Skip to content
Past Exams

2023-2024 CADC/CDAC Certified Alcohol and Drug Counselor Pre-Test Exam With Answers (199 Solved Questions)

2023-2024 CADC/CDAC Certified Alcohol and Drug Counselor Pre-Test Exam With Answers enhances your preparation by familiarizing you with exam question styles.

Preview 11 of 36 pages

See the first 11 pages exactly as they appear in the document.

  1. Page 1
    Read page 1 as text

    CADC/CDAC Certified Alcohol and Drug Counselor Pre - Test Exam NC Version 2023 - 2024 . 7) One of the couns elor's tasks is to guide the client in relating and communicating in specific terms, rather than in general or abstract terms. That characteristic or ability is called: A. Confrontation. B. Immediacy. C. Potency. D. Concreteness. - - answer - D. Concreteness. 8) Relapse prevention efforts are aimed at: A. Developing a therapeutic relationship for sobriety and maintenance. B. Changing expectations regarding the effects of intervention. C. Identifying high - risk situations and learning alternative coping skills. D. Discussing aspects of evaluation and treatment. - - answer - C. Identifying high - risk situations and learning alternative coping skills. 5) A mental status exam does NOT assess: A. Educational level. B. Appearance. C. Speech. D. Thought processes. - - ans wer - A. Educational level. 6) The PRIMARY purpose of a professional code of ethics is to: A. Serve as a guide in helping clients while behaving in a fair way to colleagues. B. Strengthen the appearance of professionalism among addiction counselors. C. Clar ify the difference between acceptable and unacceptable client behavior. D. Provide legal recourse and concrete consequences for unethical behavior. - - answer - A. Serve as a guide in helping clients while behaving in a fair way to colleagues. 3) A major met hod of reinforcing the therapeutic alliance and spirit of collaboration between the client and the counselor is: A. Including the client's family members in counseling. B. Setting mutually - established goals. C. Going to 12 - step meetings with the client. D. Offering to make home visits. - - answer - B. Setting mutually - established goals. 4) Which of the following patterns of drinking is accurately associated with the term "alcoholism"? A. A lack of tolerance for alcohol

  2. Page 2
  3. Page 3
    Read page 3 as text

    B. Frequent short periods of sobriety C. The inability to control the amount one drinks D. Light drinking EXCEPT on weekends - - answer - C. The inability to control the amount one drinks u1) A reward is something given for a special behavior, whereas positive reinforcement is: A. A mutual reward to reinforce behavior by the same amount. B. Something specifically designed to increase the occurrence of a particular behavior. C. The process of observing behavior of others. D. A type of learning in which behaviors are increased as the result of the co nsequences. - - answer - B. Something specifically designed to increase the occurrence of a particular behavior. 2) A common error that counselors make when conducting an assessment is: A. Asking too many questions. B. Moving too quickly from data collection to treatment planning. C. Focusing on strengths and weaknesses. D. Processing the data collected from the client. - - answer - B. Moving too quickly from data collection to treatment planning 77) Based upon the initial interview, Bill was given a provisional Axis I diagnosis of "alcohol dependence" and admitted to an Intensive ou tpatient program. After completion of the initial interview, Bill was given a tour of the facility, a client ' handbook, and introduced to his primary counselor and scheduled an appointment the next day to discuss what the client could expect during treatm ent and what would be expected of him in return. During his treatment Bill worked with his counselor to develop four primary treatment goals: 1) To spend at least four hours every other weekend with his children; 2) To attend three A.A. meetings a week for the next three months; 3) To abstain from alcohol and all mind altering and mood enhancing substances; and 4) Complete the 12 week Intensive outpatient treatment program. Bill was quite resistant to attending A.A. meetings because of fear of being seen by his friends at meeting - - answer - B. Rational Emotive 81) Which situation requires a client's informed consent? A. A counselor refers a client back to the referring source at completion of treatment B. A counselor discusses a client's case with the counse lor's supervisor C. A counselor discusses a client's case with another counselor in the treatment facility D. A client reports recent child abuse - - answer - D. A client reports recent child abuse 83) A cocaine - dependent client admits being fired from his j ob for absenteeism, losing his home and car by defaulting on his loans, and associating only with peers who use cocaine. He states that he does not require residential treatment because his problem is not serious enough. He further states that he has lost his house and car because his wife didn't work enough hours. Which defense mechanisms is this client displaying? A. Projection, denial, and displacement

