CAADC Michigan Quiz 22

Question 1 of 30

1. Question

According to Michigan Public Act 53 of 2013, what is the maximum number of hours an individual can serve on a community mental health board without being considered a full-time employee for benefits purposes?

20 hours per week
30 hours per week
40 hours per week
10 hours per week

Question 2 of 30

2. Question

Under Michigan’s administrative rules for substance use disorder treatment, which of the following is a required component of a client’s individualized treatment plan?

A signed waiver of confidentiality from the client's employer
A statement of the client's religious affiliation
Measurable goals and objectives with target dates
A guarantee of abstinence from all substances

Question 3 of 30

3. Question

In Michigan, a Certified Advanced Alcohol and Drug Counselor (CAADC) must complete how many hours of continuing education (CE) during each two-year renewal cycle?

20 hours
30 hours
40 hours
50 hours

Question 4 of 30

4. Question

Which of the following is a key principle of motivational interviewing that a CAADC should apply during the initial assessment?

Confrontation to break through denial
Express empathy and support self-efficacy
Prescribe a specific treatment modality immediately
Focus exclusively on the client's past failures

Question 5 of 30

5. Question

Under Michigan’s Public Health Code, a substance use disorder counselor must report suspected child abuse or neglect to which authority?

The client's primary care physician
The Michigan Department of Health and Human Services
The local police department
The client's legal guardian

Question 6 of 30

6. Question

A CAADC is facilitating a group therapy session and one client discloses a recent relapse. What is the most appropriate ethical response?

Immediately discharge the client from the group
Confront the client in front of the group to deter others
Normalize the relapse as part of recovery and explore triggers
Report the relapse to the client's probation officer

Question 7 of 30

7. Question

Which Michigan law governs the confidentiality of substance use disorder treatment records for programs that receive federal funding?

HIPAA Privacy Rule only
42 CFR Part 2
Michigan Mental Health Code
Michigan Freedom of Information Act

Question 8 of 30

8. Question

During a biopsychosocial assessment, a CAADC identifies that a client has a co-occurring mental health disorder. What is the counselor’s primary responsibility under Michigan’s scope of practice?

Diagnose the mental health disorder and prescribe medication
Refer the client to a qualified mental health professional for evaluation
Treat the substance use disorder first before addressing mental health
Ignore the mental health symptoms to avoid dual diagnosis

Question 9 of 30

9. Question

According to the Michigan Certification Board for Addiction Professionals (MCBAP) Code of Ethics, a CAADC must avoid dual relationships that:

Enhance the therapeutic alliance
Impair professional objectivity or exploit the client
Occur only outside of the treatment setting
Are approved by the client's family

Question 10 of 30

10. Question

A client in a Michigan outpatient program tests positive for a non-prescribed opioid. The client has a treatment plan goal of abstinence. Which step should the CAADC prioritize in case management?

Immediately terminate the client from the program
Suggest the client enter a methadone maintenance program
Review the treatment plan with the client and discuss possible modifications
Notify law enforcement of the positive test result

Question 11 of 30

11. Question

Under Michigan law, what is the minimum age at which a minor can consent to outpatient substance use disorder treatment without parental permission?

12 years old
14 years old
16 years old
18 years old

Question 12 of 30

12. Question

Which of the following best describes the role of a CAADC in the client education domain?

Providing legal advice regarding custody issues
Teaching clients about the effects of substances and coping strategies
Administering medical detoxification protocols
Conducting urine drug screens without client consent

Question 13 of 30

13. Question

In Michigan, a CAADC who suspects that a colleague is impaired due to substance use should first:

Immediately report the colleague to law enforcement
Confront the colleague in front of clients
Discuss the concern with the colleague privately and encourage seeking help
Ignore the situation to avoid conflict

Question 14 of 30

14. Question

A client reveals during counseling that they have a plan to harm a specific individual. According to Michigan’s duty to protect, the CAADC must:

Maintain confidentiality because the threat was disclosed in treatment
Warn the intended victim and notify law enforcement
Only document the threat in the client's file
Encourage the client to talk it out without taking action

Question 15 of 30

15. Question

Which screening tool is specifically recommended by Michigan’s Department of Health and Human Services for identifying alcohol misuse in pregnant women?

AUDIT
DAST-10
T-ACE
CAGE-AID

Question 16 of 30

16. Question

A CAADC is developing a discharge plan for a client. What is a critical component of effective case management during this phase?

Discharging the client immediately when they achieve 30 days of sobriety
Linking the client to community resources and aftercare support
Requiring the client to sign a contract promising lifelong abstinence
Providing the client with a list of self-help groups only

Question 17 of 30

17. Question

Under Michigan’s administrative rules, how often must a licensed substance use disorder treatment program conduct a quality assurance review of client records?

Monthly
Quarterly
Annually
Biannually

Question 18 of 30

18. Question

A CAADC is treating a client who is ordered by the court to attend treatment. The client is resistant and non-compliant. Which counseling approach is most appropriate?

Authoritarian directives to ensure compliance
Exploring the client's ambivalence using motivational interviewing
Threatening to report non-compliance to the judge
Transferring the client to a different counselor

Question 19 of 30

19. Question

In a Michigan CAADC’s professional responsibility, which of the following is considered a violation of the MCBAP Code of Ethics?

Consulting with a supervisor about a difficult case
Using a client's first name only during group sessions
Accepting a gift worth $50 from a client
Referring a client to a therapist with whom the counselor has a personal relationship

Question 20 of 30

20. Question

A client in a Michigan residential treatment facility requests to leave against medical advice (AMA). The CAADC’s immediate ethical obligation is to:

Physically restrain the client to prevent leaving
Inform the client of the risks and document the AMA request
Call the client's family to pick them up immediately
Discharge the client without any paperwork

Question 21 of 30

21. Question

According to Michigan’s Public Health Code (PA 368 of 1978, as amended), which of the following is a required element of a client record maintained by a certified substance use disorder counselor?

A copy of the client's driver's license
Client's social security number written on every page
A written treatment plan signed by the client and counselor
A notarized statement of consent for treatment from a family member

Question 22 of 30

22. Question

Under Michigan law (MCL 333.6104), what is the maximum civil fine that can be imposed on a certified counselor for a first violation of the Public Health Code related to substance use disorder services?

$500
$1,000
$5,000
$10,000

Question 23 of 30

23. Question

A client discloses during a session that they are planning to drive home while under the influence of alcohol. According to the duty to warn and protect laws in Michigan, what is the counselor’s primary ethical and legal obligation?

Break confidentiality immediately and notify the police with the client's full name and license plate
Maintain confidentiality because the client has not yet committed a crime
Take reasonable steps to prevent harm, which may include informing law enforcement or taking other protective action
Discharge the client from treatment to avoid liability

Question 24 of 30

24. Question

In Michigan, a CAADC is supervising a counselor who is accruing hours for initial certification. How many hours of face-to-face supervision must the CAADC provide per month, according to MCBAP standards?

1 hour per month
2 hours per month
4 hours per month
6 hours per month

Question 25 of 30

25. Question

When conducting a comprehensive substance use disorder assessment under Michigan guidelines, which document must be used to determine the appropriate ASAM Level of Care placement?

The DSM-5-TR diagnostic criteria only
The Michigan Assessment Record (MAR) or equivalent comprehensive biopsychosocial tool
A written police report of the client's most recent arrest
The client's self-reported preferred level of intensity

Question 26 of 30

26. Question

A counselor discovers that a minor (age 16) is using marijuana daily. Under Michigan’s Child Protection Law (MCL 722.623), does the counselor have a mandatory duty to report this to Child Protective Services (CPS)?

No, because marijuana use by a minor does not constitute child abuse or neglect
Yes, if the substance use results in harm or substantial risk of harm to the minor
Yes, always, because any drug use by a minor is per se neglect
No, unless the minor is also involved in criminal activity

Question 27 of 30

27. Question

Which of the following is a valid reason for a CAADC in Michigan to refuse to release a client’s treatment records to a third-party payer without the client’s written authorization?

The client owes a balance on their treatment account
The request includes psychotherapy notes that are not required for payment
The counselor does not agree with the treatment approach the payer recommends
The third-party payer is located out of state

Question 28 of 30

28. Question

A client with a history of opioid use disorder is about to complete a 30-day residential treatment program. According to MCBAP ethical guidelines, which of the following is the most critical component of discharge planning?

Scheduling a follow-up session with the same counselor in one year
Providing a list of local restaurants that support recovery
Coordinating a warm handoff to a community provider for continued medication-assisted treatment (MAT)
Ensuring the client signs a contract stating they will remain abstinent

Question 29 of 30

29. Question

In a group counseling session, one client makes a threatening statement toward another group member. According to Michigan law and professional ethics, what should the counselor do first?

Immediately terminate the group session and call 911
Document the threat in the client's record and ignore it as group conflict
Address the threat directly in the moment, establish safety, and follow the group's safety protocol
Ask the threatening client to leave the group permanently

Question 30 of 30

30. Question

A CAADC is providing clinical supervision to an intern. The intern reports feeling sexually attracted to a client. What is the supervisor’s primary ethical responsibility?

Tell the intern this is normal and to keep it private to avoid embarrassment
Immediately transfer the client to another counselor
Address the countertransference in supervision, set clear boundaries, and document the discussion
File a report with the state licensing board within 24 hours

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