Mixed Deck — All CADC Topics Flashcards

Which assessment domain is addressed when a counselor asks a client about their employment history, current job status, and financial stability?

Answer: Vocational/employment domain

Employment history and financial stability are core components of the vocational or employment domain in a comprehensive biopsychosocial assessment.

Which of the following is a PRIMARY goal of relapse prevention therapy developed by Marlatt and Gordon?

Answer: Identifying triggers and developing coping strategies to prevent full relapse

Marlatt and Gordon's model focuses on identifying high-risk situations and building cognitive-behavioral coping skills to interrupt the relapse chain.

A client in early recovery reports experiencing intense cravings triggered by passing a bar they used to frequent. Which intervention best addresses this trigger?

Answer: Use cue exposure therapy combined with coping skills practice

Cue exposure therapy paired with coping skills helps clients learn to manage cravings triggered by environmental stimuli.

A case manager is developing a continuing care plan for a client completing residential treatment. Which factor is MOST predictive of long-term recovery success?

Answer: Engagement in ongoing recovery support services post-discharge

Research consistently shows that continued engagement in recovery support services after discharge is among the strongest predictors of sustained recovery.

When reviewing a client's treatment plan 30 days after admission, the counselor finds that no progress has been made on any objective. The MOST appropriate next step is to:

Answer: Reassess the objectives and identify barriers with the client before modifying the plan

Lack of progress signals a need to identify barriers collaboratively and revise the plan rather than blame the client.

Which of the following routes of administration delivers a psychoactive substance to the brain most rapidly, thereby increasing its reinforcement potential and risk for addiction?

Answer: Intravenous (IV) injection

Intravenous (IV) injection and inhalation (smoking) are the fastest routes of administration because they deliver the drug directly and quickly into the bloodstream, bypassing the digestive system and reaching the brain in seconds. This rapid onset of intense effects is highly reinforcing and contributes to a greater potential for addiction.

When a client is transferred between two substance abuse treatment programs, information sharing is permitted under 42 CFR Part 2 if:

Answer: The client provides written consent authorizing the transfer of records

A transfer of substance abuse treatment records to another program requires the client's written consent that meets all 42 CFR Part 2 requirements.

According to 42 CFR Part 2, substance use disorder patient records may be disclosed WITHOUT patient consent in which situation?

Answer: A medical emergency where disclosure is necessary to address the emergency

42 CFR Part 2 permits disclosure without consent in a bona fide medical emergency to protect the patient's life.

When a client signs a release of information authorizing disclosure to their primary care physician, the authorization is generally valid for:

Answer: The time period specified on the authorization form

A valid authorization must include an expiration date or event, and disclosures are permitted only within the scope and time period specified.

Which of the following stages of cocaine addiction development is NOT typical?

Answer: Isolated use

The development of cocaine addiction typically progresses through stages like experimental use, social/recreational use, dysfunctional use, and eventually compulsive use. 'Isolated use' is not a recognized or typical stage in this progression. Addiction is characterized by a pattern of problematic, repeated use despite negative consequences, which usually involves more than just isolated instances.

Which theorist is most closely associated with the development of Motivational Interviewing (MI)?

Answer: William Miller

William Miller, along with Stephen Rollnick, developed Motivational Interviewing as a client-centered directive approach.

Existential therapy approaches addiction by helping the client confront:

Answer: Ultimate concerns such as death, freedom, isolation, and meaninglessness

Existential therapy addresses addiction as an attempt to escape from the anxiety associated with ultimate concerns like death, freedom, and a search for meaning.

A counselor at a federally assisted substance use disorder program receives a subpoena from an attorney for a client's records to be used in a civil lawsuit. The client has not provided written consent to release the information. What is the counselor's most appropriate and legally compliant initial action?

Answer: Consult with a supervisor or legal counsel before taking any action to determine if a specific court order is also required.

Under 42 CFR Part 2, a subpoena alone is insufficient to compel the disclosure of substance use disorder treatment records. These records have heightened protection and generally require both a specific court order and a subpoena, or explicit patient consent. Therefore, the most prudent and legally required first step is to consult with a supervisor or legal counsel to ensure the proper legal standard is met before releasing any information. Ignoring the subpoena or immediately releasing records would be inappropriate and potentially illegal.

An addiction counselor working in a rural community is also a member of the same church as several clients. This situation most directly requires the counselor to:

Answer: Proactively discuss role boundaries with affected clients and seek supervision

In rural settings where overlapping relationships are unavoidable, proactive boundary discussions and ongoing supervision are key ethical management strategies.

A client discloses that they drink to cope with anxiety and have difficulty stopping once they start. According to DSM-5, these behaviors most likely represent which diagnostic criteria for alcohol use disorder?

Answer: Craving and unsuccessful efforts to cut down

Drinking to manage emotions (craving/cue-reactivity) and inability to stop once started (loss of control) align with DSM-5 AUD criteria related to craving and failed attempts to cut down.

A client refuses to participate in a group counseling component that is part of the standard treatment plan. The counselor should FIRST:

Answer: Explore the client's concerns about group participation and consider individualized alternatives

Understanding the reason for refusal allows the counselor to address barriers, explore alternatives, and maintain a therapeutic alliance.

A counselor is asked to sign a treatment plan she did not help develop and has not reviewed. The ethical response is to:

Answer: Review the plan thoroughly before signing, and refuse to sign if it does not reflect sound clinical practice

A counselor's signature on a treatment plan signifies professional accountability and must not be given without informed review.

Which ethical principle is most directly violated when a counselor accepts expensive gifts from a client who has just completed treatment?

Answer: Non-maleficence

Accepting gifts from clients violates non-maleficence by creating potential harm through boundary violations and exploiting the therapeutic relationship.

A counselor notices strong emotional reactions of attraction toward a client. The most appropriate initial response is to:

Answer: Seek clinical supervision to process the feelings and develop a management plan

Countertransference reactions require the counselor to seek supervision to protect the client and maintain professional objectivity.

In Gestalt therapy applied to addiction counseling, the concept of 'unfinished business' refers to:

Answer: Unexpressed emotions from past experiences that affect present functioning

Gestalt therapy views unfinished business as lingering emotional residue from past events that disrupts present awareness and functioning.