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Course Article Questions The answer to Question 1 is found in Section 1 of the Course Content. The Answer to Question 2 is found in Section 2 of the Course Content... and so on. Select correct answer from below. Place letter on the blank line before the corresponding question.
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1. What is Chemical Dependency?
2. What are widely used structured assessment instruments?
3. What are the warning signs of drug and alcohol influence?
4. Why is drug addiction not simple to treat?
5. Who can conduct a brief intervention?
6. When in doubt, providers should refer persons for a full evaluation by a multidisciplinary team with experience in evaluating prenatal alcohol exposure. What circumstances should prompt a diagnostic referral?
7. What are the definitions of Health Care System according to the World Health Organization?
8. What are the steps required for the "Build Up Your Courage Muscles" exercise?
9. What are some specific steps that social workers can take to be helpful when a SUD is suspected or identified?
10. What are the important factors to consider when examining patterns of behavioral health?
11. What is the second-most abused category of drugs, after marijuana?
12. What is the mission of the National Implementation Research Network (NIRN)?
13. What do the Families Anonymous Meetings provide?
14. Research suggests that some of the population is genetically predisposed to become chemically dependant. What do the studies indicate for people identified as being chemically dependent?
15. What are associated risks of substance abuse among gay, lesbian, and bisexual questioning adolescents?
16. What social environment risk factors were addressed in Werch’s intervention?
17. What was the focus of homework assignments in Stein’s relapse prevention strategy?
18. 25% to 50% of all children in the United States aged 10-17 are at risk for curtailed educational, emotional, economic, and social opportunities due to their engagement in what behaviors and activities?
19. The reluctancy to accept the idea that Indian culture and spirituality may be important to the prevention and treatment of alcohol problems can be explained by what two reasons?
20. The personal characteristics of those particularly liable to use drugs have been obtained by comparing using with nonusing adolescents in the same schools. What is the one of the characteristics looked at?
21. Many medications can interact with alcohol, thereby altering the metabolism or effects of alcohol and/or the medication. Some of these interactions can occur even at moderate drinking levels and result in adverse health effects for the drinker. What are types of alcohol-medication interactions exist?
22. Alcohol and drug counselors providing vocational rehabilitation (VR) services directly or through referral need to be aware of legal and ethical issues in what areas?
23. What main categories of comorbidity can be identified, although for some patients it might not be clear which category they belong to?
24. What are the steps that patients complete during their treatment?
25. What is often a goal of substance abuse treatment?


A. Addiction Severity Index (ASI); Composite International Diagnostic Interview (CIDI); Structured Clinical Interview for DSM-IV (SCID); Alcohol Use Disorders and Associated Disabilities Interview Schedule (AUDADIS); Psychiatric Research Interview for Substance and Mental Disorders (PRISM); and Semi-Structured Assessment for Drug Dependence and Alcoholism (SSADDA).
B. A compulsive or chronic need for, or an active addiction to, alcohol or drugs.
C. Addiction is a chronic disease, people can’t simply stop using drugs for a few days and be cured. Most patients need long-term or repeated care to stop using completely and recover their lives.
D. Change in behaviors; Sudden swift mood changes; Easily angered; Absent from work; Away from job site; Inability to explain reasons for doing something; Things turn up missing; Frequent accidents/injuries; and Tired all the time.
E. (1) all the activities whose primary purpose is to promote, restore, and/or maintain health, and (2) the people, institutions, and resources, arranged together in accordance with established policies, to improve the health of the population they serve.
F. (1) When prenatal alcohol exposure is known, a child should be referred for full FASDD evaluation when substantial prenatal alcohol use (i.e., seven or more drinks per week, three or more drinks on multiple occasions, or both) has been confirmed.
(2) When information regarding prenatal alcohol exposure is unknown, a child should be referred for full FASDD evaluation.
G. A licensed provider or an ancillary provider working under the general supervision of the licensed provider: Physicians; Physician’s Assistant; Nurse Practitioners; Licensed Psychologist;and Licensed Clinical Social Worker.
H. 1. Routinely assess for problem and refer; 2. Educate about , treatment, recovery, and relapse; 3. Explore impact on client and the family; 4. Know the structure of the family; 5. Know the developmental stage of the family; 6. Provide treatment referrals for family; 7. Coordinate with school systems; 8. Facilitate referrals to specialized courts; 9. Educate clients about pregnancy prevention and provide education; 10. Inform about AA, NA for the patient and Al-Anon, Nar-Anon, Alateen for family members; 11. If there are safety issues, Child Protective Services or Elder Protective Services referral may be needed; and 12. Ask questions about if the current living situation.
I. Support, a history of success, and a courage talisman.
J. Prescription Drugs..
K. Gender and Age.
L. Support and Recovery from the effects of a loved one's addictions.
M. To close the gap between science and service by improving the science and practice of implementation in relation to evidence-based programs and practices.
N. on evaluating and enhancing confidence in coping with situations that trigger substance use; goal setting and use of rewards; and identifying and coping with stressful life events, as well as daily hassles and uplifts.
O. Lack adequate production of the brain chemicals dopamine and serotonin. When the person is introduced to alcohol/other drug use, they report feeling normal for the first time. These outside stimulants take the place of brain chemicals that might be depleted or lower than normal.
P. 1. Observational learning of drinking behavior; 2. Social norms related to binge drinking .
Q. homelessness, running away, prostitution, school and learning problems, dropping out of school, and problems with the law.
R. The IQ of drug users tends to be good to superior, quite different from that reported for the typical delinquent, whose IQ is slightly below normal. Despite their good IQs, prospective drug users tend to be underachievers in school. They report a lack of motivation to do well at school; they are not particularly interested in going on to college; and they generally don’t like school very much.
S. Non-Indian views of the psychology of behavior are primarily secular and, for the most part, relegate culture to a peripheral role and methods to measure spirituality, cultural beliefs, and values have not been well developed, hindering scientific study in those areas.
T. (1) pharmacokinetic, in which alcohol interferes with the metabolism of the medication, and (2) pharmacodynamic, in which alcohol enhances the effects of the medication, particularly in the central nervous system (e.g., sedation).
U. violence and vandalism, unprotected sex, abuse of alcohol and drugs, skipping and failing school. 
V. 1. “We admitted we were powerless over our addiction, that our lives had become unmanageable.” ; 2. “We came to believe that a power greater than ourselves could restore us to sanity.”; and 3. “We made a decision to turn our will and our lives over to the care of God as we understood Him.”
W. Discrimination against recovering individuals, welfare reform, and confidentiality.
X. Facilitating patients’ involvement with 12-step self-help organizations, such as Alcoholics Anonymous (AA) and Narcotics Anonymous (NA).
Y. a) primary diagnosis of a major psychiatric illness with a subsequent (secondary) diagnosis of substance misuse which adversely affects mental health; b) primary diagnosis of substance dependence with psychiatric complications leading to mental illness; c) concurrent substance misuse and psychiatric disorder, with the former exacerbating or altering the course of the latter; d) the psychiatric disorder exacerbating the course of substance misuse; e) an underlying traumatic experience resulting in both substance misuse and psychiatric disorders.

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