CAP Addictions Professional Core Knowledge and Competencies 3 — Questions and Answers
Question 1: Under HIPAA and 42 CFR Part 2, which situation permits disclosure of a client's SUD treatment records without consent?
- A family member's written request
- A court order meeting specific requirements (Correct answer)
- Law enforcement's verbal request
- An employer's written request
Correct answer: A court order meeting specific requirements
42 CFR Part 2 permits disclosure without client consent only when a court order meets the specific requirements outlined in the regulation.
Question 2: Which stage of Prochaska and DiClemente's Transtheoretical Model is characterized by a client who says 'I've been thinking about quitting, but I'm not sure'?
- Precontemplation
- Contemplation (Correct answer)
- Preparation
- Action
Correct answer: Contemplation
In the contemplation stage, individuals acknowledge a problem and consider change but have not yet committed to a specific plan or timeline.
Question 3: A counselor who uses their personal recovery story excessively in sessions to advise clients is demonstrating which ethical concern?
- Appropriate use of self-disclosure
- Countertransference (Correct answer)
- Dual relationship violation
- Boundary crossing
Correct answer: Countertransference
Countertransference occurs when a counselor's unresolved personal issues influence their professional behavior, such as overusing personal experience in ways that redirect focus from the client.
Question 4: Fetal Alcohol Spectrum Disorder (FASD) is primarily caused by:
- Genetic predisposition to alcoholism
- Prenatal exposure to alcohol (Correct answer)
- Nutritional deficiencies during pregnancy
- Postnatal environmental factors
Correct answer: Prenatal exposure to alcohol
FASD results from prenatal alcohol exposure, which disrupts fetal brain development and causes a range of cognitive, behavioral, and physical disabilities.
Question 5: Which brief intervention tool uses a 10-item questionnaire to screen for alcohol use disorders and is widely used in primary care settings?
- CAGE
- AUDIT (Correct answer)
- DAST-10
- MAST
Correct answer: AUDIT
The Alcohol Use Disorders Identification Test (AUDIT), developed by the WHO, is a validated 10-item screening tool used in healthcare settings to identify hazardous and harmful alcohol use.
Question 6: In cognitive-behavioral therapy for addiction, a 'high-risk situation' is BEST defined as:
- Any environment where substances are present
- Any circumstance that increases the likelihood of relapse (Correct answer)
- Social situations involving substance-using peers
- Locations associated with past substance use
Correct answer: Any circumstance that increases the likelihood of relapse
A high-risk situation is any context — emotional, social, or environmental — that increases an individual's vulnerability to substance use.
Question 7: Which evidence-based practice is specifically designed to improve treatment engagement and retention for individuals with opioid use disorder?
- Therapeutic community
- Medication-assisted treatment (MAT) (Correct answer)
- 12-step facilitation
- Contingency management
Correct answer: Medication-assisted treatment (MAT)
Medication-assisted treatment (MAT) combining medications like buprenorphine or methadone with counseling significantly improves retention and reduces illicit opioid use.
CAP Addictions Professional Core Knowledge and Competencies 3
Under HIPAA and 42 CFR Part 2, which situation permits disclosure of a client's SUD treatment records without consent?