, Question 1
A peer support specialist is working with a person who has achieved 90 days of
abstinence but now reports intense cravings and is considering using
substances to cope with a recent job loss. According to the transtheoretical
model, which stage-specific peer intervention is most appropriate?
A. Provide psychoeducation on the neurobiology of addiction to reinforce
abstinence.
B. Explore ambivalence and reinforce self-efficacy for maintaining
change.
C. Develop a detailed relapse prevention plan with specific coping
strategies.
D. Refer immediately to a higher level of care for detoxification.
Correct Answer: B - Explore ambivalence and reinforce
self-efficacy for maintaining change.
RATIONALE
The person is in the action stage but experiencing a crisis that may
trigger relapse; the peer should explore ambivalence and reinforce
self-efficacy to prevent regression. Psychoeducation (A) is more
appropriate in contemplation, while a detailed plan (C) may be
premature if ambivalence is high, and detox (D) is not indicated
without physiological withdrawal.
Question 2
A peer specialist is facilitating a wellness recovery action plan (WRAP) group.
A participant asks, 'What's the difference between a wellness tool and a crisis
plan?' Which response best reflects WRAP principles?
A. Wellness tools are daily activities that maintain stability, while a crisis
plan is a pre-negotiated set of instructions for others if you cannot make
decisions.
B. Wellness tools are only used when you feel good, and a crisis plan is
Page 2
, used when you feel bad.
C. A crisis plan is a legal document that must be signed by a clinician,
whereas wellness tools are informal.
D. Wellness tools are for physical health, and crisis plans are for mental
health emergencies.
Correct Answer: A - Wellness tools are daily activities that
maintain stability, while a crisis plan is a pre-negotiated set of
instructions for others if you cannot make decisions.
RATIONALE
In WRAP, wellness tools are proactive daily strategies to stay well,
while a crisis plan is a legal-adjacent, person-centered document
specifying how others should support the person during a crisis when
they cannot advocate for themselves. The other options
mischaracterize the proactive nature of wellness tools and the
collaborative, non-legal nature of crisis plans.
Question 3
A peer support specialist is documenting a home visit. The person discloses
current suicidal ideation with a specific plan. The peer's agency policy requires
mandatory reporting to a supervisor. Which action best balances ethical
obligations and the peer's role?
A. Maintain confidentiality because peer support is built on trust, and the
person did not consent to disclosure.
B. Immediately contact emergency services without informing the person,
to ensure safety.
C. Collaborate with the person to contact the supervisor and develop a
safety plan, unless imminent risk requires immediate action.
D. Document the disclosure but take no further action, as peers are not
clinicians.
Correct Answer: C - Collaborate with the person to contact the
supervisor and develop a safety plan, unless imminent risk
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, requires immediate action.
RATIONALE
Ethical peer support requires balancing confidentiality with duty to
warn and safety; involving the person in the process respects
autonomy while addressing risk. Immediate emergency services (B)
may be necessary if risk is imminent, but collaboration is preferred
when possible. Option A ignores safety, and D neglects the peer's
responsibility.
Question 4
A peer specialist uses motivational interviewing with a person who says, 'I
know I should quit smoking, but I really enjoy it.' Which response best
demonstrates the MI spirit of evocation?
A. You should consider the health risks; smoking is harmful.
B. It sounds like smoking is important to you. What are some reasons you
might consider quitting?
C. Many people quit successfully using nicotine replacement. Have you
tried it?
D. If you don't quit, you'll likely develop serious health problems.
Correct Answer: B - It sounds like smoking is important to you.
What are some reasons you might consider quitting?
RATIONALE
Evocation draws out the person's own motivations and reasons for
change rather than imposing advice or warnings. Option B reflects this
by acknowledging the person's perspective and asking for their
reasons. Options A, C, and D are directive or confrontational, which
are inconsistent with MI.
Question 5
A peer support program is implementing trauma-informed care. Which
organizational policy best aligns with the principle of safety?
