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Quiz Session - Attempts With Random Questions

IC RC ADC Exam Questions

Page 8 of 40

141.

Why is asking about a family history of SUDs MOST significant?

  • It can indicate possible genetic issues

  • It is useful for establishing rapport 

  • It helps establish other aspects of mental illness 

Correct answer: It can indicate possible genetic issues 

Asking about a family history is most clinically significant due to the fact that many persons who have SUDs have family members who have also had similar issues. This is important in establishing risk factors and treatment planning. 

The inquiry is less useful in establishing rapport or illuminating other areas of mental illness in the individual.

142.

Which of the following is the MOST accurate statement about the strategic goal of the contemplation stage of change?

  • To heighten awareness of problems

  • To confront behavior

  • To support concrete steps

  • To establish rapport

Correct answer: To heighten awareness of problems

The main strategic goal of the contemplation stage from the therapist's point of view is to create awareness of the problems created by substance use and to tip the balance of the client's ambivalence in favor of change. 

It is not to confront behavior, to support any steps taken, or to establish rapport per se.

143.

What does the National Institute on Alcohol Abuse and Alcoholism (NIAAA) define as low-risk drinking? 

  • Two drinks a day for men and one drink a day for women

  • Five drinks a day for men and three drinks a day for women

  • There is no such thing as "low-risk" drinking according to the NIAAA

  • One drink a day for men or women 

Correct answer: Two drinks a day for men and one drink a day for women

The NIAAA recognizes that the established clinical definitions of alcohol dependence and misuse are shifting and do not capture the detail necessary to correctly describe many categories of drinking that do not rise to the level of clinical diagnosis. For example, the NIAAA defines "low-risk" drinking as two drinks a day for men and one drink a day for women (owing to physiological differences).

The NIAAA recognizes that there is such a thing as moderation and that all drinking is not inherently risky or pathological. 

144.

Which of the following has NOT been a result of the stigma against methadone treatment?

  • It is illegal in many states

  • It is not offered by prestigious inpatient treatment programs

  • It is not seen as acceptable by middle-class patients

Correct answer: It is illegal in many states

The stigma against methadone treatment has resulted in its not being offered by many prestigious inpatient treatment programs, even though it is a drug approved by the FDA specifically for the use of this kind of treatment. It is also seen as unacceptable to middle-class patients, due to stigma.

Methadone treatment is not illegal.

145.

Which of the following is most likely to lead to tolerance among those who use stimulants?

  • Euphorigenic effects 

  • Sedation 

  • Hallucinatory effects 

  • The "crash"

Correct answer: Euphorigenic effects 

Users of stimulants are often impelled to use more of their substance of choice due to an increasing tolerance to the euphorigenic effects of stimulants. In other words, over time, in the case of chronic use, it will take more stimulant to produce the desired effect. 

Sedation and hallucinatory effects are less-known among stimulant effects. A desire to avoid the "crash" may provoke use, but it will not be related to increased overall tolerance. 

146.

How much of client change is due to placebo factors?

  • 15%

  • 50%

  • 30%

  • 0%

Correct answer: 15%

Placebo factors, such as hope, expectancy, and belief in change on the part of the client, account for 15% of client change.

147.

What is the optimal pace of sessions for people in the early stages of substance abuse treatment?

  • As frequently as possible 

  • Once a week

  • Once a month

  • Biweekly

Correct answer: As frequently as possible 

The early stages of substance abuse treatment are sensitive for a variety of reasons, mostly having to do with rapport building, accountability, and treatment adherence. It is advised that you see your client as often as possible for short sessions during the first few weeks of treatment. Though this pace will likely not be practical for many clients, it illustrates the need for successful substance abuse treatment to engage clients in a deep way from the very beginning.

148.

In group sessions, when should a statement of confidentiality occur?

  • At the beginning of the group session

  • At the beginning of treatment and not in group 

  • At the end of treatment and not in group 

  • At the end of the group session

Correct answer: At the beginning of the group session

A peculiarity of group work is that confidentiality cannot be assured. Though the facilitator or counselor may provide a pledge of confidentiality, the group participants are not bound by law or professional standards to practice any confidentiality at all. Thus, it is important to inform all participants at the beginning of every group session about the limits to confidentiality attendant on the group modality. 

149.

Do all opioids engender pharmacological tolerance?

  • Yes, with frequent or daily use

  • No, only heroin has this effect

  • Yes, almost immediately

Correct answer: Yes, with frequent or daily use 

All opioids engender pharmacological tolerance with frequent or daily use. This means that the user will have to acquire a greater dosage of the substance to achieve the same effect, often resulting in an increase in the array of consequences dependent on use.

150.

What does "chasing the high" mean?

  • Compulsive readministration

  • Trying to find drugs

  • Relapse 

  • Depression following use

Correct answer: Compulsive readministration

"Chasing the high" refers to the phenomenon, mainly among users of cocaine and methamphetamine, of compulsively readministering the drug in order to keep the same euphoric effect constantly active.

It does not refer to the search for drugs, relapse, or post-use depression.

151.

Are "ugly reminders" useful in drug treatment?