  4. Page 4
    Read page 4 as text

    B. Denial, minimization, and rationalization C. Sub - limitation, displacement, and compensation D. Ident ification, minimization, and Sub - limitation - - answer - B. Denial, minimization, and rationalization 86) The quality of counseling is directly related to the counselor's ability to: A. Formulate and carry out realistic personal and professional goals. B. In terpret the deeper meaning of problems. C. Analyze client problems. D. Convince clients to change. - - answer - A. Formulate and carry out realistic personal and professional goals. 88) The process of termination should be discussed: A. When the client appea rs to have gained all that he or she can from therapy. B. At the point specified in the therapeutic contract. C. At the onset of therapy. D. When the client brings it up. - - answer - D. When the client brings it up. 89) What are the PRIMARY factors that mad e the client appropriate for this level of care? A. There were no physical complications and the client was motivated B. The client was court - ordered and had the ability to pay for services C. The client was intelligent and highly motivated D. The client l ived close by and was gainfully employed - - answer - A. There were no physical complications and the client was motivated 95) Which of the following important treatment planning activities were NOT accomplished in working with this client? A. The counselor formulated appropriate short term goals for the client B. The counselor identified and ranked the client's problems needing resolution C. The counselor worked with the client in establishing the client's treatment goals D. The client's treatment goals were expressed in measurable behavioral terms - - answer - B. The counselor identified and ranked the client's problems needing resolution 116) The focus of intervention in the criminal justice system is first to: A. Rehabilitate offenders. B. Use the threat of incarceration as a motivator to change. C. Protect the health, safety, and welfare of the public. D. Keep the chronic, chemically dependent person off the streets. - - answer - C. Protect the health, safety, and welfare of the public. 141) According to Marla tt's model of the relapse process, which of the following statements is NOT true? A. Clients should be taught skills for anticipating, avoiding, and coping with their personal high - risk situations.

  5. Page 5
    Read page 5 as text

    B. Clients should be taught constructive responses to cope with lapses when they do occur. C. Clients should be helped to recognize that one or more temporary lapses are likely to occur and are permitted. D. Any positive expectations that clients have about drug use should be countered with reminders about the lo ws that follow the highs and about the long - term negative consequences of substance abuse. - - answer - C. Clients should be helped to recognize that one or more temporary lapses are likely to occur and are permitted. 31) While the overall national suicide rate has increased slightly but consistently in recent years, disproportionate increases have occurred among: A. Females and the elde rly. B. Females and the young. C. Males and the elderly. D. Males and the young. - - answer - B. Females and the young. 11) Comprehensive client documentation: A. Is best achieved when done independently from direct client care. B. Facilitates communication and enhances accountability. C. Is used primarily by the primary counselor. D. Is a standardized process. - - answer - B. Facilitates communication and enhances accountability. 14) If a client appears to be in denial due to discrepancies stated during an int ake interview, which of the following statements by the counselor would be MOST appropriate? A. "I'm not sure I understand. Let me check this out" B. "First you tell me one thing, then another. Which is really the truth?" C. "There's a lot of confusion in your story" D. "Addiction fosters denial" - - answer - A. "I'm not sure I understand. Let me check this out" 17) Pointing out parallels between a client's interpersonal relationships and the client/counselor interaction serves to focus awareness on: A. The " here and now." B. The client's weaknesses in communication. C. The counselor's feelings about the relationship. D. The unique qualities of the client/counselor relationship. - - answer - A. The "here and now." 19) A frequent client reaction during the termin ation phase of counseling is: A. Defensiveness. B. Acting out behavior. C. Apathy.

