CSAC EXAM REVIEW QUESTIONS
WITH COMPLETE SOLUTIONS
watching for non-verbal cues (counseling skills) - Answer- make client aware of cues &
what they could mean
summarizing (counseling skills) - Answer- put key ideas & feelings together
clarify (counseling skills) - Answer- rephrase
Models of treatment - Answer- medical
spiritual
psychological
sociocultural
biopsychosocial-spiritual
medical model - Answer- -physical causes, genetics
-hospitals & meds
-addiction is chronic progressive disease
Spiritual model - Answer- -12-steps
-addiction is attempt to fill emptiness
-focus on recovery
psychological model - Answer- -inability to control life & behavior
-addiction is result in deficit in learning/emotional dysfunction/psychopathology
sociocultural model - Answer- -socialization & culture
-addiction occurs w/i relationships
-change policies/norms/etc
Composite biopsychosocial-spiritual model - Answer- combines all
Current trends in tx - Answer- -focus on client competencies & strengths
-individualized & client-centered
-non labeling
-acceptance of new tx goals
-recovery paradigm (individual & environment)
-SU tx along other disciplines
-evidence based practices
-use of medications
-telehealth
,-technolgy based care
self-disclosure in groups - Answer- facilitate growth of group by relating to client/group
issues
12-steps - Answer- -teaches skills
-responsibility
-new identity
12 steps #1 - Answer- powerless & unmanageable
12 steps #2 - Answer- power greater than ourself
12 steps #3 - Answer- turn will & lives to God
12 steps #4 - Answer- moral inventory
12 steps #5 - Answer- admitted wrong doings
12 steps #6 - Answer- ready for God to remove defects
12 steps #7 - Answer- ask God to remove shortcomings
12 steps #8 - Answer- list of people harmed
12 steps #9 - Answer- make amends
12 steps #10 - Answer- personal inventory
12 steps #11 - Answer- improve contact with God
12 steps #12 - Answer- service & send message
AA/NA/Al-anon - Answer- -legacies=recovery, unity, service
-serenity prayer
Types of tx programs - Answer- 1. withdrawal-management (detox)
2. outpatient
3. residential
4. medication assisted
Withdrawal management - Answer- -acute intoxication/withdrawal
-Settings: ambulatory/outpatient or residential/inpatient
withdrawal management steps - Answer- evaluation: test for substances, screening,
assessment
, stabilization: medical & psychosocial
foster entry to tx
Outpatient tx - Answer- -focus on groups/ic/family counseling
-2-12 mo
-IOP: structured, 9-70 hrs/week
-OP
Residential Tx - Answer- - 24 hr intensive
-group homes/halfway houses (live at house & work)
-therapeutic communities
therapeutic communities - Answer- -highly structured
-heirarchal model w/ levels
-6-12 mo
-rewards/punishments
Medication Assisted Treatment (MAT) - Answer- Treatment for opioid use disorder
combining the use of medications (methadone, buprenorphine, or naltrexone) with
counseling and behavioral therapies.
