QUESTIONS WITH CORRECT ANSWERS
GRADED A+
◍ What's the primary neurotransmitter that is implicated in the development of
SUD?.
Answer: dopamine
◍ omnibus transportation employee testing act.
Answer: mandatory drug and alcohol testing for employees in
safety-sensitive jobs
◍ ASAM.
Answer: American society of addiction medicine
◍ Routes of administration: inhaled (description, common drugs,
complications).
Answer: smoked into lungsnicotine, ketamine, PCPdamage to the lungs and
lung cancers
◍ disease model of addiction.
Answer: describes addiction as biologically based, lifelong diseases that
involve a loss of control over behavior and require medical and or spiritual
treatment for recovery
◍ Zone IV 20-40.
Answer: Possible dependence Action: Referral for specialized treatment
◍ ROSC.
Answer: Recovery Oriented Systems of Care
◍ Medical detox is required when....
Answer: detoxing from alcohol and benzodiazepines
,◍ ethics: nonmaleficence.
Answer: do no harm in personal and professional relationships
◍ what warrants a referral out on behalf of the client.
Answer: 1. client's insurance plan doesn't cover or coverage has lapsed2.
outstanding bill/can't pay fees agreed upon during intake3. been receiving
services that are no longer supported by referring counselor's agency
◍ Integrated Treatment.
Answer: Mental health and substance use disorders treated simultaneously.
◍ What's a medically approved synthetic opioid used to treat opioid use
disorder?.
Answer: methadone
◍ Blended Model.
Answer: Attempts to consider elements of all other models in developing a
therapeutic approach to dependency. It holds that the mechanism of
dependency is different for different individuals and that each case must be
considered on it's own merits.
◍ Genetic Model.
Answer: Individuals have a genetic predisposition to certain behaviors
◍ DSM-5 Criteria for SUD (11).
Answer: AmountControlTimeCravingsObligationsSocialImportanceRiskHarmTolera
◍ OARS.
Answer: Open ended questions, affirmations, reflections, summaries
◍ ethical relativism.
Answer: the belief that there are no fixed principles of right or wrong, that
decision making considers context and consequences and varies person to
person
◍ empathy.
Answer: ability to put oneself in the shoes of others
,◍ what does a biopsychosocial-spiritual assessment provide.
Answer: a holistic view of the client's needs by addressing all four
components to help guide treatment planning
◍ Second-line treatments for AUD.
Answer: used after first-line don't workdisulfiram (antabuse) works by
arresting the acetaldehyde metabolism and makes people sick when they
drinktopiramate recommended if comorbid seizure disordergabapentin helps
with cravings, dysphoria, and sleep difficulties
◍ Celebrate Recovery.
Answer: Christian based, 12 step frame work, Explicitly faith-based
◍ soap.
Answer: subjective, objective, assessment, plan
◍ Maladaptive behaviors and psychological changes associated with alcohol
intoxication.
Answer: inappropriate sexual or aggressive behaviors, impaired judgement,
and emotional lability
◍ LAPSE.
Answer: SINGLE OF BRIEF RETURN TO USE
◍ COD.
Answer: Cooccurring disorder
◍ ethics: discretion.
Answer: the ability to sense what needs to be provided in a particular
situation, to carefully honor client confidentiality and provide appropriate
privacy authorizations
◍ three stages of relapse.
Answer: 1. emotional relapse: anxiety, anger, isolation, and
defensiveness--withdrawn, stop going to meetings, poor eating/sleeping
habits2. mental relapse: thinking about using the substance or reminiscing
about the past, may begin a plan3. physical relapse: actions are taken to use
, the substance again
◍ legal driving BAC.
Answer: BAC 0.08
◍ individuals on antidepressants shoudn't take.
Answer: DMT or MDMA because of serotonin syndrome
◍ individualized treatment plan.
Answer: evaluation and goal setting ongoingshort and long-term goals
(SMART)
◍ The brain's reward pathway & limbic system (location, what it controls,
what the primary neurotransmitter is, and what it's responsible for).
Answer: location: center of the braincontrols: motivation, pleasure, and
rewardprimary neurotransmitter: dopamineresponsible for: pleasurable
survival related functions and behaviors like eating, drinking, and sex
◍ when does case management begin?.
Answer: first contact
◍ ethics: gratitude.
Answer: the need to show appreciation by passing along the good that was
freely received from others, the duty to give back
◍ Treatment Planning.
Answer: Based on individual client needs and strengths, not insurance or
program availability.
◍ Zone I (0-7).
Answer: low risk, action: brief education
◍ UDM Measures/ Urine Drug Screen.
Answer: Detects recent substance use, NOT impairment or level of
intoxication.
◍ Recovery Capital.
Answer: The total resources that a person has available to find and maintain
their recovery