Download CADC Exam Questions and Answers: Substance Use and Addiction and more Exams Nursing in PDF only on Docsity!
CADC Exam |Questions with 100% Correct
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What are three main types of amphetamines - ✔✔Amohetamine sulfate, dextroamohetamine, and methamphetamine What are the types of liver damage caused by alcohol? - ✔✔Hepatitis, steatosis, and cirrhosis What is formacation? - ✔✔A sensation of bugs crawling under the skin. Associated with cocaine, crack, and methamphetamine use. What is convergence theory? - ✔✔The theory states that rates of substance use between men and women are becoming more similar. What "rank" is alcohol use disorder among disorders diagnosed in the elderly? - ✔✔3rd What is GATE and what does it stand for - ✔✔G-father information A- access supervision T-take responsible action (ensure client safety) E-extend the action (follow-up and ongoing monitoring) GATE was designed to outline suicide assessment and intervention protocol for substance use counselors.
What does not increase the likelihood of a client completing a tx program? - ✔✔Interdisciplinary meeting's by providers How many levels of tx placement are recognized by ASAM? - ✔✔4 Levels of tx Level 1: non-residential outpatient Level 2: IOP or partial Level 3: residential or inpatient (24hour) Level 4: medically managed inpatient What is the ASAM - ✔✔American Society of Addiction Medicine- it provides a common language of holistic, biopsychosocial assessment and treatment across addiction treatment How many assessment dimensions are recognized by ASAM? - ✔✔6 dimensions in the assessment for placement criteria 1 - acute intoxication/withdrawal potential 2 - biomedical conditions/complications 3 - emotional/behavioral/cognitive conditions 4 - readiness to change 5 - relapse or continued use potential 6 - recovery environment How many stages are in the model of change and what are they? - ✔✔6 Stages
Can be used by any age Comes in counselor administrated and self-report form. What is the MAST - ✔✔Michigan Alcohol Screening Test- alcohol screening tool to determine the severity of use within any age group. What is CMRS? - ✔✔Circumstances, motivation, readiness, and suitability scale. Used to assess client readiness for treatment. What is MATRS? - ✔✔The guiding principles of tx planning Measurable- goals and objectives Attainable- goals, objects, interventions Time limited- focus on short term tx Realistic- realistic goals Specific- detailed goals to achieve How often are tx plans updated for clients in the criminal justice system? - ✔✔At all transition periods including release, parole, freedom.
What is the addiction severity index? - ✔✔An instrument used to measure common issues related to substance use. 6 domains Medical status, employment and supports, alcohol and drug use, legal status, family and social status, psychiatric status. The instrument was adopted by the NIDA (National Institute on Drug Abuse What should be included in a treatment plan - ✔✔Problem statement from assessment, goal statements, objectives, and interventions ( not modalities or theoretical approaches to treatment) What is NIDA - ✔✔The National Institute on Drug Abuse What is the acronym DIG-FAST - ✔✔A tool for the full assessment of Mania D- distractibility, I- indescretion (excessive pleasure activities), G- grandiosity, F- flight of ideas, A- activity, S- sleep deficit, T- talkativeness What is the minimum number of tx hours per week that is recommended by ASAM for IOT? - ✔✔ 9 hours What is naltrexone used to treat? - ✔✔Primarily alcohol, but sometimes opioids.
Individual IOT sessions take place for 30-50 minutes once a week What substances have effective pharmacotherapy treatments? - ✔✔Alcohol and opioids only. Define (SUD) Sustained Remission? - ✔✔Other MAT medications. What is the sand which technique? - ✔✔A technique to ensure better engagement and disclosure during intakes where a semi formal- then formal- then summarizing pattern is used. Is group or individual tx more effective? - ✔✔They are about the same What is Early Remission early - ✔✔Early remission- when criteria for a SUD were met and have been absent with the exception of cravings for at least 3 months but less than 12 Sustained remission- when sxs have been endear minus cravings for 12 months or longer. What is a 12-step facilitation approach? - ✔✔Treatment that also involves encouraging clients to attend 12 step meetings and being able to provide information about the meetings as part of encouraging them. What "treatment" provided the best long term outcome for alcohol use? - ✔✔ 12 - step meetings
What is a therapeutic community TC? - ✔✔A drug free residential tx environment that stress a healthy living style and offers assistance with substance use, vocational goals, and more. Peers are considered important to one's success in these programs. What is the difference between rehabilitation and habilitation? - ✔✔Rehabilitation implies that someone has the skills to overcome a problem and needs support in utilizing them. Habilitation implies the person never learned these skills and still needs to. TC programs believe in habilitation. What makes the structure of TC programs useful? - ✔✔It helps people avoid the chaotic lives they lived while using and teaches them to focus on goals. What is the matrix model? - ✔✔A framework of treatment for stimulant use that utilizes techniques from various treatment modalities and social supports. What are the levels of care in the SAMHSA framework for co-occurring d/o. - ✔✔Level (quadrant) 1: low SUD and MH: outpatient services Level (quadrant) 2: severe MH, low SUD: mental health system Level (quadrant) 3: severe SUD, low MH: SA tx programs Level (quadrant) 4: severe SUD & MH: divided into two additional categories of severe psychiatric and SUD or severe SUD and high risk behaviors (suicidal). Both are treated in residential or inpatient settings.
employment and supports, alcohol and drug use, legal status, family and social status, psychiatric status. What are the stages of recovery from addiction? - ✔✔1. Initiation- the client makes a commitment to trying to control their use.
