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Ethics for Substance Abuse Counselors

The Counseling Relationship

1. In all areas of function, the addiction professional is likely to encounter individuals who are ____________________, and in such relationships he/she seeks to nurture and support the development of a relationship of equals rather than to take unfair advantage.

A. Powerless and sensitive

B. Vulnerable and exploitable

C. Insecure and unpredictable

D. Susceptible and uncertain


Standard 2: Client Self Determination

2. The addiction professional understands and respects the fundamental human right of all individuals to self-determination and to make decisions that they consider in their own best interest.

A. True

B. False


Standard 3: Dual Relationships

3. Professionals must avoid situations that might appear to be or could be interpreted as a conflict of interest, and gifts from clients will not be accepted except when refusal of such gift would cause irreparable harm to the client relationship.

A. True

B. False


Standard 5: Preventing Harm

4. In order to prevent harm to clients, counselors must do their best to ensure each of the following EXCEPT:

A. The addiction professional counselor will refrain from using any methods that could be considered coercive such as threats, negative labeling and attempts to provoke shame or humiliation

B. The addiction professional develops treatment plans as a negotiation with the client, soliciting the client’s input about the identified issues/needs, the goals of treatment and the means of reaching treatment goals

C. The addiction professional will terminate the counseling or consulting relationship when it is reasonably clear that the client is not benefiting from the exchange

D. When research is conducted, the addiction professional must ensure that clients do not accept any compensation for their participation in the research


Evaluation, Assessment and Interpretation of Client Data-Basis for Assessment

5. While assessment tools are utilized to gain needed insight in the formulation of the most appropriate treatment plan, assessment instruments are utilized with the goal of gaining an understanding of the extent of a person’s issues/needs and the extent of addictive behaviors.

A. True

B. False


6. Addiction professionals recognize the presence of ______________ in the diagnosis of substance use disorders and are aware of the long term impact of recording such diagnoses.

A. Social prejudices

B. Cultural misjudgments

C. Assessment biases

D. All of the above


Confidentiality/Privileged Communication and Privacy

7. Clients are to be notified when a disclosure is made, to whom the disclosure was made and for what purposes, except in cases where a legal court order is presented.

A. True

B. False


Professional Responsibility-Counselor Attributes

8. Addiction professionals must be cognizant of ways in which their use of psychoactive chemicals might adversely affect the opinion of the public, the recovery community, other members of their professional community or individuals seeking treatment for their own similar problems.

A. True

B. False


Standard 2: Legal and Ethical Standards

9. The Code dictates that addiction professionals will strive to uphold not just the letter of the law and the Code, but will espouse aspirational ethical standards such as autonomy, beneficence, non-malfeasance, and:

A. Understanding, flexibility, and fortitude

B. Humanity, loyalty, and impartiality

C. Justice, fidelity and veracity

D. Insight, authority, and warmth


Standard 3: Records and Data

10. Records of client interactions including group and individual counseling services are maintained in a document that also must contain financial transactions such as client payments, third party payments and gifts or donations.

A. True

B. False


Supervision and Consultation

11. Supervising addiction professionals will assist those they supervise in identifying counter-transference and transference issues, and when the supervisee is in need of counseling to address issues related to professional work or personal challenges, appropriate referrals shall be provided.

A. True

B. False


CCBADC-Alcohol/Drug Counselors Code of Ethics/Conduct

12. The alcoholism and drug abuse counselor/registrant must recognize that the profession is founded on national standards of competence, which includes adhering to each of the following EXCEPT:

A. The alcoholism and drug abuse counselor/registrant must prevent the practice of alcoholism and drug abuse counseling by unqualified and unauthorized persons

B. With respect to counselor competencies, the counselor must only offer services or use techniques outside of his/her professional training if it is determined to be in the best interest of the client

C. The alcoholism and drug abuse counselor/registrant who is aware of unethical conduct or of unprofessional modes of practice must report such violations to the appropriate certifying authority

D. The alcoholism and drug abuse counselor/registrant must recognize the effect of professional impairment on professional performance and must be willing to seek appropriate treatment for oneself or for a colleague


Principle 7: Client Welfare

13. The alcoholism and drug abuse counselor/registrant, in referral cases, must assume the responsibility  for the client's welfare either by termination by mutual agreement and/or by the client becoming engaged with another professional.

A. True

B. False


Principle 9: Client Relationships

14. The counselor must not engage in sexual relations with a client or with a former client within two years from the termination date of therapy with the client, solicit sexual relations with a client, or commit an act of sexual abuse or sexual misconduct with a client.

