CADC practice questions & Answers,
100% Accurate, graded A+.
What does the experienced effect of a drug depend upon? - ✔✔-The Amount taken, past drug
experiences, form of administration, poly drug use, setting, circ
...
CADC practice questions & Answers,
100% Accurate, graded A+.
What does the experienced effect of a drug depend upon? - ✔✔-The Amount taken, past drug
experiences, form of administration, poly drug use, setting, circumstance.
How is drug tolerance BEST described? - ✔✔-Decreased sensitivity to a drug over time
Which of the following is NOT a "drug cue"? - ✔✔-Drug avoidance strategies
What happens as tolerance for barbiturates develops? - ✔✔-The margin between intoxication and
lethality stays the same
What is the most common symptom of Wernicke's encephalopathy? - ✔✔-Confusion
Which of the following conditions does alcohol NOT induce? - ✔✔-Hep C (alcohol induces Steatosis,
Nephrosis, Cirrhosis)
What does formication refer to? - ✔✔-A sensation of bugs crawling under the skin
What is/are the organ(s) most damaged by cocaine abuse? - ✔✔-The heart
Which of the following is NOT a basic chemical class of amphetamines? - ✔✔-Benzedrine (amphetaimen
sulphate, dextroamphetamine, methamphetamine are amphetamines)
In terms of difficulty quitting, which of the following drugs ranks the highest? - ✔✔-Nicotine
Which of the statement below is MOST correct? - ✔✔-THC content in marijuana varies widely
Regarding substance abuse, what does Convergence Theory propose? - ✔✔-Rates of SA among women
are converging with those of men
Among psychiatric disorders in the elderly, where does alcohol abuse rank? - ✔✔-Third
Which of the following subcategories of alcohol use disorder onset is NOT found in the elderly? - ✔✔-
Early-onset alcoholism
At an initial meeting with a new client, what is the FIRST requirement? - ✔✔-Establish Rapport
What does motivational interviewing (MI) primarily involve? - ✔✔-Supportive Persuasion
What percentage of individuals with dual diagnosis (co-occurring disorders [COD]) received treatment
for only their mental illness? - ✔✔-32.9%
What factors can affect screening instrument validity? - ✔✔-setting, privacy, levels of trust & rapport,
instructions given and clarity
Which of the following functions is NOT what a certified Alcohol and Drug Abuse counselor can usually
perform? - ✔✔-Diagnose mental disorders
What does GATE stand for? - ✔✔-Gather info, Access supervision, Take responsible action, Extend the
action
To which of the following do assessment processes and instruments NOT need be sensitive? - ✔✔-
Political orientation
What are serious mental health symptoms that resolve with abstinence in thirty days or less MOST likely
due to? - ✔✔-Substance abuse-induced disorders that require continued abstinence
Which one of the following alcohol abuse screening tests is designed specifically for use with
adolescents? - ✔✔-CRAFFT
Which of the following is the MOST important introductory statement or question to ask in a suicidality
evaluation? - ✔✔-I need to ask you a few questions about suicide
What is the purpose of screening? - ✔✔-to determine the need for placement or referral
What is the primary purpose of SA assessment? - ✔✔-To determine the severity of the substance
problem
Who should create a treatment plan? - ✔✔-Collaborative team with the client
How must assessment information be handled to be MOST effective? - ✔✔-Converted into goal and
objectives
Which of these key elements does NOT bolster a client's desire to complete the program? - ✔✔-
frequent interdisciplinary consultations
How many levels of treatment placement are recognized by the American Society of Addiction Medicine
(ASAM)? - ✔✔-four levels of treatment placement
How many assessment dimensions are recognized by ASAM? - ✔✔-Six assessment dimensions
The Stage Model of Change addresses how many client stages? - ✔✔-Six stages
Circumstances, Motivation, Readiness, and Suitability (CMRS) Scales are used for what purpose? - ✔✔-
Assessing client readiness for treatment
When is a client fully prepared to enter treatment? - ✔✔-When a client accepts the need for treatment
Guiding principles in treatment planning are identified by which acronym? - ✔✔-MATRS (Measurable,
Attainable, Time, Realistic, Specific)
In cases involving the criminal justice system, what is the minimum recommendation for frequency of
updating treatment plans? - ✔✔-At all transition points
How many problem domains are addressed in the Addiction Severity Index (ASI)? - ✔✔-Six
The Addiction Severity Index (ASI) has been formally adopted by which organization? - ✔✔-By NIDA
(National Institute on Drug Abuse)
What does it mean if an assessment instrument is valid? - ✔✔-The instrument assesses what it purports
to assess
All of the following are true of depression and SA EXCEPT that - ✔✔-Drugs of abuse can treat depression
How does motivation for participating in treatment differ from motivation to change problem
behaviors? - ✔✔-Motivation for change is internal; treatment may be pushed on a client
