Alcohol And Drug Counselor Flashcards
7 cards from real CASAC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Alcohol And Drug Counselor flashcards as text
A client in early recovery reports intense cravings triggered by driving past a bar where they used to drink. This is best described as which type of trigger?
Answer: Environmental/external cue trigger
Environmental or external cue triggers are conditioned stimuli (places, people, objects) associated with past substance use that elicit cravings.
Under HIPAA and 42 CFR Part 2, which of the following disclosures requires explicit written consent from a substance use disorder client?
Answer: Disclosing treatment information to a family member for care coordination
42 CFR Part 2 imposes stricter protections than HIPAA; disclosing SUD records to family members for care coordination requires the client's specific written consent.
The transtheoretical model stage in which a client acknowledges a problem but has no intention of changing within the next six months is called:
Answer: Precontemplation
In precontemplation the individual does not yet recognize a problem or intends no change in the foreseeable future (within six months).
A counselor notices a supervisee consistently avoids confronting clients about relapse. This pattern is best addressed through:
Answer: Clinical supervision focused on countertransference
Clinical supervision that explores countertransference helps the supervisee identify personal reactions interfering with effective confrontation of relapse behavior.
Which neurotransmitter system is most directly associated with the rewarding effects of alcohol and opioids that reinforce continued use?
Answer: Dopaminergic mesolimbic pathway
Both alcohol and opioids increase dopamine release in the nucleus accumbens via the mesolimbic pathway, producing the reinforcing pleasurable effects.
A client on methadone maintenance asks if they can drink alcohol socially. The most clinically appropriate counselor response is to:
Answer: Advise complete abstinence due to dangerous CNS depression risk
Combining methadone with alcohol causes additive CNS depression that can lead to respiratory depression and death, so complete abstinence from alcohol is recommended.
In a group therapy session for SUD, a member begins to monopolize by telling lengthy stories. The most effective facilitator intervention is to:
Answer: Gently interrupt and redirect attention to the group's reactions
A skilled facilitator redirects the monopolizer by inviting group members to respond, turning the behavior into a therapeutic opportunity without shaming the individual.