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ADDICTION COUNSELOR PRACTICE TEST BOOK QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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ADDICTION COUNSELOR PRACTICE TEST BOOK QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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ADDICTION COUNSELOR PRACTICETEST BOOK QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
*1.*IAIwifeIrefersIherIhusbandIforIsubstanceIabuseIcounseling.IHisIdrugIofIchoiceIisIcocaine,IwhichIheIhasIbee
nIusingIepisodicallyIwithIfriendsIatIaIpokerIgame—biweeklyItoIweekly—
forIsomeIyears.ISheIisIdisturbedIatItheIillicitInatureIofItheIdrugIandItheIlong-
standingIuse.IHeIstatesIthatIthoughIheIrecreationallyIuses,IheIdoesInotIcraveIcocaine,IdoesInotIseekIitIoutIbutI
ratherIusesIwithIfriendsIatItheIgameIwhoIbringIit,IandIheIfeelsIthatIotherIthanIhisIwifeIbeingIupsetIaboutIhimI
using,IheIhasInoIotherIsocialIorIoccupationalIissues.IGivenItheIinformationIprovided,IhowIisIhisIuseIofIcocaineI
BESTIdescribed?
a.ISubstanceIabuse
b.ICocaineIintoxication
c.ICocaineIuseIdisorder
d.INoneIofItheIaboveI-IANSWERI*D.INoneIofItheIabove*
TheIDSMIlistsIaIsetIofIelevenIsymptoms,I2IorImoreIofIwhichImustIhaveIoccurredIatIanyItimeIduringItheIpastI12I
monthsIforIaIdiagnosisIofIsubstanceIuseIdisorder.I1)ITolerance,IdefinedIasIeitherItheIneedIforIlargerIandIlarge
rIamountsIofItheIdrugIinIquestionIoverItimeItoIachieveItheIdesiredIresult,IorIaIdecreaseIinItheIeffectIofItheIdru
gIwithIcontinuedIuseIofItheIsameIamountI2)IWithdrawal,IdefinedIbyIeitherItheIknownIwithdrawalIsymptomsI
forIaIparticularIdrug,IorIbyItheIfactIthatItheIdrug,IorIaIsimilarIdrug,IisItakenItoIavoidIwithdrawalIsymptomsI3)IA
nIincreaseIinItheIamountIofItheIdrugItaken,IorItheIcontinuedIuseIofItheIdrugIpastItheIintendedItimeI4)IAnIinab
ilityItoIcontrolIusageI5)IAIlargeIamountIofItimeIandIeffortIdevotedItoIobtainingItheIdrugIinIquestion,IusingItheI
drugIinIquestion,IorIrecoveringIfromIitsIeffectsI6)ITheIgivingIupIofIimportantIactivitiesIinIorderItoIobtainIorIuse
ItheIdrugIinIquestion,IorIrecoverIfromIitsIeffectsI7)ITheIcontinuedIuseIofItheIdrugIinIquestionIregardlessIofItheI
illIeffectsIitIhasIcaused.I8)ICravingI9)IRecurrentIdrugIuseIwhichIleadsItoIinabilityItoIfulfilImajorIroleI10)IRecurre
ntIdrugIuseIthoughIitIisIphysicallyIharmfulI11)IRecurrentIdrugIuseIdespiteIitIleadingItoIcontinuedIsocialIproble
ms.IHeIdoesInotImeetItheIcriteriaIforIcurrentIintoxicationIeither.IRecreationalIuseIcommonlyIoccursIbiweeklyI
orIweekly,IandItheIuseIisItypicallyIforIreasonsIofIsociality.ISubstanceIabuseIcounselingIisIthereforeInotIindicat
ed.IHowever,IcounselingIregardingItheIpotentialIforIlifeIcircumstances,Istressors,IorIotherIunexpectedIlossesI
orIburdensItoIprecipitateIaIfutureIsubstanceIabuseIproblemIshouldIbeIdiscussed.
*2.*IWhatIdoesItheIexperiencedIeffectIofIaIdrugIdependIupon?
