CADC Practice Exam Questions (Test 1) correct answer graded A+

CADC Practice Exam Questions (Test 1) correct answer graded A+1. A wife refers her husband for substance abuse counseling. His drug of choice is cocaine, which he has been using episodically with friends at a poker game—biweekly to weekly—for some years. She is disturbed at the illicit nature of the drug and the long-standing use. He states that though he recreationally uses, he doesn't crave cocaine, doesn't seek it out but rather uses with friends at the game who bring it. He feels that other than his wife being upset, he has no other social or occupational issues. Given the information provided, how is his use of cocaine BEST described? a. Substance abuse b. Cocaine intoxication c. Cocaine use disorder d. None of the above d. None of the above 2. What does the experienced effect of a drug depend upon? a. The amount taken and past drug experiences b. The modality of administration c. Polydrug use, setting, and circumstance d. All of the above d. All of the above 3. How is drug tolerance BEST described? a. The inability to get intoxicated b. The need for less of a drug to get intoxicated c. Increased sensitivity to a drug over time d. Decreased sensitivity to a drug over time d. Decreased sensitivity to a drug over time 4. Which of the following is NOT a "drug cue"? a. A prior drug-use setting b. Drug use paraphernalia c. Seeing others use drugs d. Drug avoidance strategies d. Drug avoidance strategies 5. What happens as tolerance for barbiturates develops? a. The margin between intoxication and lethality increases b. The margin between intoxication and lethality decreases c. The margin between intoxication and lethality stays the same d. Tolerance does not develop for barbiturates c. The margin between intoxication and lethality stays the same 6. What is the MOST common symptom of Wernicke's encephalopathy? a. New memory formation b. Loss of older memories c. Psychosis d. Confusion d. Confusion 7. Which of the following conditions does alcohol NOT induce? a. Steatosis b. Nephrosis c. Hepatitis d. Cirrhosis b. Nephrosis 8. What does formication refer to? a. The creation of freebase cocaine b. Sex between two unmarried individuals c. A sensation of bugs crawling under the skin d. Extrapyramidal symptoms of agitation c. A sensation of bugs crawling under the skin 9. What is/are the organ(s) most damaged by cocaine abuse? a. The brain b. The lungs c. The kidneys d. The heart d. The heart 10. Which of the following is NOT a basic chemical class of amphetamines? a. Amphetamine sulphate b. Phenethylamine c. Dextroamphetamine d. Methamphetamine b. Phenethylamine 11. In terms of difficulty quitting (dependence), which of the following four drugs ranks the highest? a. Alcohol b. Cocaine c. Heroin d. Nicotine d. Nicotine 12. Which of the statements below is MOST correct? a. THC content in all marijuana is about the same. b. THC content in hashish is lower than in a joint. c. THC content in marijuana is predictable. d. THC content in marijuana varies widely. d. THC content in marijuana varies widely. 13. Regarding substance abuse, what does Convergence Theory propose? a. Rates of substance abuse among women are converging with those of men. b. All individuals eventually narrow drug use to a drug of choice preference. c. Age is a key factor in eventual substance abuse abstinence. d. As individuals age, gender disparities in rates of abuse tend to converge. a. Rates of substance abuse among women are converging with those of men. 14. Among psychiatric disorders in the elderly, where does alcohol abuse rank? a. twenty-fifth b. fifteenth c. fifth d. third d. third 15. Which of the following subcategories of alcohol use disorder onset is NOT found in the elderly? a. Late-onset alcoholism b. Delayed-onset alcoholism c. Late-onset exacerbation drinking d. Early-onset alcoholism d. Early-onset alcoholism 16. At an initial meeting with a new client, what is the FIRST requirement? a. Establish rapport. b. Evaluate readiness for change. c. Review rules and expectations. d. Discuss confidentiality regulations. a. Establish rapport. 