ADDICTION COUNSELOR EXAM PRACTICE II
51. Which of the following is NOT a core feature or service that the Center for
Substance Abuse Treatment (CSAT) consensus panel agreed upon?
A. Biopsychosocial assessment
B. Individualized treatment planning
C. Case management
D. Recreational therapy - Answers -D. Recreational therapy was not one of the core
features and services referenced by the Center for Substance Abuse Treatment
(CSAT).
52. Which form of substance abuse is naltrexone used to treat?
A. Alcohol dependence
B. Opioid dependence
C. Both A and B
D. Neither A nor B - Answers -C. Naltrexone is effective for some people with alcohol
dependency. It has also been noted, however, that naltrexone may not be effective in
treating men with chronic, severe alcohol dependence. In certain cases, naltrexone has
also been effective in treating opioid addiction.
53. Which of the following is NOY a core treatment and recovery skill?
A. Stress management
B. Substance refusal training
C. Exercise and health training
D. Relaxation management - Answers -C. Although exercise can be an important stress
reducer, and health improvement is also meaningful, these are not core treatment and
recovey skills.
67. Dealing with smoking cessation during a substance abuse treatment program is:
A. Something too overwhelming for the majority of individuals
B. Something that should not be brought up by anyone but the client
C. Something to be seriously considered if the client desires it
D. Something that should be required during any treatment program - Answers -C. The
majority of drug- or alcohol-dependent individuals are also smokers. And more in this
group die from smoking-related conditions than from their substance abuse.
68. Disulfram (Antabuse) is contraindicated for clients whose alcohol abuse is combined
with which of the following circumstances?
A. Cocaine use
B. Methadone use
C. Both cocaine and methadone use
, D. None of the above - Answers -D. Disulfram (Antabuse) is indicated with cocaine use
or methadone maintenance. It interferes with acetaldehyde metabolism, which produces
a profound physical reaction if drinking occurs within 12 hours to seven days, depending
on the dose.
69. What is the sandwich technique?
A. A method to increase health food intake
B. An intake interviewing technique
C. Client pairing for optimal treatment support
D. Staff pairing for optimal treatment support - Answers -B. The sandwich technique
involves sandwiching the standard screening and assessment questions between two
less-formal discussions. For 15 to 30 minutes, the counselor addresses perceptions of
the client's problem that led them to treatment, offers encouragement and explores
readiness to change. Nest, the formal screening and assessment are conducted,
followed by a less-formal summarizing of findings, initial treatment planning and
addressing the individual's expectations for treatment.
70. Which of the following was NOT identified as being among the three most effective
screening tools for substance use disorders?
A. The CSAT Simple Screening Instrument
B. The Alcohol Dependence Scale (ADS) and the Addiction Severity Index (ASI)-Drug
Use Subscale combined
C. The Substance Abuse Screening Instrument
D. The Texas Christian University Drug Screen - Answers -C. Researchers have
compared eight commonly used screening instruments for efficacy in determining the
presence of substance abuse disorders. Only three possessed optimal accuracy,
positive predictive value, and diagnostic sensitivity. These instruments are the Center
for Substance Abuse Treatment (CSAT) Simple Screening Instrument, the combined
Alcohol Dependence Scale (ADS) and the Addiction Severity Index (ASI) Drug Use
Subscale, and the Texas Christian University Drug Screen.
71. What is the SDSS designed to measure?
A. Substance-induced depression over time
B. Variations in polysubstance use over time
C. Drug use disorder severity over time
D. Severity and duration of intoxication symptoms - Answers -C. The Substance
Dependence Severity Scale (SDSS) is a structured interview that provides current
(within the last 30 days) DSM and ICD-10 substance use disorders and harmful use
diagnoses. The instrument measures the quantity and frequency of recent drug use,
which directly translates into variations in clients' clinical status.
72. What is the primary purpose of the Texas Christian Univerity Drug Screen
(TCUDS)?
