CMHT UPDATED 2026 EXAM SCRIPT QUESTIONS AND
ANSWERS RATED A+
✔✔True or False: all drugs are liked by all addicts - ✔✔False
✔✔Which of the following is the most likely to abuse drugs - ✔✔A young man
experiencing recurrent major depression
✔✔The DSM-5 divides substance use disorders include all except: - ✔✔Legal
difficulties
✔✔True or False: some type of withdrawal is seen with all addictions - ✔✔False
✔✔When an organization or an individual is involved in an adult under 2CFR Part 2, the
organization or person must ____________ - ✔✔Agree in writing that PH will not be re-
disclosed except under strict conditions
✔✔Which of the following is not an exception to the non-disclosure rule? -
✔✔Disclosure to a client's spouse
✔✔Under what circumstances may a treatment program terminate its agreement to
restrict disclosure of patient-identifying information - ✔✔Only if the client's written
consent except in specific circumstances outlined, such as when information is needed
for laboratory services
✔✔If 42 CFR Part 2 applies, under what circumstances can law enforcement personnel
question clients at a treatment facility? - ✔✔If there has been a patient crime on the
program premises or a crime by a patient against personnel
✔✔Gemma, an administrator at Green Pines Rehabilitation Center, received a
subpoena from an attorney asking that she appear in court and testifies as to the
treatment Glenn received at Green Pines. Does the subpoena exempt Gemma from
CFR Part 2 non-disclosure requirements? - ✔✔No, a subpoena is not sufficient on its
own to provide an exemption from Part non-disclosure requirements.
✔✔Joan is being released from jail on the condition that she enters a drug treatment
program. She contacts Recovery Center to determine whether she is eligible for their
program., They tell her she is not eligible, and she informs her Parole Officer of their
decision and looks for services at other facilities. Her parole officer then contacts
Recovery Center and asks whether Joan has actually contacted them. Recovery Center
informs Mark that she has. Is this a permissible disclosure? - ✔✔No. 42 CFR Part 2
protects anyone checking on their eligibility to enter a program following an arrest on a
criminal charge
,✔✔True or False: According to 42 CFR Part 2, a client's access to their PHI cannot be
disclosed in an unauthorized manner under any circumstances. - ✔✔False
✔✔True or False: If a disclosure is received by a detoxification program and it is
determined that a client is currently enrolled, the program may communicate with the
disclosing program to verify the information is correct and work to prevent or eliminate
any instances of multiple enrollement - ✔✔True
✔✔Which of the following is NOT a possible penalty for disclosure violations under
HIPPA or 42 CFR Part 2? - ✔✔$10,000 criminal penalty for first offense
✔✔A written consent to disclose form must include all of the following except: - ✔✔The
name and contact information of the clients emergency contact
✔✔True or False: Restrictions on disclosure do not apply to Qualified Service
Organizations when information is needed by the organization to provide services to the
program - ✔✔True
✔✔Dr. Lee burg has just evaluated Debbie's blood work and feels that she should be
monitored over the course of the next few hours. Dr. Lee burg discussses Debbie's
blood work results with Debbie and her nurses in a joint treatment area. Would HIPAA
allow such disclosure? - ✔✔Yes, the HIPAA privacy rule allows incidental disclosures
such as discussing lab tests in a joint treatment area
✔✔Which if the following is NOT a component of the HIPAA Security Rule? -
✔✔Safeguarding paper records
✔✔True or False: Clients have several rights surrounding how their personal
information is being stored and communicated, including the right to inspect and copy
their information and receive an accounting of disclosures - ✔✔True
✔✔When a client is denied the right to access their information based on circumstances
that allow the denial, the following is true: - ✔✔The denial of access must be in writing
and include the reason for the denial
✔✔When a crime is committed on the premises of a drug treatment program, what
information may be disclosed to law enforcement? - ✔✔Relevant information about the
perpetrator of the crime
✔✔Which of the following is NOT an exemption to the HIPAA privacy requirements? -
✔✔Reporting of older abuse
,✔✔Critics of 42 CFR Part 2 assert that the additional requirements of which program
assert that unauthorized disclosure of protected health information can result in the
imposition of both civil and criminal penalties - ✔✔HITECH
✔✔True or False: Under both HIPAA and 42 CFR Part 2, a healthcare facility must
make its clients available for police questioning without a court order - ✔✔False
✔✔True or False: You do not need consent to report a crime committed by a client on
the property of the substance use treatment program - ✔✔True
✔✔Which term is defined as a process of change through which individuals improve
their health and wellness, live in a self-directed life, and strive to reach their full
potential? - ✔✔Recovery
✔✔What do advocates for safe and fair treatment of adults with serious mental illness
believe is the first priority of recovery? - ✔✔safe and secure housing
✔✔Miette works for an organization that emphasizes a person-driven recovery model.
