CAADC Crisis Intervention and Management 5

Question 1

A counselor working in a residential addiction facility notices a client displaying signs of excited delirium, including hyperthermia and combative behavior. The MOST appropriate response is to:

Accepted Answer

Immediately call 911, as this is a life-threatening medical emergency

Answer

Excited delirium is a medical emergency with high mortality risk and requires immediate emergency medical services rather than facility-level management.

Question 2

In crisis negotiation with a client who is threatening self-harm, which communication technique is MOST effective during the early stage of contact?

Accepted Answer

Establishing rapport through active listening and empathic reflection

Answer

Active listening and empathic reflection build trust and reduce escalation during the early stage of crisis negotiation.

Question 3

Which factor is MOST predictive of completed suicide in individuals with a substance use disorder?

Accepted Answer

Prior suicide attempt

Answer

A previous suicide attempt is the single strongest predictor of future suicide completion, especially when combined with substance use disorder.

Question 4

A group of clients in a treatment facility witnessed the accidental overdose death of a peer. The counselor should FIRST:

Accepted Answer

Provide a safe space for clients to process their reactions and assess individual needs

Answer

Providing a safe, supportive space for processing reactions and assessing individual needs is the first step after a traumatic shared event.

Question 5

A client experiencing methamphetamine-induced psychosis is brought to a crisis stabilization unit. Which intervention is LEAST appropriate during the acute phase?

Accepted Answer

Conducting an in-depth psychosocial history and trauma assessment

Answer

In-depth psychosocial history-taking is contraindicated during acute psychosis as it can overwhelm a dysregulated client and worsen agitation.

CAADC - Certified Advanced Addiction & Drug Counselor Practice Test

CAADC - Certified Advanced Addiction & Drug Counselor Practice Test

CAADC Crisis Intervention and Management 5