What of the following is NOT a key component in a treatment plan? - ✔✔-The theoretical approach to
be operationalized via treatment
What does the SOAP progress note acronym stand for? - ✔✔-Subjective, Objective, Assessment and
Plan
What does the DAP progress note acronym stand for? - ✔✔-Data, Assessment, Plan
The mnemonic DIG-FAST evaluates which psychological state? - ✔✔-Mania (distractibility, indiscretion,
grandiosity, flight of ideas, activity, sleep deficit, talkativeness)'
How does the Center for SA Treatment (CSAT) recommend that substance abuse be considered and
treated? - ✔✔-A Chronic treatable condition
How does the center for SA treatment (CSAT) indicate that treatment or interventions provided
following discharge from a formal inpatient or outpatient program be referred to? - ✔✔-Continuing care
What is the best distinction between substance abuse treatment programs and mutual help groups such
as 12 steps support groups? - ✔✔-Programs offer treatment and groups offer support
According to the American Society of Addition Medicine (ASAM) What is the minimum of treatment
time the intensive outpatient treatment(IOT) must provide? - ✔✔-9hrs of txt per week
Which of the following is not a core feature or service that the Center for Substance Abuse Treatment
(CSAT) consensus panel agreed upon? - ✔✔-Recreational Therapy
Which form of SA is naltrexone used to treat? - ✔✔-Alcohol and Opioid dependence
Which of the following is not a core treatment and recovery skill? - ✔✔-Exercise and health training
Which of the following is NOT a primary learning style? - ✔✔-Gustatory
What is the influence of family on treatment outcomes? - ✔✔-treatment outcomes are improved with
family supportive family members involved
How many main levels exist in the SA continuum of care, according to the American Society of Addiction
Medicine (ASAM) - ✔✔-Five levels of care
How many sequential stages must outpatient clients work through, regardless of the level of care at
which enter treatment? - ✔✔-Four Stages
What is the usual recommended minimum duration of days for the intensive outpatient treatment (IOT)
phase? - ✔✔-Ninety Days
How is the MOST effective relapse-prevention training provided? - ✔✔-Group therapy and individual
therapy
Which of the following is not a type of intensive outpatient (IOT) group? - ✔✔-Transitional care group
What is the MOST common duration of counseling in an intensive outpatient treatment (IOT) program? -
✔✔-20-30mins, one time a week
How are pharmacology and medication management in SA treatment described? - ✔✔-Of
inconsiderable, albeit limited, value in treatment
Topics addressed in psychoeducational groups are typically - ✔✔-sequenced by concept for maximal
effectiveness
What was the original CIWA-Ar scale designed for? - ✔✔-evaluation of alcohol withdrawal risk
Which of the following substances lack effective treatment medications? - ✔✔-cocaine and marijuana
Adjunction therapies refer to all EXEPT which of the following? - ✔✔-Vocational training
Dealing with smoking cessation during a substance abuse treatment program is - ✔✔-something to be
seriously considered if the client desires it.
Disilfuram (Antabuse) is contraindicated for clients whose alcohol abuse is combined with which of the
following circumstances? - ✔✔-cocaine or methadone? - NONE OF THESE
What is the sandwich technique? - ✔✔-An intake interview technique
Which of the following was NOT identified as being among the three MOST effective screening tools for
SA disorders? - ✔✔-The SA screening instrument
What is the SDSS designed to measure? - ✔✔-Drug use disorder severity over time
What is the primary purpose of the Texas Christian University Drug Screen (TCUDS)? - ✔✔-To identify
those with vs. those without drug dependency issues
What is physiological dependence on a drug determined by? - ✔✔-Tolerance or symptoms of
withdrawal
According to DSM-5 criteria, a client that has previously met the criteria for stimulant use disorder but
now has not met criteria the criteria for stimulant use in 10months (except for craving) would be termed
to be in _____________ remission - ✔✔-Early
What is a client's family of choice used to describe? - ✔✔-Relationships created by marriage, friendship
and other associations
What does a dual relationship refer to? - ✔✔-A working relationship with a client outside the
professional domain
What is an appropriate response to a substantial gift from a client? - ✔✔-"I can't accept that, but thank
you!" (A gift $20 or less, can be shared with other staff, handmaid or cultural related can be accepted)
Two clients in a treatment group begin dating. What would a proper response be? - ✔✔-address
program policy preventing dating among group members
At a local dance club, a counselor spots a client drinking at a bar. What is the BEST response to this? -
✔✔-avoid contact with the client and leave immediately
As a substance abuse counselor, you work in a treatment program and also personally attend a 12-step
program in the community. A treatment program client asks you to become his or her 12-step sponsor.
