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CAADC LATEST ACTUAL FINAL PRACTICE EXAM 2025
STRUCTURED QUESTIONS AND CORRECT REVISED
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What are the Diagnostic Criteria for Panic Disorder without Agoraphobia? All of the above Recurrent and unexpected Panic Attacks. Neither a substance nor a general medical condition accounts for the Panic Attacks. No Agoraphobia present. - CORRECT ANSWER >>> ALL OF THE ABOVE An individual who has lost control of their drinking (alcohol) and is unable to stop or cut down despite serious negative health consequences and the loss of valued activities or relationships, seems to be suffering from: Alcohol dependency Codependent personality disorder Alcohol abuse Fetal alcohol syndrome - CORRECT ANSWER >>> ALCOHOL DEPENDENCY A commonly used instrument in psychological assessment which obtains a diagnosis by testing such indices as anxiety, paranoia, depression, and gender issues: Thematic Apperception Test Luria-Nebraska Test MMPI Korsakoff's Psychosis Test - CORRECT ANSWER >>> MMPI
A client has a history of depression, mood swings, and problems with his body image. He is an exercise junkie and hits the gym at least twice a day even when he is sick. One day he asks if you can refer him to a physician that can prescribe some pills to help him control his weight. You should suspect: Performance anxiety An eating disorder Chemical dependency A metabolic imbalance - CORRECT ANSWER >>> AN EATING DISORDER The diagnosis of Panic Disorder in children is controversial, with some arguing that they do not have panic attacks because: Children are not capable of making internal, catastrophic interpretations of physical symptoms Their nervous systems are not fully developed Children don't have as many fears as adults They have much less life experience - CORRECT ANSWER >>> Children are not capable of making internal, catastrophic interpretations of physical symptoms When performing a psychosocial assessment on an infant by questioning her parents, what data gathered during the session would have the greatest significance? Information about the mother's pregnancy, including any drug use Information about the infant's development Information about the infant's caregivers Information about the infant's siblings - CORRECT ANSWER >>> The correct answer: Information about the infant's development Pure brain! The psychosocial deals specifically with the psychological and social development of the individual-therefore the best information from the parents of an infant would have to consist of developmental information about the infant. While the other choices consist of information
Assessment tools are the procedures or instruments such as inventories, questionnaires, checklists, structured interviews, etc. which are the basis developing and forming judgment regarding the specific nature extent of the client's problems. Achievement tests are different from ability tests because: Achievement tests are less related to school subjects than are ability tests Achievement tests are more related to school subjects than are ability tests Ability tests access what a client already knows Ability tests access past performance - CORRECT ANSWER >>> Achievement tests are more related to school subjects than are ability tests When formulating a diagnosis in counseling, the counselor must bear in mind that Diagnosis is a function of the value judgments of the particular counselor it is important to obtain a consensus of not less than three of your colleagues before submitting an official diagnosis Diagnoses are useful primarily for insurance and billing purposes but of little or no use when it comes to treatment culture affects the manner in which clients' problems are defined. **- CORRECT ANSWER
** culture affects the manner in which clients' problems are defined. This is a psychological assessment tool which presents a set of ambiguous stimuli to an individual: Projective test Intelligence test Achievement test Personality inventory - CORRECT ANSWER >>> Projective test
A woman presents to your office dressed very provocatively. Her emotions seem superficial, she cries easily and she notes that, recently, her husband has not been paying attention to her. The most likely tentative diagnosis is: Schizotypal Personality Disorder Adjustment Disorder with Depressed Mood Histrionic Personality Disorder Borderline Personality Disorder - CORRECT ANSWER >>> Histrionic Personality Disorder A standard criteria for admission to an inpatient program or a residential program is: A court order A polysubstance dependence 3 DUI convictions within 5 years A need for 24 hour supervision - CORRECT ANSWER >>> A need for 24 hour supervision The first session or first initial interview is mainly intended to: Work with the patient to determine what his or her treatment expectations might be Determine if the patient is appropriate and ready for treatment Work with the patient by showing him or her that significant change can happen with the first session Get the patient started by the creation of a formal contract - CORRECT ANSWER >>> Work with the patient to determine what his or her treatment expectations might be A Korean client comes to your practice; you are unfamiliar with Korean customs and beliefs. The first thing you should do is to: Postpone therapy with the client until you have read up on Wicca culture Indicate to the client that you are unfamiliar with her cultural background Say nothing, but continue therapy
