IC&RC ADC and CADC certification: the exam behind the title

A client cannot remember how they got home after a night of heavy drinking, although friends say they were talking and walking normally. This BEST describes

Mark a letter. The key, plus a line on every option, opens at once.

1. passing out, from loss of consciousness

   Passing out means the drinker was unconscious; the friends watched this client walk and talk, so consciousness was never lost.
2. Korsakoff syndrome, from thiamine deficiency

   Korsakoff syndrome is a lasting amnestic disorder after long thiamine deficiency, not a one-night memory gap in someone who functions normally.
3. a blackout, from blocked memory formation

   A blackout is a gap in memory while the person stays awake: a fast-rising blood alcohol level stops the hippocampus from storing new memories, which fits friends seeing normal talking and walking.
4. a withdrawal seizure with later confusion

   Withdrawal seizures come hours to days after drinking stops, not during a night of heavy drinking, and witnesses would have seen a convulsion.

After disclosing information to medical personnel treating a client's overdose, what must a Part 2 program document?

1. The recipient and the nature of the emergency

   After a medical-emergency disclosure, Part 2 requires the program to record who received the information and their affiliation, who disclosed it, the date and time, and the nature of the emergency.
2. A consent the client signs after they recover

   The emergency exception exists because consent cannot be obtained in time; no consent signed afterward is needed to make the disclosure valid.
3. A family member's signed approval

   Relatives cannot authorize disclosure of an adult client's records, and the emergency exception needs no third-party approval.
4. The hospital's discharge summary

   The hospital's records are the hospital's own; Part 2 asks the program to document its disclosure, not to collect the treating facility's paperwork.

A client in a diversion program denies use despite a positive urine immunoassay. Before any sanction, the counselor requests GC/MS confirmation. The MAIN reason for this step is that GC/MS

1. measures the client's level of impairment

   No urine test, screen or confirmation, shows how impaired a person was; a urine result reflects past exposure, not present effect.
2. rules out cross-reacting substances

   GC/MS identifies the exact compound by its chemical signature, so it shows whether the screen reacted to the drug itself or to a look-alike substance such as a medication.
3. gives faster, cheaper results than a screen

   GC/MS is slower and costs more than a screening immunoassay, not faster or cheaper; programs accept that cost because accuracy matters before a sanction.
4. detects use over a longer window

   A longer detection window comes from the specimen, such as hair, not from the lab method; the point of confirming urine is accuracy.

A client stabilized on methadone moves to a new city when discharged from the program and relapses two days later. Which component was MOST likely missing from the discharge plan?

1. A list of 12-step meetings in the new city

   Mutual-help meetings support recovery, but they cannot stand in for a daily medication, and their absence does not explain a relapse within two days.
2. A plan for long-term affordable housing

   Stable housing matters for recovery, but the two-day timeline points to interrupted medication rather than the living situation.
3. A referral to a primary care doctor for a checkup

   A routine checkup is useful follow-up, yet a primary care visit does not supply methadone, so it would not have prevented the break in dosing.
4. A confirmed new clinic for daily dosing

   Methadone for opioid use disorder is dispensed only through opioid treatment programs, so a move without a confirmed slot at a new clinic leaves the client without doses; withdrawal starts within a day or two and drives the relapse.