CASAC Alcohol And Drug Counselor 5

Question 1

Which screening tool is specifically validated to identify alcohol use disorders in primary care settings using only 3 questions?

Accepted Answer

AUDIT-C

Answer

The AUDIT-C is a 3-item abbreviated version of the AUDIT validated for alcohol use disorder screening in primary care populations.

Question 2

A client discloses they have been using benzodiazepines prescribed to them but now cannot stop without feeling physically ill. This presentation most likely indicates:

Accepted Answer

Physical dependence requiring medically supervised withdrawal

Answer

Physical symptoms upon discontinuation of benzodiazepines indicate physical dependence, and benzodiazepine withdrawal can be life-threatening, requiring medical supervision.

Question 3

The ethical principle of non-maleficence in substance abuse counseling primarily obligates the counselor to:

Accepted Answer

Avoid actions that cause harm to the client

Answer

Non-maleficence means 'do no harm' — the counselor must avoid interventions or actions that could injure the client physically, psychologically, or socially.

Question 4

Motivational Interviewing's OARS technique uses reflective listening. Which of the following is an example of a 'double-sided reflection'?

Accepted Answer

'So on one hand you enjoy the relief alcohol gives you, and on the other you're worried about your health.'

Answer

A double-sided reflection acknowledges both sides of ambivalence simultaneously, validating the client's mixed feelings and evoking change talk.

Question 5

A client's urine drug screen is positive for marijuana but the client denies use. The counselor's best initial response is to:

Accepted Answer

Explore the result collaboratively and consider possible explanations

Answer

An MI-consistent, non-confrontational exploration allows the counselor to address the discrepancy while preserving trust and gathering complete information before drawing conclusions.

CASAC - Credentialed Alcoholism and Substance Abuse Counselor Practice Test

CASAC - Credentialed Alcoholism and Substance Abuse Counselor Practice Test

CASAC Alcohol And Drug Counselor 5