Try some self-disclosure with the patient, indicating that everyone feels down in the dumps from time to time Don't mess around. Call 911 and get her into a hospital ASAP Since she does not have a specific plan, work with the patient on writing a no-suicide agreement - CORRECT ANSWER >>> Since she does not have a specific plan, work with the patient on writing a no-suicide agreement For an intense, chronic, dual disorder the client probably will have: Some treatment complications, to need more care, and will progress in TX more slowly No treatment complications, to need less medical care, and will progress quickly in TX Extensive treatment complications, to need more medical care, and will progress slowly Few treatment complications, to need some medical care, and will progress in TX - CORRECT ANSWER >>> Extensive treatment complications, to need more medical care, and will progress slowly During the course of working with a client, you discover that he cannot perform sexually. As an addictions counselor you would: (Choose the BEST answer) Make a referral to a Psychiatrist Make a referral to a Mental Health Professional Make a referral to Medical Doctor Make a referral to a Sex Therapist - CORRECT ANSWER >>> Make a referral to Medical Doctor Mary is three months pregnant and wants to quit smoking. She says she currently smokes a pack of cigarettes a day. You should refer Mary to: (Choose the BEST answer) Her nearest pharmacy for nicotine patches or gum A medical doctor Social services A psychologist - CORRECT ANSWER >>> A medical doctor
A client of yours was not hired for a position after the employer discovered that he is a recovering alcoholic. You feel that your client would be an excellent candidate for the job and know that he has been sober for over a year. What should you do? Offer your client a job working with you Offer to help your client sue the employer for discrimination Discuss other employment options with your client Write the employer a letter, with the client's consent, explaining why he would be a good candidate for the position - CORRECT ANSWER >>> Write the employer a letter, with the client's consent, explaining why he would be a good candidate for the position You are an intake counselor working in a drug treatment facility. When you screen for suicide potential, your most important concern should be lethal plan, means, and opportunity. When you identify that the client in front of you presents these qualities you should: (Choose the BEST answer) Contact her family in order to provide her support and taking steps to maintain her safety Contact your supervisor, to maintain her safety Call the police to have her Baker Acted into protective custody to maintain her safety Begin a crisis intervention, taking steps to maintain her safety - CORRECT ANSWER >>> Begin a crisis intervention, taking steps to maintain her safety During the screening appointment, the client sitting across from you begins to tell you that he has had to put aluminum foil over his windows to block the radio transmissions, and stop the voices. As an Addictions Counselor you should: Terminate the interview and arrange for this client to be screened and evaluated by a mental health counselor Following the interview, arrange for this client to be screened and evaluated at a mental health crisis unit Following the interview, give this client a referral to a mental health provider
One of your clients is a 40 year old chronic alcoholic male, a veteran of the USMC. He has begun treatment after a family intervention. During group he has expressed his anger towards his employer, and his coworkers, whom he feels is treating him unfairly. This client, when he was drinking was abusive to his wife and children. You know that he is a hunter, and has firearms in the home. He has become withdrawn and sullen. According to his assessment he has few hobbies or outside interests. He often disagrees with other group members and is argumentative. Based on these observations, and in reviewing all of these factors you are concerned that he may be: (Choose the BEST answer) Dangerous to others in his workplace, and make a referral for an evaluation by a Mental Health Counselor Secretly drinking or using drugs. You would do a random drug screen Demonstrating Post Acute Withdrawal Syndrome In the