CAADC Michigan Quiz 24

Question 1 of 30

1. Question

Which Michigan state law governs the confidentiality of substance use disorder patient records?

HIPAA only
42 CFR Part 2 and Michigan Public Health Code
FERPA only
Michigan Mental Health Code only

Question 2 of 30

2. Question

A counselor is developing a discharge plan for a client completing residential treatment. Which element is essential for continuity of care?

A list of all substances the client has used in the past
Scheduled follow-up appointments with an outpatient provider and a sober support network
A signed statement from the client promising abstinence
A referral to a 12-step meeting without any other plan

Question 3 of 30

3. Question

The “Stages of Change” model identifies which stage as one where the client is not yet considering change and may be unaware of a problem?

Preparation
Action
Precontemplation
Contemplation

Question 4 of 30

4. Question

Under Michigan’s administrative rules, a CAADC must complete how many continuing education hours every two years to maintain certification?

20 hours
30 hours
40 hours
50 hours

Question 5 of 30

5. Question

A client reveals during a counseling session that they have been selling drugs to support their own habit. The counselor’s primary ethical responsibility is to:

Immediately report the client to law enforcement.
Maintain confidentiality unless there is an imminent threat of serious harm to others.
Terminate the therapeutic relationship due to illegal activity.
Inform the client’s family for safety reasons.

Question 6 of 30

6. Question

In Michigan, which of the following is a valid reason for a counselor to breach confidentiality without client consent in the context of substance use treatment?

A subpoena from a civil court case
A court order specifically authorizing disclosure
A request from the client’s insurance company
A request from the client’s employer

Question 7 of 30

7. Question

When providing case management services, what is the primary goal of the “brokerage” model?

To deliver all services directly to the client
To connect clients with external resources and support systems
To provide long-term therapy to the client
To monitor the client’s compliance with treatment

Question 8 of 30

8. Question

A counselor is teaching a client about relapse prevention. Which of the following is a high-risk situation that commonly precedes relapse?

Attending a structured recovery support group
Spending time with family members who support recovery
Experiencing negative emotional states such as anger or depression
Engaging in regular exercise

Question 9 of 30

9. Question

According to Michigan’s licensure rules, a counselor who has a dual relationship with a client (e.g., business partner) is considered to have:

A boundary violation that may be unethical unless managed properly
An acceptable arrangement if both parties agree in writing
A way to build stronger rapport with the client
No ethical concerns because the relationship is outside of counseling

Question 10 of 30

10. Question

During an assessment, a client reports using heroin daily for the past year. Which tool is most appropriate for assessing the severity of opioid use disorder?

AUDIT
DAST-10
CIWA-Ar
COWS

Question 11 of 30

11. Question

A client in early recovery refuses to participate in group therapy, stating, “I don’t need to hear other people’s problems.” The counselor’s best response is to:

Mandate group attendance as a condition of treatment.
Explore the client’s resistance and offer individual sessions to address underlying fears.
Discharge the client for noncompliance.
Tell the client that they will fail without group involvement.

Question 12 of 30

12. Question

Under Michigan’s Public Health Code, what is the maximum number of hours of continuing education (CE) that can be obtained through home study or online courses for CAADC renewal?

10 hours
20 hours
30 hours
No limit

Question 13 of 30

13. Question

A client with opioid use disorder is prescribed methadone. According to Michigan regulations, which type of facility is authorized to dispense methadone for addiction treatment?

Any licensed pharmacy
A certified opioid treatment program (OTP)
A primary care physician's office
A hospital emergency department

Question 14 of 30

14. Question

During a biopsychosocial assessment, a client reports a history of multiple DUI arrests. Which Michigan-specific legal consequence directly impacts their driving privileges related to substance use?

Automatic license suspension for any drug conviction
Mandatory ignition interlock device for all first offenses
Six-point driver's license penalty per DUI
Driver's license revocation for controlled substance possession only

Question 15 of 30

15. Question

A counselor is using motivational interviewing with a client who is ambivalent about quitting alcohol. Which technique is most appropriate to evoke change talk?

Confronting the client's denial directly
Asking open-ended questions about the pros of change
Providing a written list of negative consequences
Assigning homework on sobriety benefits

Question 16 of 30

16. Question

According to the Michigan Mental Health Code, what is the counselor’s legal obligation if a client discloses intent to harm a specific, identifiable person?

