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1. The addiction professional:
A. Will act for the good of others and exercise respect, sensitivity, and insight.
B. Understands that the primary professional responsibility and loyalty is to the welfare of his or her clients, and will work for the client irrespective of who actually pays his/her fees.
C. Will not insist on pursuing treatment goals without incorporating what the client perceives as good and necessary.
D. All of the above.
2. Informed consent information will be presented in clear and understandable language that informs the client or guardian of all of the following, except for:
A. The purpose of the services.
B. Conflicts of interest.
C. Risks related to the services.
D. Limits of services due to requirements from third party payer.
3. Gifts from clients of value over $25 will not be accepted, except when refusal of such gift would cause irreparable harm to the client relationship.
A. True
B. False
4. Addiction professionals base their recommendations/reports on approved evaluation instruments and procedures for which reliability has been verified by research.
A. True
B. False
5. Addiction professionals refrain from making and/or reporting a diagnosis if they think it would cause harm to the client or others.
A. True
B. False
6. The addiction professional recognizes that those who assume the role of assisting others to live a more responsible life, take on the ethical responsibility of living a life that is more than ordinarily responsible.
A. True
B. False
7. All of the following are true with regard to laws and regulations, except for:
A. The addiction professional reserves the right to commit civil disobedience.
B. The addiction professional may break a law if compliance leads to greater harm than breaking a law.
C. The addiction professional understands that the determination that a law or regulation is a matter of preference or opinion.
D. The addiction professional will willingly accept that there may be a penalty for justified civil disobedience.
8. The alcoholism and drug abuse counselor/registrant must not do any of the following, except for:
A. Report known unethical conduct and unprofessional modes of practice to the appropriate certifying authority.
B. Claim directly or by implication, professional qualifications/affiliations that the counselor does not possess.
C. Use the affiliation with the California Certification Board of Alcohol/Drug Counselors for purposes that are not consistent with the stated purposes of the Association.
D. Associate with or permit the counselor’s name to be used in connection with any services or products in a way that is incorrect or misleading.
9. The alcoholism and drug abuse counselor/registrant must do which of the following?
A. Respect the limits of present knowledge in public statements concerning alcoholism and other forms of drug addiction.
B. Assign credit to all who have contributed to the published material and for the work upon which the publication is based.
C. Respect the integrity and protect the welfare of the person or group with whom the counselor is working.
D. All of the above.
10. The alcoholism and drug abuse counselor/registrant must not engage in sexual relations with a client or former client within _____ from the termination date of therapy with the client.
A. 6 months
B. 1 year
C. 2 years
D. 4 years
11. The CCBADC is comprised of certified counselors who, as responsible health care professionals, believe in the dignity and worth of human beings, and in practice of their profession they assert that the ethical principles of which of the following must guide their professional conduct?
A. Autonomy
B. Beneficence
C. Justice
D. All of the above
12. The Registered Recovery Worker must renew registration annually by meeting all of the follow criteria, except for:
A. Documentation at a minimum of eight (8) contact hours of Personal Development skills.
B. Will ascribe to the RRW Code of Ethics and the RRW Scope of Practice/Uniform Code of Conduct at each registration renewal period.
C. The Registered Recovery Worker is required to become certified as an Alcohol and Drug Counselor within 5 years of the date of the initial registration.
D. All of the above are required by the Registered Recovery Worker.
13. Under general supervision of appropriately qualified staff, the Registered Recovery Worker shall utilize skills to assist in developing sobriety life management and communication skills that support recovery, including all of the following, except:
A. Active listening
B. Projecting
C. Empathy
D. Confrontation
14. Experience obtained under the supervision of a spouse or relative by blood or marriage is to be credited toward the required hours of supervised experience, just the same as if there were no relation.
A. True
B. False
15. The CATC (I, II, III, IV, V, N), CATC-I, Registrant, CPS, and/or CCS shall not accept as clients anyone with whom they have engaged in sexual behavior until at least:
A. No time limit set
B. 1 year has past
C. 2 years has past
D. 4 years has past
16. If the CATC (I, II, III, IV, V, N), CATC-I, Registrant, CPS, and/or CCS is referred to and/or refers a client, the fee shall be split.
A. True
B. False
17. Being convicted or found guilty, regardless of adjudication, or entering a plea of nolo contendere to any crime which involves the use of any controlled or psychoactive substance shall be grounds for disciplinary action.
