CADC Sample Exam
Which of the following is the BEST definition of insight?
a. A problem solving strategy involving the elimination of unworkable solutions
b. A sudden understanding of self, or realization of ow a problem can be solved
c. A Freudian defense mechanism that is used unconsciously but not maliciously
d. A confrontation technique used in conjunction with Gestalt therapy – b
MAT refers to:
a. a common screening tool for alcoholism
b. a lengthy personality inventory used to identify gross psychopathology
c. the use of medications such as suboxone in the treatment of addiction
d. a nonmedical detox protocol – c
Aisha has completed her treatment at an in-patient facility and is ready to be discharged.
She has asked her counselor to recommend a therapist to work with her and her husband
on an out-patient basis. This process is BEST viewed as an example of:
a. a referral
b. a consultation
c. case management
d. an aftercare plan – a
Which type of therapy is most directive, offering the greatest potential for abuse of power
by the counselor?
a. Adlerian
b. Rational-emotive
c. Gestalt
d. Person-centered – c
The primary purpose of professional credentialing for counselors is to:
a. advance the field by ensuring that counselors are recognized as dignified professionals
b. ensure that counselors share and understand the accepted philosophies of practice
c. protect public safety by ensuring that counselors meet minimum standards of
competency
d. ensure that counselors receiving third-party payments have professional credentials – c
Which of the following is NOT a CNS depressant?
a. Alcohol
b. Xanax
c. Nembutal
d. Benzedrine – d
The concept of informed consent requires that before agreeing to accept treatment, clients
should know their rights and obligations, therapeutic goals, fees for services and
a. availability of referral services
b. community resources to be used
c. with whom they will be participating in group activities
d. the limits of their confidentiality – d
Attitudes, policies, and practices that are destructive to other cultures and their members
are examples of lack of cultural
a. blindness
b. competence
c. destructiveness
d. incapacity – b
Restlessness, nervousness, flushed face, muscle twitching, tachycardia, or cardiac
arrhythmia are all signs or symptoms of:
a. caffeine intoxication
b. cocaine intoxication
c. alcohol intoxication
d. opioid intoxication – a
Of all of the possible substance use disorders, which one is typically not seen in older
children or adults?
a. cannabis use disorder
b. inhalant use disorder
c. tobacco use disorder
d. caffeine use disorder – b
Needle exchange programs can BEST be described as:
a. a nonabstinence technique
b. harm reduction
c a maintenance method
d. a community organization intervention – b
Autonomic hyperactivity, hand tremor, nausea or vomiting, psychomotor agitation, grand
mal seizures are all signs or symptoms of:
a. cannabis withdrawal
b. cocaine withdrawal
c. sedative, hypnotic, or anxiolytic withdrawal
d. opioid withdrawal – c
Among other things, _ involves making a client aware of resources in the community, as
well as providing information related to substance abuse, HIV/AIDS and other STDs
a. case management
b. referral
c. client education
d. consultation – c
In the United States the population that experiences the lowest prevalence of alcohol use
disorder is:
a. caucasian men
b. adult women
c. native americans
d. asian americans and pacific islanders – d
Classical and operant conditioning are associated with _ therapy a. cognitive b. behavior c. gestalt d. person-centered – b Eric has admitted being sexually active without using any type of protection against sexually transmitted diseases. His counselor has made an appointment for him to be tested for the HIV virus. He then made arrangements for Eric to be transported to the clinic. Facilitating this appointment is BEST described as: a. consultation b. case management c. client education d. ethical responsibility – b Studies indicate that counseling is most effective when: a. culture and values are taken into account b. the counselor relies on humanistic methods c. the therapist and the client come from similar backgrounds d. a therapeutic contract is clarified in the first session – a One basic principle of documentation requires the counselor to: a. describe events as vaguely as possible in case records are requested for a court case b. describe events in objective terms, using measurable language that can be easily understood c. only document group notes, because any twelve step work is not counseling d. document emotions based only on what the client reports, because the counselor’s assessment will always be subjective – b The ___ model of addiction as a consequence of personal choice
a. disease
b. moral
c. social
d. sociocultural – b
How does solution-focused brief therapy differ from many of the other approaches to
counseling?
