Certified Advanced Alcohol and Drug Counselor (CAADC) Practice Exam

Which client most needs a referral to a physician?

1. A 25 year old female who has relapsed after a miscarriage

2. A 53 year old woman grieving her deceased husband

3. A 47 year old man with sudden bouts of rage

4. A 12 year old boy who has been using inhalants

The correct answer is: A 47 year old man with sudden bouts of rage

The client who most needs a referral to a physician is the 47-year-old man experiencing sudden bouts of rage. This behavior may indicate an underlying medical or psychological condition, such as a mood disorder or neurological issue. When a client presents with sudden and intense changes in mood or behavior, it is crucial to rule out any physical health problems that could be contributing to these symptoms. In many cases, such behavioral changes can be associated with various factors, including hormonal imbalances, medication side effects, or even substance use. A physician can conduct a thorough assessment, including a physical examination and necessary tests, to identify any potential medical issues that should be addressed as part of the treatment process. The other options, while they may involve emotional struggles or substance use, do not necessarily indicate an urgent medical condition that requires immediate attention from a physician. The young boy using inhalants might benefit from counseling and substance abuse intervention, but his situation may not quickly escalate to a medical emergency. Similarly, the grieving woman and the young female client who has relapsed after a miscarriage are dealing with significant emotional challenges but do not present with the acute behavioral changes that would necessitate a medical referral.