TCC Substance Abuse & Addiction Counseling

Question 1

Which of the following best describes the biopsychosocial model of addiction?

Accepted Answer

Addiction results from biological, psychological, and social factors interacting together

Answer

Addiction is solely caused by genetic predisposition

Answer

Addiction is primarily a moral failing requiring willpower to overcome

Answer

Addiction is exclusively caused by environmental stressors

Question 2

According to the DSM-5, how many criteria must be met within a 12-month period to diagnose a substance use disorder?

Accepted Answer

At least 2 of 11 criteria

Answer

At least 1 of 11 criteria

Answer

At least 4 of 11 criteria

Answer

At least 6 of 11 criteria

Question 3

Which motivational interviewing technique involves the counselor acknowledging and reflecting back both sides of a client's ambivalence?

Accepted Answer

Double-sided reflection

Answer

Affirmation

Answer

Open-ended questioning

Answer

Elaboration

Question 4

The CAGE questionnaire is primarily used to screen for which problem?

Accepted Answer

Alcohol use problems

Answer

Depression comorbid with substance use

Answer

Opioid dependence severity

Answer

Stimulant misuse patterns

Question 5

In Prochaska's Transtheoretical Model, the Action stage is best characterized by which of the following?

Accepted Answer

Actively modifying behavior for less than 6 months

Answer

Having no intention to change in the next 6 months

Answer

Intending to take action in the next 30 days and having taken some initial steps

Answer

Maintaining change consistently for more than 6 months

Question 6

Alcohol withdrawal can be life-threatening primarily because of the risk of which complication?

Accepted Answer

Seizures and delirium tremens (DTs)

Answer

Severe dehydration and systemic electrolyte imbalances

Answer

Cardiac arrhythmias from stimulant rebound effect

Answer

Respiratory depression from prolonged CNS suppression

Question 7

Which of the following is classified as a Schedule II controlled substance under federal law?

Accepted Answer

Amphetamine (Adderall)

Answer

Marijuana (cannabis)

Answer

Heroin

Answer

Diazepam (Valium)