  6. Page 6
    Read page 6 as text

    D. Lack of trust. - - answer - B. Acting out behavior. 25) The branch of pharmacology that deals with the biological, biochemical, and physical characteristics of natural drug s is: A. Pharmacokinetics. B. Pharmacognosy. C. Pharmacotherapeutics. D. Pharmacodynamics. - - answer - B. Pharmacognosy. 29) Which of the following statements about dysfunctional families is TRUE? A. The family cannot get well until the dependent person see ks help. B. The children in a dysfunctional family can be protected from the problems cause by chemical dependency. C. The divorce rate in dysfunctional families is highest after recovery has been initiated. D. Family problems develop in the later phases o f the addiction process. - - answer - C. The divorce rate in dysfunctional families is highest after recovery has been initiated. 40) Assessment, according to the behavioral approach, involves: A. Taking a client history and specifying problematic behavior. B. Specification of the problematic behavior and collection of baseline data. C. Identification of the problematic behavior and evaluation of the client's motivation to change. D. Specification of the problematic behavior and evaluation of the client's mot ivation to change. - - answer - B. Specification of the problematic behavior and collection of baseline data. 53) All of the following statements about the effects of alcohol abuse on the body are true EXCEPT: A. Malnutrition can occur in drinkers who eat we ll - balanced diets. B. Stimulation of the brain's frontal lobe can occur. C. The second stage of liver deterioration can be reversed. D. A vitamin B6 deficiency can occur. - - answer - B. Stimulation of the brain's frontal lobe can occur. 54) Heroin is an exa mple of a(an): A. Natural narcotic. B. Semi - synthetic narcotic. C. Synthetic narcotic. D. Quasi - narcotic. - - answer - B. Semi - synthetic narcotic. 66) Which of the following is MOST helpful for counselors in defining their professional roles for counseling c lients? A. An understanding of self - help groups

  7. Page 7
    Read page 7 as text

    B. An ethical code of conduct C. Certification D. An advanced degree - - answer - B. An ethical code of conduct 67) Your dually - diagnosed client, stabilized on medication for his psychiatric disorder, decides h e wants to quit smoking. You should: A. Advise him to select a quit date within the next 2 weeks. B. Encourage him to use the nicotine patch or gum. C. Consult with his physician regarding nicotine/medication interaction. D. Suggest he cut down the number of cigarettes daily for 2 weeks before quitting. - - answer - C. Consult with his physician regarding nicotine/medication interaction. 68) Which of the following essential tasks was NOT completed during the client's intake process? A. The client was assigned a primary counselor B. An initial assessment was completed C. The client was admitted to the program D. The client signed all required consent forms - - answer - D. The client signed all required consent forms 73) After a counselor has made a summary statem ent, the most important thing the counselor should do is: A. Remain quite for a time to allow the client to consider the summarized material. B. Document the summary as soon as possible as part of the treatment plan. C. Recommend that the client discuss th e session with his/her sponsor. D. Terminate the session immediately. - - answer - A. Remain quite for a time to allow the client to consider the summarized material. 76) The first contact that a potential client would have with an agency would likely be for the purpose of: A. Family therapy. B. Education. C. Psychosocial assessment. D. Screening. - - answer - D. Screening 146) Stress inoculation focuses primaril y on: A. Increasing self - control. B. Increasing coping skills. C. Decreasing anxious responding. D. Decreasing negative thought patterns. - - answer - B. Increasing coping skills. 147) According to the American Society of Addiction Medicine (ASAM), which of the following is NOT one of the five categories of primary treatment? A. Relapse Prevention B. Early intervention

  8. Page 8
    Read page 8 as text

    C. Intensive outpatient or partial hospitalization D. Residential or inpatient services - - answer - A. Relapse Prevention 150) Regarding a "ser opositive" result, which of the following is NOT a meaning of HIV antibody test results? A. The person has the AIDS virus B. HIV infection occurred at some point in the past C. The person is infectious and will remain so for life D. The HIV infection has b een in the system long enough to produce antibodies - - answer - A. The person has the AIDS virus 149) Of the following statements made by a client in a group, which would MOST warrant documentation in the client's progress notes? A. "I'm finding the support from this group to be very helpful." B. "Getting caught for drunk driving was a mixed blessing." C. "Ever since I stopped drinking, my emotional swings have been quite intense." D. "Let's change the subject. Did anyone see the game last night?" - - answer - C. "Ever since I stopped drinking, my emotional swings have been quite intense." 148) Bipolar mood disorder is distinguished from major depression by: A. At least one episode of mania. B. Evidence of earlier cyclothymia. C. Evidence of earlier dysthymia. D. Chronic forms of depression. - - answer - A. At least one episode of mania. 145) Brian is a 15 - year old boy who has been admitted to a program for chemical dependency. He has a history of running away from home, erratic performance in school, and has been arrested twice for petty theft. In assessing Brian, the counselor should first consider which of the following before making a treatment recommendation? A. Brian's goals in life B. Brian's social resources C. If Brian really needs the program D. Brian's f amilial relationships and social milieu - - answer - D. Brian's familial relationships and social milieu 144) A client tells a counselor that she is unhappy with the way her treatment is progressing. The counselor should: A. Draw up a new contract with the c lient. B. Talk to the client about possible denial. C. Create new goals and objectives, and suggest alternate forms of therapy. D. Discuss these concerns with the client and make necessary changes in treatment goals. - - answer - D. Discuss these concerns wit h the client and make necessary changes in treatment goals. 143) The PRIMARY purpose of professional standards of practice is to:

  9. Page 9
    Read page 9 as text

    A. Provide recognition of demonstrated competency in addictions counseling. B. Ensure that each client receives equal treatme nt regardless of ability to pay. C. Help programs qualify for Medicaid and other third - party reimbursement. D. Allow unlicensed counselors to work in licensed facilities. - - answer - A. Provide recognition of demonstrated competency in addictions counseling. 142) Effective case management for persons in need of multiple services requires: A. Monitoring, feedback, and evaluation of services. B. Frequent face - to - face contact with the client. C. Collaboration with family members. D. Careful matching with approp riate 12 - step groups. - - answer - A. Monitoring, feedback, and evaluation of services. 140) It is important to understand clients and their expectations for counseling. Clients coming in for treatment carry with them both helpful and harmful expectations. W hich of the following is a harmful client expectation? A. "This counselor is a stranger, but maybe I can learn to trust her." B. "My counselor will direct me to do what I need to do, and everything will be OK." C. "My counselor will be a resource that I ca n use to resolve my problems." D. "The counselor's main concern and responsibility is to help me achieve my goals and objectives." - - answer - B. "My counselor will direct me to do what I need to do, and everything will be OK." 139) Which statement MOST acc urately describes the relationship between Alcoholics Anonymous and the professional treatment community? A. AA policy clearly states that recovery can often be frustrated by contact with professionals. B. AA has made no statements for or against the profe ssional treatment community. C. There are inherent conflicts between AA and the professional treatment community which are unlikely to be resolved. D. A partnership between AA and the professional community was repeatedly emphasized by the founders of AA. - - answer - D. A partnership between AA and the professional community was repeatedly emphasized by the founders of AA. 138) ___________is the essential first step in determining the possible causes of addiction for the person and the most appropriate treat ment modality for his or her needs. A. Screening B. Assessment C. Intake D. Orientation - - answer - B. Assessment 137) In determining whether a chemically dependent patient should be treated in an inpatient or outpatient program, all of the following should be considered EXCEPT:

  10. Page 10
    Read page 10 as text

    A. Whether the patient has a history of sobriety during the last several years. B. Whether the patient's job and family are likely to give him another chance if this treatment fails. C. Whether the patient has family support for sobr iety. D. Whether the patient has a history of failed treatment on an outpatient or inpatient basis. - - answer - B. Whether the patient's job and family are likely to give him another chance if this treatment fails. 136) A single mother with three young chil dren enters your clinic and begins to discuss her current drug use. She tells you that she hasn't been home for several days and has left the 8 year old in charge. What do you do? A. Contact child protective services to report this incident. B. Explain to her the limits of confidentiality regarding drug use. C. Admit her for treatment and arrange childcare services. D. Contact law enforcement to have her arrested for child abuse and neglect. - - answer - A. Contact child protective services to report this inci dent. 135) Joe is a 27 - year old addict who has begun counseling, but has not yet been able to give up using drugs. During one session, he tells his counselor that he is beginning to feel that "it is useless to try to stop," and that "sometimes life is not worth living." The counselor is concerned that Joe could be suicidal. The counselor should: A. Assess Joe's potential for suicide without directly asking him about suicide plans, but assess his high - risk factors. B. Assess Joe's potential for suicide by a sking him about his intent, and evaluating high risk factors. C. Determine if Joe has a gun or other weapon. D. Initiate involuntary hospitalization procedures. - - answer - B. Assess Joe's potential for suicide by asking him about his intent, and evaluating high risk factors. 134) "Referral" pertains to: A. Assisting a client to utilize the support systems and community resources available. B. Meeting with other professionals for discussions and planning. C. Providing drug and alcohol information to clients. D. Attending an A.A. or N.A. meeting with a client. - - answer - A. Assisting a client to utilize the support systems and community resources available. 133) Good case management requires the integration of services within a treatment plan. With this in min d, which of the following is TRUE? A. The counselor should coordinate regular meetings with all professionals involved in the client's treatment.

  11. Page 11
    Read page 11 as text

    B. Good integration of services requires team meetings with the client present. C. Once the treatment plan is written, the use of other services ¡s determined and will remain unchanged. D. With a well - integrated team of professionals, the case manager's review of progress notes will alone determine how the treatment plan ¡s being followed. - - answer - A. The counsel or should coordinate regular meetings with all professionals involved in the client's treatment. 132) You are asked to see a client in the emergency room for a consultation. The nursing notes read: pupils dilated; gooseflesh; lacrimation; muscle jerks; fl u syndrome; vomiting; diarrhea; nervousness; yawning; and severe anxiety. You conclude that the client is withdrawing from: A. Hallucinogens. B. CNS depressants. C. Opioids. D. Dextro - amphetamines. - - answer - C. Opioids. 131) An irresistible impulse is cal led a(an): A. Compulsion. B. Delusion. C. Hallucination. D. Obsession. - - answer - A. Compulsion. 130) When conducting an assessment, what is the counselor's primary focus? A. Identifying the client's problems and needs, strengths and weaknesses B. Explaini ng the rules of the program C. Having the client sign Release of Information forms D. Confronting the client's denial - - answer - A. Identifying the client's problems and needs, strengths and weaknesses 129) You have assessed your client and determined that he is a problem drinker. He insists that the reason he drinks is because of his wife's behavior. Your initial objective should be to help him: A. Get his wife into counseling with him. B. Take responsibility for his behavior. C. Develop a more positive pe rception of himself. D. Effect a behavioral intervention. - - answer - B. Take responsibility for his behavior. 128) The organization founded as an alternative to programs with spiritual overtones, whose publication is called "The Small Book," is: A. Rationa l Recovery. B. Secular Organization for Sobriety. C. Men and Women for Sobriety.

25 more pages in the full document

Unlock it once and it stays in your library, ready to chat with or turn into flashcards.

Unlock the full document

More Psychology study materials

See all

Study this document with CramX

Once it is in your library, every tool can work from it.