CIP CIP Substance Use Disorders & Co-occurring Conditions 1 — Questions and Answers
Question 1: According to the DSM-5, a substance use disorder diagnosis requires:
- At least 2 of 11 criteria within a 12-month period (Correct answer)
- Documented daily use for 30 days
- At least one prior treatment episode
- Physical dependence including withdrawal symptoms
Correct answer: At least 2 of 11 criteria within a 12-month period
The DSM-5 requires meeting at least 2 of 11 specified criteria within a 12-month period to diagnose a substance use disorder.
Question 2: Which of the following BEST describes 'cross-tolerance' relevant to a CIP's intervention planning?
- Tolerance developed to one substance reduces the effect of a chemically similar substance (Correct answer)
- A client tolerates confrontation from multiple family members
- The ability to use multiple substances simultaneously without adverse effects
- Family members developing tolerance to a loved one's behavior over time
Correct answer: Tolerance developed to one substance reduces the effect of a chemically similar substance
Cross-tolerance occurs when tolerance to one substance reduces the effectiveness of pharmacologically similar substances, affecting treatment planning.
Question 3: A CIP should recognize that alcohol withdrawal can be medically dangerous because it may cause:
- Seizures and delirium tremens (DTs) (Correct answer)
- Severe respiratory depression
- Acute liver failure within hours
- Immediate psychosis
Correct answer: Seizures and delirium tremens (DTs)
Alcohol withdrawal can cause life-threatening seizures and delirium tremens, making medical supervision essential for heavy drinkers.
Question 4: When a client has a co-occurring mood disorder and substance use disorder, this is referred to as:
- Dual diagnosis or co-occurring disorders (Correct answer)
- Polydrug dependence
- Compulsive use disorder
- Secondary addiction
Correct answer: Dual diagnosis or co-occurring disorders
Co-occurring substance use disorder and mental health disorder is termed dual diagnosis, requiring integrated treatment approaches.
Question 5: Which drug class is associated with the HIGHEST risk of fatal overdose in the current US opioid crisis?
- Synthetic opioids, particularly illicitly manufactured fentanyl (Correct answer)
- Prescription oxycodone
- Heroin alone
- Methamphetamine combined with opioids
Correct answer: Synthetic opioids, particularly illicitly manufactured fentanyl
Illicitly manufactured fentanyl and its analogs are responsible for the majority of opioid overdose deaths in the current US crisis.
Question 6: During intervention planning for a client using opioids, the CIP should ensure the family knows about:
- Naloxone (Narcan) access and administration for overdose reversal (Correct answer)
- Methadone maintenance as the only acceptable treatment
- How to safely dispose of leftover prescription medications
- The client's prescriber contact information
Correct answer: Naloxone (Narcan) access and administration for overdose reversal
Educating family members about naloxone access and use is a critical harm reduction component when opioid use is present.
CIP CIP Substance Use Disorders & Co-occurring Conditions 1
According to the DSM-5, a substance use disorder diagnosis requires: