CAADE Alcohol & Drug Dependency Education 3 — Questions and Answers
Question 1: Which stage of Prochaska and DiClemente's Transtheoretical Model is characterized by a client who acknowledges a problem exists but is not yet committed to change?
- Precontemplation
- Contemplation (Correct answer)
- Preparation
- Maintenance
Correct answer: Contemplation
In the contemplation stage, individuals are aware of a problem and are considering change but have not yet made a commitment to act.
Question 2: Co-occurring disorders (dual diagnosis) refers to the simultaneous presence of:
- Two different substance use disorders
- A substance use disorder and a mental health disorder (Correct answer)
- Addiction and a chronic physical illness
- Alcohol dependence and nicotine dependence
Correct answer: A substance use disorder and a mental health disorder
Dual diagnosis or co-occurring disorders specifically describes the combination of at least one substance use disorder and at least one mental health disorder.
Question 3: Which of the following drugs primarily works by blocking the reuptake of dopamine, norepinephrine, and serotonin, producing intense euphoria?
- Heroin
- Cocaine (Correct answer)
- Methamphetamine
- PCP
Correct answer: Cocaine
Cocaine blocks the reuptake transporters for dopamine, norepinephrine, and serotonin, causing accumulation of these neurotransmitters in the synapse.
Question 4: In harm reduction philosophy, the primary goal of intervention is to:
- Achieve immediate abstinence from all substances
- Reduce the negative consequences associated with drug use (Correct answer)
- Eliminate drug supply through law enforcement
- Compel users into residential treatment
Correct answer: Reduce the negative consequences associated with drug use
Harm reduction prioritizes decreasing the negative health, social, and economic consequences of drug use, not necessarily immediate abstinence.
Question 5: The CAGE questionnaire is a brief screening tool most commonly used to identify:
- Opioid dependence severity
- Problematic alcohol use (Correct answer)
- Stimulant-induced psychosis
- Benzodiazepine withdrawal risk
Correct answer: Problematic alcohol use
The CAGE (Cut down, Annoyed, Guilty, Eye-opener) is a validated 4-question screen specifically designed to identify problematic alcohol use.
Question 6: Which family therapy concept describes a family member who takes on responsibilities and roles to compensate for a substance-abusing member's dysfunction?
- The mascot
- The scapegoat
- The hero/responsible child (Correct answer)
- The lost child
Correct answer: The hero/responsible child
The hero or responsible child takes on adult duties and excels to bring pride and normalcy to the family, compensating for the chaos caused by addiction.
Question 7: Under California law, which of the following situations creates a mandatory duty to warn (Tarasoff obligation) for a substance abuse counselor?
- A client discloses past domestic violence
- A client makes a credible specific threat to harm an identifiable third party (Correct answer)
- A client relapses and drives under the influence
- A client expresses passive suicidal ideation
Correct answer: A client makes a credible specific threat to harm an identifiable third party
The Tarasoff ruling in California established that therapists must warn identifiable potential victims when a client makes a credible, specific threat of violence.
CAADE Alcohol & Drug Dependency Education 3
Which stage of Prochaska and DiClemente's Transtheoretical Model is characterized by a client who acknowledges a problem exists but is not yet committed to change?