Notify the police and warn the potential victim
Maintain confidentiality unless the client is a minor
Report only after obtaining client consent
Document the threat but take no further action

Question 17 of 30

17. Question

In case management for a client with co-occurring disorders, which approach is considered best practice under Michigan’s integrated treatment model?

Treat the substance use disorder first, then the mental health condition
Treat the mental health condition first, then the substance use disorder
Provide simultaneous, coordinated treatment for both disorders
Refer the client to separate agencies without communication

Question 18 of 30

18. Question

A Michigan CAADC is providing telehealth counseling to a client in another state. What is the primary ethical consideration regarding this practice?

The counselor must hold a license in the client's state of residence
Telehealth is only allowed for crisis intervention
Michigan law permits counseling across state lines without additional licensure
The counselor must have a formal agreement with a local provider in the client's state

Question 19 of 30

19. Question

Which of the following client education topics is specifically required by Michigan law for clients receiving publicly funded substance use disorder treatment?

Overview of 12-step programs
Information about HIV/AIDS and hepatitis prevention
How to apply for Social Security Disability benefits
Nutritional counseling for recovery

Question 20 of 30

20. Question

A counselor discovers that a client’s insurance will cover only 10 sessions, but the treatment plan recommends 20. What is the counselor’s ethical responsibility under the NAADAC code of ethics?

Terminate treatment after 10 sessions without discussion
Advocate for the client by exploring alternative funding or sliding scale fees
Provide free sessions beyond the insurance limit
Refer the client to a different counselor immediately

Question 21 of 30

21. Question

In Michigan, what is the minimum age for a minor to consent to outpatient substance use disorder treatment without parental permission?

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

Question 22 of 30

22. Question

A client in early recovery from alcohol use disorder asks about using cannabis for anxiety. According to Michigan’s marijuana laws and addiction treatment ethics, what is the most appropriate counselor response?

Support the use of medical marijuana if the client has a card
Explain that cannabis use may interfere with recovery and is not generally recommended
Encourage the client to switch to CBD only
Suggest obtaining a prescription from a psychiatrist

Question 23 of 30

23. Question

When conducting a substance use disorder assessment, which tool is specifically validated for use with Michigan’s adult criminal justice population?

Alcohol Use Disorders Identification Test (AUDIT)
Addiction Severity Index (ASI)
Michigan Alcoholism Screening Test (MAST)
Drug Abuse Screening Test (DAST-10)

Question 24 of 30

24. Question

A CAADC is supervising a limited license counselor. Under Michigan regulations, how many hours of face-to-face supervision are required per month for supervised practice?

1 hour
2 hours
4 hours
6 hours

Question 25 of 30

25. Question

Which of the following best describes the purpose of “stages of change” model in addiction counseling?

To diagnose the severity of substance use disorder
To match therapeutic interventions to the client's readiness for change
To determine the appropriate level of care
To assess for co-occurring mental health disorders

Question 26 of 30

26. Question

In Michigan, a client in a residential treatment facility has the right to refuse medication. If the client refuses, what must the facility do?

Forcibly administer medication if deemed necessary by the physician
Discharge the client immediately
Document the refusal and continue to offer education about the medication
Contact the client's legal guardian for consent

Question 27 of 30

27. Question

A counselor is developing a treatment plan for a client who has relapsed multiple times. Which approach aligns with evidence-based practice for chronic substance use disorders?

Impose stricter consequences for relapse
Reassess and modify the treatment plan collaboratively with the client
Increase the frequency of urine drug screens
Refer the client to a higher level of care automatically

Question 28 of 30

28. Question

Under Michigan’s child protection laws, when must a CAADC report suspected child abuse or neglect?

Only if the child is in immediate danger
When there is reasonable cause to suspect abuse or neglect
After obtaining the client's written consent
Only if the child discloses the abuse directly to the counselor

Question 29 of 30

29. Question

A client in a Michigan outpatient program requests access to their clinical records. According to HIPAA and Michigan law, the counselor must:

Deny access to any records that include progress notes
Provide access within 30 days, with limited exceptions for therapy notes
Require the client to sign a release for themselves
Only provide a summary of the treatment

Question 30 of 30

30. Question

Which of the following is a key component of client education in harm reduction approaches?

Teaching complete abstinence as the only goal
Providing information on safer substance use methods
Emphasizing the moral failing of addiction
Requiring immediate detoxification

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