CAT Addiction Technician Intervention and Treatment Planning 2 — Questions and Answers
Question 1: During a clinical intervention, a client minimizes their alcohol use by saying 'I only drink on weekends.' This is best described as which defense mechanism?
- Projection
- Rationalization
- Denial (Correct answer)
- Displacement
Correct answer: Denial
Denial is the refusal to acknowledge the extent or impact of one's substance use, often by downplaying frequency or quantity.
Question 2: A treatment plan goal states: 'Client will attend 3 AA meetings per week.' This is best classified as which type of goal component?
- Long-term goal
- Objective (Correct answer)
- Problem statement
- Discharge criterion
Correct answer: Objective
Objectives are specific, measurable, time-bound steps that support broader treatment goals.
Question 3: Which motivational interviewing technique involves reflecting back an amplified version of what the client said to elicit change talk?
- Double-sided reflection
- Amplified reflection (Correct answer)
- Simple reflection
- Reframing
Correct answer: Amplified reflection
An amplified reflection overstates the client's position slightly, which often prompts them to argue the other side and articulate reasons to change.
Question 4: A client in early recovery is reluctant to enter a residential program due to fear of losing their job. The addiction technician's BEST response is to:
- Inform the client that employment is less important than sobriety
- Explore the client's concerns and discuss options like outpatient or FMLA protections (Correct answer)
- Discharge the client for non-compliance
- Refer immediately to a psychiatrist
Correct answer: Explore the client's concerns and discuss options like outpatient or FMLA protections
Exploring concerns and presenting alternatives supports engagement and respects the client's autonomy while addressing barriers to treatment.
Question 5: The ASAM criteria use six dimensions for patient placement. Which dimension addresses the client's history of treatment and recovery?
- Dimension 1: Acute Intoxication and Withdrawal Potential
- Dimension 4: Readiness to Change
- Dimension 6: Recovery/Living Environment
- Dimension 5: Relapse/Continued Use Potential (Correct answer)
Correct answer: Dimension 5: Relapse/Continued Use Potential
Dimension 5 assesses the likelihood of relapse or continued use, incorporating prior treatment history and recovery experience.
Question 6: When developing a treatment plan with a culturally diverse client, which approach is MOST appropriate?
- Apply the standard treatment protocol used for all clients
- Incorporate the client's cultural values, beliefs, and family systems into the plan (Correct answer)
- Refer the client to a counselor of the same cultural background
- Avoid discussing cultural issues to prevent discomfort
Correct answer: Incorporate the client's cultural values, beliefs, and family systems into the plan
Culturally competent care requires integrating the client's cultural context into all aspects of treatment planning.
Question 7: A client states they are ready to stop using opioids but have failed three prior detox attempts. According to the stages of change model, which stage BEST describes this client?
- Precontemplation
- Contemplation
- Preparation (Correct answer)
- Maintenance
Correct answer: Preparation
Preparation describes clients who intend to take action soon and may have made prior attempts, even if unsuccessful.
CAT Addiction Technician Intervention and Treatment Planning 2
During a clinical intervention, a client minimizes their alcohol use by saying 'I only drink on weekends.' This is best described as which defense mechanism?