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Question 1 of 30
1. Question
Michigan’s Good Samaritan Law (MCL 333.7403) provides limited immunity from prosecution for which of the following actions related to a drug overdose?
Correct
The correct answer is B: Seeking medical assistance for someone experiencing an overdose
Incorrect
The correct answer is B: Seeking medical assistance for someone experiencing an overdose
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Question 2 of 30
2. Question
When providing client education about the risks of opioid use, which of the following must a CAADC in Michigan include as part of a standard psychoeducation session?
Correct
The correct answer is B: Instructions on how to properly use naloxone (Narcan)
Incorrect
The correct answer is B: Instructions on how to properly use naloxone (Narcan)
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Question 3 of 30
3. Question
A client who is court-ordered to treatment refuses to sign a release of information allowing the counselor to communicate with their probation officer. What is the counselor’s correct course of action under Michigan law?
Correct
The correct answer is C: Inform the client in writing that failure to authorize communication may result in a report of non-compliance to the court
Incorrect
The correct answer is C: Inform the client in writing that failure to authorize communication may result in a report of non-compliance to the court
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Question 4 of 30
4. Question
Which of the following assessment tools is specifically validated and commonly recommended for initial screening of alcohol use disorders in Michigan’s publicly funded substance use disorder treatment system?
Correct
The correct answer is B: The Alcohol Use Disorders Identification Test (AUDIT)
Incorrect
The correct answer is B: The Alcohol Use Disorders Identification Test (AUDIT)
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Question 5 of 30
5. Question
A CAADC is working with a client who has a co-occurring mental health disorder. According to MCBAP’s scope of practice, what is the counselor permitted to do regarding the mental health condition?
Correct
The correct answer is C: Screen for the mental health disorder and make an appropriate referral for diagnosis and treatment
Incorrect
The correct answer is C: Screen for the mental health disorder and make an appropriate referral for diagnosis and treatment
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Question 6 of 30
6. Question
A client presents with a history of heavy alcohol use and reports experiencing tremors, sweating, and nausea upon waking. Which screening instrument is most appropriate for assessing the severity of this client’s potential withdrawal syndrome?
Correct
The correct answer is C: CIWA-Ar
Incorrect
The correct answer is C: CIWA-Ar
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Question 7 of 30
7. Question
According to the Prochaska and DiClemente stages of change model, a client who says, “I know I have a problem, and I’m thinking about quitting next month,” is primarily in which stage?
Correct
The correct answer is B: Contemplation
Incorrect
The correct answer is B: Contemplation
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Question 8 of 30
8. Question
Under Michigan’s Public Health Code (Act 368), a counselor’s duty to warn or protect a third party from a client’s threat is established in which of the following cases?
Correct
The correct answer is C: Miller v. Michigan
Incorrect
The correct answer is C: Miller v. Michigan
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Question 9 of 30
9. Question
A CAADC receives a subpoena for a client’s treatment records. The client has not signed a release of information. What is the most appropriate ethical first step?
Correct
The correct answer is C: Contact the client or their legal counsel to discuss asserting privilege.
Incorrect
The correct answer is C: Contact the client or their legal counsel to discuss asserting privilege.
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Question 10 of 30
10. Question
In case management, a common barrier to treatment for a pregnant woman with a substance use disorder in Michigan is the fear of legal consequences. Which Michigan law is most directly relevant to this concern?
Correct
The correct answer is B: The Child Protection Law (MCL 722.621)
Incorrect
The correct answer is B: The Child Protection Law (MCL 722.621)
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Question 11 of 30
11. Question
Which of the following topics is a mandatory component of client education for an individual in a medication-assisted treatment (MAT) program for opioid use disorder?
Correct
The correct answer is B: The signs and symptoms of opioid overdose and the use of naloxone
Incorrect
The correct answer is B: The signs and symptoms of opioid overdose and the use of naloxone
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Question 12 of 30
12. Question
Using the ASAM Criteria, a client with no acute intoxication or withdrawal risk, but with moderate psychiatric symptoms (e.g., depression) and a negative social environment, would likely be assigned to which level of care?
Correct
The correct answer is B: Level 2.1 – Intensive Outpatient
Incorrect
The correct answer is B: Level 2.1 – Intensive Outpatient
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Question 13 of 30
13. Question
A CAADC is treating a client who is also a close friend of the counselor’s spouse. The client asks for a special discount on session fees due to the personal connection. What is the most appropriate ethical response according to the NAADAC Code of Ethics?
Correct
The correct answer is B: Terminate the therapeutic relationship and refer the client.
Incorrect
The correct answer is B: Terminate the therapeutic relationship and refer the client.
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Question 14 of 30
14. Question
Michigan law (PA 368) specifically prohibits a certified counselor from engaging in which of the following practices, regardless of client consent?
Correct
The correct answer is C: Using conversion therapy on a minor to change their sexual orientation or gender identity
Incorrect
The correct answer is C: Using conversion therapy on a minor to change their sexual orientation or gender identity
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Question 15 of 30
15. Question
A client in early recovery from cocaine use disorder is frequently triggered by visiting their old neighborhood. Which evidenced-based counseling approach would best help this client develop skills to manage these triggers?