A. True
B. False
18. In circumstances where the certified professional or person seeking certification becomes aware, during the course of providing or supervising professional services, that a condition of clear and imminent danger exists that a consumer may inflict serious bodily harm on another person or persons, the certified professional or person seeking certification shall, consistent with federal and state regulations concerning the confidentiality of alcohol and drug counseling records, take reasonable steps to warn:
A. The local law enforcement of the consumer’s behavior.
B. The certified professional’s or person seeking certification’s supervisor of the consumer’s behavior.
C. Any likely victims of the consumer’s behavior.
D. All of the above.
19. A certified professional or person seeking certification shall not practice substance abuse counseling during the period of any denial, suspension, revocation, probation, or other restriction or discipline on certification, license, or other authorization to practice issued by any certification authority or any state, province, territory, tribe, or the federal government.
A. True
B. False
20. A certified professional or person seeking certification shall report any violation of the Code of Ethics, however, failure to report a violation cannot be used as grounds for discipline.
A. True
B. False
21. The certified professional or person seeking certification shall not discontinue professional services to a consumer unless:
A. Services have been completed.
B. The consumer requests the discontinuation.
C. Alternative or replacement services are arranged.
D. Any of the above.
22. A formal contractual relationship, the scheduling of professional appointments, or payment of a fee for services is necessary for the establishment of a professional-consumer relationship.
A. True
B. False
23. Whether or not the patient, with respect to whom any given record referred to in subsection (a) of section 2.2 is maintained, gives his written consent, the content of such record may be disclosed to which of the following?
A. To medical personnel to the extent necessary to meet a bona fide medical emergency.
B. To qualified personnel for the purpose of conducting scientific research, management audits, financial audits, or program evaluation, but such personnel may not identify, directly or indirectly, any individual patient in any report of such research, audit, or evaluation, or otherwise disclose patient identities in any manner.
C. If authorized by an appropriate order of a court of competent jurisdiction granted after application showing good cause therefor. In assessing good cause the court shall weigh the public interest and the need for disclosure against the injury to the patient, to the physician-patient relationship, and to the treatment services. Upon the granting of such order, the court, in determining the extent to which any disclosure of all or any part of any record is necessary, shall impose appropriate safeguards against unauthorized disclosure.
D. All of the above.
24. If any circumstances exists under which disclosure is permitted, that circumstance acts to remove the prohibition on disclosure but it does not compel disclosure. Thus, the regulations do not require disclosure under any circumstances.
A. True
B. False
25. These regulations are intended to direct the manner in which substantive functions such as research, treatment, and evaluation are carried out in order to insure that alcohol and drug abuse patients in a federally assisted program are not made more vulnerable by reason of availability of his or her patient record.
A. True
B. False
26. All of the following are deemed patient identifying information, except for:
A. Address
B. Program number
C. Fingerprints
D. Photograph
27. An alcohol and/or drug abuse program is which of the following?
A. An individual or entity (other than a general medical care facility) who holds itself out as providing, and provides, alcohol or drug abuse diagnosis, treatment, or referral for treatment.
B. An identified unit within a general medical facility which holds itself out as providing, and provides, alcohol or drug abuse diagnosis, treatment, or referral for treatment.
C. Medical personnel or other staff in a general medial care facility whose primary function is the provision of alcohol or drug abuse diagnosis, treatment, or referral for treatment and who are identified as such providers.
D. Any of the above.
28. It is possible for an individual patient to benefit from Federal support and not be covered by the confidentiality regulations because the program in which the patient is enrolled is not federally assisted as defined in section 2.12(b).
A. True
B. False
29. Which of the following is not covered by the regulations of how the type of diagnosis affects coverage?
A. A diagnosis which is made solely for the purpose of providing evidence for use by law enforcement authorities.
B. A diagnosis of drug overdose or alcohol intoxication which clearly shows that the individual involved is not an alcohol or drug abuser.
C. Both (A) and (B).
D. None of the above.
30. The restrictions on disclosure and use in these regulations apply whether the holder of the information believes that the person seeking the information:
A. Already has it.
B. Has other means of obtaining it.
C. Has obtained a subpoena.
D. All of the above.
31. The regulations restrict a disclosure that an identified individual is not and never has been a patient.
A. True
B. False
32. If a court order entered in accordance with subpart E of these regulations authorizes a methadone maintenance treatment program to disclose certain information about its patients, that program may invoke the research privilege under 21 CFR 291.505(g) as a defense to a subpoena for that information.
A. True
B. False
33. These regulations do not prohibit a program from giving a patient access to his or her own records, including the opportunity to inspect and copy any records that the program maintains about the patient.
