Mixed Deck — All CRC Topics Flashcards

In the ASAM Criteria, which level of care is 'medically monitored intensive inpatient services'?

Answer: Level 3.7

ASAM Level 3.7 provides 24-hour nursing and physician availability in a residential setting.

A coach notices a colleague appears intoxicated while meeting with clients. The ethical response is to:

Answer: Address it with the colleague and report to the supervisor if the concern persists or clients are at risk

Ethical codes require acting to protect clients from impaired practitioners, starting with direct concern and escalating as needed.

What is a limitation of an immunoassay urine drug screen?

Answer: It indicates recent use but cannot diagnose a substance use disorder and may produce false positives

Urine screens show recent exposure only and need confirmation testing; they do not establish a disorder.

Which of these is a protective factor that promotes recovery?

Answer: Access to stable housing and supportive relationships

Stable housing and supportive relationships are core elements of recovery capital.

A client asks whether they have an alcohol use disorder. What is the appropriate recovery coach response?

Answer: Explain that diagnosis is made by a licensed clinician and offer to help arrange an assessment

Recovery coaches support and refer but do not diagnose, which is within clinical scope of practice.

ASAM Dimension 3 evaluates which area?

Answer: Emotional, behavioral, or cognitive conditions and complications

Dimension 3 covers co-occurring mental health and cognitive conditions.

What is the role of goal setting in behavioral change techniques?

Answer: To give individuals concrete steps to take toward recovery.

Goal setting provides individuals with clear, actionable steps and a sense of direction in their recovery journey. By establishing specific, measurable, achievable, relevant, and time-bound (SMART) goals, individuals can track their progress and stay motivated. This structured approach helps break down the overwhelming process of recovery into manageable tasks, fostering a sense of accomplishment and forward momentum.

Which is a common symptom of stimulant (cocaine or methamphetamine) withdrawal?

Answer: Fatigue, depressed mood, and increased appetite

Stimulant withdrawal, the 'crash,' typically involves fatigue, depression, and hypersomnia.

How does naltrexone work in treating opioid or alcohol use disorder?

Answer: It is an opioid receptor antagonist that blocks opioid effects

Naltrexone blocks opioid receptors, preventing opioids from producing euphoria and reducing alcohol cravings.

A urine drug screen (immunoassay) is positive for amphetamines, but the client denies use and takes a prescription medication. What is the best next step?

Answer: Ask for a confirmatory test such as GC/MS or LC-MS and review medications with the prescriber

Immunoassays can cross-react with some medications, so positives should be confirmed with chromatography-mass spectrometry.

Which of the following best describes a dual relationship?

Answer: Having a professional role plus another significant relationship with the same person

A dual relationship exists when a coach has another role, such as friend or business partner, with the person served.

A client wants to attend mutual-aid meetings but is not comfortable with 12-step programs. What should the coach do?

Answer: Explore other pathways such as SMART Recovery, Refuge Recovery, or LifeRing

Recovery coaching respects multiple pathways and supports the pathway the client chooses.

Harm reduction services, such as syringe service programs, primarily aim to:

Answer: Reduce health consequences of drug use without requiring abstinence

Harm reduction programs prioritize reducing risks such as infectious disease transmission without making abstinence a requirement for services.

A client in recovery keeps a daily log noting situation, thought, feeling, and behavior. This tool is most associated with which approach?

Answer: Cognitive-behavioral therapy

Thought records and functional analysis of behavior are core CBT tools for identifying triggers and distorted thinking.

Which of the following BEST represents the principle of justice in coaching ethics?

Answer: Treating all clients fairly and equitably regardless of background

Justice requires fair, nondiscriminatory access to services and respectful treatment of every client.

Why is relapse prevention a critical part of recovery planning?

Answer: It helps individuals manage triggers and cope with challenges

Relapse is a common part of the recovery process, and effective planning includes strategies to prevent and manage it. Relapse prevention involves identifying personal triggers, developing coping skills for high-risk situations, and creating a plan for what to do if a craving or lapse occurs. This proactive approach equips individuals with the tools to navigate difficult moments and maintain long-term sobriety.

A client wants to stop services and the coach believes this is premature. The coach should:

Answer: Respect the client's autonomy, discuss concerns, and provide referrals or a transition plan

Client self-determination is a core ethical principle, and the coach supports a safe transition.

Which of the following best describes a 'relapse prevention plan' component?

Answer: A set of identified triggers with coping strategies and support contacts

Relapse prevention plans link triggers to specific coping strategies and supports.

A sober living home (SLH) is BEST described as:

Answer: A structured residential environment supporting sobriety without clinical treatment

Sober living homes provide drug-free housing with peer accountability structures but do not deliver formal clinical treatment.

A person is hesitant about a doctor's referral and says, 'I don't understand why I need this lab test.' What is the best coach response?

Answer: Encourage them to ask the provider to explain, and help them write down questions beforehand

Helping people prepare questions builds self-advocacy and keeps interpretation with the clinician.