A. True

B. False


AOD Counselors: Certificants and Registrants- Uniform Code of Conduct

15. This Code of Conduct shall prohibit registrants and certified alcohol and other drug (AOD) counselors from failure to keep records consistent with sound professional judgment, the standards of the profession, and:

A. The qualifications, functions, or duties of an alcohol and other drug counselor

B. His or her education, professional qualifications, or professional affiliations

C. Documentation of social or business relationship with clients, program participants, or former clients

D. The nature of the services being rendered


(CCBADC) Registered Recovery Worker Scope of Practice-Requirements

16. Which of the following is NOT one of the requirements of the Registered Recovery Worker (RRW)?

A. The RRW shall demonstrate competency in the areas of screening, intake, orientation, case management, crisis intervention, referral and record keeping

B. He/she must renew registration annually by showing documentation of a minimum of ten (10) contact hours of Personal Development skills

C. The Registered Recovery Worker must become certified as an Alcohol and Drug Counselor within 3 years of the date of the initial registration

D. The RRW will ascribe to the RRW Code of Ethics and the RRW Scope of Practice/Uniform Code of Conduct at each registration renewal period


17. The Registered Recovery Worker shall assist the client in identifying and understanding the relationships and social settings that support addiction and shall demonstrate how the consequences of alcoholism and other drug dependence have impacted the client's life.

A. True

B. False


Certified Prevention Specialist Code of Ethics-Principle 2: Competence

18. Competence for Certified Prevention Specialists is derived from a synthesis of education and experience, begins with the mastery of a body of knowledge and skill competencies, and is maintained through commitment to learning and professional improvement.

A. True

B. False


Principle 4: Nature of Services

19. Services provided by Prevention Specialists shall be _________________ and should be provided in a way which preserves the protective factors inherent in each culture and individual.

A. Respectful and non-exploitive

B. Supportive and non-threatening

C. Empathic and non-partial

D. Fair and non-judgmental


Alcohol/Drug Educators Code of Ethics-Principle 3.5: Supervision

20. Any experience obtained under the supervision of a supervisor with whom the counselor has a personal relationship that undermines the authority or effectiveness of the supervision shall not be credited toward the required hours of supervised experience.

A. True

B. False


Principle 7: Confidentiality

21. The CATC, CATC-I, Registrant, CPS, and/or CCS working in the best interest of the client shall embrace, as a primary obligation, the duty of protecting client's rights under confidentiality and shall not disclose confidential information acquired in teaching, practice, or investigation without appropriately executed consent. 

A. True

B. False


Principle 8: Client Relationships

22. The Code states that the CATC , CATC-I, Registrant, CPS, and/or CCS shall not accept as clients anyone with whom they have engaged in sexual behavior:

A. In the past 7 years

B. In the past 5 years

C. In the past 3 years

D. At any time


The Florida Certification Board Certified Professional Code of Ethics-Rules of Conduct/Professional Standards

23. A certified professional or person seeking certification shall not in any way participate in discrimination on the basis of race, color, sex, sexual orientation, age, religion, national origin, socio-economic status, political belief, psychiatric or psychological impairment, physical disability, or:

A. Occupation or employment status

B. The amount of previous therapeutic or treatment occurrences

C. Personal appearance

D. Criminal involvement


Exploitation of Consumers

24. A certified professional or person seeking certification shall not offer, give, or receive commissions, rebates, or any other forms of remuneration for a consumer referral.

A. True

B. False


Cooperation with the Board

25. The professional or person seeking certification shall cooperate in any investigation conducted pursuant to this Code of Ethics, and attempts to interfere with this process include each of the following EXCEPT:

A. The willful misrepresentation of facts before the disciplining authority or its authorized representative

B. The use of threats or harassment against, or an inducement to, any consumer or witness in an effort to prevent them from providing evidence in a disciplinary proceeding or any other legal action

C. Promising anything of value or benefit to the disciplinary board member for the purpose of influencing that member

D. The use of threats against any person in an effort to prevent or attempt to prevent a disciplinary proceeding or other legal action from being filed, prosecuted or completed


Board of Certification (IBC) Code of Ethics-Subscription to Code of Ethics

26. Persons applying for certification must subscribe to the Iowa Board of Certification's Code of Ethics for Alcohol and Drug Counselors, and the subscription will be in effect for two years from the date of certification.

A. True

B. False


27. Through an awareness of the impact of __________________ the alcohol and drug counselor guards the individual rights and personal dignity of clients.

A. Stereotyping and discrimination

B. Bias and intolerance

C. Indifference and prejudice

D. Bigotry and injustice


Principle II-Dual Relationships

28. Alcohol & Drug Counselors do not provide their personal contact information to clients, i.e. home/personal cell phone number, personal email, Skype, Twitter, etc. nor engage in communication with clients through these mediums except in cases of agency/professional business.

A. True

B. False


Principle IV-Professional Competence and Integrity

29. In order to maintain the generally accepted standards of practice, counselors do not use any drug or alcoholic beverage to the extent or in such manner as to be dangerous or injurious to self or others, or to the extent that such use impairs the ability of such person to safely provide professional services.

A. True

B. False


Principle VIII-Advertising

30. Alcohol and drug counselors do not use any professional identification if it contains a material misrepresentation of fact, fails to state any material fact necessary to make the statement not misleading, or is intended to or is likely to create:

A. A false assumption

B. An ambiguous intention

C. An unjustified expectation

D. A deceitful presumption


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