LCSW Substance Use Disorders and Addiction Treatment

Question 1

A client says, 'I know my drinking is causing problems, and I've been thinking about cutting back, but I'm not sure I'm ready.' Which stage of change is this?

Accepted Answer

Contemplation

Answer

In the contemplation stage of the Transtheoretical Model, the client recognizes the problem and is considering change but is ambivalent and has not committed to acting.

Question 2

Which social worker response is MOST consistent with motivational interviewing?

Accepted Answer

'Part of you wants to keep drinking, and part of you worries about what it's doing to your family.'

Answer

Motivational interviewing uses reflective listening to explore ambivalence without confrontation, labeling or directives, which helps the client voice their own reasons to change.

Question 3

Withdrawal from which substance carries the HIGHEST risk of life-threatening complications such as seizures and delirium tremens?

Accepted Answer

Alcohol

Answer

Withdrawal from alcohol (and from benzodiazepines) can cause seizures and delirium tremens, which can be fatal. Medically supervised detox is often needed. Opioid withdrawal is very uncomfortable but rarely life-threatening in healthy adults.

Question 4

A client reports needing much more of a substance than before to get the same effect. What is this called?

Accepted Answer

Tolerance

Answer

Tolerance is needing larger amounts to reach the same effect, or getting less effect from the same amount. It is one of the DSM-5 criteria for substance use disorder.

Question 5

Which medication is used to treat opioid use disorder?

Accepted Answer

Buprenorphine

Answer

Buprenorphine, a partial opioid agonist, is an FDA-approved medication for opioid use disorder, along with methadone and naltrexone. Disulfiram is used for alcohol use disorder.

LCSW - Licensed Clinical Social Worker Practice Test

LCSW - Licensed Clinical Social Worker Practice Test

LCSW Substance Use Disorders and Addiction Treatment