Correct
The correct answer is B: Cognitive-Behavioral Therapy (CBT)
Incorrect
The correct answer is B: Cognitive-Behavioral Therapy (CBT)
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Question 16 of 30
16. Question
A client on a waiting list for residential treatment requires immediate stabilization for acute withdrawal. According to case management principles, what is the counselor’s priority action?
Correct
The correct answer is B: Call 911 or refer the client to a medical detoxification facility.
Incorrect
The correct answer is B: Call 911 or refer the client to a medical detoxification facility.
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Question 17 of 30
17. Question
When providing client education regarding HIV/AIDS, a CAADC must inform the client of all of the following EXCEPT:
Correct
The correct answer is C: The counselor’s personal opinion on the best antiviral medication.
Incorrect
The correct answer is C: The counselor’s personal opinion on the best antiviral medication.
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Question 18 of 30
18. Question
Under Michigan administrative rules for CAADC supervision, a licensed supervisor must have at least how many hours of training in clinical supervision before being eligible to provide supervision?
Correct
The correct answer is C: 30 hours
Incorrect
The correct answer is C: 30 hours
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Question 19 of 30
19. Question
A client discloses to their CAADC that they have relapsed on heroin but are not interested in returning to treatment. Which principle of Motivational Interviewing is most critical for the counselor to apply in this situation?
Correct
The correct answer is B: Rolling with resistance
Incorrect
The correct answer is B: Rolling with resistance
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Question 20 of 30
20. Question
A counselor is completing a bio-psychosocial assessment. The client reports stable housing, employment, and a supportive family but has a history of two past treatment failures. Which domain of the assessment is most likely the primary area requiring further exploration?
Correct
The correct answer is C: Prior treatment history and recovery capital
Incorrect
The correct answer is C: Prior treatment history and recovery capital
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Question 21 of 30
21. Question
Michigan law requires that a person seeking to become a CAADC document a specific number of supervised experience hours. What is the minimum number of hours of direct client contact required for initial certification?
Correct
The correct answer is B: 3,000 hours
Incorrect
The correct answer is B: 3,000 hours
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Question 22 of 30
22. Question
Under Michigan’s Public Health Code, which of the following is a requirement for a counselor to report suspected child abuse or neglect?
Correct
The correct answer is C: The report must be made within 72 hours of the suspicion.
Incorrect
The correct answer is C: The report must be made within 72 hours of the suspicion.
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Question 23 of 30
23. Question
During the initial assessment of a client seeking substance use treatment, a Michigan-licensed counselor must assess for which of the following co-occurring conditions?
Correct
The correct answer is C: Substance use disorders, mental health disorders, and medical conditions
Incorrect
The correct answer is C: Substance use disorders, mental health disorders, and medical conditions
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Question 24 of 30
24. Question
In a motivational interviewing session, a client states, “I know I need to quit drinking, but I just can’t see my life without it.” Which counselor response best demonstrates the principle of “developing discrepancy”?
Correct
The correct answer is B: “On one hand you want to quit, and on the other you can’t imagine life without it – can you tell me more about that?”
Incorrect
The correct answer is B: “On one hand you want to quit, and on the other you can’t imagine life without it – can you tell me more about that?”
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Question 25 of 30
25. Question
According to Michigan’s administrative rules for substance use disorder counselors, what is the required minimum number of supervised clinical hours for a CAADC applicant?
Correct
The correct answer is B: 2,000 hours
Incorrect
The correct answer is B: 2,000 hours
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Question 26 of 30
26. Question
A client enrolled in an outpatient program tests positive for cocaine after three months of abstinence. The counselor should:
Correct
The correct answer is B: Address the lapse therapeutically, update the treatment plan, and reassess the level of care.
Incorrect
The correct answer is B: Address the lapse therapeutically, update the treatment plan, and reassess the level of care.
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Question 27 of 30
27. Question
Which of the following best describes the ethical principle of “nonmaleficence” in addiction counseling?
Correct
The correct answer is C: Avoiding causing harm to the client
Incorrect
The correct answer is C: Avoiding causing harm to the client
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Question 28 of 30
28. Question
In Michigan, a substance use disorder counselor may release client information without written consent in which of the following situations?
Correct
The correct answer is B: To a medical professional in a medical emergency
Incorrect
The correct answer is B: To a medical professional in a medical emergency
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Question 29 of 30
29. Question
A counselor is working with a client who has a co-occurring anxiety disorder and alcohol use disorder. Which treatment approach is most aligned with integrated treatment best practices?
Correct
The correct answer is B: Treat both disorders concurrently using an integrated treatment plan.
Incorrect
The correct answer is B: Treat both disorders concurrently using an integrated treatment plan.
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Question 30 of 30
30. Question
In a group counseling session, a client frequently interrupts others and dominates the discussion. What is the most appropriate counselor intervention?
Correct
The correct answer is C: Set a group norm by respectfully redirecting the client and inviting others to share.
Incorrect
The correct answer is C: Set a group norm by respectfully redirecting the client and inviting others to share.