Question 1

The __________ model of addiction holds that clients who develop chronic alcohol dependence and continue drinking or ever return to heavy drinking will likely die.

Accepted Answer

A)  biological/genetic
B)  disease
C)  neurotransmitter
D)  multicausal B

Question 2

Which of the following statements best reflects client's reporting of AOD use?

Accepted Answer

A)  Clients tend to over report alcohol consumption.
B)  Clients tend to underreport drug use.
C)  Clients tend to over report criminal activity.
D)  None of the above. D

Question 3

__________ is the psychoactive drug with the highest dependence potential.

Accepted Answer

A)  Caffeine
B)  LSD
C)  PCP (smoked) 
D)  Heroin (IV)  D

Question 4

Which of the following statements BEST describes the NIAAA's recommended level of daily drinking for men and women?

Accepted Answer

A)  Women and men should consume no more than four drinks a day.
B)  Women should consume no more than one drink a day and men no more than two drinks a day.
C)  Women should consume no more than two drinks a day and men no more three drinks a day.
D)  No alcohol should be consumed.

Question 5

The number of adults currently struggling with co-occurring disorders ranges from

Accepted Answer

A)  1-3 million.
B)  4-6 million.
C)  7-10 million.
D)  11-15 million.

Question 6

Integrating behavioral approaches is most likely to occur during the __________ stage of Prochaska and DiClemente's stages of change model.

Accepted Answer

A)  precontemplation
B)  contemplation
C)  action
D)  preparation

Question 7

The easiest way to screen for potential substance use problems is to

Accepted Answer

A)  use the SASSI-3,MAST,or AUDIT screening tools.
B)  use the DSM-5.
C)  use the frequency and amount questions.
D)  conduct a clinical interview.

Question 8

Which of the following would NOT be considered a form of harm reduction?

Accepted Answer

A)  A detoxification program as part of a treatment program
B)  A needle exchange program at a homeless shelter
C)  Availability of free condoms at a halfway house
D)  Free taxi service on New Year's eve sponsored by MADD

Question 9

In 2012,__________ was the most commonly used illicit substance in the United States.

Accepted Answer

A)  alcohol
B)  crack cocaine
C)  marijuana
D)  heroin

Question 10

What is the main purpose of conducting an assessment?

Accepted Answer

A)  Identify the specific condition(s) and a basis for treatment interventions.
B)  Gather clinical data to get an accurate picture of the client's issues.
C)  To assess whether further information is necessary.
D)  To determine whether treatment planning has been beneficial.

Question 11

One outcome of the Comprehensive Drug Abuse Prevention and Control Act of 1970 was to

Accepted Answer

A)  develop a classification system for all drugs.
B)  establish treatment parameters for various treatment placements.
C)  identify safe manufacturing practices for drug companies.
D)  provide legal guidelines for interstate commerce.

Question 12

The proper treatment sequence when addressing substance use disorders is

Accepted Answer

A)  screening,testing,diagnosis,assessment,treatment placement.
B)  assessment,testing,screening,treatment placement,diagnosis.
C)  screening,assessment,testing,diagnosis,treatment planning.
D)  treatment planning,screening,assessment,testing,diagnosis.

Question 13

__________ is the BEST contributing factor to initial substance use for adolescents?

Accepted Answer

A)  Lowered self-esteem
B)  Intimacy issues
C)  Axis II disorders
D)  Availability of the substance

Question 14

Gilliland identified a six step model of crisis intervention.What is the proper sequence of activities for the action steps?

Accepted Answer

A)  Obtaining commitment,defining the problem,making plans
B)  Examining alternatives,making plans,obtaining commitments
C)  Obtaining commitment,examining alternatives,providing support
D)  Ensuring client safety,providing support,making plans

Question 15

An advantage of using an integrated substance abuse and mental health approach when treating clients with co-occurring disorders is

Accepted Answer

A)  it significantly lowers rate of relapse.
B)  individualized planning and personalization of services.
C)  it increases the availability of treatment funding.
D)  clients can address concerns quickly.

Question 16

The best tool for use in conducting a clinical assessment is the

Accepted Answer

A)  DSM-5 or ICD-10.
B)  SASSI-3.
C)  clinical interview.
D)  mental status exam.

Question 17

Counselors should be knowledgeable of multicultural competencies.Which of the following is NOT considered one of these competencies?

Accepted Answer

A)  Counselor awareness of own cultural values and biases
B)  Awareness of client's worldview
C)  Intervention strategies that are culturally appropriate
D)  Understanding that all counseling is multicultural counseling

Question 18

All of the following are viewed as possible causes of addiction from the psychodynamic model EXCEPT

Accepted Answer

A)  negative experiences associated with one's support systems are at the root of one developing addiction.
B)  history of psychopathology is a precursor for addiction.
C)  dysfunctional attachment with parents or other providers during childhood.
D)  substance problems develop due to poor affect regulation.

Question 19

All of the following are examples of hallucinogens EXCEPT

Accepted Answer

A)  ketamine.
B)  mescaline.
C)  phencyclidine.
D)  codeine.

Question 20

The primary clinical difference between substance abuse and dependence is

Accepted Answer

A)  increasing psychosocial problems and legal problems.
B)  evidence of tolerance and symptoms of withdrawal.
C)  significantly altering one's state of unconsciousness.
D)  requirement for increasing level of treatment care.

Exam 6: Understanding and Treating Substance Use Disorders With Clients in Crisis