Question 1

Which of the following best describes the primary goal of the Temperance Movement in its early stages?

Accepted Answer

To replace excessive drinking with moderate or abstinent behavior.

Question 2

A client presents with compulsive shopping, significant debt, and distress over their inability to control their purchases. Which process addiction is most likely present?

Accepted Answer

Compulsive buying (oniomania)

Question 3

Which of the following models of addiction focuses on the role of family members reinforcing the behavior of the abusing individual?

Accepted Answer

Family Behavioral Model

Question 4

A client is being assessed for opioid misuse. Which screening tool would be most appropriate to predict aberrant opioid-related behavior based on a score of 7 or more?

Accepted Answer

SOAPP (Screener and Opioid Assessment for Patients with Pain)

Question 5

Which neurotransmitter is most directly associated with the activation of the brain's reward pathway in substance addiction?

Accepted Answer

Dopamine

Question 6

A client reports using increasing amounts of a substance to achieve the same effect. This is best described as:

Accepted Answer

Tolerance

Question 7

Which of the following is NOT a core principle of harm reduction?

Accepted Answer

Promoting abstinence as the only acceptable outcome

Question 8

A counselor is using a brief intervention that includes Feedback, Responsibility, Advice, Menu of options, Empathy, and Self-efficacy. What is the mnemonic for these ingredients?

Accepted Answer

FRAMES

Question 9

Which of the following best characterizes the Disease Model of addiction?

Accepted Answer

Addiction is a primary disease, not secondary to another condition.

Question 10

A client in early remission from a substance use disorder has not met any diagnostic criteria for the past 6 months. According to DSM-5, which remission specifier applies if this period is less than 12 months?

Accepted Answer

Early remission

Question 11

Which of the following is a key difference between substance-related disorders and process addictions?

Accepted Answer

Process addictions lack physical symptoms, while substance-related disorders often have them.

Question 12

A client is being assessed for alcohol use during pregnancy. Which screening tool was specifically developed for this population and focuses on tolerance?

Accepted Answer

T-ACE

Question 13

Which of the following is a characteristic of the Community Reinforcement Approach (CRA) in addiction treatment?

Accepted Answer

Rearranging environmental stimuli to support sobriety and recovery

Question 14

A client with a history of trauma and substance use disorder is beginning treatment. According to trauma-informed care, what is the FIRST priority in treatment?

Accepted Answer

Establishing a sense of physical and interpersonal safety

Question 15

Which of the following best describes the purpose of functional analysis in cognitive-behavioral therapy for addiction?

Accepted Answer

To understand the antecedents and consequences of substance use for an individual

Question 16

A client is being screened for gambling disorder. Which instrument is most widely used and based on DSM-III criteria?

Accepted Answer

South Oaks Gambling Screen (SOGS)

Question 17

Which of the following is a key assumption of solution-focused counseling (SFC) in addiction treatment?

Accepted Answer

The solution, or part of it, is already occurring in the client's life.

Question 18

Which of the following best describes the concept of 'comorbidity' in the context of addiction counseling?

Accepted Answer

The occurrence of two or more mental health disorders or illnesses in the same person

Question 19

A counselor is choosing a screening tool for substance use disorder. Which of the following characteristics refers to the degree to which a screen accurately measures what it is intended to measure?

Accepted Answer

Validity

Question 20

Which of the following is a primary objective of harm reduction strategies in addiction treatment?

Accepted Answer

To reduce harmful consequences associated with substance use for both the user and society

Addiction: Historical, Biological, Psychological, and Assessment Perspectives

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