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

Opioids bind to mu-opioid receptors that normally respond to endogenous endorphins and enkephalins, producing euphoria and leading to physical dependence through receptor downregulation.

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

Post-acute withdrawal syndrome (PAWS) commonly presents with sleep disturbances, mood instability, and cognitive difficulties that can persist for weeks to months after acute withdrawal resolves.

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

The disease model views addiction as a chronic, relapsing brain disease influenced by genetic vulnerability, environmental factors, and neurobiological changes from repeated substance exposure.

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

A biopsychosocial assessment gathers comprehensive data across biological, psychological, and social domains to inform individualized treatment planning.

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

Alcohol withdrawal can produce life-threatening complications including delirium tremens and seizures, making medically supervised detoxification essential for heavy, chronic drinkers.

CASAC - Credentialed Alcoholism and Substance Abuse Counselor Practice Test

CASAC - Credentialed Alcoholism and Substance Abuse Counselor Practice Test

CASAC Alcohol And Drug Counselor 2