Sample Questions Flashcards

A client in early recovery reports intense cravings when passing a bar where they used to drink. This is best described as:

Answer: Environmental cue-induced craving

Environmental cues (places, people, or situations associated with past use) can trigger cravings through conditioned learning.

Which of the following best describes the concept of 'motivational interviewing'?

Answer: A client-centered approach that elicits intrinsic motivation for change

Motivational interviewing is a collaborative, client-centered counseling style that strengthens a person's own motivation and commitment to change.

According to the ASAM criteria, which dimension addresses an individual's level of intoxication and potential for withdrawal?

Answer: Dimension 1: Acute Intoxication and/or Withdrawal Potential

ASAM Dimension 1 specifically evaluates current intoxication status and the risk and severity of withdrawal symptoms.

A counselor notices a client is minimizing the consequences of their alcohol use by saying 'Everyone drinks like I do.' This defense mechanism is called:

Answer: Normalization

Normalization is a defense mechanism where the client compares their behavior to others to make it seem acceptable or ordinary.

Under HIPAA, a chemical dependency counselor may release a client's treatment records without consent in which situation?

Answer: When a court order or valid subpoena is issued

A valid court order or subpoena can compel disclosure of records without client consent, though certain substance use records have additional protections under 42 CFR Part 2.

The 'stages of change' model was developed by:

Answer: James Prochaska and Carlo DiClemente

The Transtheoretical Model (Stages of Change) was developed by James Prochaska and Carlo DiClemente in the late 1970s and 1980s.

Which of the following is a primary characteristic of opioid withdrawal?

Answer: Muscle aches, runny nose, and goosebumps

Opioid withdrawal is characterized by flu-like symptoms including muscle aches, rhinorrhea (runny nose), piloerection (goosebumps), and gastrointestinal distress.