a. Emphasis is placed on the present and future while devaluing the past
b. It emphasizes the use of more abstract techniques, such as empty chair
CADC Exam (Practice Test)
- It is considered unethical for a counselor to:
a. talk with a client any place other than the counseling office
b. treat client problems that are beyond his skill level
c. refuse treatment for certain clients
d. discuss some personal feelings – b. treat client problems that are beyond his skill level - When participating in the screening process, a counselor must also be skilled in:
a. consulting with other professionals
b. making referrals
c. family system dynamics
d. release of information forms – b. making referrals - Which statement is TRUE regarding dual relationships with clients that might impair the
counselor’s judgement?
a. they must be avoided
b. they should be discouraged
c. they are left to the discretion of the counselor
d. they should first be discussed with one’s superior – a. they must be avoided - If the orientation process is neglected or incomplete a client may:
a. remain in denial about his/her addiction and leave against staff advice
b. have incorrect information and unanswered questions about the program
c. need to be referred to an outside agency for additional counseling
d. need additional education about addiction and its effects on the body. – b. have incorrect
information and unanswered questions about the program - A common error that counselors make when conducting an assessment is:
a. processing the data collected from the client
b. asking too many questions and interrupting the client
c. moving too quickly from data collection to treatment planning
d. focusing on strengths and weaknesses rather than relationships – c. moving too quickly
from data collection to treatment planning - Which of the following is essential for successful recovery from addiction?
a. admitting to a drinking and/or drug problem
b. working all 12 steps of a 12-step program
c. inpatient treatment and aftercare
d. resolving family issues – a. admitting to a drinking and/or drug problem
- Interventions by a group counselor should:
a. be governed by group content as outlined during the orientation process
b. address issues critical to the functioning of the group as a whole
c. disregard the group process when it is deemed necessary
d. only be made to halt potential violence – b. address issues critical to the functioning of
the group as a whole - When clients ask directly for advice, it is usually helpful for counselors to:
a. avoid offering advice, since it negatively effects communication with the client
b. encourage the client to explore various alternatives
c. discuss with the client his/her request for advice
d. give advice since it encourages independence in the counseling relationship – b.
encourage the client to explore various alternatives - Which of the following does NOT have to appear on a “Release of Information” form?
a. purpose of the release of information
b. name of the recipient of information
c. signature of counselor
d. signature of client – c. signature of counselor - A client experiences a crisis situation. As a counselor, your MOST important function is:
a. to solve the client’s presenting problem
b. to refer him/her to the nearest psychiatrist
c. to help convert the emergency into a solvable problem
d. to try not to get the client any more upset than they already are – c. to help convert the
emergency into a solvable problem - While progress has been made, society still disapproves much more strongly of
substance abuse by women than by men. Which of the following statements is NOT true?
a. women have customarily been expected to live up to a higher standard of moral and
social behavior
b. society perceives female substance abusers as promiscuous, immoral, and unfeminine
c. mothers bear the additional burden of guilt over how substance abuse has interfered
with their childrearing responsibilities
d. a number of roles traditionally deemed female – in particular, nurturing and maternal
duties – are perceived as incompatible with drug-affected behavior – c. mothers bear the
additional burden of guilt over how substance abuse has interfered with their childrearing
responsibilities
CADC Practice Exam Questions (Test 1)
- A wife refers her husband for substance abuse counseling. His drug of choice is cocaine,
which he has been using episodically with friends at a poker game—biweekly to weekly—
for some years. She is disturbed at the illicit nature of the drug and the long-standing use.
He states that though he recreationally uses, he doesn’t crave cocaine, doesn’t seek it out
but rather uses with friends at the game who bring it. He feels that other than his wife
being upset, he has no other social or occupational issues. Given the information provided,
how is his use of cocaine BEST described?
a. Substance abuse
b. Cocaine intoxication
c. Cocaine use disorder
d. None of the above – d. None of the above - What does the experienced effect of a drug depend upon?
a. The amount taken and past drug experiences
b. The modality of administration
c. Polydrug use, setting, and circumstance
d. All of the above – d. All of the above - How is drug tolerance BEST described?
a. The inability to get intoxicated
b. The need for less of a drug to get intoxicated
c. Increased sensitivity to a drug over time
d. Decreased sensitivity to a drug over time – d. Decreased sensitivity to a drug over time - Which of the following is NOT a “drug cue”?
a. A prior drug-use setting
b. Drug use paraphernalia
c. Seeing others use drugs
d. Drug avoidance strategies – d. Drug avoidance strategies - What happens as tolerance for barbiturates develops?
