ADC Exam Prep Questions And
Answers.
Recreational Use typically means -
\weekly or bi-weekly use, typically in a social setting
You get a shorter and more intense high when -
\the drug is absorbed into the body faster
Antogonist drug interaction -
\like meth and opiates
Additive drug interaction -
\cumulative effect
Synergistic drug interaction -
\more than comulative
potentiating drug interaction -
\each enhances the other
Tolerance develops as the body seeks -
\homeostatis
When tolerance for barbituates develops (2) -
\tolerance for a lethal dose only increases a little bit
the potential for an overdose increases the longer a person uses
Wernicke's encephalopathy -
\a short term vitamin D defficiency due to poor nutrition after years of drinking
Signs are poor muscle coordination, eye impairment
80-90% of those with Wenicke's Encephalopathy develop -
\Korsafoff syndrome (memory issues) and psychosis.
Hepatitis can be caused by drinking? -
\yes, alcohol effects all of the body, especially the liver
Steatosis -
\fatty deposits in liver (can be result of drinking)
Cirrhosis -
\scarring of the liver
,Alcohol changes the chemicals that break down and remove scar tissue. This means
that scar tissue builds up in the liver.
Formication can also be known as -
\Magnon's Syndrom
How does cocaine damage the heart? -
\Arterial constriction
Atherosclerosis (artery hardening and plaque build up)
Amphetamines are similar to the body's hormone -
\adrenaline
what are the two most non alcoholic abused substance in the world
Why? -
\marijauna
meth
what drug is harder to quit in terms of dependence than any other drug? -
\nicotine-7% quit per year
withdrawal is worse than cocaine and almost as bad as heroin
Convergence Theory -
\substance abuse rates among men and women are becoming more equal
Alcohol use disorders rank how high among the elderly -
\third
early onset -
\young age
late onset exacerbation drinking -
\use without problem but becomes problem in late adulthood
late onset -
\becomes problem late in life
% of people get treatment for both
% of people that get MH tx
% of people that get AOD tx -
\7.4%
32.9%
3.8%
Where mental health is present % of people that have SUD issues -
,\25.7%
Where substance use is present % of people that have MH issues -
\17.6%
What does GATE stand for? -
\a substance abuse counselor uses this to address suicide ideation
Gather info; accessing supervision; take responsible action; extend the action
How many comprehensive assessment domains? -
\14
1. substance abuse hx
2. tx history
3. physical/mental health hx
4. family status, issues, use
5. education
6. employment
7. legal hx
8. emotional, psychological concerns
9. RELIGION/WORLDVIEW
10. LIFESTYLE CONCERNS (sexual orientation, housing)
11. socioeconomic factors
12. PRIOR COMMUNITY RESOURCES
13. cognitive capacity
14. readiness for treatment
Examples of substance abuse induced disorders (3) -
\suicidality
delusions
hallucinations
AUDIT -
\Alcohol Use Disorders Identification Test
developed by WHO-a simple method of screening for unhealthy alcohol use
MAST -
\Michigan Alcohol Screening Test
identifying dependent drinkiners
who should create a treatment plan? -
\collaborative team WITH the client
boiler plate (or standard language) should not be used as a short cut
How many levels of treatment placement are recognized by ASAM?
What are they? -
\4
, Level 1 early intervention
Level 2 IOP, PHP
Level 3 residential/inpatient
Level 4 medically managed inpatient, 24 hour care
Circumstances, Motivation, Readiness, and Suitability (CMRS) scales are used for what
purpose? -
\assessing client readiness for treatment
MATRS -
\Guiding tx plan principles
M-measurable
A-attainable
T-time limited
R-realistic
S-specific
In cases involving the criminal justice system, what is the minimum recommendation for
frequency of updating ISP?
why? -
\at all transition points
an offender's treatment needs may change due to motivation and environment at each
level
How many domains are addressed in the Addiction Severity Index? (ASI) -
\six
1. Medical Status
2. employment/supports
3. alcohol/drug use
4. legal status
5. family and social status
6. psychiatric status
goal of ASI is to make sure counselors all ask these basic questions (this does not
cover everything that is needed to ask, but to provide a baseline)
The ASI was formally adopted by which organization? -
\National Institute on Drug Abuse (NIDA)
What does it mean if an assessment is valid? -
\is assesses what is means to assess
How does motivation for participating in tx differ from motivation to change behaviors -
\motivation for change is internal; treatment may be pushed on a client
SOCRATES -
Answers.
