EDCO 740 ADDICTIONS CASE PART 1:
MARCI ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
◍ What is addiction (3).
Answer: - condition of continued use of substance (or reward-seeking
behaviors) despite adverse consequences- brain disorder that involved
chronic drug seeking of substances that cause harm to the brain and bodily
functions- addiction adversely affects self-control, causes stress with high
relapse potential
◍ Opioid withdrawal (9).
Answer: - low mood- N&V- body aches- rhinorrhea - dilated pupils, watery
eyes- fever- insomnia- sweating - piloerection
◍ Tolerance definition.
Answer: The need for increased amounts of substances to achieve the
desired effect
◍ The following AIDS associated illness that may be less recognized in
substance abusers is.
Answer: Dementia
◍ Denial.
Answer: early when occasional excessive drinking are explained as isolated
event
◍ Substance use risks factors (7).
Answer: - family hx - dysfunctional family relationships - concurrent mental
health disorders- aggressive behaviors- low self-esteem - poor academic
performance- poor social skills
,◍ Intervention - rehearse.
Answer: go over each item on list, determine order to read list, allows you to
find out team members individual emotions
◍ Opioid effect on the body (9).
Answer: - CNS depressant - constipation - euphoria- mood changes- mental
cloudiness- N&V- constricted pupils - drowsiness- at high doses —
hypotension
◍ Frequent mistake that begining counselors make with clients.
Answer: Failure to openly discuss each others expectations
◍ simplifying.
Answer: reflection, removes confusion, avoids convoluted explanations so
they can solve problem in here and now
◍ Opioids indications (6).
Answer: - has sedative, analgesic effects- affects pleasure and reward center
of the brain - alters pain perception - used for pain relief, diarrhea and cough
relief- highly addictive- may cause resp depression
◍ Delirium characteristics (10).
Answer: - inattention - disorganized thinking - memory impairment -
disorientation - altered level of consciousness- acute onset- perceptual
disturbance- psychomotor agitation or retardation - altered sleep-wake cycle
◍ Dependence definition (4).
Answer: - repeated use of a substance, resulting in tolerance, withdrawal
symptoms and compulsive drug taking behavior - substances taken in larger
amounts over longer times than intended - unsuccessful attempts to cut
down or quit - daily activities revolve around use of substances
◍ Inhalants (4).
Answer: - solvents, aerosols, nitrates are sniffed, snorted, huffed or bagged -
causes mind altering experience (euphoria), slurred speech, lack of body
coordination, dizziness, hallucinations, delusions - found in common
household, office and cleaning products- is possible to overdose within
, minutes of inhalation, commonly called "sudden sniffing death" (seizures,
coma, sudden MI, death)
◍ What are clinical opiate withdrawal scales ? (COWS).
Answer: Scale to objectively measure the severity of withdrawal symptoms
◍ Abuse.
Answer: intentional use of drug other than intended, to achiee altered state
of consciousness, leads to mental, phyusical, emotional or social impariment
of using, family or society
◍ Schedule II Drugs.
Answer: These drugs are essentially similar to those in Schedule I. There is
evidence of the potential for abuse/dependence. The distinguishing feature
in Schedule II is that there is accepted medical use. There are restrictions on
manufacture and distribution via production quotas and import/export
controls. Prescriptions are non-refillable. (Examples: Methadone, Morphine,
Methamphetamine, Ritalin, Adderall and Cocaine)
◍ Heroin is an example of a ___________..
Answer: semi-synthetic narcotic
◍ Options interventions/considerations(6).
Answer: - monitor CNS effects, VS, complete physical assessment - may
increase serotonin syndrome - use caution for pts with ICP, or IOP- avoid
use w ETOH - ensure pt. Is educated on effects - narcan reverses overdose
◍ Treatment for stimulants and inhalants (3).
Answer: - there aren't any. - we can try and treat the reasons someone may
do this — depression, low self esteem, trauma, poor supports, recreational -
once Brian tissue is damaged, it's damaged
◍ ICS (Impaired Control Scale).
Answer: This diagnostic instrument is a pencil and paper self-administered
insturment that measures clients' attempts to control drinking during the last
6 months and their perception of their ability to control it now.
, ◍ Dose.
Answer: amt of drug taken at any particular time
◍ Medications to treat opiate addiction (4).
Answer: - opioid analgesic (methadone-synthetic opioid*) - partial opioid
agonist (Buprenorphrine)*- vitamins B1 and folic acid- comfort meds to
treat s/s *
◍ Readiness To Change Questionnair.
Answer: TRCQ
◍ Misuse definition (2).
Answer: - recurrent substance use- taking more than prescribed on a regular
basis or use outside of medical necessity
◍ MI core skills and processes (9).
Answer: - open ended questions - affirmations- reflections - summarizing -
sharing information - engagement - focusing - evocation - planning
◍ Substance withdrawal.
Answer: Decreased blood level of a substance on which they are dependent
= physiologic symptoms
◍ Substance dependence.
Answer: maladaptive pattern...3 of 7 criteria..cutting back, cont use despite
prob, tolerance, gives up activities
◍ Stimulant drug options (6).
Answer: - cocaine - caffeine - nicotine - amphetamines- synthetics - non
amphetamines
◍ Common inhalants used by teens.
Answer: - spray paint - markers- glue- white out- cleaning products-
gasoline- lighter fluid- hair sprays- veg oil sprays- propane- leather cleaner-
room odorizes- nail polish
◍ Examples of opioids (7).
