ADC Exam Prep Questions and Answers, 100% Accurate, rated A+

ADC Exam Prep Questions and Answers, 100% Accurate, rated A+ Recreational Use typically means - ✔✔-weekly or bi-weekly use, typically in a social setting You get a shorter and more intense high when - ✔✔-the drug is ...

ADC Exam Prep Questions and Answers, 100% Accurate, rated A+ Recreational Use typically means - ✔✔-weekly or bi-weekly use, typically in a social setting You get a shorter and more intense high when - ✔✔-the drug is absorbed into the body faster Antogonist drug interaction - ✔✔-like meth and opiates Additive drug interaction - ✔✔-cumulative effect Synergistic drug interaction - ✔✔-more than comulative potentiating drug interaction - ✔✔-each enhances the other Tolerance develops as the body seeks - ✔✔-homeostatis When tolerance for barbituates develops (2) - ✔✔-tolerance for a lethal dose only increases a little bit the potential for an overdose increases the longer a person uses Wernicke's encephalopathy - ✔✔-a short term vitamin D defficiency due to poor nutrition after years of drinking Signs are poor muscle coordination, eye impairment 80-90% of those with Wenicke's Encephalopathy develop - ✔✔-Korsafoff syndrome (memory issues) and psychosis. Hepatitis can be caused by drinking? - ✔✔-yes, alcohol effects all of the body, especially the liver Steatosis - ✔✔-fatty deposits in liver (can be result of drinking) Cirrhosis - ✔✔-scarring of the liver Alcohol changes the chemicals that break down and remove scar tissue. This means that scar tissue builds up in the liver. Formication can also be known as - ✔✔-Magnon's Syndrom How does cocaine damage the heart? - ✔✔-Arterial constriction Atherosclerosis (artery hardening and plaque build up) Amphetamines are similar to the body's hormone - ✔✔-adrenaline what are the two most non alcoholic abused substance in the world Why? - ✔✔-marijauna meth what drug is harder to quit in terms of dependence than any other drug? - ✔✔-nicotine-7% quit per year withdrawal is worse than cocaine and almost as bad as heroin Convergence Theory - ✔✔-substance abuse rates among men and women are becoming more equal Alcohol use disorders rank how high among the elderly - ✔✔-third early onset - ✔✔-young age late onset exacerbation drinking - ✔✔-use without problem but becomes problem in late adulthood late onset - ✔✔-becomes problem late in life % of people get treatment for both % of people that get MH tx % of people that get AOD tx - ✔✔-7.4% 32.9% 3.8% Where mental health is present % of people that have SUD issues - ✔✔-25.7% Where substance use is present % of people that have MH issues - ✔✔-17.6% What does GATE stand for? - ✔✔-a substance abuse counselor uses this to address suicide ideation Gather info; accessing supervision; take responsible action; extend the action How many comprehensive assessment domains? - ✔✔-14 1. substance abuse hx 2. tx history 3. physical/mental health hx 4. family status, issues, use 5. education 6. employment 7. legal hx 8. emotional, psychological concerns 9. RELIGION/WORLDVIEW 10. LIFESTYLE CONCERNS (sexual orientation, housing) 11. socioeconomic factors 12. PRIOR COMMUNITY RESOURCES 13. cognitive capacity 14. readiness for treatment Examples of substance abuse induced disorders (3) - ✔✔-suicidality delusions hallucinations AUDIT - ✔✔-Alcohol Use Disorders Identification Test developed by WHO-a simple method of screening for unhealthy alcohol use MAST - ✔✔-Michigan Alcohol Screening Test identifying dependent drinkiners who should create a treatment plan? - ✔✔-collaborative team WITH the client boiler plate (or standard language) should not be used as a short cut How many levels of treatment placement are recognized by ASAM? What are they? - ✔✔-4 Level 1 early intervention Level 2 IOP, PHP Level 3 residential/inpatient Level 4 medically managed inpatient, 24 hour care Circumstances, Motivation, Readiness, and Suitability (CMRS) scales are used for what purpose? - ✔✔- assessing client readiness for treatment MATRS - ✔✔-Guiding tx plan principles M-measurable A-attainable T-time limited R-realistic S-specific In cases involving the criminal justice system, what is the minimum recommendation for frequency of updating ISP? why? - ✔✔-at all transition points an offender's treatment needs may change due to motivation and environment at each level How many domains are addressed in the Addiction Severity Index? (ASI) - ✔✔-six 1. Medical Status 2. employment/supports 3. alcohol/drug use 4. legal status 5. family and social status 6. psychiatric status goal of ASI is to make sure counselors all ask these basic questions (this does not cover everything that is needed to ask, but to provide a baseline) The ASI was formally adopted by which organization? - ✔✔-National Institute on Drug Abuse (NIDA) What does it mean if an assessment is valid? - ✔✔-is assesses what is means to assess How does motivation for participating in tx differ from motivation to change behaviors - ✔✔-motivation for change is internal; treatment may be pushed on a client SOCRATES - ✔✔-STAGES OF CHANGE AND TREATMENT EAGERNESS SCALE helps figure out what stage of change they are in there are two versions, one assesses alcohol, the other drugs List three key components of a treatment plan - ✔✔-goals objectives theoretical approach to be used via treatment What does the