CAADC Skills and Competencies 5

Question 1

A client with stimulant use disorder reports persistent anhedonia six weeks into abstinence. The counselor BEST explains this as:

Accepted Answer

Post-acute withdrawal syndrome related to dopamine system dysregulation

Answer

Anhedonia during early abstinence from stimulants is a hallmark of post-acute withdrawal syndrome (PAWS) caused by dopaminergic system disruption.

Question 2

Which documentation standard is MOST important for demonstrating medical necessity for continued addiction treatment services?

Accepted Answer

Recording client progress toward treatment goals with observable, measurable outcomes

Answer

Medical necessity is demonstrated through measurable progress notes showing ongoing clinical need, treatment response, and goal attainment.

Question 3

A CAADC is working with a Native American client in recovery. Which approach BEST reflects cultural competence?

Accepted Answer

Explore whether traditional healing practices and community supports can be integrated into the recovery plan

Answer

Culturally competent care involves exploring and integrating the client's cultural identity, values, and traditional healing practices into a personalized recovery plan.

Question 4

A client reports they have started gambling online since stopping alcohol use. This MOST likely represents:

Accepted Answer

Addiction transfer, where addictive behavior shifts to another substance or activity

Answer

Addiction transfer (also called cross-addiction or addiction substitution) occurs when someone replaces one addictive behavior with another.

Question 5

When applying the transtheoretical model, a counselor using 'consciousness raising' interventions is MOST appropriately working with clients in which stage?

Accepted Answer

Precontemplation or contemplation

Answer

Consciousness raising — increasing awareness of the problem and its consequences — is a process of change matched to the precontemplation and contemplation stages.

CAADC - Certified Advanced Addiction & Drug Counselor Practice Test

CAADC - Certified Advanced Addiction & Drug Counselor Practice Test

CAADC Skills and Competencies 5