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CADC practice Exam |Questions with 100%
Correct Answers | Updated & Verified |
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
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 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
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?
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
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
In the lifecycle of heroin addiction, what is the stage known as dis-junction characterized by? - ✔✔Crime, arrests, imprisonment, and serial treatment
Name the lifecycle of heroine addiction: - ✔✔E.I.C.D.M.
- Experimentation - dabbling with drugs
- Initiation - initially unpleasant nausea/vomiting followed by more enjoyable injections
- Commitment - habit maintenance
- Disjunction - crime, arrests, imprisonment, efforts to reduce habit.
- 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
- Experimental use
- Compulsive use
- Dysfunctional use
Stages in the development of cocaine addiction - ✔✔1. Experimental use
- Compulsive use
- 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
- Contemplation
- Preparation
- Action
- Maintenance
- Relapse
What is the suicide risk for individuals treated for alcohol use disorder? - ✔✔10x as high as among the general population
b. Sensitive to issues of races, ethnicity, and culture.
c. Free of technical jargon and obscure acronyms.
d. All of the above <--------
Why should data findings from the assessment be presented to the client and his.her significant others?
- ✔✔Client understanding affects treatment
What does the treatment term matching refer to? - ✔✔Selecting resources by client needs and preferences
Which of the following does NOT address patient placement criteria (PPC)? - ✔✔Outcome measurement criteria
What is a client's readiness for treatment strongly associated? - ✔✔The perception of needing help in change
What does the term 'treatment sequencing' refer to? - ✔✔Prioritizing client needs in treatment process
How is Maslow's Hierarchy of Needs BEST described? - ✔✔A fundamental ranking of essential needs
Which of the following was NOT proposed by Maslow in his hierarchy of needs? - ✔✔Recreational needs
Information gathering and assessment can be biased if a clinician - ✔✔uses very general questions, uses open-ended leading questions, uses professional jargon.
What does the Biopsychosocial Model suggest that problems have? - ✔✔Numerous casual factors that are interconnected
What is the Chemical Used, Abuse and Dependence (CUAD) Scale BEST known for? - ✔✔It's utility in assessing substance abuse in mentally ill clients
What is the Symptom Checklist 90-R (SCL-90-R) used for? - ✔✔An in depth- assessment of physiological health and tracking client progress or treatment outcomes
What is COPES scale used for? - ✔✔Assessing community based treatment programs
What does TSR assessment instrument measure? - ✔✔Nature and intensity of treatment services
What does the BIRP progress note acronym stand for? - ✔✔Behavior, Intervention, Response, Plan.
What does the CHEAP progress note acronym stand for? - ✔✔Chief complaint, History, Exam, Assessment, and Plan
The mnemonic SIGECAPS evaluates which psychological state? - ✔✔Depression
What do the acronyms CART and CHART both refer to? - ✔✔Progress notes formats