Recreational Use typically means -
\weekly or bi-weekly use, typically in a social setting
You get a shorter and more intense high when -
\the drug is absorbed into the body faster
Antogonist drug interaction -
\like meth and opiates
Additive drug interaction -
\cumulative effect
Synergistic drug interaction -
\more than comulative
potentiating drug interaction -
\each enhances the other
Tolerance develops as the body seeks -
\homeostatis
When tolerance for barbituates develops (2) -
\tolerance for a lethal dose only increases a little bit
the potential for an overdose increases the longer a person uses
Wernicke's encephalopathy -
\a short term vitamin D defficiency due to poor nutrition after years of drinking
Signs are poor muscle coordination, eye impairment
80-90% of those with Wenicke's Encephalopathy develop -
\Korsafoff syndrome (memory issues) and psychosis.
Hepatitis can be caused by drinking? -
\yes, alcohol effects all of the body, especially the liver
Steatosis -
\fatty deposits in liver (can be result of drinking)
Cirrhosis -
\scarring of the liver
,Alcohol changes the chemicals that break down and remove scar tissue. This means
that scar tissue builds up in the liver.
Formication can also be known as -
\Magnon's Syndrom
How does cocaine damage the heart? -
\Arterial constriction
Atherosclerosis (artery hardening and plaque build up)
Amphetamines are similar to the body's hormone -
\adrenaline
what are the two most non alcoholic abused substance in the world
Why? -
\marijauna
meth
what drug is harder to quit in terms of dependence than any other drug? -
\nicotine-7% quit per year
withdrawal is worse than cocaine and almost as bad as heroin
Convergence Theory -
\substance abuse rates among men and women are becoming more equal
Alcohol use disorders rank how high among the elderly -
\third
early onset -
\young age
late onset exacerbation drinking -
\use without problem but becomes problem in late adulthood
late onset -
\becomes problem late in life
% of people get treatment for both
% of people that get MH tx
% of people that get AOD tx -
\7.4%
32.9%
3.8%
Where mental health is present % of people that have SUD issues -
,\25.7%
Where substance use is present % of people that have MH issues -
\17.6%
What does GATE stand for? -
\a substance abuse counselor uses this to address suicide ideation
Gather info; accessing supervision; take responsible action; extend the action
How many comprehensive assessment domains? -
\14
1. substance abuse hx
2. tx history
3. physical/mental health hx
4. family status, issues, use
5. education
6. employment
7. legal hx
8. emotional, psychological concerns
9. RELIGION/WORLDVIEW
10. LIFESTYLE CONCERNS (sexual orientation, housing)
11. socioeconomic factors
12. PRIOR COMMUNITY RESOURCES
13. cognitive capacity
14. readiness for treatment
Examples of substance abuse induced disorders (3) -
\suicidality
delusions
hallucinations
AUDIT -
\Alcohol Use Disorders Identification Test
developed by WHO-a simple method of screening for unhealthy alcohol use
MAST -
\Michigan Alcohol Screening Test
identifying dependent drinkiners
who should create a treatment plan? -
\collaborative team WITH the client
boiler plate (or standard language) should not be used as a short cut
How many levels of treatment placement are recognized by ASAM?
What are they? -
\4
, Level 1 early intervention
Level 2 IOP, PHP
Level 3 residential/inpatient
Level 4 medically managed inpatient, 24 hour care
Circumstances, Motivation, Readiness, and Suitability (CMRS) scales are used for what
purpose? -
\assessing client readiness for treatment
MATRS -
\Guiding tx plan principles
M-measurable
A-attainable
T-time limited
R-realistic
S-specific
In cases involving the criminal justice system, what is the minimum recommendation for
frequency of updating ISP?
why? -
\at all transition points
an offender's treatment needs may change due to motivation and environment at each
level
How many domains are addressed in the Addiction Severity Index? (ASI) -
\six
1. Medical Status
2. employment/supports
3. alcohol/drug use
4. legal status
5. family and social status
6. psychiatric status
goal of ASI is to make sure counselors all ask these basic questions (this does not
cover everything that is needed to ask, but to provide a baseline)
The ASI was formally adopted by which organization? -
\National Institute on Drug Abuse (NIDA)
What does it mean if an assessment is valid? -
\is assesses what is means to assess
How does motivation for participating in tx differ from motivation to change behaviors -
\motivation for change is internal; treatment may be pushed on a client
SOCRATES -