What is the proper, thoughtful response? - ✔✔-Decline, recognizing the potential conflicts in multiple
roles.
In providing counseling treatment, what are counselors encouraged to do? - ✔✔-Use multiple client
approaches to meet client's needs.
What does the 12-step facilitation Approach refer to? - ✔✔-Encouraging clients to enter a community
12-step program
Which of the following is not a strength of 12 step-program? - ✔✔-12-step programs offer easy
monitoring of assigned step tasks
Staff familiarity with the 12-step program facilitation is important because of all of the following except
that - ✔✔-clients feel more pressure to attend 12-step programs by these staff.
When outcomes from cognitive-behavioral coping skill therapy and motivational enhancement therapy
are compared with outcomes from 12-step facilitation, how do clients fare best? - ✔✔-12-step
facilitation
Traditionally, what was the term therapeutic community (TC) referred to? - ✔✔-A drug free residential
treatment environment
Why do therapeutic communities (TCs) often focus on habilitation instead of rehabilitation? - ✔✔-
habilitation helps clients learn new skills they never had
In what setting is the therapeutic community (TC) treatment model most effective? - ✔✔-in a formal
full-time residential setting and intensive day treatment setting.
What is the MOST important reason that ordered and routine activities are built into the therapeutic
community (TC) treatment process? - ✔✔-to counter the typically disordered lives of substance abuse
clients
What is the MATRIX model design to treat? - ✔✔-Stimulant abuse (designed in the 80s to fight the
cocaine and meth abuse)
What are significant drawbacks to community reinforcement (CR) and contingency management (CM)
approaches? - ✔✔-CR is labor intensive, and CM can be costly
With regard to co-occurring disorders, what does the term integrated treatment refer to? - ✔✔-Treating
both psychiatric and substance abuse issues concurrently
What would be the MOST typical co-occurring disorder client? - ✔✔-an alcohol-abusing woman
How many categories does SAMHSA's Service Coordination Framework for Co-occurring Disorders have?
- ✔✔-4 categories
When behaviorally assessing for a co-occurring disorder, what is the MOST important variable to
consider? - ✔✔-Alcohol or drug toxicity, or withdrawal symptoms
How are substance abuse treatment programs for adolescents described? - ✔✔-very different from
programs for adults
What is the most effective treatment approach for adolescents, in terms of less drug use at treatment
completion? - ✔✔-family therapy
How is the concept of culture BEST described? - ✔✔-shared set of beliefs, norms, and values among any
given group
Who is primarily responsible for ensuring that treatment is effective for culturally diverse clients? - ✔✔-
the provider
What does the term culture-bound syndrome refer to? - ✔✔-an illness (mental or physical) unique to a
cultural group and an illness presenting or interpreted distinctively, due to cultural influence
Beyond the culture of the client, what is another key cultural issue? - ✔✔-Culture of the counselor
What are the two key mental health treatment paradigms of Western medicine? - ✔✔-Pharmacological
therapy and psychotherapy
Racism may jeopardize the mental health of minorities in all of the following ways EXCEPT: - ✔✔-
Discrimination and racism limit recreational and leisure opportunities to improve mental health
What is the trend for cultural diversity in the United States? - ✔✔-Increasing rapidly and steadily
What is the difference between HIV and AIDS? - ✔✔-HIV is the virus that causes AIDS (Human
immunodeficiency virus & Acquired immune deficiency syndrome)
As compared with current older adults, what is the upcoming baby boomer generation (born between
1946 and 1964) expected to have? - ✔✔-Much higher treatment needs
When older adults enter treatment, how do their rates of attendance and incidence relapse, compare to
their younger cohorts? - ✔✔-Much higher attendance and much lower relapse rates
Confidentiality requirements exist to protect client's and their personal lives and information. Without a
client signed information release, what is information that can be disclosed? - ✔✔-a report of child
abuse suspected to be caused by the client
The CAGE questionnaire is a four question screening tool. What is this screening instrument designed to
screen for? - ✔✔-Alcohol Abuse
The MAST screening test is a 25 question instrument that is used to explore the degree and severity of a
client's problem with which type of abuse? - ✔✔-Alcohol Abuse
The relapse and remitting model addresses cycles of relapse and recovery common to addiction. What
else can it be usefully applied to? - ✔✔-a. Medication Management
b. Unemployment
c. Issues of anger and violence
d. All of the above <--------------
The term authentically connected referral network is used in conjunction with case management. How is
it BEST defined? - ✔✔-a set of defined relationships able to adapt and flexibly meet client needs.
In providing case management services, beyond providing seamless case and being client focused, what
is the primary aim? - ✔✔-produce the leas-restrictive level of care possible in meeting the client's needs.