a. The margin between intoxication and lethality increases
b. The margin between intoxication and lethality decreases
c. The margin between intoxication and lethality stays the same
d. Tolerance does not develop for barbiturates – c. The margin between intoxication and
lethality stays the same - What is the MOST common symptom of Wernicke’s encephalopathy?
a. New memory formation
b. Loss of older memories
c. Psychosis
d. Confusion – d. Confusion - Which of the following conditions does alcohol NOT induce?
a. Steatosis
b. Nephrosis
c. Hepatitis
d. Cirrhosis – b. Nephrosis - What does formication refer to?
a. The creation of freebase cocaine
b. Sex between two unmarried individuals
c. A sensation of bugs crawling under the skin
d. Extrapyramidal symptoms of agitation – c. A sensation of bugs crawling under the skin - What is/are the organ(s) most damaged by cocaine abuse?
a. The brain
b. The lungs
c. The kidneys
d. The heart – d. The heart - Which of the following is NOT a basic chemical class of amphetamines?
a. Amphetamine sulphate
b. Phenethylamine
c. Dextroamphetamine
d. Methamphetamine – b. Phenethylamine - In terms of difficulty quitting (dependence), which of the following four drugs ranks the
highest?
a. Alcohol
b. Cocaine
c. Heroin
d. Nicotine – d. Nicotine - Which of the statements below is MOST correct?
a. THC content in all marijuana is about the same.
b. THC content in hashish is lower than in a joint.
c. THC content in marijuana is predictable.
d. THC content in marijuana varies widely. – d. THC content in marijuana varies widely.
- Regarding substance abuse, what does Convergence Theory propose?
a. Rates of substance abuse among women are converging with those of men.
b. All individuals eventually narrow drug use to a drug of choice preference.
c. Age is a key factor in eventual substance abuse abstinence.
d. As individuals age, gender disparities in rates of abuse tend to converge. – a. Rates of
substance abuse among women are converging with those of men. - Among psychiatric disorders in the elderly, where does alcohol abuse rank?
a. twenty-fifth
b. fifteenth
c. fifth
d. third – d. third - Which of the following subcategories of alcohol use disorder onset is NOT found in the
elderly?
a. Late-onset alcoholism
b. Delayed-onset alcoholism
c. Late-onset exacerbation drinking
d. Early-onset alcoholism – d. Early-onset alcoholism - At an initial meeting with a new client, what is the FIRST requirement?
a. Establish rapport.
b. Evaluate readiness for change.
c. Review rules and expectations.
d. Discuss confidentiality regulations. – a. Establish rapport. - What does motivational interviewing primarily involve?
a. Focused confrontation
b. Behavioral accountability
c. Reality testing
d. Supportive persuasion – d. Supportive persuasion - What percentage of individuals with a dual diagnosis (co-occurring disorders [COD]—
i.e., substance abuse disorder and an existing mental illness) received treatment for only
their mental illness?
a. 32.9 percent
CADC I Exam Prep 1
Characteristics of PCP – Phencyclidine recongized as a hallucinogen, can also act as a
stimulant & pain killer. Comes in several forms: powder liquid or tablet. Its often combined
with other substances such as LSD or marijuana. Has been used medically as an anesthetic
on humans as well as hosres. Steet names are “angel dust” & “horse tranquilizer.”
Characteristics of LSD – A hallucinogen so strong one the size of an asprin equals 3000
doses. Street name is “acid” Its white powder can be bought in capsules, tablets, also put in
candy, cookies, or absorebed into paper, postage stamps & ink blottters.
Benzodiazepines / Tranquilizers – Presciption drugs that given to help relieve anxiety and
treat some side effects of alcohol withdrawal. Brand names include Valium, Librium, Ativan
& Serax.
Valium (Diazepam) – Best known street drug because its easy to attain & provides a
moderate high. Very dangerous when users combine it with alcohol which also depresses
the central nervous system.
Characteristics of amphetamines – Drugs in the stimulant class known as speed, uppers, or
bennies. Used medically to treat narcolepsy & ADHD. In the past they were used to treat
obesity & depression, but is now against the law to use for these purposes.
Characteristics of Opiate Narcorics – Usually thought of as pain killing drug or analgesics.
These drugs have high potential to cause addiction. The physical effect of use is an intense
feeling of well-being & euphoria. They are divided into 2 groups — natually occurring &
synthetic.
Morphine & Codeine – Opiate narcotics in the natural group & obtained from the opium
poppy.
Heroin – Drug made chemically from morphine.
