MC Substance Abuse and Addiction Counseling 2 — Questions and Answers
Question 1: The CAGE questionnaire is a brief screening tool for alcohol problems. The letter 'A' in CAGE stands for:
- Anxiety
- Aggression
- Annoyed (Correct answer)
- Avoidance
Correct answer: Annoyed
In the CAGE questionnaire, the four letters stand for Cut down, Annoyed, Guilty, and Eye-opener — two or more 'yes' responses suggest a probable alcohol problem.
Question 2: In the context of addiction counseling, 'enabling' behavior by family members typically:
- Motivates the person with SUD to seek treatment
- Shields the person from natural consequences of use, perpetuating addiction (Correct answer)
- Represents healthy supportive coping
- Is the same as codependency treatment
Correct answer: Shields the person from natural consequences of use, perpetuating addiction
Enabling involves actions that protect the person with addiction from experiencing consequences, inadvertently removing motivation to change.
Question 3: Motivational Interviewing's OARS technique stands for Open questions, Affirmations, Reflective listening, and:
- Reframing
- Restructuring
- Summarizing (Correct answer)
- Resolving
Correct answer: Summarizing
OARS — Open questions, Affirmations, Reflective listening, and Summarizing — are the core communication micro-skills of Motivational Interviewing.
Question 4: Which medication used in Opioid Use Disorder treatment is a partial opioid agonist that reduces cravings and withdrawal while having a ceiling effect that limits overdose risk?
- Methadone
- Naloxone
- Buprenorphine (Correct answer)
- Naltrexone
Correct answer: Buprenorphine
Buprenorphine is a partial mu-opioid agonist that manages cravings and withdrawal symptoms while its ceiling effect reduces the risk of respiratory depression and overdose.
Question 5: The concept of 'cross-tolerance' is important in addiction counseling because it means:
- Clients can transfer addiction from one substance to another drug in a different class
- Tolerance to one drug produces tolerance to pharmacologically similar drugs (Correct answer)
- Two substances produce opposite effects when combined
- A client tolerates treatment despite difficult emotions
Correct answer: Tolerance to one drug produces tolerance to pharmacologically similar drugs
Cross-tolerance occurs when tolerance developed to one substance (e.g., alcohol) confers tolerance to pharmacologically similar substances (e.g., benzodiazepines), which has critical implications for treatment dosing.
Question 6: Relapse prevention therapy, originally developed by Marlatt and Gordon, focuses on helping clients identify and cope with:
- Childhood trauma underlying addiction
- High-risk situations that trigger cravings and relapse (Correct answer)
- Denial and manipulation tactics
- Social isolation as the root of addiction
Correct answer: High-risk situations that trigger cravings and relapse
Marlatt and Gordon's relapse prevention model teaches clients to recognize high-risk situations, use coping skills, and manage lapses without total relapse.
MC Substance Abuse and Addiction Counseling 2
The CAGE questionnaire is a brief screening tool for alcohol problems.
The letter 'A' in CAGE stands for: