CSAC MIDTERM EXAM STUDY GUIDE
QUESTIONS WITH CORRECT
ANSWERS
Primary purpose of a professional code of ethics - Answer- To serve as a guide in
helping clients while behaving in a fair way to colleagues.
To provide recognition of demonstrated competency in addictions counseling. - Answer-
Primary purpose of professional standards of practice
To facilitate the growth of the group by relating to client or group issues. - Answer-
Therapeutic reasoning for self-disclosure in group counseling
Two of the best indicators of alcohol or other drug dependence. - Answer- Presence of
withdrawal symptoms and increased tolerance
A psychological and sociological difference between male and female alcohol abusers. -
Answer- Women more often than men will cite a traumatic event that precipitated their
drinking.
Before beginning treatment a counselor must: - Answer- Identify the problem
A partnership between AA and the profesisonal treamtent community was repeatedly
emphasized by the founders of AA. - Answer- Relationship between AA and the
professional treatment community
6 Stages of Change - Answer- Pre-contemplation, Contemplation, Preparation, Action
Maintenance, Relapse
1- No Treatment, 2- Education, 3- Brief/Short-term Treatment, 4- Intermediate
Treatment, 5- Long-term Treatment - Answer- SASSI Scores
Step 12 of the 12 Steps - Answer- Having had a spiritual awakening as the result of
these steps, we tried to carry this message to addicts, and to practice these principles in
all our affairs.
Step 1 of the 12 Steps - Answer- We admitted we were powerless over our addiction—
that our lives had become unmanageable.
Step 11 of the 12 Steps - Answer- Sought through prayer and meditation to improve our
conscious contact with God as we understood Him, praying only for knowledge of His
will for us and the power to carry that out.
,Step 2 of the 12 Steps - Answer- Came to believe that a Power greater than ourselves
could restore us to sanit
Step 7 of the 12 Steps - Answer- Humbly asked Him to remove our shortcomings.
Step 3 of the 12 Steps - Answer- Made a decision to turn our will and our lives over to
the care of God as we understood Him.
Step 10 of the 12 Steps - Answer- Continued to take personal inventory and when we
were wrong promptly admitted it.
Step 8 of the 12 Steps - Answer- Made a list of all persons we had harmed, and
became willing to make amends to them all.
Step 4 of the 12 Steps - Answer- Made a searching and fearless moral inventory of
ourselves.
Step 6 of the 12 Steps - Answer- Were entirely ready to have God remove all these
defects of character.
Step 9 of the 12 Steps - Answer- Made direct amends to such people wherever
possible, except when to do so would injure them or others.
Step 5 of the 12 Steps - Answer- Admitted to God, to ourselves, and to another human
being the exact nature of our wrongs.
have one or more other psychiatric disorders along with substance abuse or substance
dependence
all of the disorders should be treated concurrently and aggressively. - Answer- Dual-
diagnosed
Represents the gathering and interpreting of client information in an assessment used
to plan tx and evaluate the results. - Answer- Client Substance Assessment Treatment
(CSAT )
the external expression of an internal emotional state. - Answer- Affect
A self administered pencil and paper instrument that measures the client's attempt to
control their drinking and their perception of their ability to control this drinking. Used
during past 6 months and now. - Answer- Impaired Control Scale (ICS)
a sustained emotion, and changes less frequently than affect. Mood that is in the normal
range, neither depressed nor elevated, is called euthymic. Dysphoric moods are
unpleasant ones such as anxiety, sadness, or irritability. Elevated mood is a feeling of
euphoria or elation - Answer- Mood
, occur when a person perceives something in the absence of a sensory input. They may
involve any of the senses: auditory, visual, olfactory, gustatory, or tactile. The presence
of command hallucinations, such as voices telling a person to hurt himself or herself or
someone else, is a risk factor for violent behavior. - Answer- Delusions
Misperceptions of actual sensory input (e.g., perceiving movement when staring at the
moon) - Answer- Illusions
Substance dependence - Answer- a maladaptive pattern of substance use, leading to
clinically significant impairment or distress, as manifested by three or more of the
following seven criteria, occurring at any time in the same 12-month period:
Tolerance is present, as defined by either a need for markedly increased amounts of the
substance to achieve intoxication or desired effect or markedly diminished effect with
continued use of the same amount of the substance; withdrawal is present, as
manifested by either the characteristic withdrawal syndrome for the substance or the
same or a closely related substance being taken to relieve or avoid withdrawal
symptoms; the substance is often taken in larger amounts or over a longer period than
was intended; there is a persistent desire or unsuccessful efforts to cut down or control
substance use; a great deal of time is spent in activities necessary to obtain the
substance, use the substance (e.g., chain-smoking), or recover from its effects;
important social, occupational, or recreational activities are given up or reduced
because of substance use; and/or the substance use is continued despite knowledge of
having a persistent or recurrent physical or psychological problem that is likely to have
been caused or exacerbated by the substance.
