General Practice Flashcards

A client in recovery from stimulant addiction reports 'crashing' with extreme fatigue and depression after stopping use. This is BEST explained by:

Answer: Dopamine depletion following chronic stimulant exposure

Chronic stimulant use depletes dopamine stores; when use stops, the resulting dopamine deficit causes fatigue, anhedonia, and depression known as a stimulant crash.

Which of the following is an example of a 'process addiction' (behavioral addiction)?

Answer: Gambling disorder

Gambling disorder is recognized in the DSM-5 as a behavioral/process addiction that activates the brain's reward system similarly to substances.

Which ethical principle requires a counselor to keep client information confidential?

Answer: Fidelity

Fidelity refers to being faithful and trustworthy in professional relationships, which includes honoring confidentiality agreements with clients.

A relapse prevention plan should include all of the following EXCEPT:

Answer: A commitment to never attending support groups

Support group participation is a recommended protective factor in relapse prevention; a plan should encourage, not exclude, such resources.

The biopsychosocial model of addiction suggests that substance use disorders result from:

Answer: An interaction of biological, psychological, and social factors

The biopsychosocial model recognizes that addiction is a complex condition influenced by genetics, mental health, trauma, environment, and social factors.

Under 42 CFR Part 2, which of the following is a required element for a valid consent form to release substance use disorder treatment records?

Answer: The specific name or general designation of the program to which disclosure is made

42 CFR Part 2 requires that consent forms specifically identify the receiving party, the purpose of disclosure, how much information may be released, and an expiration date.

Which of the following statements accurately describes 'harm reduction' as a public health strategy?

Answer: It aims to reduce the negative consequences of substance use without requiring abstinence

Harm reduction meets people where they are, reducing drug-related harms such as overdose and disease without mandating abstinence as a precondition.