Demerol, Talwin, & Methadone – Drugs in the synthetic-group of Opiate Narcotics made in a
laboratory.
Withdrawal Symptoms of Opiates – Stomach cramps, diarrhea, runny nose, tears, yawning,
goose bumps, & genneral sense of insecurity. They lessen in severity in a few days, but may
take weeks or months to completely subside.
Characteristics of Crack – Stimulant drug made from cocaine powder street named “rock.”
Smoking it provides a quicker rush than sniffing cocaine. Use creates euphoria often
prescribed as a whole body orgasm, followed vy a crash which includes anxiety, paranoia, &
extreme fatigue.
Characteristics of Cocaine – Stimulant in fine white powder form. Use causes the brain to
relase dopamine & norepinephrine causing a euphoric state. Street names include coke
snow flake & stardust. Users sniff inject or smoke it known as free basing.
Characteristics of Cannabis – Mood altering drug made from the flowers of the plant
cannabis sativa. Forms include marijuana, hashish & hash Oil. It is usually smoked but can
be put into food & eaten.
THC / Tetrahydrocannabinol – Psychoactive chemical in cannabis which causes its mood
altering effects. Hash oil contains up to 60% where as marijuana contains 7-15%.
Alcohol – A sedative that depresses rhe central nervous system. Effecta include lowering of
inhibitions relaxation & inhibition of good judgement decreased reaction time & fine
muscle coordination.
Short-term effect of PCP – Effects vary greatly from person to person because it can act as
both a stimulant & depressant. Some find it difficult to concentrate & communicate. Some
have a sense of separation from surroundings, confusion, unreal perceptions of time, space
& body images.
Long-term effects of PCP – Known effects include speech problems memory loss depression
& anxiety. Flashbacks can occur days or even months after use which may include
hallucinations & sensations felt during use.
Short-term effects of LSD – Effects begin w/in a few minutes & can last as long as 12 hours.
Sight hearing & taste can be affected. Causes increase in blood pressure dialated pupils
nausea chills & fever numbness & rapid heart beat. Long-term memory is exceptionally
clear & strong while short-term memory is almost non-existent.
Long-term effects of LSD – Effects are most often manifested in flashbacks where all of the
short-term effects are experienced all over again. Heavy users are characterized by apathy
no interest in the future very little patience or ability to cope with frustration. Also run the
risk of developing chronic psychosis.
Short-term effects of Tranquilizer use – Effects include reduced anxiety tensoin calmness
drowsiness slight problems w/ memory & thinking. Fatigue reduced inhibition &
clumsiness have also been noted.
Long-term effects of Tranquilizers – Headaches lack of energy irritability & sexual
problems. Abuse can cause problems w/ memory thinking judgement muscle weakness
slurring of speech anxiety & insomnia. An overdose can cause coma.
Short-term effects of Amphetamines – Effect very individually. Increase in blood sugar
inability to sleep increased alertness & tremors are all possible. Other side effects might
CADC Practice Exam Questions (Test 2)
- What are withdrawal symptoms, characterized by severe flu-like symptoms (nausea,
vomiting, runny nose, watery eyes, chills, abdominal cramps, anorexia, weakness, tremors,
sweating, etc.), MOST characteristic?
a. Opioid withdrawal
b. Hallucinogenic withdrawal
c. Barbiturate withdrawal
d. Benzodiazepine withdrawal – a. Opioid withdrawal - Genetic factors make up roughly what proportion of the risk for addiction?
a. Less than one-tenth
b. One-quarter
c. One-half
d. Three-quarters – c. One-half - What is the adolescent tendency to impulsivity and risk taking due to primarily?
a. Poor parenting
b. Prior abuse
c. Neurological immaturity
d. Influences of puberty – c. Neurological immaturity - What are depressant drugs (e.g., alcohol, opiates, barbiturates, and benzodiazepines)
typically used to cope with?
a. Excitement
b. Fatigue
c. Stress
d. Boredom – c. Stress - The “Five As” of tobacco treatment, in proper order, are:
a. Assess, advise, admonish, advocate, and arrange
b. Ask, assess, assist, arrange, and advise
c. Ask, advise, assess, assist, and arrange
d. Assess, agree, assist, advocate, and admonish – c. Ask, advise, assess, assist, and arrange - At low doses, what does alcohol act as physiologically?
a. Stimulant
b. Psychedelic
c. Depressant
d. Hallucinogenic – a. Stimulant
- Among the following, what is the MOST harmful drug a mother can abuse during
pregnancy?