The counselor specifies whether or not physiological dependence, defined as evidence
of tolerance or withdrawal is present. There are six additional specifiers used for a
diagnosis of substance dependence. They are early full remission, early partial
remission, sustained full remission, sustained partial remission, on agonist therapy, and
in a controlled environment
Polysubstance dependence - Answer- dependence the proper diagnosis for a client who
has repeatedly taken at least three groups of substances, and who meets criteria for
dependence for the substances as a group, but not for the substances individually. This
is different than a client separately meeting diagnostic criteria for dependence for more
than one drug (e.g., both alcohol and cocaine), in which case, multiple diagnoses
should be made
a maladaptive pattern of substance use leading to clinically significant impairment or
distress, as manifested by at least one of the four following criteria occurring within a
12-month period: There is recurrent substance use resulting in a failure to fulfill major
role obligations at work, school, or home; there is recurrent substance use in situations
in which it is physically hazardous; there are recurrent substance-related legal
problems; and/or there is continued substance use despite having persistent or
recurrent social or interpersonal problems caused or exacerbated by the effects of the
substance. Additionally, if symptoms have ever met the criteria for substance
QUESTIONS WITH CORRECT
ANSWERS
Primary purpose of a professional code of ethics - Answer- To serve as a guide in
helping clients while behaving in a fair way to colleagues.
To provide recognition of demonstrated competency in addictions counseling. - Answer-
Primary purpose of professional standards of practice
To facilitate the growth of the group by relating to client or group issues. - Answer-
Therapeutic reasoning for self-disclosure in group counseling
Two of the best indicators of alcohol or other drug dependence. - Answer- Presence of
withdrawal symptoms and increased tolerance
A psychological and sociological difference between male and female alcohol abusers. -
Answer- Women more often than men will cite a traumatic event that precipitated their
drinking.
Before beginning treatment a counselor must: - Answer- Identify the problem
A partnership between AA and the profesisonal treamtent community was repeatedly
emphasized by the founders of AA. - Answer- Relationship between AA and the
professional treatment community
6 Stages of Change - Answer- Pre-contemplation, Contemplation, Preparation, Action
Maintenance, Relapse
1- No Treatment, 2- Education, 3- Brief/Short-term Treatment, 4- Intermediate
Treatment, 5- Long-term Treatment - Answer- SASSI Scores
Step 12 of the 12 Steps - Answer- Having had a spiritual awakening as the result of
these steps, we tried to carry this message to addicts, and to practice these principles in
all our affairs.
Step 1 of the 12 Steps - Answer- We admitted we were powerless over our addiction—
that our lives had become unmanageable.
Step 11 of the 12 Steps - Answer- Sought through prayer and meditation to improve our
conscious contact with God as we understood Him, praying only for knowledge of His
will for us and the power to carry that out.
,Step 2 of the 12 Steps - Answer- Came to believe that a Power greater than ourselves
could restore us to sanit
Step 7 of the 12 Steps - Answer- Humbly asked Him to remove our shortcomings.
Step 3 of the 12 Steps - Answer- Made a decision to turn our will and our lives over to
the care of God as we understood Him.
