Alcohol and Drug Counselor Ultimate Flashcards
7 cards from real CADC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Alcohol and Drug Counselor Ultimate flashcards as text
A client in early recovery reports experiencing intense cravings triggered by passing a bar they used to frequent. Which intervention best addresses this trigger?
Answer: Use cue exposure therapy combined with coping skills practice
Cue exposure therapy paired with coping skills helps clients learn to manage cravings triggered by environmental stimuli.
Which of the following BEST describes the transtheoretical model's 'contemplation' stage?
Answer: The client acknowledges a problem exists and is considering change within the next six months
In contemplation, individuals recognize their problem and intend to take action within the next six months but have not yet committed.
Under HIPAA, which situation allows a counselor to disclose a client's substance use treatment information without written consent?
Answer: The client poses a serious and imminent threat to themselves or an identifiable third party
HIPAA permits disclosure without consent when necessary to prevent serious and imminent harm to the client or others.
A counselor notices they are attracted to a client and begins scheduling extra sessions without clinical justification. This behavior PRIMARILY represents which ethical issue?
Answer: Countertransference leading to boundary violation
Countertransference is the counselor's emotional reaction to a client; acting on it by scheduling unjustified sessions constitutes a boundary violation.
Which neurotransmitter system is MOST directly implicated in the rewarding effects of alcohol and opioids?
Answer: Dopaminergic mesolimbic pathway
Both alcohol and opioids stimulate dopamine release in the mesolimbic pathway, producing reinforcing euphoric effects.
When conducting a biopsychosocial assessment, which domain would include evaluating a client's history of trauma?
Answer: Psychological domain
Trauma history falls within the psychological domain because it encompasses mental and emotional factors affecting the client's functioning.
A client on methadone maintenance reports using heroin two days ago. The MOST appropriate counselor response is to:
Answer: Document the use, explore circumstances without shaming, and adjust the treatment plan as needed
Relapse is viewed as part of the recovery process; the counselor should document, explore non-judgmentally, and revise the treatment plan.