Addiction Counselor Practice Test

While consuming alcohol in the morning may be an indicator of withdrawal symptoms, it is not a criteria of an alcohol use disorder. There are eleven criteria in total and are as follows:

- Use of substance in larger amounts or longer periods of time than was originally intended.
- A desire or unsuccessful attempts to reduce alcohol use.
- A lot of time is invested in activities related to alcohol use.
- Craving, or an intense desire to use alcohol.
- Alcohol use interfering with responsibilities at work, school, or home.
- Continued alcohol use despite interpersonal problems worsened by alcohol use or its effects.
- Reduction in important activities due to alcohol use.
- Continued use of alcohol in situations that are hazardous.
- Continued use of alcohol despite it worsening physical or psychological problems.
- Developing a tolerance.
- Experiencing withdrawal.

According to the DSM-5, when 2-3 criteria are indicated, a mild severity specifier is appropriate. Based on the information provided, we can identify that he meets the criteria for two criteria. Needing three pills instead of one to get the same effect indicates tolerance. He also demonstrates a desire to cut down or eliminate use and being unsuccessful which is another criteria.

The CAGE-AID is screened positive when at least one question is indicated "yes." The CAGE-AID is screened negative if the answer to all four questions is "no."

Withdrawals from alcohol can pose serious risks including death. Referral to detox is appropriate to ensure Angela is safe and receiving appropriate assistance and monitoring.

The summary above falls into the moderate level of the DSM-V for Opiate Use Disorder. The severity rating scale is as follows:

Mild: 2-3 Symptoms
Moderate: 4-5 Symptoms
Severe: 6 or more Symptoms

Symptoms identified in the summary were as follows. Joseph had continued use despite persistent social and interpersonal issues (discord with family). Joseph continued to use in physically dangerous situations (sharing needles). Joseph has developed a tolerance which led to him using larger amounts over time. Lastly, he has experienced withdrawal and uses to avoid symptoms.

AUDIT scores ranging from 13-19 for a Woman fall into Zone III with the recommendation of simple advice plus brief counseling and continued monitoring. When scoring the AUDIT, the gender of the client will aide in determining the recommendation. Zone recommendations are as follows:

Zone I: Brief education
Zone II: Brief intervention
Zone III: Brief intervention or referral to specialized treatment
Zone IV: Referral to specialized treatment

The best option to discuss with your supervisor would be to call for a Wellness Check. Her apparent intoxication, limited mobility, living alone and her self-report of falling with a difficulty of getting up poses a concern for her safety. Therefore, you have an ethical responsibility to break confidentiality to ensure her safety. Consulting with your supervisor or colleague allows you the opportunity to receive feedback regarding your plan of action.

A referral for inpatient treatment is appropriate when a person's use is having a significant impairment on their daily living skills, threatens their safety and/or safety of others around them and a risk of death. Answer a does not include a description of any impact on daily living skills.

Abby presents with a possible diagnosis of PTSD. Referring her to a support group and/or mental health services that may help her work through her past sexual assault will likely help support her recovery from alcohol abuse.

Medicated Assisted Treatment (MAT) is an evidence based treatment approach for those with opioid disorders. Fentanyl is classified as an opiate. The others are not.

The best course of action is to honor the client's request for collaboration by contacting the provider and update them regarding the collaboration. It is important to document your points of contact. This is where your responsibility ends. Your responsibility is to try your best to attempt to get ahold of the provider.

Medication regimen and recommendations is likely not in your professional scope, therefore is not appropriate for you to be changing. Through continued collaboration with his prescriber, you are able to verbalize any concerns you may have about cross addiction and misuse of the medication.

Collaborating with her prescriber will provide a team approach which will aide in communication. For example, if Sara were to relapse days before the injection, receiving the Vivitrol injection would induce withdrawal symptoms. Identifying barriers and identifying skills would help Sara maintain sobriety until she is able to receive the injection.

Treatment plans should be a collaboration between the counselor and the client. Goals and objectives should be realistic and align with the client's goals. Using the Stages of Change Model can help the clinician offer appropriate goals.

Attaining sobriety should be the first goal. Once that is accomplished, other consequences can be addressed appropriately.

Once an outpatient program is completed, it is not necessary for the client to engage in an additional program. Programs usually begin in phases which would not align with a person who has attained and maintained recovery.

SMART Recovery is a support group that does not acknowledge God or a higher power as part of their program.

All reasons identified are appropriate reasons for discharge.

Further assessment is necessary to determine how problematic Jon's alcohol use is and what level of care or program would be most appropriate in order to support his recovery.

Providing Susan with written information gives her the opportunity to look into them should she change her mind about your recommendation. The information provided does not provide enough evidence to be concerned about her safety and is not appropriate to contact her emergency contact.

Step work is a part of AA and other similar groups which are not a part of aftercare programs.

Case management is community based. The main goal is to help the client's familiarize themselves with their community and services available. Examples would be self-help groups, church, individual resources and family resources.

"Came to believe a power greater than myself could restore me to sanity" is Step Two. Step 3 is "Made a decision to turn our will and our lives over to the care of God as we understood Him." Step 5 is "Admitted to God, to ourselves, and to another human being the exact nature of our wrongs." Step 8 is "Made a list of all persons we had harmed, and became willing to make amends to them all."

Behavioral activation is an intervention from Cognitive Behavioral Therapy. Behavioral activation is the engagement in observable behaviors (actions) that have previously increased mood or has a likelihood to increase mood. While meditating, reframing thoughts, and sleeping can be overall helpful in recovery, these are not examples of behavioral activation.

It would be ineffective to work on how to communicate sobriety to friends and family if the client has not yet committed to sobriety.

Scott may be inebriated, or he may be tired. Either way, the appearance of nodding off is often triggering for other group members which means that he is not appropriate for the group at this time. Since your concern is that he may be inebriated, he should be assessed by a medical professional before going home to ensure safety. Once you return to the group after Scott leaves, it may be necessary to process how group members were impacted after seeing Scott's presentation in group. If this is the case, keep the discussion off of Scott and on how others felt when seeing someone appear inebriated (ie. Triggered, sad, anxious, angry, etc.).

Oftentimes in addiction, a person becomes isolated and feels as though no one can understand their situation. Being a group setting, a client is exposed to others who have similar experiences, thoughts and feelings which can normalize a person's experience. Group sessions also allow others to observe others being vulnerable which increase the chances of others doing the same. Group sessions can be a place where clients can learn from each other's struggles and triumphs.