MAT drugs: methadone & buprenophine - Answer- suppress withdrawal relieve cravings
by acting on same targets as heroin
MAT drugs: naltrexone - Answer- (opiod tx) blocks effects of heroin
MAT drugs: bupropion & varenicline - Answer- (tobacco tx) nicotine replacement
MAT drugs: naltrexone - Answer- (alcohol tx) blocks reward receptors & reduces
craving/relapse
MAT drugs: acamprosate - Answer- (alcohol tx) reduces sx of withdrawal
MAT drugs: disulfrum - Answer- (alcohol tx) unpleasant reactions
levels of tx - Answer- IC: flexible to client's needs
GC: most effective
Group Models: psychoeducational - Answer- educate about SU
Group models: skills development - Answer- skills for sobriety
group models: cognitive behavioral - Answer- alter thoughts & actions that lead to SU
group models: support - Answer- share pragmatic info about sobriety & healthy living
WITH COMPLETE SOLUTIONS
watching for non-verbal cues (counseling skills) - Answer- make client aware of cues &
what they could mean
summarizing (counseling skills) - Answer- put key ideas & feelings together
clarify (counseling skills) - Answer- rephrase
Models of treatment - Answer- medical
spiritual
psychological
sociocultural
biopsychosocial-spiritual
medical model - Answer- -physical causes, genetics
-hospitals & meds
-addiction is chronic progressive disease
Spiritual model - Answer- -12-steps
-addiction is attempt to fill emptiness
-focus on recovery
psychological model - Answer- -inability to control life & behavior
-addiction is result in deficit in learning/emotional dysfunction/psychopathology
sociocultural model - Answer- -socialization & culture
-addiction occurs w/i relationships
-change policies/norms/etc
Composite biopsychosocial-spiritual model - Answer- combines all
Current trends in tx - Answer- -focus on client competencies & strengths
-individualized & client-centered
-non labeling
-acceptance of new tx goals
-recovery paradigm (individual & environment)
-SU tx along other disciplines
-evidence based practices
-use of medications
-telehealth
,-technolgy based care
self-disclosure in groups - Answer- facilitate growth of group by relating to client/group
issues
12-steps - Answer- -teaches skills
-responsibility
-new identity
12 steps #1 - Answer- powerless & unmanageable
12 steps #2 - Answer- power greater than ourself
12 steps #3 - Answer- turn will & lives to God
12 steps #4 - Answer- moral inventory
12 steps #5 - Answer- admitted wrong doings
12 steps #6 - Answer- ready for God to remove defects
12 steps #7 - Answer- ask God to remove shortcomings
12 steps #8 - Answer- list of people harmed
12 steps #9 - Answer- make amends
12 steps #10 - Answer- personal inventory
12 steps #11 - Answer- improve contact with God
12 steps #12 - Answer- service & send message
AA/NA/Al-anon - Answer- -legacies=recovery, unity, service
-serenity prayer
Types of tx programs - Answer- 1. withdrawal-management (detox)
2. outpatient
3. residential
4. medication assisted
Withdrawal management - Answer- -acute intoxication/withdrawal
-Settings: ambulatory/outpatient or residential/inpatient
withdrawal management steps - Answer- evaluation: test for substances, screening,
assessment
, stabilization: medical & psychosocial
foster entry to tx
Outpatient tx - Answer- -focus on groups/ic/family counseling
-2-12 mo
-IOP: structured, 9-70 hrs/week
-OP
Residential Tx - Answer- - 24 hr intensive
-group homes/halfway houses (live at house & work)
-therapeutic communities
therapeutic communities - Answer- -highly structured
-heirarchal model w/ levels
-6-12 mo
-rewards/punishments
Medication Assisted Treatment (MAT) - Answer- Treatment for opioid use disorder
combining the use of medications (methadone, buprenorphine, or naltrexone) with
counseling and behavioral therapies.
MAT drugs: methadone & buprenophine - Answer- suppress withdrawal relieve cravings
by acting on same targets as heroin
MAT drugs: naltrexone - Answer- (opiod tx) blocks effects of heroin
MAT drugs: bupropion & varenicline - Answer- (tobacco tx) nicotine replacement
MAT drugs: naltrexone - Answer- (alcohol tx) blocks reward receptors & reduces
craving/relapse
MAT drugs: acamprosate - Answer- (alcohol tx) reduces sx of withdrawal
MAT drugs: disulfrum - Answer- (alcohol tx) unpleasant reactions
levels of tx - Answer- IC: flexible to client's needs
GC: most effective
Group Models: psychoeducational - Answer- educate about SU
Group models: skills development - Answer- skills for sobriety
group models: cognitive behavioral - Answer- alter thoughts & actions that lead to SU
group models: support - Answer- share pragmatic info about sobriety & healthy living