  • Yes, they can be therapeutically valuable 

  • No, they are destructive to recovery 

  • Yes, if under the control of a therapist 

  • No, as they contribute to depression 

Correct answer: Yes, they can be therapeutically valuable 

"Ugly reminders" are those aspects of a person's experience that have been negative due to the person's substance use. These can be therapeutically valuable as a reminder of why the person is in treatment in the first place, so as to avoid the negative consequences of use. 

Ugly reminders are not destructive to recovery and do not contribute to depression if properly utilized in a treatment plan; they do not necessarily need monitoring or control by a therapist.

152.

How is a risk meter used in substance-use counseling? 

  • To gauge the level of risk associated with an environmental trigger for use 

  • To assess a person's general level of risky substance use 

  • To develop a meaningful treatment plan based on an assessment of problematic use 

  • To create expectations of urgency around possible relapse triggers 

Correct answer: To gauge the level of risk associated with an environmental trigger for use 

A risk meter in substance-use counseling is an assessment tool that helps clients gauge the level of risk associated with an environmental trigger for use. Any scale can be used, but in many cases, a simple 1–10 scale is employed: 1 indicates low or no risk of relapse associated with the situation, and 10 indicates a nearly guaranteed relapse situation. If properly used, this can help clients and counselors plan around unavoidable events that pose a risk to abstinence. 

The point of a risk meter is not to gauge the overall level of risky substance use, which is already established. Developing a treatment plan involves assessing problematic use, but this is not the purpose of a risk meter. Creating an expectation of urgency around possible relapse triggers is likely not necessary, as the client most likely already feels urgency to deal with triggers. 

153.

Of the following, which is the MOST rapid route of administration?

  • Smoking

  • Eating

  • Skin contact

  • Intranasal

Correct answer: Smoking

Smoking and injection are the most rapid routes of drug administration into the bloodstream. 

Eating, skin contact, and intranasal contact (snorting) are not as direct and involve a slower transfer of the substance through organ systems.

154.

Which of the following accurately states the goal of the therapist with a patient in the contemplation stage?

  • Creating doubt

  • Confronting use

  • Presenting options

Correct answer: Creating doubt

A patient in the contemplation stage thinks they are on some level where substance abuse is a supportable, sustainable way of life. Creating doubt in this idea is the main task of helping a client move through the contemplation stage.

Confronting use and presenting options to treat the substance abuse issues would not be appropriate here, as the client is already aware that problematic use may exist, but may not yet be ready for treatment options.

155.

Which of the following is the BEST guidance regarding dual relationships?

  • Err on the side of distance

  • Err on the side of closeness

  • Keep everything in writing

  • Obtain legal counsel

Correct answer: Err on the side of distance

Ideally, navigation of dual relationship issues should not involve the necessity of seeking legal counsel or keeping detailed records on all social and business transactions. Sometimes, these relationships are not avoidable, but the best possible guidance is to err on the side of distance. This helps keep relationships and professional interactions from becoming entangled.

156.

Is the ability to moderate drinking proof that an addiction does not exist?

  • No

  • Yes, if it continues longer than six months

  • Yes, after a remission period of two weeks

  • Yes

Correct answer: No

The ability to moderate drinking is evidence that an addiction may be in some way manageable, particularly in those with less severe alcohol problems. It is not proof that an addiction does not exist; the danger is that the presence of some element of control would falsely indicate total habit control. The timing of this ability is not relevant.

157.

Which of the following would be the MOST important factor in family therapy with substance abusing clients?

  • The client's stage of change

  • The client's substance of choice

  • The client's history of treatment

Correct answer: The client's stage of change

The most important factor in family therapy with substance abusing clients is the stage of change at which clients are working. Not only are some stages of change more suitable for family therapy, but the specific strategies used will vary widely according to where a client finds themselves in their readiness, preparation, or action.

158.

Which of the following is TRUE regarding clients' perception of necessary length of treatment?

  • They expect it to be shorter than it is

  • They expect it to be longer than it is 

  • They tend to not have expectations

  • There is no general expectation

Correct answer: They expect it to be shorter than it is

In general, clients expect the course of substance abuse treatment to be shorter than it is, a factor that contributes to early dropout. The proper approach to dealing with this is an up-front, total honesty about the seriousness and depth of what is likely to be hard work.

159.

What effect does carbonation have on alcohol?

  • It increases absorption rate

  • It decreases absorption rate

  • Contrary to popular belief, it has no effect

  • It depends on the type of alcohol

Correct answer: It increases absorption rate

Carbonation, by facilitating a faster absorption rate into the bloodstream, generally results in a faster feeling of effect. 

Carbonation's effects are not dependent on the type of alcohol carbonated.

160.

Compulsive masturbation is MOST associated with which of the following drugs? 

  • Stimulants 

  • Cannabis

  • LSD

  • Alcohol 

Correct answer: Stimulants 

An array of hypersexual behaviors is associated with stimulant use, among which is compulsive masturbation. It is often experienced in relation to an obsessive interest in pornography. Users of stimulants often report high-risk sexual behavior of various kinds. 

Cannabis, LSD, and alcohol do not seem to produce the hypersexual behavior associated with the use of stimulants. 

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