Counseling Addictions and Substance Use Counseling

Question 1

Which stage of the Transtheoretical Model is characterized by a client who is not yet considering changing their substance use?

Accepted Answer

Precontemplation

Answer

In precontemplation, the person is not intending to change in the foreseeable future and may be unaware of or deny the problem.

Question 2

Which counseling approach emphasizes collaborative, client-centered conversation to strengthen motivation for change and resolve ambivalence?

Accepted Answer

Motivational interviewing

Answer

Motivational interviewing (Miller and Rollnick) uses an empathic, collaborative style, evoking the client's own reasons for change and reducing ambivalence.

Question 3

A client abruptly stopping long-term heavy alcohol use is most at risk for which potentially life-threatening withdrawal complication?

Accepted Answer

Delirium tremens

Answer

Alcohol withdrawal can progress to delirium tremens, marked by confusion, hallucinations, autonomic instability, and seizures. It requires medical supervision.

Question 4

Under the DSM-5-TR, substance use disorders are rated mild, moderate, or severe based on:

Accepted Answer

The number of diagnostic criteria met

Answer

Severity is based on the count of criteria met out of 11: 2-3 is mild, 4-5 is moderate, and 6 or more is severe.

Question 5

Which term refers to a client needing increasingly larger amounts of a substance to achieve the same effect?

Accepted Answer

Tolerance

Answer

Tolerance is a diminished response to the same dose over time, or the need for more of a substance to achieve the desired effect. It is one of the DSM criteria for substance use disorders.

Counseling Practice Test

Counseling Practice Test

Counseling Addictions and Substance Use Counseling