CSAC STUDY GUIDE & PRACTICE EXAM 2025-2026
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Science Medicine Psychiatry
Pre-Contemplation No intention on changing behavior (Stages of Change)
Contemplation Aware there may be a problem but no commitment to action yet
(Stages of Change)
Preparation/Determination Intent on taking action to address the problem (Stages of
Action Change)
Action Active Modification (Stages of Change)
Maintenance Sustained change; new behavior to replace old (new hobbies)
(Stages of Change)
How does culture affects Competence (21 NCAC 68 .0503)
communication such as
religion and ethnic
background relies on
which Code of Ethics
policy?
Why is it important to To understand what part of the ASAM level of care do they fall
recognize and understand under
verbal and non-verbal
behaviors?
Pre-Contemplation Primary Task: Raise Awareness
Contemplation Primary Task: Resolve ambivalence and choose change
Determination Primary Task: Help identify appropriate change strategies
Maintenance Primary Task: Develop new skills for maintaining recovery
Relapse Primary Task: Cope with consequences and determine what to do
next
Action Primary Task: Help implement strategies and learn to eliminate
potential relapses
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Why do we use Screening Both are used as a pre-assessment to get an idea on where an
such as M.A.S.T. and individual is
according to the stages of change. It is also Step One of the
C.A.G.E.?
Assessment process
Physical signs of addiction Dilated pupils; Weight loss; poor hygiene
Behaviors signs of addiction Missing work or school; Legal problems; financial problems
Emotional signs of addiction Irritability or argumentative; Inability to deal with stress; Denial;
Blaming; rationalizing
Begins in 8 hrs, peaks in 1-3 days.
Alcohol Withdrawal Timelime
(Anxiety, insomnia, nausea, & abdominal pain)
Cocaine Withdrawal Timeline Begins in 90 mins.
Begins in 6 hrs, peaks in 72 hrs.
Opiate Withdrawal Timeline
(Nausea, vomiting, stomach cramps, diarrhea)
Begins in 12 hrs,
Heroin Withdrawal Timeline
peaks in 24 hrs. (Flu
like symptoms)
Begins in 1-4 days, peaks in 2 weeks.
Benzodiazepine Withdrawal
Timeline (drowsiness, memory issues, irritability, slower thinking, increased
anxiety)
drugs with no currently accepted medical use and a
Schedule I
high potential for abuse. (heroin, LSD, marijuana)
drugs with a high potential for abuse, with use
Schedule II potentially leading to severe psychological or physical
dependence
(Oxycontin, cocaine, methamphetamine)
drugs with a moderate to low potential for physical and
Schedule III
psychological dependence. (codeine per dosage unit
(Tylenol with codeine), ketamine, anabolic steroids)
drugs with a low potential for abuse and low
Schedule IV
risk of dependence. (Xanax, Ativan, Ambien)
drugs with lower potential for abuse than Schedule IV
Schedule V and consist of preparations containing limited
quantities of certain narcotics
(Robitussin)
What schedule is Cocaine? DEA II
What is GHB? Benzodiazepine
What schedule is Heroin? DEA I
What is the legal limit of 0.08% BAC
blood alcohol content?
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