17. What does motivational interviewing primarily involve? a. Focused confrontation b. Behavioral accountability c. Reality testing d. Supportive persuasion d. Supportive persuasion 18. What percentage of individuals with a dual diagnosis (co-occurring disorders [COD]—i.e., substance abuse disorder and an existing mental illness) received treatment for only their mental illness? a. 32.9 percent b. 27.6 percent c. 12.4 percent d. 8.8 percent a. 32.9 percent 19. What factors can affect screening instrument validity? a. The screening setting and privacy b. The levels of rapport and trust c. How instructions are given and clarified d. All of the above d. All of the above 20. Which of the following functions is NOT what a Certified Alcohol and Drug Abuse Counselor can usually perform? a. Client screening b. Substance abuse assessment c. Diagnose mental disorders d. Formulate a treatment plan c. Diagnose mental disorders 21. What does the acronym GATE stand for? a. Gather information; Access supervision; Take responsible action; Extend the action b. Gather resources; Access procedures; Take clinical notes; Extend the intervention c. Gather documentation; Access contacts; Take counsel; Extend positive outcomes d. Gather the team; Access records; Take consultation; Extend documentation a. Gather information; Access supervision; Take responsible action; Extend the action 22. To which of the following do assessment processes and instruments NOT need be sensitive? a. Political orientation b. Age and gender c. Race and ethnicity d. Disabilities a. Political orientation 23. What are serious mental health symptoms that resolve with abstinence in thirty days or less MOST likely due to? a. A resolution of transient situational stressors at home, school, or work b. A serious underlying mental disorder that temporarily improved c. Substance abuse-induced disorders that require continued abstinence d. Malingering to manipulate circumstances for underlying goals c. Substance abuse-induced disorders that require continued abstinence 24. Which one of the following alcohol abuse screening tests is designed specifically for use with adolescents? a. CAGE b. CRAFFT c. MAST d. AUDIT b. CRAFFT 25. Which of the following is the MOST important introductory statement or question to ask in a suicidality evaluation? a. Have you ever tried to take your own life? b. Do you have thoughts about killing yourself? c. I need to ask you a few questions about suicide. d. Have you ever attempted suicide? c. I need to ask you a few questions about suicide. 26. What is the purpose of screening? a. To prepare the client for program admission b. To determine client readiness for change c. To establish client diagnoses and treatment needs d. To determine the need for placement or referral d. To determine the need for placement or referral 27. What is the primary purpose of substance abuse assessment? a. To determine the current level of health deterioration b. To identify a substance abuser's drug of choice c. To provide co-occurring disorder(s) diagnosis d. To determine the severity of the substance problem d. To determine the severity of the substance problem 28. Who should create a treatment plan? a. A multidisciplinary team of professionals b. Collaborative team with the client c. The primary treatment provider d. A professional boilerplate to ensure completeness b. Collaborative team with the client 29. How must assessment information be handled to be the MOST effective? a. Carefully documented b. Converted into goals and objectives c. Available to all treatment providers d. Summarized with the client for feedback b. Converted into goals and objectives 30. Which of these key elements does NOT bolster a client's desire to complete the program? a. Knowledge of the benefits of treatment b. Understanding of the treatment process c. Fully assuming the patient role d. Frequent interdisciplinary consultations d. Frequent interdisciplinary consultations 31. How many levels of treatment placement are recognized by the American Society of Addiction Medicine (ASAM)? a. Two levels of treatment placement b. Four levels of treatment placement c. Six levels of treatment placement d. Eight levels of treatment placement b. Four levels of treatment placement 32. How many Assessment Dimensions are recognized by the American Society of Addiction Medicine (ASAM)? a. Two assessment dimensions b. Four assessment dimensions c. Six assessment dimensions d. Eight assessment dimensions c. Six assessment dimensions 33. The term "drug use trajectory" refers to: a. Individual drug use patterns over the lifespan b. The rate at which a given drug enters the body c. Drug metabolism over time d. Behavioral patterns of intoxication a. Individual drug use patterns over the lifespan 34. Circumstances, Motivation, Readiness, and Suitability (CMRS) Scales are used for what purpose? a. Assessing client readiness for treatment b. Assessing various financial and family support domains c. Assessing client suitability for research participation d. Assessing clients for treatment level of care a. Assessing client readiness for treatment