Consistent with the model in use by her organization, her initial meeting with people with
serious mental illness will likely emphasize which approach? - ✔✔Provide
psychoeducation about the treatment choices available to them
✔✔What is the relationship between wellness and recovery? - ✔✔Wellness is an
integral goal of recovery
✔✔Which recovery approach helps the individual create personal "wellness tools," learn
about their personal triggers, plan for potential relapse crisis, and create their own
advance directives? - ✔✔Wellness Recovery Action Plan
✔✔Once an individual has chosen role recovery goals, the next logical question is: -
✔✔What do I need to be able to do in order to be successful in those roles?
✔✔Bethany arrived for her therapy appointment complaining of worsening depression
and hopelessness. She has been avoiding her friends, has not been sleeping well, and
is tired of being such a bother to her family? Which issue should her therapist address
as the most important during their visits? - ✔✔The presence of suicidal thoughts and
feelings
✔✔When focusing on symptomatic recovery, why is it important to intially focus on what
the person is already doing to manage their symptoms? - ✔✔This communicates an
emphasis on strengths
, ✔✔Which collection of symptoms is the strongest cue that should alert providers
treating persons with serious mental illness that there may be a history of trauma? -
✔✔Hyperarousal, hypervigilance, sleepy disturbances, nightmares, and exaggerated
startle response
✔✔What is the role of the provider in terms of communicating hope with people with
serious mental illness? - ✔✔To support the reasonable expectation that things can
improve and recovery is possible
✔✔John has been diagnosed with Bipolar I, and sometimes experiences agitation and
restlessness as a result. He is learning how to practice relaxation exercises and some
basic meditation, which he finds soothes his agitation. What type of medicine is John
practicing? - ✔✔Personal medicine
✔✔True or False: It is necessary to achieve complete symptomatic recovery before
starting to work on others parts of recovery - ✔✔False
✔✔Trauma informed-practices emphasize all of the following basic principles except -
✔✔Leadership
✔✔What is the overall goal of the health domain in the context of recovery? -
✔✔Embrace all aspects of care for the individual's personal health and wellness
✔✔In a recovery-oriented practice, which person should be driving the services
received? - ✔✔The person receiving services
✔✔What is the most common emotion experienced among suicidal persons? -
✔✔Hopelessness
✔✔Which of the following is NOT one of the basic pathways identified in the course that
describes how personal growth towards recovery occurs? - ✔✔Practical Recovery
✔✔Which approach can be useful when trying to help individuals identify the sources of
meaning and purpose in their life? - ✔✔Motivational Interviewing
✔✔Individuals who have themselves experienced serious mental illness and who are
trained to use the principles of personal empowerment to motivate people in recovery
are known as______ - ✔✔Peer Recovery Specialist
✔✔Which of the following is NOT a helpful way to interject hopefulness into the work of
therapy? - ✔✔Emphasize our role as the expert
ANSWERS RATED A+
✔✔True or False: all drugs are liked by all addicts - ✔✔False
✔✔Which of the following is the most likely to abuse drugs - ✔✔A young man
experiencing recurrent major depression
✔✔The DSM-5 divides substance use disorders include all except: - ✔✔Legal
difficulties
✔✔True or False: some type of withdrawal is seen with all addictions - ✔✔False
✔✔When an organization or an individual is involved in an adult under 2CFR Part 2, the
organization or person must ____________ - ✔✔Agree in writing that PH will not be re-
disclosed except under strict conditions
✔✔Which of the following is not an exception to the non-disclosure rule? -
✔✔Disclosure to a client's spouse
✔✔Under what circumstances may a treatment program terminate its agreement to
restrict disclosure of patient-identifying information - ✔✔Only if the client's written
consent except in specific circumstances outlined, such as when information is needed
for laboratory services
✔✔If 42 CFR Part 2 applies, under what circumstances can law enforcement personnel
question clients at a treatment facility? - ✔✔If there has been a patient crime on the
program premises or a crime by a patient against personnel
✔✔Gemma, an administrator at Green Pines Rehabilitation Center, received a
subpoena from an attorney asking that she appear in court and testifies as to the
treatment Glenn received at Green Pines. Does the subpoena exempt Gemma from
CFR Part 2 non-disclosure requirements? - ✔✔No, a subpoena is not sufficient on its
own to provide an exemption from Part non-disclosure requirements.
