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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 stated 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? - Correct
Answers ✅IT IS NOT described as: Substance abuse,
cocaine intoxication, or cocaine use disorder.
What is Neuroplasticity? - Correct Answers ✅the ability of
the brain to form and reorganize synaptic connections
following an injury or longterm drug use.
What does the experienced effect of a drug depend upon? -
Correct Answers ✅1.amount taken & past experiences
2.mode of administration
3.poly drug use
How is drug tolerance BEST described? - Correct Answers
✅A (Decreased) sensitivity to a drug overtime
List some drug cues or triggers: - Correct Answers ✅1.Prior
drug use setting
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2.Drug Paraphernalia
3.Seeing others use
What does (SASSI) stand for & what is it? - Correct Answers
✅(Substance Abuse Subtle Screening Inventory)
a brief self-report questionnaire that identifies substance use
disorder. For adults & adolescents. now there's 3rd edition
(SASSI-3) for adults. (67 true & false items & a 26 item self
report questions)
What happens as tolerance for barbiturates develops? -
Correct Answers ✅The margin between intoxication &
lethality stays the same.
What is the MOST common symptom of Wernicke's
encephalopathy? - Correct Answers ✅Confusion
What does (formication) refer to? - Correct Answers ✅The
sensation of bugs crawling on skin.
Or (Magnon's syndrome)
What is the organ most damaged by cocaine abuse? -
Correct Answers ✅The Heart
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List (3) basic chemical classes of amphetamines: - Correct
Answers ✅1.Methamphetamine (meth)
2.Amphetamine Sulphate (speed)
3.Dextroamphetamine (Dexy's)
In terms of difficulty quitting (dependence), which of the
following drugs ranks the highest? - Correct Answers
✅Nicotine
THC content in marijuana varies widely.
True or false? - Correct Answers ✅True
Regarding substance abuse, what does the Convergence
Theory propose? - Correct Answers ✅Rates of substance
abuse among women are converging with men.
Which subcategory of alcohol use disorder onset is NOT found
in the elderly? - Correct Answers ✅(Early onset) alcoholism
At an initial meeting with a new client, what is the FIRST
requirement? - Correct Answers ✅Establish Rapport
What does motivational interviewing primarily involve? -
Correct Answers ✅Supportive Persuasion
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What percentage of individuals with a dual diagnosis (co-
occurring disorders) received treatment for only their mental
illness? - Correct Answers ✅32.9% percent
What factors can affect screening instrument validity? -
Correct Answers ✅1.setting/privacy
2.rapport/trust
3.clear instructions
Which function is NOT what a Certified Alcohol & Drug Abuse
Counselor can perform? - Correct Answers ✅Diagnose
Mental Disorders
What does the acronym (GATE) stand for& what is it? -
Correct Answers ✅1.Gather Info
2.Access Supervision
3.Take action
4.Extend action
(addresses suicidality)
Assessments processes and instruments need to be sensitive
to: - Correct Answers ✅1.Race & ethnicity
2.Age & gender
3.Disabilities