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

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CADC/CDAC Certified Alcohol and Drug
Counselor Pre-Test Exam NC Version
2023-2024
. 7) One of the counselor'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. - -answer-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. Clarify 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 method 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

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
consequences. - -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 outpatient 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 treatment 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 counselor'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 job 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

B. Denial, minimization, and rationalization
C. Sub-limitation, displacement, and compensation
D. Identification, 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. Interpret 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 appears 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 made 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 lived 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 Marlatt'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.

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 lows 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 elderly.
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 intake
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 termination phase of counseling is:
A. Defensiveness.
B. Acting out behavior.
C. Apathy.

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 drugs 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 seeks 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 of 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 motivation 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 well-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 example 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 clients?
A. An understanding of self-help groups

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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
he 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 statement, 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 the 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 primarily 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

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C. Intensive outpatient or partial hospitalization
D. Residential or inpatient services - -answer-A. Relapse Prevention
150) Regarding a "seropositive" 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 been 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 familial 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 client.
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 with the client and make necessary
changes in treatment goals.
143) The PRIMARY purpose of professional standards of practice is to:

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A. Provide recognition of demonstrated competency in addictions counseling.
B. Ensure that each client receives equal treatment 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 appropriate 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. Which 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 can 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 accurately 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 professional 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 treatment 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:

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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 sobriety.
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 children 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 incident.
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 asking 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 mind, which of the following is TRUE?
A. The counselor should coordinate regular meetings with all professionals involved in
the client's treatment.

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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
counselor 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; flu 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 called 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. Explaining 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 perception 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. Rational Recovery.
B. Secular Organization for Sobriety.
C. Men and Women for Sobriety.

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

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