master Addiction Counselor Exam Practice Test

MAC Master Addiction Counselor Exam 2