✔✔Joan is being released from jail on the condition that she enters a drug treatment
program. She contacts Recovery Center to determine whether she is eligible for their
program., They tell her she is not eligible, and she informs her Parole Officer of their
decision and looks for services at other facilities. Her parole officer then contacts
Recovery Center and asks whether Joan has actually contacted them. Recovery Center
informs Mark that she has. Is this a permissible disclosure? - ✔✔No. 42 CFR Part 2
protects anyone checking on their eligibility to enter a program following an arrest on a
criminal charge
,✔✔True or False: According to 42 CFR Part 2, a client's access to their PHI cannot be
disclosed in an unauthorized manner under any circumstances. - ✔✔False
✔✔True or False: If a disclosure is received by a detoxification program and it is
determined that a client is currently enrolled, the program may communicate with the
disclosing program to verify the information is correct and work to prevent or eliminate
any instances of multiple enrollement - ✔✔True
✔✔Which of the following is NOT a possible penalty for disclosure violations under
HIPPA or 42 CFR Part 2? - ✔✔$10,000 criminal penalty for first offense
✔✔A written consent to disclose form must include all of the following except: - ✔✔The
name and contact information of the clients emergency contact
✔✔True or False: Restrictions on disclosure do not apply to Qualified Service
Organizations when information is needed by the organization to provide services to the
program - ✔✔True
✔✔Dr. Lee burg has just evaluated Debbie's blood work and feels that she should be
monitored over the course of the next few hours. Dr. Lee burg discussses Debbie's
blood work results with Debbie and her nurses in a joint treatment area. Would HIPAA
allow such disclosure? - ✔✔Yes, the HIPAA privacy rule allows incidental disclosures
such as discussing lab tests in a joint treatment area
✔✔Which if the following is NOT a component of the HIPAA Security Rule? -
✔✔Safeguarding paper records
✔✔True or False: Clients have several rights surrounding how their personal
information is being stored and communicated, including the right to inspect and copy
their information and receive an accounting of disclosures - ✔✔True
✔✔When a client is denied the right to access their information based on circumstances
that allow the denial, the following is true: - ✔✔The denial of access must be in writing
and include the reason for the denial
✔✔When a crime is committed on the premises of a drug treatment program, what
information may be disclosed to law enforcement? - ✔✔Relevant information about the
perpetrator of the crime
✔✔Which of the following is NOT an exemption to the HIPAA privacy requirements? -
✔✔Reporting of older abuse
,✔✔Critics of 42 CFR Part 2 assert that the additional requirements of which program
assert that unauthorized disclosure of protected health information can result in the
imposition of both civil and criminal penalties - ✔✔HITECH
✔✔True or False: Under both HIPAA and 42 CFR Part 2, a healthcare facility must
make its clients available for police questioning without a court order - ✔✔False
✔✔True or False: You do not need consent to report a crime committed by a client on
the property of the substance use treatment program - ✔✔True
✔✔Which term is defined as a process of change through which individuals improve
their health and wellness, live in a self-directed life, and strive to reach their full
potential? - ✔✔Recovery
✔✔What do advocates for safe and fair treatment of adults with serious mental illness
believe is the first priority of recovery? - ✔✔safe and secure housing
✔✔Miette works for an organization that emphasizes a person-driven recovery model.
Consistent with the model in use by her organization, her initial meeting with people with
serious mental illness will likely emphasize which approach? - ✔✔Provide
psychoeducation about the treatment choices available to them
✔✔What is the relationship between wellness and recovery? - ✔✔Wellness is an
integral goal of recovery
✔✔Which recovery approach helps the individual create personal "wellness tools," learn
about their personal triggers, plan for potential relapse crisis, and create their own
advance directives? - ✔✔Wellness Recovery Action Plan
✔✔Once an individual has chosen role recovery goals, the next logical question is: -
✔✔What do I need to be able to do in order to be successful in those roles?
✔✔Bethany arrived for her therapy appointment complaining of worsening depression
and hopelessness. She has been avoiding her friends, has not been sleeping well, and
is tired of being such a bother to her family? Which issue should her therapist address
as the most important during their visits? - ✔✔The presence of suicidal thoughts and
feelings
✔✔When focusing on symptomatic recovery, why is it important to intially focus on what
the person is already doing to manage their symptoms? - ✔✔This communicates an
emphasis on strengths
, ✔✔Which collection of symptoms is the strongest cue that should alert providers
treating persons with serious mental illness that there may be a history of trauma? -
✔✔Hyperarousal, hypervigilance, sleepy disturbances, nightmares, and exaggerated
startle response
✔✔What is the role of the provider in terms of communicating hope with people with
serious mental illness? - ✔✔To support the reasonable expectation that things can
improve and recovery is possible
✔✔John has been diagnosed with Bipolar I, and sometimes experiences agitation and
restlessness as a result. He is learning how to practice relaxation exercises and some
basic meditation, which he finds soothes his agitation. What type of medicine is John
practicing? - ✔✔Personal medicine
✔✔True or False: It is necessary to achieve complete symptomatic recovery before
starting to work on others parts of recovery - ✔✔False
✔✔Trauma informed-practices emphasize all of the following basic principles except -
✔✔Leadership
✔✔What is the overall goal of the health domain in the context of recovery? -
✔✔Embrace all aspects of care for the individual's personal health and wellness
✔✔In a recovery-oriented practice, which person should be driving the services
received? - ✔✔The person receiving services
✔✔What is the most common emotion experienced among suicidal persons? -
✔✔Hopelessness
✔✔Which of the following is NOT one of the basic pathways identified in the course that
describes how personal growth towards recovery occurs? - ✔✔Practical Recovery
✔✔Which approach can be useful when trying to help individuals identify the sources of
meaning and purpose in their life? - ✔✔Motivational Interviewing
✔✔Individuals who have themselves experienced serious mental illness and who are
trained to use the principles of personal empowerment to motivate people in recovery
are known as______ - ✔✔Peer Recovery Specialist
✔✔Which of the following is NOT a helpful way to interject hopefulness into the work of
therapy? - ✔✔Emphasize our role as the expert
