Addictions Professional Core Knowledge and Competencies Flashcards

A counselor notices a client appears sedated, has constricted pupils, and slowed breathing. Which substance class is MOST likely responsible?

Answer: Opioids

Opioid intoxication classically presents with the triad of sedation, miosis (pinpoint pupils), and respiratory depression.

Which type of group therapy focuses on interpersonal learning and uses here-and-now interactions among members as a primary therapeutic tool?

Answer: Process group

Process groups use the interpersonal dynamics occurring within the group itself as the primary vehicle for therapeutic change and insight.

The disease model of addiction is BEST supported by which of the following findings?

Answer: Genetic factors account for 40-60% of addiction vulnerability

Twin and family studies consistently show that genetic factors account for approximately 40-60% of addiction vulnerability, supporting addiction as a biologically influenced disease.

A client in early recovery who begins attending church, exercising daily, and volunteering is BEST described as building:

Answer: Recovery capital

Recovery capital refers to the internal and external resources — including social, spiritual, and physical health — that support sustained recovery.

Which withdrawal syndrome is considered potentially life-threatening and may require medical management?

Answer: Alcohol withdrawal

Alcohol withdrawal can progress to delirium tremens (DTs), characterized by seizures and autonomic instability, which carries significant mortality risk without medical treatment.

The ethical principle of 'nonmaleficence' in addictions counseling BEST refers to:

Answer: Avoiding actions that cause harm to clients

Nonmaleficence — 'do no harm' — obligates counselors to avoid interventions, actions, or omissions that could cause harm to clients.

Which family therapy concept describes the tendency of family members to unconsciously support or enable a loved one's substance use?

Answer: Codependency

Codependency describes a dysfunctional pattern in which family members prioritize the addicted person's needs over their own, often enabling continued substance use.