CADC practice questions & Answers, 100% Accurate, graded A+.

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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 [Show More]

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