CBHT CBHT Substance Use and Co-occurring Disorders 1 — Questions and Answers
Question 1: The term 'co-occurring disorders' (dual diagnosis) refers to:
- Two clients sharing the same diagnosis
- A client having both a substance use disorder and a mental health disorder simultaneously (Correct answer)
- Two medications prescribed at the same time
- A client diagnosed by two different clinicians
Correct answer: A client having both a substance use disorder and a mental health disorder simultaneously
Co-occurring disorders means a client has both a substance use disorder and at least one mental health condition at the same time.
Question 2: Which of the following is a sign of alcohol withdrawal that a CBHT should immediately report?
- Mild cravings
- Tremors, sweating, and seizures (Correct answer)
- Increased appetite
- Improved mood
Correct answer: Tremors, sweating, and seizures
Alcohol withdrawal can cause life-threatening symptoms including tremors, diaphoresis, and seizures requiring immediate clinical attention.
Question 3: A client with a substance use disorder minimizes their drug use when asked. This defense mechanism is known as:
- Rationalization
- Projection
- Denial (Correct answer)
- Sublimation
Correct answer: Denial
Denial is a common defense mechanism in substance use disorders where the client refuses to acknowledge the extent of their use.
Question 4: Which approach is most effective when supporting a client in early recovery from substance use?
- Confronting them aggressively about past drug use
- Providing a non-judgmental, supportive environment (Correct answer)
- Ignoring their emotional state
- Withholding positive feedback until sobriety milestones are met
Correct answer: Providing a non-judgmental, supportive environment
A non-judgmental, supportive environment builds trust and encourages engagement in treatment.
Question 5: Tolerance in substance use disorder means:
- The substance no longer causes any effect
- Needing increased amounts of a substance to achieve the same effect (Correct answer)
- The ability to stop using the substance without symptoms
- Accepting a client's substance use without intervening
Correct answer: Needing increased amounts of a substance to achieve the same effect
Tolerance is when the body adapts to a substance and requires higher doses to produce the original effect.
Question 6: Motivational interviewing (MI) is best described as:
- A directive approach that forces clients to admit their problems
- A client-centered method that explores and resolves ambivalence about change (Correct answer)
- A punishment-based strategy for noncompliance
- A technique used only for severe mental illness
Correct answer: A client-centered method that explores and resolves ambivalence about change
Motivational interviewing is a collaborative, client-centered counseling style that helps clients resolve ambivalence and strengthen motivation to change.
CBHT CBHT Substance Use and Co-occurring Disorders 1
The term 'co-occurring disorders' (dual diagnosis) refers to: