CAS Risk Management & Mitigation 4

Question 1

A client discloses that they have been driving under the influence of prescription opioids regularly. Which is the counselor's PRIMARY risk management concern in this scenario?

Accepted Answer

Imminent risk of harm to the client and the public requiring mandatory reporting consideration

Answer

Repeated impaired driving creates imminent risk of serious injury or death to the client and others, which supersedes other clinical concerns.

Question 2

The CRAFFT screening tool is specifically designed to assess substance use risk in which population?

Accepted Answer

Adolescents aged 12 to 21

Answer

The CRAFFT is a validated six-item screen developed specifically to identify substance use risk and consequences in adolescent patients.

Question 3

Which intervention BEST addresses the risk of accidental overdose for a client who has completed a 30-day inpatient program for heroin use disorder?

Accepted Answer

Prescribing or referring for naloxone and providing overdose education before discharge

Answer

Opioid tolerance drops rapidly during abstinence, making the post-discharge period high-risk for fatal overdose; naloxone access and education are life-saving standard of care.

Question 4

A client with methamphetamine use disorder reports new onset paranoia and believes neighbors are surveilling them. The BEST risk assessment step is to:

Accepted Answer

Assess for stimulant-induced psychosis, rule out a primary psychotic disorder, and evaluate safety

Answer

Stimulant-induced psychosis requires differential diagnosis from primary psychotic disorders and a full safety evaluation including risk of violence or self-harm.

Question 5

According to ASAM criteria, the primary purpose of matching a client to a specific level of care is to:

Accepted Answer

Match treatment intensity to clinical severity and risk to optimize outcomes

Answer

ASAM placement criteria use six dimensions of severity to match clients to the least restrictive but most clinically appropriate level of care.

(CAS) Certified Addiction Specialist Practice Test

(CAS) Certified Addiction Specialist Practice Test

CAS Risk Management & Mitigation 4