Page 4
A peer support specialist is working with a person who has achieved 90 days of
abstinence but now reports intense cravings and is considering using
substances to cope with a recent job loss. According to the transtheoretical
model, which stage-specific peer intervention is most appropriate?
A. Provide psychoeducation on the neurobiology of addiction to reinforce
abstinence.
B. Explore ambivalence and reinforce self-efficacy for maintaining
change.
C. Develop a detailed relapse prevention plan with specific coping
strategies.
D. Refer immediately to a higher level of care for detoxification.
Correct Answer: B - Explore ambivalence and reinforce
self-efficacy for maintaining change.
RATIONALE
The person is in the action stage but experiencing a crisis that may
trigger relapse; the peer should explore ambivalence and reinforce
self-efficacy to prevent regression. Psychoeducation (A) is more
appropriate in contemplation, while a detailed plan (C) may be
premature if ambivalence is high, and detox (D) is not indicated
without physiological withdrawal.
Question 2
A peer specialist is facilitating a wellness recovery action plan (WRAP) group.
A participant asks, 'What's the difference between a wellness tool and a crisis
plan?' Which response best reflects WRAP principles?
A. Wellness tools are daily activities that maintain stability, while a crisis
plan is a pre-negotiated set of instructions for others if you cannot make
decisions.
B. Wellness tools are only used when you feel good, and a crisis plan is
Page 2
, used when you feel bad.
C. A crisis plan is a legal document that must be signed by a clinician,
whereas wellness tools are informal.
D. Wellness tools are for physical health, and crisis plans are for mental
health emergencies.
Correct Answer: A - Wellness tools are daily activities that
maintain stability, while a crisis plan is a pre-negotiated set of
instructions for others if you cannot make decisions.
RATIONALE
In WRAP, wellness tools are proactive daily strategies to stay well,
while a crisis plan is a legal-adjacent, person-centered document
specifying how others should support the person during a crisis when
they cannot advocate for themselves. The other options
mischaracterize the proactive nature of wellness tools and the
collaborative, non-legal nature of crisis plans.
Question 3
A peer support specialist is documenting a home visit. The person discloses
current suicidal ideation with a specific plan. The peer's agency policy requires
mandatory reporting to a supervisor. Which action best balances ethical
obligations and the peer's role?
A. Maintain confidentiality because peer support is built on trust, and the
person did not consent to disclosure.
B. Immediately contact emergency services without informing the person,
to ensure safety.
C. Collaborate with the person to contact the supervisor and develop a
safety plan, unless imminent risk requires immediate action.
D. Document the disclosure but take no further action, as peers are not
clinicians.
Correct Answer: C - Collaborate with the person to contact the
supervisor and develop a safety plan, unless imminent risk
Page 3
, requires immediate action.
RATIONALE
Ethical peer support requires balancing confidentiality with duty to
warn and safety; involving the person in the process respects
autonomy while addressing risk. Immediate emergency services (B)
may be necessary if risk is imminent, but collaboration is preferred
when possible. Option A ignores safety, and D neglects the peer's
responsibility.
Question 4
A peer specialist uses motivational interviewing with a person who says, 'I
know I should quit smoking, but I really enjoy it.' Which response best
demonstrates the MI spirit of evocation?
A. You should consider the health risks; smoking is harmful.
B. It sounds like smoking is important to you. What are some reasons you
might consider quitting?
C. Many people quit successfully using nicotine replacement. Have you
tried it?
D. If you don't quit, you'll likely develop serious health problems.
Correct Answer: B - It sounds like smoking is important to you.
What are some reasons you might consider quitting?
RATIONALE
Evocation draws out the person's own motivations and reasons for
change rather than imposing advice or warnings. Option B reflects this
by acknowledging the person's perspective and asking for their
reasons. Options A, C, and D are directive or confrontational, which
are inconsistent with MI.
Question 5
A peer support program is implementing trauma-informed care. Which
organizational policy best aligns with the principle of safety?
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