CASAC Alcohol And Drug Counselor 2

Question 1

Which neurotransmitter system is most directly affected by opioid drugs, leading to euphoria and physical dependence?

Accepted Answer

Endorphin/enkephalin system

Answer

Serotonin system

Answer

GABA system

Answer

Acetylcholine system

Question 2

A client in early recovery reports persistent insomnia, irritability, and difficulty concentrating three weeks after stopping alcohol use. What is the most likely explanation?

Accepted Answer

Post-acute withdrawal syndrome (PAWS)

Answer

Undiagnosed ADHD

Answer

Major depressive disorder

Answer

Caffeine intoxication

Question 3

According to the disease model of addiction, which of the following best describes substance use disorder?

Accepted Answer

A chronic, relapsing brain disease with genetic and environmental components

Answer

A moral failing that reflects poor character

Answer

A learned behavior that can be unlearned through willpower

Answer

A temporary condition caused solely by peer pressure

Question 4

What is the primary purpose of conducting a biopsychosocial assessment during the intake process for a substance abuse client?

Accepted Answer

To gather comprehensive information about biological, psychological, and social factors affecting the client

Answer

To determine the client's insurance eligibility

Answer

To diagnose the client with a specific DSM-5 disorder

Answer

To establish the counselor's authority in the therapeutic relationship

Question 5

Which of the following substances is most likely to produce a life-threatening withdrawal syndrome if discontinued abruptly after prolonged heavy use?

Accepted Answer

Alcohol

Answer

Cannabis

Answer

Cocaine

Answer

LSD

Question 6

A counselor notices that a client consistently minimizes their drinking patterns and blames their spouse for relationship problems. Which defense mechanism is the client primarily using?

Accepted Answer

Denial and minimization

Answer

Projection

Answer

Sublimation

Answer

Reaction formation