Answer: - methadone- fentanyl- morphine- dilaudid- heroin- oxycodone-
MARCI ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
◍ What is addiction (3).
Answer: - condition of continued use of substance (or reward-seeking
behaviors) despite adverse consequences- brain disorder that involved
chronic drug seeking of substances that cause harm to the brain and bodily
functions- addiction adversely affects self-control, causes stress with high
relapse potential
◍ Opioid withdrawal (9).
Answer: - low mood- N&V- body aches- rhinorrhea - dilated pupils, watery
eyes- fever- insomnia- sweating - piloerection
◍ Tolerance definition.
Answer: The need for increased amounts of substances to achieve the
desired effect
◍ The following AIDS associated illness that may be less recognized in
substance abusers is.
Answer: Dementia
◍ Denial.
Answer: early when occasional excessive drinking are explained as isolated
event
◍ Substance use risks factors (7).
Answer: - family hx - dysfunctional family relationships - concurrent mental
health disorders- aggressive behaviors- low self-esteem - poor academic
performance- poor social skills
,◍ Intervention - rehearse.
Answer: go over each item on list, determine order to read list, allows you to
find out team members individual emotions
◍ Opioid effect on the body (9).
Answer: - CNS depressant - constipation - euphoria- mood changes- mental
cloudiness- N&V- constricted pupils - drowsiness- at high doses —
hypotension
◍ Frequent mistake that begining counselors make with clients.
Answer: Failure to openly discuss each others expectations
◍ simplifying.
Answer: reflection, removes confusion, avoids convoluted explanations so
they can solve problem in here and now
◍ Opioids indications (6).
Answer: - has sedative, analgesic effects- affects pleasure and reward center
of the brain - alters pain perception - used for pain relief, diarrhea and cough
relief- highly addictive- may cause resp depression
◍ Delirium characteristics (10).
Answer: - inattention - disorganized thinking - memory impairment -
disorientation - altered level of consciousness- acute onset- perceptual
disturbance- psychomotor agitation or retardation - altered sleep-wake cycle
◍ Dependence definition (4).
Answer: - repeated use of a substance, resulting in tolerance, withdrawal
symptoms and compulsive drug taking behavior - substances taken in larger
amounts over longer times than intended - unsuccessful attempts to cut
down or quit - daily activities revolve around use of substances
◍ Inhalants (4).
Answer: - solvents, aerosols, nitrates are sniffed, snorted, huffed or bagged -
causes mind altering experience (euphoria), slurred speech, lack of body
coordination, dizziness, hallucinations, delusions - found in common
household, office and cleaning products- is possible to overdose within
, minutes of inhalation, commonly called "sudden sniffing death" (seizures,
coma, sudden MI, death)
◍ What are clinical opiate withdrawal scales ? (COWS).
Answer: Scale to objectively measure the severity of withdrawal symptoms
◍ Abuse.
Answer: intentional use of drug other than intended, to achiee altered state
of consciousness, leads to mental, phyusical, emotional or social impariment
of using, family or society
◍ Schedule II Drugs.
Answer: These drugs are essentially similar to those in Schedule I. There is
evidence of the potential for abuse/dependence. The distinguishing feature
in Schedule II is that there is accepted medical use. There are restrictions on
manufacture and distribution via production quotas and import/export
controls. Prescriptions are non-refillable. (Examples: Methadone, Morphine,
Methamphetamine, Ritalin, Adderall and Cocaine)
◍ Heroin is an example of a ___________..
Answer: semi-synthetic narcotic
◍ Options interventions/considerations(6).
Answer: - monitor CNS effects, VS, complete physical assessment - may
increase serotonin syndrome - use caution for pts with ICP, or IOP- avoid
use w ETOH - ensure pt. Is educated on effects - narcan reverses overdose
◍ Treatment for stimulants and inhalants (3).
Answer: - there aren't any. - we can try and treat the reasons someone may
do this — depression, low self esteem, trauma, poor supports, recreational -
once Brian tissue is damaged, it's damaged
◍ ICS (Impaired Control Scale).
Answer: This diagnostic instrument is a pencil and paper self-administered
insturment that measures clients' attempts to control drinking during the last
6 months and their perception of their ability to control it now.
, ◍ Dose.
Answer: amt of drug taken at any particular time
◍ Medications to treat opiate addiction (4).
Answer: - opioid analgesic (methadone-synthetic opioid*) - partial opioid
agonist (Buprenorphrine)*- vitamins B1 and folic acid- comfort meds to
treat s/s *
◍ Readiness To Change Questionnair.
Answer: TRCQ
◍ Misuse definition (2).
Answer: - recurrent substance use- taking more than prescribed on a regular
basis or use outside of medical necessity
◍ MI core skills and processes (9).
Answer: - open ended questions - affirmations- reflections - summarizing -
sharing information - engagement - focusing - evocation - planning
◍ Substance withdrawal.
Answer: Decreased blood level of a substance on which they are dependent
= physiologic symptoms
◍ Substance dependence.
Answer: maladaptive pattern...3 of 7 criteria..cutting back, cont use despite
prob, tolerance, gives up activities
◍ Stimulant drug options (6).
Answer: - cocaine - caffeine - nicotine - amphetamines- synthetics - non
amphetamines
◍ Common inhalants used by teens.
Answer: - spray paint - markers- glue- white out- cleaning products-
gasoline- lighter fluid- hair sprays- veg oil sprays- propane- leather cleaner-
room odorizes- nail polish
◍ Examples of opioids (7).
Answer: - methadone- fentanyl- morphine- dilaudid- heroin- oxycodone-