51. Which of the following is NOT a core feature or service that the Center for
Substance Abuse Treatment (CSAT) consensus panel agreed upon?
A. Biopsychosocial assessment
B. Individualized treatment planning
C. Case management
D. Recreational therapy - Answers -D. Recreational therapy was not one of the core
features and services referenced by the Center for Substance Abuse Treatment
(CSAT).
52. Which form of substance abuse is naltrexone used to treat?
A. Alcohol dependence
B. Opioid dependence
C. Both A and B
D. Neither A nor B - Answers -C. Naltrexone is effective for some people with alcohol
dependency. It has also been noted, however, that naltrexone may not be effective in
treating men with chronic, severe alcohol dependence. In certain cases, naltrexone has
also been effective in treating opioid addiction.
53. Which of the following is NOY a core treatment and recovery skill?
A. Stress management
B. Substance refusal training
C. Exercise and health training
D. Relaxation management - Answers -C. Although exercise can be an important stress
reducer, and health improvement is also meaningful, these are not core treatment and
recovey skills.
67. Dealing with smoking cessation during a substance abuse treatment program is:
A. Something too overwhelming for the majority of individuals
B. Something that should not be brought up by anyone but the client
C. Something to be seriously considered if the client desires it
D. Something that should be required during any treatment program - Answers -C. The
majority of drug- or alcohol-dependent individuals are also smokers. And more in this
group die from smoking-related conditions than from their substance abuse.
68. Disulfram (Antabuse) is contraindicated for clients whose alcohol abuse is combined
with which of the following circumstances?
A. Cocaine use
B. Methadone use
C. Both cocaine and methadone use
, D. None of the above - Answers -D. Disulfram (Antabuse) is indicated with cocaine use
or methadone maintenance. It interferes with acetaldehyde metabolism, which produces
a profound physical reaction if drinking occurs within 12 hours to seven days, depending
on the dose.
69. What is the sandwich technique?
A. A method to increase health food intake
B. An intake interviewing technique
C. Client pairing for optimal treatment support
D. Staff pairing for optimal treatment support - Answers -B. The sandwich technique
involves sandwiching the standard screening and assessment questions between two
less-formal discussions. For 15 to 30 minutes, the counselor addresses perceptions of
the client's problem that led them to treatment, offers encouragement and explores
readiness to change. Nest, the formal screening and assessment are conducted,
followed by a less-formal summarizing of findings, initial treatment planning and
addressing the individual's expectations for treatment.
70. Which of the following was NOT identified as being among the three most effective
screening tools for substance use disorders?
A. The CSAT Simple Screening Instrument
B. The Alcohol Dependence Scale (ADS) and the Addiction Severity Index (ASI)-Drug
Use Subscale combined
C. The Substance Abuse Screening Instrument
D. The Texas Christian University Drug Screen - Answers -C. Researchers have
compared eight commonly used screening instruments for efficacy in determining the
presence of substance abuse disorders. Only three possessed optimal accuracy,
positive predictive value, and diagnostic sensitivity. These instruments are the Center
for Substance Abuse Treatment (CSAT) Simple Screening Instrument, the combined
Alcohol Dependence Scale (ADS) and the Addiction Severity Index (ASI) Drug Use
Subscale, and the Texas Christian University Drug Screen.
71. What is the SDSS designed to measure?
A. Substance-induced depression over time
B. Variations in polysubstance use over time
C. Drug use disorder severity over time
D. Severity and duration of intoxication symptoms - Answers -C. The Substance
Dependence Severity Scale (SDSS) is a structured interview that provides current
(within the last 30 days) DSM and ICD-10 substance use disorders and harmful use
diagnoses. The instrument measures the quantity and frequency of recent drug use,
which directly translates into variations in clients' clinical status.
72. What is the primary purpose of the Texas Christian Univerity Drug Screen
(TCUDS)?
