CAADE Alcohol & Drug Dependency Education 5 — Questions and Answers
Question 1: Which of the following is the primary active ingredient responsible for the psychoactive effects of cannabis?
- Cannabidiol (CBD)
- Delta-9-tetrahydrocannabinol (THC) (Correct answer)
- Cannabinol (CBN)
- Terpenes
Correct answer: Delta-9-tetrahydrocannabinol (THC)
Delta-9-THC is the primary psychoactive compound in cannabis, binding to CB1 receptors in the brain to produce intoxication.
Question 2: Relapse prevention, as developed by Marlatt and Gordon, focuses primarily on:
- Pharmacological management of cravings
- Identifying and coping with high-risk situations that trigger use (Correct answer)
- Complete avoidance of any environment previously associated with use
- Residential isolation during early recovery
Correct answer: Identifying and coping with high-risk situations that trigger use
Marlatt and Gordon's relapse prevention model centers on recognizing high-risk situations and developing coping strategies to prevent a lapse from becoming a full relapse.
Question 3: Which federal regulation specifically governs the confidentiality of substance use disorder patient records in federally assisted programs?
- HIPAA Privacy Rule
- 42 CFR Part 2 (Correct answer)
- ADA Title II
- FERPA
Correct answer: 42 CFR Part 2
42 CFR Part 2 provides special confidentiality protections for records of patients in federally assisted substance use disorder treatment programs, stricter than HIPAA.
Question 4: A counselor notices a client is minimizing the severity of their substance use and blaming others for their problems. This defense mechanism is called:
- Projection
- Rationalization
- Denial (Correct answer)
- Sublimation
Correct answer: Denial
Denial is the refusal to acknowledge the reality or severity of one's substance use problem, often combined with minimizing, blaming, and rationalizing.
Question 5: In the context of adolescent substance use education, which factor is considered the strongest protective factor against early substance use?
- High family income
- Strong parental monitoring and family connectedness (Correct answer)
- Academic achievement alone
- Participation in organized religion
Correct answer: Strong parental monitoring and family connectedness
Research consistently shows that strong family bonds, open communication, and parental supervision are the most robust protective factors against adolescent substance use.
Question 6: Which of the following describes the 'abstinence violation effect' (AVE)?
- A court-ordered sanction for drug use violations
- The emotional and cognitive response following a lapse that increases risk of full relapse (Correct answer)
- A period of enforced sobriety in a treatment facility
- Side effects experienced during medically assisted detox
Correct answer: The emotional and cognitive response following a lapse that increases risk of full relapse
The AVE describes how guilt, shame, and hopelessness following a single lapse ('I've already blown it') can trigger a full relapse if not addressed with cognitive coping.
Question 7: Naloxone (Narcan) is used in substance abuse emergency response because it:
- Accelerates metabolism of alcohol to reduce BAC quickly
- Competitively blocks opioid receptors to reverse opioid overdose (Correct answer)
- Reduces cocaine-induced cardiovascular effects
- Sedates agitated individuals under stimulant intoxication
Correct answer: Competitively blocks opioid receptors to reverse opioid overdose
Naloxone is an opioid antagonist that rapidly displaces opioids from receptors, reversing respiratory depression and overdose within minutes.
CAADE Alcohol & Drug Dependency Education 5
Which of the following is the primary active ingredient responsible for the psychoactive effects of cannabis?