Step 10 of the 12 Steps - Answer- Continued to take personal inventory and when we
were wrong promptly admitted it.
Step 8 of the 12 Steps - Answer- Made a list of all persons we had harmed, and
became willing to make amends to them all.
Step 4 of the 12 Steps - Answer- Made a searching and fearless moral inventory of
ourselves.
Step 6 of the 12 Steps - Answer- Were entirely ready to have God remove all these
defects of character.
Step 9 of the 12 Steps - Answer- Made direct amends to such people wherever
possible, except when to do so would injure them or others.
Step 5 of the 12 Steps - Answer- Admitted to God, to ourselves, and to another human
being the exact nature of our wrongs.
have one or more other psychiatric disorders along with substance abuse or substance
dependence
all of the disorders should be treated concurrently and aggressively. - Answer- Dual-
diagnosed
Represents the gathering and interpreting of client information in an assessment used
to plan tx and evaluate the results. - Answer- Client Substance Assessment Treatment
(CSAT )
the external expression of an internal emotional state. - Answer- Affect
A self administered pencil and paper instrument that measures the client's attempt to
control their drinking and their perception of their ability to control this drinking. Used
during past 6 months and now. - Answer- Impaired Control Scale (ICS)
a sustained emotion, and changes less frequently than affect. Mood that is in the normal
range, neither depressed nor elevated, is called euthymic. Dysphoric moods are
unpleasant ones such as anxiety, sadness, or irritability. Elevated mood is a feeling of
euphoria or elation - Answer- Mood
, occur when a person perceives something in the absence of a sensory input. They may
involve any of the senses: auditory, visual, olfactory, gustatory, or tactile. The presence
of command hallucinations, such as voices telling a person to hurt himself or herself or
someone else, is a risk factor for violent behavior. - Answer- Delusions
Misperceptions of actual sensory input (e.g., perceiving movement when staring at the
moon) - Answer- Illusions
Substance dependence - Answer- a maladaptive pattern of substance use, leading to
clinically significant impairment or distress, as manifested by three or more of the
following seven criteria, occurring at any time in the same 12-month period:
Tolerance is present, as defined by either a need for markedly increased amounts of the
substance to achieve intoxication or desired effect or markedly diminished effect with
continued use of the same amount of the substance; withdrawal is present, as
manifested by either the characteristic withdrawal syndrome for the substance or the
same or a closely related substance being taken to relieve or avoid withdrawal
symptoms; the substance is often taken in larger amounts or over a longer period than
was intended; there is a persistent desire or unsuccessful efforts to cut down or control
substance use; a great deal of time is spent in activities necessary to obtain the
substance, use the substance (e.g., chain-smoking), or recover from its effects;
important social, occupational, or recreational activities are given up or reduced
because of substance use; and/or the substance use is continued despite knowledge of
having a persistent or recurrent physical or psychological problem that is likely to have
been caused or exacerbated by the substance.
The counselor specifies whether or not physiological dependence, defined as evidence
of tolerance or withdrawal is present. There are six additional specifiers used for a
diagnosis of substance dependence. They are early full remission, early partial
remission, sustained full remission, sustained partial remission, on agonist therapy, and
in a controlled environment
Polysubstance dependence - Answer- dependence the proper diagnosis for a client who
has repeatedly taken at least three groups of substances, and who meets criteria for
dependence for the substances as a group, but not for the substances individually. This
is different than a client separately meeting diagnostic criteria for dependence for more
than one drug (e.g., both alcohol and cocaine), in which case, multiple diagnoses
should be made
a maladaptive pattern of substance use leading to clinically significant impairment or
distress, as manifested by at least one of the four following criteria occurring within a
12-month period: There is recurrent substance use resulting in a failure to fulfill major
role obligations at work, school, or home; there is recurrent substance use in situations
in which it is physically hazardous; there are recurrent substance-related legal
problems; and/or there is continued substance use despite having persistent or
recurrent social or interpersonal problems caused or exacerbated by the effects of the
substance. Additionally, if symptoms have ever met the criteria for substance