Sensitive interviewing and engagement techniques are important to optimize client responsiveness and
investment. What does the ask-tell-ask technique refer to? - ✔✔-Asking permission of a client to talk
with them, telling them of any concerns you have and then asking for their thoughts on what you
shared.
After referrals are made, it is important to track the associated outcomes for measures of referral
success. What are the three MOST important evaluation aspects? - ✔✔-Who, what and how
Given a client's history, referral for co-occurring disorders as well as medical, educational, and
psychological needs should be ongoing as discovered. When should planning for aftercare be engaged? -
✔✔-At the point of the initial counselor-client contact
What are withdrawal symptoms, characterized by severe flu-like symptoms (nausea, vomiting, runny
nose, watery eyes, chills, abdominal cramps, anorexia, weakness, tremors, sweating, etc.) MOST
characteristic? - ✔✔-Opioid withdrawal
Genetic factors make up roughly what proportion of the risk for addiction? - ✔✔-one-half
What is the adolescent tendency to impulsivity and risk taking due to primarily? - ✔✔-Neurological
immaturity
What are depressant drugs (alcohol, opiates, barbiturates, benzos) typically used to cope with? - ✔✔-
Stress
Past which point is benzodiazepine treatment of anxiety NOT effective? - ✔✔-four months
At low doses, what does alcohol act as physiologically? - ✔✔-Stimulant (at high doses it acts as a
suppressant)
Among the following, what is the MOST harmful drug a mother can abuse during pregnancy? - ✔✔-
Alcohol (regular alcohol abuse can cause FAS and when facial characteristics are missing it's called FAE)
Theorist posit that stimulant abuse often occurs to compensate for deficiencies in all of the following
neurotransmitters EXCEPT: - ✔✔-acetylcholine (MAOs regulare dopamine, norepinophrine, serotonin)
What is the euphoria experienced when under the influence of cocaine caused by? - ✔✔-A build up of
neurotransmitters (cocaine triggers the release of dopamine, serotonin and norepinephrine)
What kind of drug does the term nootropic refer to? - ✔✔-memory enhancing (nootropics are designed
to boost cognitive performance)
Which of the following is NOT a stage in the development of alcoholism? - ✔✔-morning drinking (the 1st
stage is social drinking)
In the lifecycle of heroin addiction, what is the stage known as dis-junction characterized by? - ✔✔-
Crime, arrests, imprisonment, and serial treatment1
Name the lifecycle of heroine addiction: - ✔✔-***E.I.C.D.M.***
1. Experimentation - dabbling with drugs
2. Initiation - initially unpleasant nausea/vomiting followed by more enjoyable injections
3. Commitment - habit maintenance
4. Disjunction - crime, arrests, imprisonment, efforts to reduce habit.
5. Maturation - phasing out drugs (40s-60s) or dying from abuse.
Which is NOT a typical stage in the development of cocaine addiction? - ✔✔-Isolated use
*Stages in the development of cocaine addiction*
1. Experimental use
2. Compulsive use
3. Dysfunctional use
Stages in the development of cocaine addiction - ✔✔-1. Experimental use
2. Compulsive use
3. Dysfunctional use
Social control theorists suggest that deviance results from which TWO of the following? - ✔✔-weak
societal ties within the individual & weak family ties with the individual
Withdrawal symptoms from anabolic steroids most closely resemble those of which drug? - ✔✔-Cocaine
(steroids engage on opioid & dopamine neurotransmitters)
Which is the most correct statement regarding individuals voluntarily entering treatment for substance?
- ✔✔-they are at varying stages of change readiness
What is ambivalence about substance abuse treatment symptomatic? - ✔✔-Uncertainty
What is the primary goal of screening a client with a known substance abuse disorder? - ✔✔-determine
a best initial treatment course
In screening clients, what does a cutoff score refer to? - ✔✔-the threshold above which a more
thorough assessment is indicated
What are the stages of change? - ✔✔-1. Pre-contemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance
6. Relapse
What is the suicide risk for individuals treated for alcohol use disorder? - ✔✔-10x as high as among the
general population
Which of the following MOST properly defines screening and assessment? - ✔✔-screening for a problem
and assessment defines it
When does assessment of a client with co-occurring disorders occur? - ✔✔-Regularly over time
Which is the gold standard assessment tool for co-occurring disorders? - ✔✔-there's not one single gold
standard
During the assessment, what does the term "collateral" contacts refer to? - ✔✔-family, friends,
treatment providers
which of the following is NOT included in basic intake information? - ✔✔-Feelings about institutional
treatment
Which instrument is used to screen for substance abuse in individuals who frequently distort or
misrepresent the truth? - ✔✔-SASSI (Substance Abuse Subtle Screening Inventory)
Which of the following is NOT a key informational outcome of screening and assessment? - ✔✔-
Measures of client treatment compliance
Which of the following is NOT a key
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