a.ITheIamountItakenIandIpastIdrugIexperiences
b.ITheImodalityIofIadministration
c.IPolyIdrugIuse,Isetting,IandIcircumstance
,d.IAllIofItheIaboveI-IANSWERI*D:IAllIofItheIAbove*
TheIamountIofIaIdrugIingestedIwillItypicallyIaffectItheIuser'sIexperience,IwithIhigherIdosesIoftenIproducingIaI
greaterIeffectI(thoughIpotentiallyIdiminishingIoverItimeIasItoleranceIdevelops).ITheImodalityIofIadministrati
onIcanIgreatlyIinfluenceItheIrateIofItheIdrug'sIuptakeIintoItheIsystem.INormallyItheIrateIofIeffect,IfromIgreate
stItoIleast,Iis:IinhalationI(snortingIorIsmoking),IinjectionI(intravenous,Iintramuscular,IorIsubcutaneous),IandIi
ngestionI(sublingualIorIswallowingIwithIorIwithoutIfood).IGenerally,ItheIfasterItheIsystemicIuptake,ItheIshort
erIandImoreIintenseItheIhighIexperienced.IPolydrugIabuseIgreatlyIcomplicatesItheIdrugIexperience,Iparticul
arlyIifItheIdrugsIusedIareIchemicalIantagonistsI(e.g.,IstimulantsIandIdepressants—
suchIasImethIandIalcohol),IadditiveI(producingIaIcumulativeIeffect),IsynergisticI(moreIthanIcumulative),IorIp
otentiatingI(eachIenhancingIeachIother).ITheIsettingIinIwhichItheIsubstanceIuseIoccursIisIalsoIoftenIaIsignific
antIcontributorItoItheIexperience.ITheIfeelingsIengenderedIbyItheIsurroundings,ItheIpeopleIwithIwhomItheIe
xperienceIisIshared,ItheIattitudesIandIreactionsIofIothersIinvolved,IasIwellIasIpersonalIpastIdrugIexperiencesI
andIindividualIbiologyIallIcombineItoIproduceIaIdrugIexperience.
*3.*IHowIisIdrugItoleranceIBESTIdescribed?
a.ITheIinabilityItoIgetIintoxicated
b.ITheIneedIforImoreIofIaIdrugItoIgetIintoxicated
c.IIncreasedIsensitivityItoIaIdrugIoverItime
d.IDecreasedIsensitivityItoIaIdrugIoverItimeI-IANSWERI*D:IDecreasedIsensitivityItoIaIdrugIoverItime*
WhenIaIdrugIisIusedIregularly,ItheIbodyIisIgraduallyIableItoIadaptItoItheIeffectsIofItheIdrug.IEvidenceIofItolera
nceIisItwofold:I(1)IgreaterIdosesIofItheIdrugIareIrequiredItoIachieveIpreviousIeffects,IandI(2)IdosesIthatIwouldI
haveIproducedIprofoundIphysiologicalIcompromiseIorIevenIdeathIareInowIreadilyItoleratedIwithoutIuntowa
rdIeffects.IInIsomeIcases,IitIhasIbeenInotedIthatIupItoItenItimesIaIlethalIdosage,IorIevenImore,ImayIbeItakenIwi
thoutIanyIsignsIofIsignificantIphysiologicalIcompromise.IToleranceIdevelopsIasItheIbodyIseeksIhomeostasis,I
orIaIfunctionalIstateIofIequilibrium,IinIspiteIofItheIpresenceIofItheIdrug.
*4.*IWhichIofItheIfollowingIisINOTIaI"drugIcue"?
a.IAIpriorIdrug-useIsetting
b.IDrugIuseIparaphernalia
c.ISeeingIothersIuseIdrugs
d.IDrugIavoidanceIstrategiesI-IANSWERI*D:IDrugIavoidanceIstrategies*
,IntenseIdrugIeuphoriaIproducesIextremelyIintense,IemotionallyIimprintedImemoryIengrams,IcoupledIwithIl
ong-
termIchangesIinItheIamygdalaIareaIofItheIbrain,IwhichIoperateIoutsideIofIconsciousIcontrol.IKeyIeuphoricIme
moriesIbecomeIintegrallyIconnectedItoIsights,Isounds,Ismells,Ipeople,IandIplacesIpreviouslyIassociatedIwithI
drugIuse.ITheIreappearanceIofIanyIofItheseIpastIdrugIcuesIwillIoftenIeffectivelyItriggerIintense,Iamygdala-
drivenIcravingsIforIaIdrug.ICravingsIareIfurtherIintensifiedIbyIlingeringIimbalancesIinIbrainImetabolismIpatter
ns,IreceptorIavailability,IhormoneIlevels,IandIotherIhypothalamusIandIpituitary-
mediatedIsensationsIofIdysphoriaIandIdistress.ITheIcascadingInatureIofItheseIeffectsIfrequentlyIinducesIaIdr
ug-useIrelapse.
*5.*IWhatIhappensIasItoleranceIforIbarbituratesIdevelops?
a.ITheImarginIbetweenIintoxicationIandIlethalityIincreases.
b.ITheImarginIbetweenIintoxicationIandIlethalityIdecreases.
c.ITheImarginIbetweenIintoxicationIandIlethalityIstaysItheIsame.
d.IToleranceIdoesInotIdevelopIforIbarbiturates.I-
IANSWERI*C:ITheImarginIbetweenIintoxicationIandIlethalityIstaysItheIsame.*
WhileItoleranceIforIbarbituratesIdoesIdevelop,ItoleranceIforIanIotherwiseIlethalIdoseIonlyImarginallyIincreas
esIandIneverIexceedsItwofold.IThisImeansIthatItheIlikelihoodIofIanIunintentionalIfatalIdoseIincreasesIsubstan
tiallyIoverItimeIasItheIneedIforItheIintoxicatingIeffectIpushesIthatIthresholdIeverIcloserItoIaIlethalIdose.IGivenI
theIimpairmentsIinImemoryIandIjudgmentIthatItypicallyIaccompanyICNSIdepressantIintoxication,IsimpleIfor
getfulnessIcanIleadItoIaIfatalIoverdose.IFinally,IusingIbarbituratesIwithIanyIotherICNSIdepressantIsubstance,Is
uchIasIalcohol,IcanIresultIinIanIadditiveICNSIdepressionIthatIcanIreadilyIbeIfatal.IDeathImostIoftenIoccursIviaIr
espiratoryIorIcardiacIsuppression.