- Early abstinence- first 90 days- the client must learn coping skills and ways to avoid using. High risk of relapse.
- Maintenance- after 90 days- the client should focus on avoiding relapse and learning triggers. May be helpful to establish positive social connections. This stage may last up to 5 years.
- Advance recovery- the client has remained sober for 5 years or more. Must be cautioned to remain vigilant and may attend support groups still (AA) What categories of drugs may require detox? - ✔✔Alcohol
Other CNS depressants (benzodiazepines and barbiturates) cocaine opioids. What are the four classes of drugs used in pharmacotherapy? - ✔✔Agonist- mimic the effects of the drugs of abuse (methadone) Antagonist- block the affects of drugs of abuse Antidipsotropics- cause adverse reactions to the use of drugs (Antabuse) Psychotropics- control the symptoms associated with the use and withdrawal of drugs (antidepressants, anxiolytics, antipsychotics) List CNS depressants - ✔✔Alcohol sedative hypnotics (barbiturates) Anxiolytics (benzodiazepines)
Deal with cravings (thoughts) Problem solve through rationalizing Created a balanced lifestyle (full your time and the void that was once substance use) What does integrated intervention refer to? - ✔✔A situation or type of treatment that treats both mental health and substance use disorders at the same time. May involve one type of program or multiple programs. What are special issues for women regarding receiving substance use services? - ✔✔Women can become victimized for having a substance use disorder because they are not fulfilling other roles (child care). Women are socialized to put others before themselves at an early age. Women are treated with less understanding than men who seek out substance use treatment. What is he transition stage of a group? - ✔✔Initially involves dominance, control, and power struggles between members. Conflict between members and between members and the group leader arise.
Anger and resistance to the group process may emerge. Then the group develops cohesiveness and settles into the next stage. The group leader must support the members in focusing on the process between each other to help them understand what is happening. What is the work stage of a group? - ✔✔Follows the transition stage Involves the members settling into the process and focusing on how what is being done in the group can apply to outside the group. Members express honest deep emotions, need less guidance, and work with each other. What are some considerations to consider when working with youth as a whole? - ✔✔Youth often decide what their stance is on using drugs by their high school years. Early experiences influence their perception of substance use, between 10-14. External influences are a significant factor.
- The client finds it easier to think then feel, causing them to avoid expressing emotion.
- Being passive aggressive because the client enjoys irritating other clients. Often stems from feelings of helplessness. What is the final stage of group therapy? - ✔✔Termination of counseling. Preparing the client to become independent The whole group can terminate or individual members Members may try to keep other members in the group. Leaders need to help members remember that the group is meant to build new skills not friends and help them with any unfinished business with other members. What is biofeedback and the steps? - ✔✔Biofeedback is used to change maladaptive behaviors through monitoring of them.
- Monitor baseline behavior
- Establish a signal for behavior that can be recognized by the client
- Provide immediate feedback to help the client learn to control behavior.
Define intervention - ✔✔Intervention is any care a person receives for MH or SUD including profession and non-professional help. What are two treatment approaches to substance use? - ✔✔Pharmacotherapy Behavioral What is the clinical model of substance use? - ✔✔The persons needs and personality traits are behind their use. 2 types
- Uses drugs to gain positive rewards and avoid negative consequences.
- drugs allow the person to feel psychologically and physically good, or provide social reward (being accepted)
- likely using to avoid emotional pain.
- tx is focused on helping the person find better ways to achieve this and associating drugs with negative consequences
- Use drugs to escape life's problems.
- drugs are a way to cope with perceived or real personal inadequacies
- Ensure all members participate.
- Direct the process of a role play.
- Ask an individual member to reflect on their actions within the group.
- Use self disclosure. What are the five components of effective drug treatment? - ✔✔1. Assessment
- Client treatment matching
- Comprehensive treatment (looking all all problems: legal, vocational, etc)
- Relapse prevention
- Accountability- looking at the effectiveness of the program. What is extinguishing? How is it done? - ✔✔Eliminating a behavioral pattern. These patterns are extinguished by either flooding (exposure to a real feared stimuli at high levels) or implosion (imagery of a real feared stimuli at high levels) until the fear is gone.
This could do nothing, be helpful, or make the situation worse. What is the goal of behavioral therapy? - ✔✔Train new responses to old stimuli What are the techniques of behavioral therapy? - ✔✔Systematic desensitization (flooding and implosion) Contracting Behavior modification Modeling What are the four positions a person takes in TA? - ✔✔I'm not okay - you're okay (infantile stage) I'm not okay-you're not okay (develops from poor childhood causing the person to view everyone as bad. I'm okay-you're not okay (without appropriate nurturing as a child the person can not trust). I'm okay-you're okay (found in healthy relationships with others. What is classic conditioning? - ✔✔Created by Pavlov