DAP progress note acronym stand for? - ✔✔-Data Assessment Plan What does the acronym DIG FAST stand for? - ✔✔-evaluation of symptoms of mania distractibility indiscretion (excessive pleasure activities) grandiosity flight of ideas activity sleep deficit talkativeness How does the center for substance abuse tx (CSAT) recommend that substance abuse be considered? - ✔✔-a chronic treatable condition how does CSAT indicate that tx following discharge from a community program be referred to? - ✔✔- continuing care (aftercare and follow up care are discouraged because addiction is a chronic disease) how does treatment differ from self help? PETAP - ✔✔-1. professional 2. evaluation 3. treatment plan 4. accountable (ISP is followed) 5. program remains in contact with client until the recovery process is complete recommended weekly hours for IOP and PHP - ✔✔-IOP: 9+ hours each week, 3-5 days each week PHP: 6+ hours daily longer duration of care tends to have better outcomes difference between naltrexone and naloxone combine what two meds for tx - ✔✔-Naloxone (Narcan) is a shorter acting agent typically used in an opioid overdose sometimes clinicians combine bup and naloxone for tx How many main levels exist in the substance abuse CONTINUUM OF CARE, according to ASAM? - ✔✔- five 0.5 early intervention Level 1 outpatient (less than 9 hours per week) Level 2.1 IOP Level 2.5 PHP Level 3 residential Level 4 medically managed How many sequential stages must outpatient clients work through, regardless of what level of care at which they enter treatment? - ✔✔-Four 1). Treatment engagement 2). Early recovery 3). Maintenance 4). Community Support How is the MOST effective relapse prevention training provided? Groups v. individual sessions - ✔✔- They are roughly equal in effectiveness Acetylcholine - ✔✔-muscle movement Norepinephrine - ✔✔-arousal, mood, memory Serotonin - ✔✔-emotion, mood, sleep, temp GABA - ✔✔-motor behavior Glycine - ✔✔-spinal reflexes, motor behavior Medical professionals are required to report - ✔✔-AIDs to all states HIV to some states Privacy Rule - ✔✔-PI: medical record, convos between doctor, billing info, and any other form of health info Security Rule - ✔✔-electronic health info must be secure and protected, safeguards must be in place Process Evaluation - ✔✔-is ISP appropriate? Was their a suitable ISP? Did patient take advantage of services? Were services actually available? Outcome Evaluation - ✔✔-were they accurately assessed? did they benefit? What is the most common duration of individual counseling in an IOP program? - ✔✔-30-50 minutes, 1x per week How important are pharmacotherapy and MAT in recovery? - ✔✔-Critical importance but not vital Topics addressed in psychoeducational groups are typically - ✔✔-sequenced by concept What was the ORIGINAL CIWA-Ar scale designed for? - ✔✔-eval of alcohol withdrawal risk Clinical Institute Withdrawal Assessment-Alcohol, revised. Used to help determined if someone needs to go to residential for alcohol or no Adjunctive therapies - ✔✔-meditation, stress management, accupuncture Disulfiram (Antabuse) is contraindictated for clients whose alcohol abuse is combined with... - ✔✔-none of the above can be used with cocaine use or methadone maintenance but cannot be administered if the client has already been drinking it interferes with acetaldehyde metabolism What is a sandwich technique? - ✔✔-An intake interviewing technique-when less formal language is used the client responds better. The clinician sandwiches standard screening and assessment questions in two less formal discussions The 3 most effective screening tools for substance use disorders - ✔✔-CSAT ADS and ASI combined (alcohol dependence scale) Texas Christian University Drug Screen What is the SDSS designed to measure? - ✔✔-Substance Dependence Severity Scale Drug use severity over time measures quantity and frequency of drug use Primary purpose for the Texas Christian University Drug Screen (TCUDS)? - ✔✔-to identify those who use with dependency v. those who use without issues of drug dependency What is physiological dependence on a drug determined by? - ✔✔-tolerance and symptoms of withdrawal (not frequency/amount used) A client's family of choice is.... - ✔✔-created relationships (marriage, friendships, etc) One of the most common tools to assess depression - ✔✔-Beck Depression Inventory Is there any one optimal counseling technique? - ✔✔-No. Clients are complex and have complex needs. Counselors should tailor the technique to the client. What does the 12 step facilitation approach refer to? - ✔✔-counselors encourage clients to enter a 12 step program and also education clients about the 12 steps principles Benefits of sober support meetings (4) CSAD - ✔✔-1. cost 2. specialized meetings 3. address CBT, spiritual health, and physical health 4. accommodates clts with diverse cultures Potential drawbacks to sober support meetings (3) CHS - ✔✔-1. difficult to monitor compliance with step tasks or attendance 2. emphasis on higher power may be problem 3. smaller communities might not offer much When outcomes from CBT and motivational enhancement are compared with outcomes from 12 step facilitation, how do clients fare BEST? - ✔✔-12 step facilitation; What is a therapeutic community? - ✔✔-controlled drug free residential center (can also be an outpatient