midst of a rela - CORRECT ANSWER >>> Dangerous to others in his workplace, and make a referral for an evaluation by a Mental Health Counselor Based on these observations, and in reviewing all of these factors you are concerned that he may be dangerous to others in his workplace, and make a referral for an evaluation by a Mental Health Counselor. One of your clients witnessed a severe accident in which individuals were killed and badly injured. During group, about a month following the accident, he discloses that he has been having vivid physical reactions which include feelings of panic, shortness of breath, sweating, a tightness in his chest and palpitations. As an addictions counselor you would recognize these symptoms as: (Choose the BEST answer) Possible evidence of a Schizoid Disorder and make a referral to a mental health professional for an evaluation Possible evidence of a health disorder and make a referral to a medical health professional for an evaluation Possible evidence of Post Traumatic Stress Disorder and make a referral to a mental health professional for an evaluation
Possible evidence of Depression and make a referral to a mental health professional for an evaluation - CORRECT ANSWER >>> Possible evidence of Post Traumatic Stress Disorder and make a referral to a mental health professional for an evaluation These symptoms, feelings of panic, shortness of breath, sweating, a tightness in his chest and palpitations are possible evidence of Post Traumatic Stress Disorder, and would justify a referral to a mental health professional for an evaluation. Which of these clients most need a referral to a physician? A 25 year old female who has relapsed using crack cocaine following a miscarriage A 53 year old woman grieving for a longer than normal period for her deceased husband A 47 year old man with a history of depression who suddenly exhibits bouts of rage A 12 year old boy who has been using inhalants - CORRECT ANSWER >>> A 47 year old man with a history of depression who suddenly exhibits bouts of rage The DSM-5 defines "Psychological Stressor" as: A chemical or biological agent that aggravates a symptoms of a mental disorder. Any emotional or physical factor that disrupts the normal physiological, cognitive, emotional, or behavioral balance of an individual. An early or premonitory sign or symptom of a disorder. Any life event or life change that may be associated temporally (and perhaps causally) with the onset, occurrence, or exacerbation of a mental disorder. - CORRECT ANSWER >>> Any life event or life change that may be associated temporally (and perhaps causally) with the onset, occurrence, or exacerbation of a mental disorder. The DSM-5 defines "Psychological Stressor" as: Any life event or life change that may be associated temporally (and perhaps causally) with the onset, occurrence, or exacerbation of a mental disorder. For example, the diagnosis of Conversion Disorder (Functional Neurological Symptom Disorder) requires the examiner to specify: with psychological stressor (specify stressor) or without psychological stressor.
Disorders involving the amount, quality, or timing of sleep. Disorders of sleep involving abnormal behaviors or physiological events occurring during sleep or sleep-wake transitions. Undesired daytime sleep episodes caused by excessive sleepiness. Primary disorders of sleep or wakefulness characterized by insomnia or hypersomnia. - CORRECT ANSWER >>> Primary disorders of sleep or wakefulness characterized by insomnia or hypersomnia. The DSM-5 defines "Parasomnias" as: Disorders of sleep involving abnormal behaviors or physiological events occurring during sleep or sleep-wake transitions. Parasomnias are different from dyssomnias, which the DSM-5 defines as primary disorders of sleep or wakefulness characterized by insomnia or hypersomnia as the major presenting symptom. Dyssomnias are disorders of the amount, quality, or timing of sleep. Disorders of sleep involving abnormal behaviors or physiological events occurring during sleep or sleep-wake transitions. - CORRECT ANSWER >>> Parasomnias DSM-5 defines as primary disorders of sleep or wakefulness characterized by insomnia or hypersomnia as the major presenting symptom. Disorders of the amount, quality, or timing of sleep - CORRECT ANSWER >>> Dyssomnias The DSM-5 defines "Auditory Hallucination" as: A hallucination involving the perception of sound, most commonly of voice. A sensory perception that has the compelling sense of reality of a true perception but that occurs without external stimulation of the relevant sensory organ. A hallucination when one may continue to speak even though no one is listening. A misperception of a real external stimulus, such as hearing the rustling of leaves as the sound of voices. - CORRECT ANSWER >>> The DSM-5 defines "Auditory Hallucination" as: A hallucination involving the perception of sound, most commonly of voice.
