MAC Treatment Planning 4 — Questions and Answers
Question 1: Which of the following represents a harm reduction goal that may be appropriately included in an addiction treatment plan?
- Complete abstinence from all substances within the first week
- Reduction of injection drug use through needle exchange participation (Correct answer)
- Avoidance of all social situations where substances may be present
- Immediate enrollment in a 12-step program
Correct answer: Reduction of injection drug use through needle exchange participation
Harm reduction goals such as needle exchange participation reduce the risks associated with use and are evidence-based components of addiction treatment planning.
Question 2: A client with a history of trauma and stimulant use disorder is beginning treatment. The counselor should incorporate trauma-informed care by:
- Focusing exclusively on the stimulant use disorder and deferring trauma work indefinitely
- Integrating safety, trustworthiness, and empowerment principles into the treatment plan from the start (Correct answer)
- Requiring the client to complete trauma processing before addiction treatment begins
- Avoiding any mention of trauma to prevent re-traumatization
Correct answer: Integrating safety, trustworthiness, and empowerment principles into the treatment plan from the start
Trauma-informed care is integrated from the start, embedding safety, trust, and empowerment into the treatment plan alongside addiction treatment.
Question 3: The primary purpose of including a discharge plan within the treatment plan is to:
- Satisfy legal documentation requirements only
- Ensure continuity of care and support after the client leaves the current level of care (Correct answer)
- Reduce the counselor's liability for post-treatment outcomes
- Formally end the therapeutic relationship as quickly as possible
Correct answer: Ensure continuity of care and support after the client leaves the current level of care
Discharge planning is integral to treatment and ensures a smooth transition and continuity of care to prevent relapse and support long-term recovery.
Question 4: An adolescent client is mandated to treatment by the juvenile court. How should this be reflected in the treatment plan?
- The treatment plan should mirror only the court's requirements with no input from the client
- The court requirements should be incorporated while also engaging the adolescent's own goals and values collaboratively (Correct answer)
- The counselor should disregard the court mandate and focus only on what the adolescent wants
- The treatment plan should be delayed until the court mandate ends
Correct answer: The court requirements should be incorporated while also engaging the adolescent's own goals and values collaboratively
Best practice integrates legal requirements with client-centered goals to foster engagement and increase treatment effectiveness even in mandated situations.
Question 5: What is the primary function of a problem list in an addiction treatment plan?
- To provide a comprehensive diagnosis list for insurance billing
- To identify and prioritize the specific clinical problems that treatment will address (Correct answer)
- To document only the client's complaints about the treatment program
- To replace the biopsychosocial assessment with a shorter format
Correct answer: To identify and prioritize the specific clinical problems that treatment will address
The problem list identifies, organizes, and prioritizes the clinical issues that goals and interventions in the treatment plan will specifically address.
Question 6: A client in recovery from alcohol use disorder also has chronic pain and is prescribed opioids by their physician. The treatment plan should:
- Require the client to stop all opioid medications immediately as a condition of treatment
- Include collaboration with the prescribing physician, monitoring for misuse risk, and pain management coping strategies (Correct answer)
- Ignore the opioid prescription since it is legally prescribed
- Transfer the client to a pain management specialist only
Correct answer: Include collaboration with the prescribing physician, monitoring for misuse risk, and pain management coping strategies
Coordinating with the prescribing physician, monitoring for misuse, and teaching alternative coping strategies represent integrated, evidence-based treatment for co-occurring pain and addiction.
Question 7: Which of the following best demonstrates informed consent as part of the treatment planning process?
- Providing the client with a treatment plan to sign without discussion
- Explaining treatment options, risks, benefits, and alternatives and documenting the client's voluntary agreement (Correct answer)
- Having a family member consent on behalf of an adult client
- Obtaining verbal agreement without written documentation
Correct answer: Explaining treatment options, risks, benefits, and alternatives and documenting the client's voluntary agreement
Informed consent requires that clients receive and understand information about treatment options, risks, and benefits and voluntarily agree, with documentation.
MAC Treatment Planning 4
Which of the following represents a harm reduction goal that may be appropriately included in an addiction treatment plan?