A. True
B. False
34. A disclosure may not be made on the basis of a consent which:
A. Has expired.
B. Is known to have been revoked.
C. Is known, or through a reasonable effort could be known, by the person holding the records to be materially false.
D. All of the above.
35. A program may disclose patient records to a central registry or to any detoxification or maintenance treatment program not more than 200 miles away for the purpose of preventing the multiple enrollment of a patient if the disclosure is made for any of the following reasons, except for:
A. The prescribing physician is changed.
B. The type or dosage of the drug is changed.
C. The patient is accepted for treatment.
D. The treatment is interrupted, resumed, or terminated.
36. Patient identifying information may be disclosed to medical personnel of the Food and Drug Administration (FDA) who assert a reason to believe that the health of any individual may be threatened by an error in the manufacture, labeling, or sale of a product under FDA jurisdiction, and that the information will be used for the exclusive purpose of notifying patients or their physicians of potential dangers.
A. True
B. False
37. Upon the entry of a valid subpoena or other compulsory process the person authorized to disclose must disclose, unless there is a valid legal defense to the process other than the confidentiality restrictions of these regulations.
A. True
B. False
38. When counselors learn that their clients are in a professional relationship with other mental health professionals, they:
A. Terminate their counseling relationship with their client.
B. Require their client to terminate their counseling relationship with the other professionals.
C. Request release from clients to inform the other professionals and strive to establish positive and collaborative professional relationships.
D. None of the above.
39. Counselors are prohibited from engaging in a person virtual relationship (e.g., through social and other media) with individuals with whom they have a current counseling relationship.
A. True
B. False
40. If counselors extend boundaries, they must officially document, prior to the interaction (when feasible):
A. The rationale for such an interaction.
B. The potential benefit.
C. The anticipated consequences for the client or former client and other individuals significantly involved with the client or former client.
D. All of the above.
41. If a counselor’s usual fees create undue hardship for the client, the counselor may:
A. Adjust fees, when legally permissible.
B. Assist the client in locating comparable, affordable services.
C. Both (A) and (B).
D. None of the above.
42. Counselors may not barter with the client for services, even if the client requests it.
A. True
B. False
43. Counselors aspire to earn the trust of clients by:
A. Creating an ongoing partnership.
B. Establishing and upholding appropriate boundaries.
C. Maintaining confidentiality.
D. All of the above.
44. The general requirement that counselors keep information confidential does not apply during all of the following, except:
A. When disclosure is required to protect clients or identified others from serious and foreseeable harm.
B. When providing services to terminally ill individuals who are considering hastening their own deaths.
C. When legal requirements demand that confidential information must be revealed.
D. None of the above allow for confidentiality to be maintained.
45. When clients disclose that they have a disease commonly known to be both communicable and life threatening, counselors may be justified in disclosing information to identifiable third parties, if the parties are known to be at serious and foreseeable risk of contracting the disease.
A. True
B. False
46. Counselors do not need to obtain permission from clients prior to recording sessions through electronic or other means.
A. True
B. False
47. Counselors should take reasonable steps to seek peer supervision to evaluate their efficacy as counselors.
A. True
B. False
48. All of the following are true, except for:
A. Counselors may use “ABD” (all but dissertation) or other such terms to imply competency.
B. Counselors do not imply doctoral-level competence when possessing a master’s degree in counseling or a related field and do not refer to themselves as “Dr.” in a counseling context when their doctorate is not in counseling or a related field.
C. Counselors claim only licenses or certificates that are current and in good standing.
D. Counselors clearly differentiate between earned and honorary degrees.
49. Counselors make a reasonable effort to provide services to the public for which there is little or no financial return, such as:
A. Speaking to groups
B. Sharing professional information
C. Offering reduced fees
D. All of the above
50. Counselors do not use techniques / procedures / modalities when substantial evidence suggests harm, unless such services are requested.
A. True
B. False
51. Counselors are responsible for the appropriate application, scoring, interpretation, and use of assessment instruments relevant to the needs of the client, whether they score and interpret such assessments themselves or use technology or other services.
A. True
B. False
52. Counselors may still counsel individuals they are evaluating.
A. True
B. False
53. Counselors who engage in the use of distance counseling, technology, and social media within their counseling practice understand that they may be subject to laws and regulations of both the counselor’s practicing location and the client’s place of residence.
A. True
B. False
54. Lack of knowledge or misunderstanding of an ethical responsibility can be used as a defense against a charge of unethical conduct.
A. True
B. False
55. When counselors are faced with an ethical dilemma, they use and document, as appropriate, an ethical decision-making model that includes which of the following?
A. Consultation
B. Consideration of relevant ethical standards, principles, and laws
C. Generation of potential courses of action
D. Any of the above
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