In general, consist of perception-like experiences with the clarity and impact of a true perception but without the external stimulation of the relevant sensory organ. One person may recognize the false sensory experience, whereas another may be convinced that the experience is grounded in reality. Are further categorized as: auditory, geometric, visual, gustatory, mood- congruent, mood-incongruent, olfactory, somatic, tactile, and visual. **- CORRECT ANSWER
** Hallucinations The DSM-5 defines "Olfactory Hallucination" as: An imagined perception that people are conspiring to steal one's nose (or other sensory body part). An imagined perception where one envisions people having multiple noses or lacking one altogether. An imagined perception involving the sensation of electric shocks. An imagined perception involving odor, such as burning rubber or decaying fish. - CORRECT ANSWER >>> An imagined perception involving odor, such as burning rubber or decaying fish. The DSM-5 defines "Echolalia" as: The pathological, parrot-like, and apparently senseless repetition (echoing) of a word or phrase just spoken by another person. A nearly continuous flow of accelerated speech with abrupt changes from topic to topic. Repetition by imitation of the movements of another. The action is not a willed or voluntary one and has a semiautomatic and uncontrollable quality. Discordance between affective expression and the content of speech or ideation. - CORRECT ANSWER >>> The pathological, parrot-like, and apparently senseless repetition (echoing) of a word or phrase just spoken by another person. Echolalia falls under Criterion B - restricted, repetitive patterns of behavior, interests, or activities required to diagnose Autism Spectrum Disorder. Echolalia is also one of the behaviors that characterizes complex vocal tics necessary in the diagnosis of Tourette's Disorder and Persistent (Chronic) Motor or Vocal Tic Disorder.
A hallucination involving sight, which may consist of formed images, such as of people, or of unformed images, such as flashes of light. The misinterpretation of a real external stimulus. - CORRECT ANSWER >>> The visual perception that objects are smaller than they actually are. Micropsia is a diagnostic criteria under substance use disorders, like Hallucinogen Persisting Perception Disorder. The DSM-5 defines "Tic" as: Stereotyped or repetitive/rhythmic motor movements, use of objects, or speech. Repetitive, seemingly driven, and nonfunctional motor behavior. The manifestation of impaired skills requiring motor coordination. An involuntary, sudden, rapid, recurrent, nonrhythmic motor movement or vocalization. - CORRECT ANSWER >>> An involuntary, sudden, rapid, recurrent, nonrhythmic motor movement or vocalization. Tics are often associated under neurodevelopmental motor disorders that include Developmental Coordination Disorder, Stereotypic Movement Disorder, Tourette's Disorder, Persistent (Chronic) Motor or Vocal Tic Disorder, and Provisional Tic Disorder. The duration, presumed etiology, and clinical presentation define the specific tic disorder that is diagnosed; Diagnostic Criterion A states that "Both multiple motor and one or more vocal tics have been present at some time during the illness, although not necessarily concurrently." - CORRECT ANSWER >>> Tourette's Disorder Criterion A states that "Single or multiple motor OR vocal tics have been present during the illness, but NOT BOTH motor and vocal." - CORRECT ANSWER >>> Persistent Motor or Vocal Tic Disorder Criterion A states that there should be a "single or multiple motor and/or vocal tics." - CORRECT ANSWER >>> Provisional Tic Disorder
The DSM-5 defines "Irritable Mood" as: A pervasive and sustained emotion that colors the perception of the world. An unpleasant mood, such as anxiety, or irritability. Mood with the absence of depressed or elevated affect. Easily annoyed and provoked to anger. - CORRECT ANSWER >>> Easily annoyed and provoked to anger. The DSM-5 defines "Late Insomnia" as: Awakening in the middle of the night followed by eventual return to sleep, but with difficulty. Difficulty in falling asleep. Early-morning awakening with an inability to return to sleep. A subjective complaint of difficulty falling or staying asleep or poor sleep quality. - CORRECT ANSWER >>> Early-morning awakening with an inability to return to sleep. In general, refers to a subjective complaint of difficulty falling or staying asleep or poor sleep quality. Different manifestations of insomnia can occur at different times of the sleep period; these are: Initial insomnia/Sleep-onset insomnia; Sleep maintenance insomnia/Middle insomnia); and Late insomnia. Difficulty maintaining sleep is the most common single symptom of insomnia, followed by difficulty falling asleep, while a combination of these symptoms is the most common presentation overall. - CORRECT ANSWER >>> INSOMNIA Difficulty maintaining sleep is the most common single symptom, followed by difficulty falling asleep, while a combination of these symptoms is the most common presentation overall. - CORRECT ANSWER >>> INSOMNIA The DSM-5 defines "Unexpected Panic Attack" as: A panic attack that almost invariably occurs immediately on exposure to, or in anticipation of, a situational trigger.
