Question 1

A client reports needing to drink increasing amounts of alcohol to achieve the same level of intoxication as before. Which neurobiological concept best explains this phenomenon?

Accepted Answer

Tolerance

Question 2

A counselor is working with a client who expresses both a desire to stop using heroin and a fear of losing their social group if they quit. Which counseling approach is most appropriate for addressing this ambivalence?

Accepted Answer

Motivational Interviewing

Question 3

Which of the following medications is classified as a partial opioid agonist and is commonly used in medication-assisted treatment (MAT) for opioid use disorder?

Accepted Answer

Buprenorphine

Question 4

A client in early recovery from alcohol use disorder is prescribed a medication that causes an aversive reaction if alcohol is consumed. Which medication is this?

Accepted Answer

Disulfiram

Question 5

A family repeatedly blames one member for all of its problems, regardless of the actual cause. In family systems theory, what is this member called?

Accepted Answer

Scapegoat

Question 6

Which neurotransmitter is most directly associated with the brain's reward and reinforcement pathways, and is often implicated in the development of substance use disorders?

Accepted Answer

Dopamine

Question 7

A client with both major depressive disorder and alcohol use disorder is best served by which treatment approach?

Accepted Answer

Integrated treatment addressing both conditions

Question 8

A counselor is mapping out a client's family history of substance use across three generations to identify patterns and risk factors. What tool is the counselor using?

Accepted Answer

Genogram

Question 9

Which federal law provides special confidentiality protections for substance use disorder (SUD) treatment records, above and beyond HIPAA?

Accepted Answer

42 CFR Part 2

Question 10

A client is prescribed naltrexone for alcohol use disorder. What is the primary mechanism of action of this medication?

Accepted Answer

It is an opioid antagonist that reduces rewarding effects

Question 11

A counselor is developing a treatment plan with a client. The plan includes goals that are Specific, Measurable, Achievable, Relevant, and Time-bound. What framework is being used?

Accepted Answer

SMART

Question 12

Which ASAM dimension focuses on the client's readiness to change and level of motivation for treatment?

Accepted Answer

Dimension 4: Readiness to change

Question 13

A client with opioid use disorder is considering medication-assisted treatment. The counselor's role includes all of the following EXCEPT:

Accepted Answer

Prescribing the medication directly

Question 14

A group counseling session is designed to teach clients about the effects of substances and coping skills for relapse prevention. What type of group is this?

Accepted Answer

Psychoeducational group

Question 15

Which of the following best describes the concept of 'homeostasis' in family systems theory as it relates to addiction?

Accepted Answer

The family unconsciously maintains a dysfunctional balance

Question 16

A client with a disability is seeking assessment for substance use disorder. According to best practices, the assessment should be:

Accepted Answer

Culturally specific, flexible, and holistic

Question 17

Which prevention approach is most likely to be insufficient if used as the only strategy for reducing substance use among adolescents?

Accepted Answer

Information-only interventions

Question 18

A client is experiencing symptoms such as tremors, anxiety, and seizures after abruptly stopping heavy alcohol use. What is the most serious potential complication that requires immediate medical attention?

Accepted Answer

Delirium tremens (DTs)

Question 19

Which of the following best defines 'cultural humility' in the context of addictions counseling?

Accepted Answer

Lifelong self-reflection, learning, and respect for client expertise

Question 20

A client is attending a secular, CBT-oriented, four-point self-management group for recovery from substance use. Which group is this?

Accepted Answer

SMART Recovery

Foundations of Addictions Counseling: Psychology Study Guide

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