Page 1 of 33
CRAT TEST FINAL EXAM PREP
2025|ACTUAL 600+QUESTIONS AND
ANSWERS|A+GRADE
1. The disease model of addiction posits that substance use
disorder (SUD) is:
A) A moral failing
B) A chronic, relapsing brain disease involving genetic,
environmental, and neurobiological factors
C) A temporary behavioral problem
D) A choice that can be stopped at any time
Correct Answer: B) A chronic, relapsing brain disease
Rationale: The disease model (e.g., ASAM, NIDA) recognizes
addiction as a primary, chronic disease of brain reward,
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motivation, memory, and related circuitry. This reduces stigma
and supports medical/behavioral treatment.
2. Which stage of change in the Transtheoretical Model (TTM)
is characterized by the individual actively modifying behavior
but still at risk of returning to old patterns?
A) Contemplation
B) Preparation
C) Action
D) Maintenance
Correct Answer: C) Action (active behavior change for less
than 6 months)
Rationale: Action involves specific overt changes. Maintenance
begins after 6 months of sustained change. Contemplation is
thinking about change; preparation is planning.
3. Scenario: A client says, “I know I need to stop drinking, but
I’m not ready yet. Maybe next month.” The client is in which
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stage of change?
A) Precontemplation
B) Contemplation
C) Preparation
D) Relapse
Correct Answer: B) Contemplation
Rationale: Contemplation includes awareness of the problem and
intention to change within the next 6 months, but ambivalence
remains. Precontemplation is no intention.
4. The term “harm reduction” refers to:
A) Abstinence-only approaches
B) Policies and practices that aim to reduce negative
consequences of substance use without requiring abstinence
C) Involuntary commitment to treatment
D) Punitive legal measures
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Correct Answer: B) Reduce negative consequences without
requiring abstinence
Rationale: Examples: needle exchange, naloxone distribution,
safe consumption sites, medication for opioid use disorder
(MOUD). It meets clients where they are.
5. According to the American Society of Addiction Medicine
(ASAM) criteria, multidimensional assessment includes all of
the following dimensions EXCEPT:
A) Acute intoxication and withdrawal potential
B) Biomedical conditions and complications
C) Family income level
D) Recovery environment
Correct Answer: C) Family income level (not a dimension)
Rationale: ASAM dimensions: 1. Withdrawal; 2. Biomedical; 3.
Emotional/behavioral; 4. Readiness to change; 5.
CRAT TEST FINAL EXAM PREP
2025|ACTUAL 600+QUESTIONS AND
ANSWERS|A+GRADE
1. The disease model of addiction posits that substance use
disorder (SUD) is:
A) A moral failing
B) A chronic, relapsing brain disease involving genetic,
environmental, and neurobiological factors
C) A temporary behavioral problem
D) A choice that can be stopped at any time
Correct Answer: B) A chronic, relapsing brain disease
Rationale: The disease model (e.g., ASAM, NIDA) recognizes
addiction as a primary, chronic disease of brain reward,
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motivation, memory, and related circuitry. This reduces stigma
and supports medical/behavioral treatment.
2. Which stage of change in the Transtheoretical Model (TTM)
is characterized by the individual actively modifying behavior
but still at risk of returning to old patterns?
A) Contemplation
B) Preparation
C) Action
D) Maintenance
Correct Answer: C) Action (active behavior change for less
than 6 months)
Rationale: Action involves specific overt changes. Maintenance
begins after 6 months of sustained change. Contemplation is
thinking about change; preparation is planning.
3. Scenario: A client says, “I know I need to stop drinking, but
I’m not ready yet. Maybe next month.” The client is in which
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stage of change?
A) Precontemplation
B) Contemplation
C) Preparation
D) Relapse
Correct Answer: B) Contemplation
Rationale: Contemplation includes awareness of the problem and
intention to change within the next 6 months, but ambivalence
remains. Precontemplation is no intention.
4. The term “harm reduction” refers to:
A) Abstinence-only approaches
B) Policies and practices that aim to reduce negative
consequences of substance use without requiring abstinence
C) Involuntary commitment to treatment
D) Punitive legal measures
, Page 4 of 33
Correct Answer: B) Reduce negative consequences without
requiring abstinence
Rationale: Examples: needle exchange, naloxone distribution,
safe consumption sites, medication for opioid use disorder
(MOUD). It meets clients where they are.
5. According to the American Society of Addiction Medicine
(ASAM) criteria, multidimensional assessment includes all of
the following dimensions EXCEPT:
A) Acute intoxication and withdrawal potential
B) Biomedical conditions and complications
C) Family income level
D) Recovery environment
Correct Answer: C) Family income level (not a dimension)
Rationale: ASAM dimensions: 1. Withdrawal; 2. Biomedical; 3.
Emotional/behavioral; 4. Readiness to change; 5.
