MAC Master Addiction Counselor Exam 4

Question 1

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?

Accepted Answer

Contemplation

Answer

Contemplation is characterized by ambivalence and weighing the benefits and costs of change without a firm commitment to act.

Question 2

Which federal regulation specifically governs confidentiality of substance use disorder patient records in federally assisted programs?

Accepted Answer

42 CFR Part 2

Answer

42 CFR Part 2 provides stricter confidentiality protections than HIPAA specifically for substance use disorder treatment records in federally assisted programs.

Question 3

A client reports drinking to manage anxiety since stopping benzodiazepines prescribed by their physician. This pattern BEST illustrates:

Accepted Answer

Cross-addiction or substitution

Answer

Substituting alcohol for benzodiazepines to manage anxiety exemplifies cross-addiction, where one substance replaces another to achieve similar effects.

Question 4

Buprenorphine's pharmacological 'ceiling effect' on respiratory depression is clinically important because it:

Accepted Answer

Reduces overdose risk compared to full opioid agonists

Answer

Buprenorphine's partial agonist ceiling effect limits respiratory depression, significantly lowering overdose risk compared to full agonists like methadone.

Question 5

A counselor who shares their own recovery story with a client to build rapport is using:

Accepted Answer

Therapeutic self-disclosure

Answer

Intentional, purposeful sharing of personal experience by a counselor to benefit the client is defined as therapeutic self-disclosure.

Master Addiction Counselor Exam Practice Test

Master Addiction Counselor Exam Practice Test

MAC Master Addiction Counselor Exam 4