*6.*IWhatIisItheIMOSTIcommonIsymptomIofIWernicke'sIencephalopathy?
a.INewImemoryIformation
b.ILossIofIolderImemories
c.IPsychosis
d.IConfusionI-IANSWERI*D:IConfusion*
OtherIsymptomsIofIWernicke'sIencephalopathyIincludeIpoorImuscleIcoordinationIandIoculomotorIimpairm
entI(problemsImovingItheIeyesIinIaIcontrolledIfashion).IWernicke'sIsyndromeIisIaIshort-
termIconditionIresultingIfromIvitaminIB1I(thiamine)Ideficiency,ItypicallyIdevelopingIafterIyearsIofIdrinkingIan
dIpoorInutrition.IOfIthoseIwithIWernicke'sIsyndrome,I80ItoI90IpercentIwillIdevelopIlong-
, termIpsychosisIandImemoryIproblemsIknownIasIKorsakoffIsyndrome.IWhileIpoorIcoordinationIisIaIsymptom,
IretrogradeIamnesiaI(lossIofIoldImemories)IandIlearningIimpairmentsIareIamongItheImoreIclassicIhallmarksIo
fItheIcondition.IBecauseItheyIareIsoIoftenIfoundItogether,ItheItwoIsyndromesIareIoftenIreferredItoIconcurren
tlyIasIWernicke-KorsakoffIsyndrome.
*7.*IWhichIofItheIfollowingIconditionsIdoesIalcoholINOTIinduce?
a.ISteatosis
b.INephrosis
c.IHepatitis
d.ICirrhosisI-IANSWERI*B:IHepatitis*
HepatitisIrefersItoIinflammationIofItheIliver.IAlcoholIisItoxicItoIallIbodyItissues.IBecauseIalcoholImustIbeImeta
bolizedIbyItheIliver,IitIisIparticularlyIsusceptibleItoItheItoxicIeffects.IConsequently,ImanyIheavyIdrinkersIsufferI
fromIalcoholicIhepatitis,IcharacterizedIbyIabdominalIpain,Inausea,Ivomiting,IandIaIswollenIliver.IInImoreIextr
emeIcases,IjaundiceIandIbleedingIcanIresult.IJaundiceI(aIyellowingIofItheIskinIandIwhitesIofItheIeyes)IisIfromI
bilirubin,IaIby-
productIofIagingIredIbloodIcellsIbrokenIdownIinItheIliver,IthatIshouldIhaveIbeenIfullyImetabolizedIbyItheIliver.I
SpontaneousIbleedingIoccursIbecauseIkeyIclottingIfactorsIareImadeIinItheIliver,IbutIproductionIisIinhibitedIby
Ihepatitis.ISteatosisIconsistsIofIfattyIdepositsIinItheIliverIthat,IifIsevere,IcanIproveIfatal.ICirrhosisIrefersItoIscarr
ingIofItheIliverIfromIalcoholIdamage,IpreventingIitsInormalIfunctioning.IHighIbloodItoxinsIcanIalsoIcauseIhep
aticIencephalopathy—aIreversibleIdementia—ifItheItoxinsIareIreduced.
*8.*IWhatIdoesIformicationIreferIto?
a.ITheIcreationIofIfreebaseIcocaine
b.ISexIbetweenItwoIunmarriedIindividuals
c.IAIsensationIofIbugsIcrawlingIunderItheIskin
d.IExtrapyramidalIsymptomsIofIagitationI-IANSWERI*C:IAIsensationIofIbugsIcrawlingIunderItheIskin*
ChronicIusersIofIcocaine,IcrackIcocaine,Imethamphetamine,IandIotherIsuchIstimulantsIdevelopIaIprofoundlyI
unpleasantIsensationIofIbugsIcrawlingIunderItheirIskin.ITheyImayIevenIcomeItoIbelieveItheIbugsIareIpresentI
andIneedingItoIbeIremoved.IInIlessIsevereIcases,IusersImayIpickIatItheirIskinItoItheIpointIofIcausingIsoresIandIs
cabs.IInImoreIextremeIcases,IusersImayIcutIthemselvesIinIaIdesperateIattemptItoIreleaseItheIbugsIandIfindIrel
ief.ITheIconditionIisIalsoIknownIasIMagnon'sIsyndromeIandImayIalsoIbeIreferredItoIcolloquiallyIasIcokeIbugsIo
rIcrankIbugs,IandIsoIon.
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