In the DSM-5, "defined as: Speech that is increased in amount, accelerated, and difficult or impossible to interrupt. Usually it is also loud and emphatic. Frequently the person talks without any social stimulation and may continue to talk even though no one is listening. - CORRECT ANSWER >>> "PRESSURED SPEECH Group participants have a right to expect Information about the ___________ risks involved in group participation. Mental health Psychological Emotional Spiritual - CORRECT ANSWER >>> Psychological A couple attends couples treatment together for the first three sessions. They have been fighting quite a bit lately and the man has said he is coming to treatment but only because he feels he has no choice. The girl friend doesn't seem to be responsive, either. At the fourth session, the girl friend tells the addiction professional that her partner couldn't come. She says she is secretly happy to have the addiction professional all to herself so she can get things off her chest without her partner around. What should the addiction professional do? Do not see her this time, explaining that she and her boyfriend must make the effort to both show up together Call the boyfriend to ask him why he has not come to the treatment session See her, but let her know that her boyfriend will also be entitled to a confidential session Continue the session but let her know that you won't maintain confidentiality from her boyfri - CORRECT ANSWER >>> Continue the session but let her know that you won't maintain confidentiality from her boyfriend next session Since the addiction professional has been working with the couple as a couple, the addiction professional must explain to the woman that anything she tells the clinician must be shared with the other party or the clinician will be unable to continue to work with them.
Martha is a therapist who subleases an office. To save money, her peer supervision group began meeting at a local coffee shop to avoid the additional hourly charge that had to be paid and instead, assigned random case numbers so that no identifying information would need to be verbalized when discussing a case. Martha has: Found an efficient way to improve her practice's 'bottom line' while increasing her client's care Violated labor laws by seeking reimbursement for services in a non-clinical setting Violated the code of ethics by not maintaining discussion of client information in a setting where she can be reasonable certain of client privacy Violated her client's privacy by failing to document this practice in her client's informed consent for treatment. - CORRECT ANSWER >>> Violated the code of ethics by not maintaining discussion of client information in a setting where she can be reasonable certain of client privacy Ethical standards call for not discussing any case related materials outside a setting in which one can reasonable presume client privacy. This precludes public or semi-public settings. This would also preclude common areas in agency or medical settings (i.e. the elevator, hallways) One may consider "duty to warn": Necessary, but not a sufficient condition for protection Ethics protecting the public A legal decision affecting therapists Government deciding for the therapist - CORRECT ANSWER >>> A legal decision affecting therapists "Duty to warn" is case law that came out of the now famous Tarasoff v. Board of Regents of California decision in 1976. This law mandates that when practitioners become aware of a threat of physical harm to an identifiable individual or to the public welfare, the practitioners have the legal responsibility to take some action to protect the intended victim from their client. This duty can be usually discharged by a phone call to the proper authorities. When reporting incidents of child abuse, you should
