CAADC Crisis Intervention and Management 4 — Questions and Answers
Question 1: A client in opioid withdrawal becomes increasingly agitated and reports chest pain. What is the counselor's FIRST priority?
- Call emergency medical services immediately (Correct answer)
- Administer naloxone
- Conduct a suicide risk assessment
- Contact the client's family
Correct answer: Call emergency medical services immediately
Chest pain during withdrawal may indicate a life-threatening cardiac event, so emergency medical services must be contacted first.
Question 2: Which of the following best describes the concept of 'psychological first aid' in addiction crisis settings?
- Administering psychiatric medications in the field
- Providing immediate emotional support and connection to resources without imposing treatment (Correct answer)
- Conducting a full diagnostic assessment at the scene of a crisis
- Performing crisis debriefing within 24 hours of a traumatic event
Correct answer: Providing immediate emotional support and connection to resources without imposing treatment
Psychological first aid focuses on offering compassionate, non-intrusive support and linking individuals to resources without forcing treatment.
Question 3: A counselor is working with a client who experienced a relapse after a significant loss. Using a trauma-informed crisis approach, the counselor should PRIMARILY:
- Focus on consequences of the relapse to deter future use
- Explore the connection between the loss, emotional pain, and substance use (Correct answer)
- Discharge the client to a higher level of care immediately
- Confront the client about minimizing the severity of the relapse
Correct answer: Explore the connection between the loss, emotional pain, and substance use
A trauma-informed approach recognizes the link between emotional pain from loss and substance use, guiding the intervention toward understanding underlying triggers.
Question 4: When using the SLAP formula to assess suicide lethality, which component evaluates whether the client has the means to carry out the plan?
- Specificity
- Lethality
- Availability (Correct answer)
- Proximity
Correct answer: Availability
Availability in the SLAP formula refers to whether the client has access to the means identified in their suicide plan.
Question 5: A client discloses that they plan to harm a specific coworker after leaving the session. Under the Tarasoff duty-to-warn principle, the counselor must:
- Document the threat and wait to see if the client acts on it
- Warn the intended victim and notify law enforcement (Correct answer)
- Hospitalize the client without notifying the potential victim
- Consult with a supervisor before taking any action
Correct answer: Warn the intended victim and notify law enforcement
The Tarasoff ruling establishes a legal duty to protect identifiable third parties by warning them and notifying appropriate authorities.
Question 6: Which crisis intervention model emphasizes resolving the immediate precipitating event and restoring the client to at least their pre-crisis level of functioning?
- Motivational Interviewing
- Roberts' Seven-Stage Crisis Intervention Model (Correct answer)
- Dialectical Behavior Therapy
- Cognitive Processing Therapy
Correct answer: Roberts' Seven-Stage Crisis Intervention Model
Roberts' Seven-Stage Crisis Intervention Model is specifically designed to guide counselors through steps that restore clients to pre-crisis equilibrium.
Question 7: During a crisis call, a client states they have taken 'a handful' of pills and feel drowsy. The counselor should IMMEDIATELY:
- Ask the client to count the remaining pills in the bottle
- Keep the client talking while directing them to call 911 or calling 911 on their behalf (Correct answer)
- Schedule an emergency session for the following morning
- Encourage the client to drink water to dilute the medication
Correct answer: Keep the client talking while directing them to call 911 or calling 911 on their behalf
A possible overdose requires emergency medical response, so the counselor must engage emergency services while keeping the client engaged.
CAADC Crisis Intervention and Management 4
A client in opioid withdrawal becomes increasingly agitated and reports chest pain.
What is the counselor's FIRST priority?