facility) difference between habilitation and rehabilitation - ✔✔-rehab refers to recovering skills and abilities that have been lost habilitation refers to developing new skills Is residential or outpatient more effective? - ✔✔-neither are significantly different What is the most important reasons that clts should have structure and a routine? - ✔✔-to counter their typically disordered lives What is the Matrix model designed for? - ✔✔-stimulant abuse developed in 1980s when there was a spike in cocaine and meth use What is community reinforcement? What is contingency management? - ✔✔-they are both behavioral tx for addiction. CR-SUD clts lack other ways of reinforcement to compete with substances CM-provides tangible reinforcement for positive change (vouchers, gift cards, etc) they work best when used together What would be the MOST typical co-occurring disorder client? - ✔✔-an alcohol abusing woman (they are most typically referred by health care providers than the criminal justice system) How many categories does SAMHSA's Service Coordination Framework for co-occurring disorders have? - ✔✔-4 1. less for both 2. high mental, low substance 3. high substance, low mental 4. high for both When behaviorally assessing for a co-oc. d/o what is the MOST important variable to consider? - ✔✔- withdrawal symptoms client info, current behavior, meds, family hx can be indicative of a co-oc. d/o but they are not definitive criteria. The clt's clinical presentation (withdrawal, toxicity) is the thing that can give a dx How are substance abuse tx programs different from adult programs? - ✔✔-very different from adult programs. the physical, emotional, and cognitive changes of this development period make tx more complex. What is the MOST effective tx approach for adolescants, in terms of less drug use? - ✔✔-Family therapy (posits that conditions leading to teen use began in the home) Family therapy includes - ✔✔-multidimensional family therapy: is an integrated, comprehensive, familycentered treatment for youth problems and disorders. multisystemic family therapy: intense, family-focused and community-based treatment program for juveniles with serious criminal offenses and are possibly abusing substances. What does "culter-bound syndrome" mean? - ✔✔-Many meanings 1. illness bound to a specific culture 2. common mental or physical illnesses that are viewed of unusual because of influence of culture semi-synthetic opioids - ✔✔-heroin hyfromorphone oxycodone synthetic opiates - ✔✔-meperidine penta propo methadone oxycontin Antidipotropics - ✔✔-adverse reactions psychotropics - ✔✔-control symptoms of withdrawal What are the two key mental health treatment paradigms of Western Medicine? - ✔✔-pharmacological and psychotherapy What is the trend for cultural diversity in the USA? - ✔✔-Increasing rapidly and steadily AIDS is most prevalent in which two groups? - ✔✔-men who have sex with men IV users (these groups account for 4/5ths of those with AIDS) As compared with current older adults, what is the upcoming baby boomer generation expected to have? - ✔✔-much higher tx needs (they have had a higher baseline use than the previous generation) When older adults enter tx, how do their rates of attendance and incidence of relapse compare to younger groups? - ✔✔-much higher attendance and much lower relapse rates The relapse and remitting model addresses cycles of relapse and recovery common to addiction. What else can it be applied to? - ✔✔-Medication Management Unemployment Anger Virtually any situation that returns to relapse can use this model. What does the term "authentically connected referral network" mean? - ✔✔-a set of defined relationships able to adapt and flexibly meet client needs What is case management's primary aim? (3) - ✔✔-providing seamless care client focused provide least restrictive level of care possible** (most important) What does the ask-tell-ask technique refer to? can be helpful in making a referral for clt - ✔✔-asking permission of clt to talk with them tell them your concerns ask for their thoughts about what you shared What are the three most important questions to ask after referring a client somewhere? - ✔✔-WHO WHAT HOW When should planning for aftercare happen? - ✔✔-immediately at start of tx How many substance abuse induced disorders are there? - ✔✔-11 intoxication withdrawal delirium persisting dementia persisting amnesia psychosis mood disorders anxiety disorders sexual dysfunction sleep disorders hallucination disorders In a client's efforts to maintain emotional and psychological balance, what does the term bookend refer to? - ✔✔-discussing a trigger event with someone trusted before and after it occurs What do the CRF Title 42 pt. 2 deal with? - ✔✔-confidentiality in areas of alcohol and substance abuse When are limited breaches in confidentiality for an SUD client allowed? (4) - ✔✔-suicidality with plan threat to others (real intention of harm) child abuse elderly abuse How do group therapy and 12 step groups compare? - ✔✔-very diff groups with very diff purposes group therapy focuses on why people use 12 steps focus on support and accountability 12 step breaks down denial group therapy focuses on why people deny in the first place group therapy is far more complex and should not borrow from 12 step meetings How many primary group tx models a