CART Co-Occurring Substance Use 3

Question 1

A client discloses opioid use to manage chronic pain but denies any anger problems. Their spouse reports frequent rage episodes at home. The CART therapist's best next step is:

Accepted Answer

Explore the discrepancy between self-report and collateral information with the client

Answer

Exploring discrepancies between self-report and collateral information in a non-confrontational manner is central to motivational and ethical clinical practice.

Question 2

Cannabis use is associated with anger in some clients primarily because of:

Accepted Answer

Paradoxical disinhibition and increased paranoia in certain users

Answer

While cannabis has calming effects for many users, it can cause paradoxical disinhibition, anxiety, and paranoia in some, triggering or worsening anger responses.

Question 3

Which of the following best describes 'telescoping' in the context of substance use and anger?

Accepted Answer

A more rapid progression of substance use disorder in certain populations

Answer

Telescoping refers to the accelerated progression of substance use disorder seen in some populations (often women), moving faster from first use to dependence.

Question 4

When treating co-occurring anger and stimulant use disorder, which coping skill addresses both the physiological arousal of anger and drug craving simultaneously?

Accepted Answer

Diaphragmatic breathing and progressive muscle relaxation

Answer

Diaphragmatic breathing and progressive muscle relaxation reduce physiological arousal that underlies both anger escalation and craving responses.

Question 5

A CART therapist notices a client frequently cancels sessions the day after reported heavy drinking. The most appropriate response is to:

Accepted Answer

Address the pattern collaboratively and adjust treatment structure

Answer

Addressing attendance patterns collaboratively allows therapists to adapt the treatment plan to the client's actual capacity and reduce barriers to engagement.

(CART) Certified Anger Resolution Therapist Practice Test

(CART) Certified Anger Resolution Therapist Practice Test

CART Co-Occurring Substance Use 3