MAC Master Addiction Counselor Exam MCQ 5

Question 1

Which relapse prevention concept involves identifying seemingly irrelevant decisions that cumulatively lead a client toward relapse?

Accepted Answer

Apparently irrelevant decisions

Answer

Apparently irrelevant decisions (AIDs) are small choices that seem unrelated to relapse but create a chain of events that places the client in high-risk situations.

Question 2

A counselor working with adolescents should understand that compared to adults, adolescents with substance use disorders are more likely to:

Accepted Answer

Progress more rapidly from initiation to dependence

Answer

Adolescents' still-developing brains make them more vulnerable to rapid escalation from first use to substance use disorder compared to adults.

Question 3

Under 42 CFR Part 2, which of the following is REQUIRED before a substance use disorder treatment program can disclose patient records to another provider?

Accepted Answer

Patient written consent specifying the program, recipient, purpose, and expiration

Answer

42 CFR Part 2 requires a specific written consent form that identifies the program disclosing, the recipient, the purpose, how much information, and an expiration date or event.

Question 4

Which of the following best describes the therapeutic technique of 'rolling with resistance' in motivational interviewing?

Accepted Answer

Acknowledging the client's perspective without argumentation to reduce defensiveness

Answer

Rolling with resistance means acknowledging the client's viewpoint without arguing, which reduces defensiveness and keeps the therapeutic conversation open.

Question 5

A client in a methadone maintenance program tests positive for cocaine. According to best practice, the counselor should:

Accepted Answer

Assess for cocaine use disorder and intensify counseling or adjust the treatment plan

Answer

A positive test for a secondary substance signals a need for treatment plan modification and intensified support, not punitive dose reduction or discharge.

Master Addiction Counselor Exam Practice Test

Master Addiction Counselor Exam Practice Test

MAC Master Addiction Counselor Exam MCQ 5