a. Heroin
b. Lysergic Acid (LSD)
c. Alcohol
d. Methamphetamine – c. Alcohol - Theorists posit that stimulant abuse often occurs to compensate for deficiencies in all of
the following neurotransmitters EXCEPT
a. norepinephrine.
b. acetylcholine.
c. serotonin.
d. dopamine. – b. acetylcholine. - What is the euphoria experienced when under the influence of cocaine caused by?
a. A cascade-effect of endorphins
b. A sudden release of adrenalin
c. Increased basal metabolic rate
d. A buildup of neurotransmitters – d. A buildup of neurotransmitters - What kind of drug does the term nootropic refer to?
a. Memory enhancing
b. Mood stabilizing
c. Hallucinogenic
d. Psychedelic – a. Memory enhancing - What is the suicide risk for individuals treated for alcohol use disorder?
a. About the same as for the general population
b. Two times as high as among the general population
c. Five times as high as among the general population
d. Ten times as high as among the general population – d. Ten times as high as among the
general population - In the lifecycle of heroin addiction, what is the stage known as disjunction characterized
by?
a. Entrance into the addiction subculture
b. Episodic binge use of heroin in social settings
Drug And Alcohol Counselor Terms CADC
With Complete Solution
Active listening – a counseling skill that enhances rapport and demonstrates interest and
understanding through the use of verbal and nonverbal acknowledgment of client
statements.
Addiction – a chronic, relapsing disease of the brain with social and behavioral
manifestations
marked by continued alcohol or drug use despite negative consequences.
Addiction counseling – professional and ethical application of specific competencies that
constitute eight practice dimensions, including clinical evaluation; treatment planning;
referral;
service coordination; individual, group, and family counseling; client, family, and
community
education; and documentation.
Advocacy – (1) a social or political movement working for changes in legislation, policy,
and funding to reflect clients’ concerns and protect their rights (i.e., advocacy for clients);
(2) a philosophy of substance abuse treatment practice maintaining that clients should be
involved actively in their own treatment and have rights in its planning and
implementation
(i.e., advocacy by clients). Much of advocacy is about shifting the system from the directive
model to one in which the client is an empowered, involved participant in treatment
decisions.
Biomedical – pertaining to the biological and physiological aspects of clinical medicine.
Biopsychosocial – the biological, psychosocial, and social influences in human development
and behavior.
Client – individual, significant other, or community agent who presents for alcohol and drug
abuse education, prevention, intervention, treatment, and consultation services.
Collateral sources – persons or organizations providing pertinent information about a client
(can include family members and legal, educational, and medical personnel).
Competency – specific counselor functions comprising requisite knowledge, skills, and
attitudes.
Confidentiality – a client’s right to privacy as defined by applicable Federal and State
statutes.
Confidentiality rules and regulations – rules established by Federal and State agencies to
limit disclosure of information about a client’s substance use disorder and treatment
(described
in 42 CFR, Part 2B 16). Programs must notify clients of their rights to confidentiality,
provide a
written summary of these rights, and establish written procedures regulating access to and
use
of client records.
Confrontation – a form of interpersonal exchange in which individuals present to one
another
their observations of, and reactions to, behaviors and attitudes that are matters of concern.
Feedback is provided on behavior, and an appeal is made to the client for personal honesty,
truthfulness in dealing with others, and responsible behavior.
Content – the subjects discussed in the context of counseling.
Continuing care – care that supports a client’s progress, monitors his or her condition,
and responds to a return to substance use or a return of mental disorder symptoms. It is
both
a process of posttreatment monitoring and a form of treatment itself; sometimes referred
to
as aftercare.
Continuum of care – the array of services that differ in terms of unique needs of clients
throughout the course of treatment and recovery.
Contracting – the process by which the client and the counselor enter into an agreement to
address specific problems, issues, or behaviors.
Co-occurring disorder/coexisting disorder – the presence of concurrent psychiatric or
medical disorders in combination with a substance use disorder.
Counseling – a therapeutic process aimed at meeting specific identified needs of the client.
Countertransference – a counselor’s unresolved feelings for significant others that may be
transferred to the client.
Craving – an urgent, seemingly overpowering desire to use a substance, which often is
associated with tension, anxiety, or other dysphoric, depressive, or negative affective
states.
Cultural competency – the capacity of a service provider or organization to understand and
work effectively in accord with the beliefs and practices of persons from a given
ethnic/racial/