CBHT CBHT Substance Use and Co-occurring Disorders 2 — Questions and Answers
Question 1: Which of the following best describes physical dependence on a substance?
- A psychological desire to use for pleasure
- The body adapting so that withdrawal symptoms occur when use stops (Correct answer)
- Using a substance only in social settings
- Having a family history of addiction
Correct answer: The body adapting so that withdrawal symptoms occur when use stops
Physical dependence occurs when the body adapts to a substance and withdrawal symptoms appear upon cessation.
Question 2: A CBHT notices a client seems sedated, has pinpoint pupils, and is barely responsive. This presentation is most consistent with:
- Stimulant intoxication
- Opioid overdose (Correct answer)
- Alcohol withdrawal
- Marijuana use
Correct answer: Opioid overdose
Pinpoint pupils, extreme sedation, and reduced responsiveness are classic signs of opioid overdose requiring emergency response.
Question 3: When working with clients who have co-occurring disorders, the CBHT should prioritize:
- Treating only the substance use disorder first
- Addressing both the mental health and substance use needs in an integrated manner (Correct answer)
- Referring the client out until one disorder is resolved
- Focusing exclusively on psychiatric medication compliance
Correct answer: Addressing both the mental health and substance use needs in an integrated manner
Integrated treatment addressing both conditions simultaneously produces the best outcomes for clients with co-occurring disorders.
Question 4: A client in a substance use treatment program relapses. The CBHT's best response is to:
- Discharge the client immediately
- Document the relapse and notify the treatment team without shaming the client (Correct answer)
- Tell the client they are not trying hard enough
- Ignore the relapse to avoid upsetting the client
Correct answer: Document the relapse and notify the treatment team without shaming the client
Relapse is a common part of recovery; the CBHT should document, inform the team, and maintain a supportive, non-shaming stance.
Question 5: Which substance is most commonly associated with causing psychotic symptoms during or after heavy use?
- Alcohol
- Methamphetamine (Correct answer)
- Marijuana (in moderate doses)
- Caffeine
Correct answer: Methamphetamine
Heavy methamphetamine use is strongly associated with stimulant-induced psychosis, including paranoia and hallucinations.
Question 6: Harm reduction in substance use treatment focuses on:
- Requiring immediate abstinence before providing any services
- Reducing the negative consequences of substance use without demanding complete abstinence (Correct answer)
- Punishing clients who continue to use substances
- Prescribing substitute substances without any counseling
Correct answer: Reducing the negative consequences of substance use without demanding complete abstinence
Harm reduction aims to decrease the risks associated with substance use and meet clients where they are in their readiness to change.
CBHT CBHT Substance Use and Co-occurring Disorders 2
Which of the following best describes physical dependence on a substance?