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CADC Pre-Test Exam: Questions and Answers for Alcohol and Drug Counseling, Exams of Psychology

A series of multiple-choice questions and answers related to the certified alcohol and drug counselor (cadc) pre-test exam. it covers various aspects of addiction counseling, including client assessment, treatment approaches, family dynamics, and ethical considerations. The questions assess knowledge of pharmacology, behavioral approaches, and counseling techniques relevant to substance abuse treatment. the detailed answers offer valuable insights into the subject matter, making it a useful study resource for students and professionals in the field.

Typology: Exams

2024/2025

Available from 04/26/2025

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CERTIFIED ALCOHOL AND DRUG COUNSELOR
CADC PRE-TEST EXAM ||2025-2026||CDAC PRE-TEST
EXAM /180 QUESTIONS AND CORRECT VERIFIED
ANSWERS|ALREADY GRADED A+
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"
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Download CADC Pre-Test Exam: Questions and Answers for Alcohol and Drug Counseling and more Exams Psychology in PDF only on Docsity!

CERTIFIED ALCOHOL AND DRUG COUNSELOR

CADC PRE-TEST EXAM || 2025 - 2026||CDAC PRE-TEST

EXAM /180 QUESTIONS AND CORRECT VERIFIED

ANSWERS|ALREADY GRADED A+

  1. 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.
  2. 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.
  3. 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"
  1. 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."
  2. 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.
  3. 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.
  4. 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.
  1. Which of the following is MOST helpful for counselors in defining their professional roles for counseling clients? A. An understanding of self-help groups B. An ethical code of conduct C. Certification D. An advanced degree - ANSWER B. An ethical code of conduct
  2. 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.
  3. 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
  4. 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.

  1. 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.
  2. 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 meetings. The counselor helped Bill deal with his feelings by encouraging him to "A, B, C" his thoughts about what people might think of him if seen at meetings and documented the client's progress in his chart with a process note. In addition, Bill was provided a set of videotapes which provided information about

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

  1. 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.
  2. 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.
  3. 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

  1. 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 reANSWER 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 reANSWER
  2. 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.
  3. 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.
  1. 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."
  2. 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.
  3. 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
  4. 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.

  1. The PRIMARY purpose of professional standards of practice is to: 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.
  2. 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.
  3. 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."
  1. In determining whether a chemically dependent patient should be treated in an inpatient or outpatient program, all of the following should be considered EXCEPT: 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.
  2. 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.
  3. 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.

  1. "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.
  2. 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. 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.

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.

  1. 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. D. Codependents Anonymous. - ANSWER A. Rational Recovery
  2. Because addiction affects so many facets of the addicted person's life, promotes recovery and enables the substance abuse client to fully integrate into society as a healthy, substance-free individual. A. Detoxification and stabilization B. Psychological evaluation and treatment C. Integration into a self-help recovery program D. A comprehensive continuum of services - ANSWER D. A comprehensive continuum of services
  3. A "Release of Information" form must include, in addition to the client's name, address and date of birth, which of the following? A. The client's ethnic background B. A signature by a medical doctor C. The purpose of the release of information D. The client's social security number - ANSWER C. The purpose of the release of

information

  1. What was the PRIMARY ethical issue in this case? A. The counselor and client were planning to carpool to aftercare B. The client's motivation was questionable because he was forced into treatment. C. The counselor minimized the client's employment problem D. The counselor made a referral which was not directly related to the alcohol problem. - ANSWER A. The counselor and client were planning to carpool to aftercare
  2. Which of the following client behaviors contributed the most to the counselor's development of the provisional diagnosis of "alcohol dependency?" A. The client admitting all of his legal problems were alcohol related B. The client's denial of use of prescription medication C. The client's report of increased use of alcohol and occasional memory loss D. The client's conviction for his second DUI offense - ANSWER C. The client's report of increased use of alcohol and occasional memory loss
  3. During the assessment process, your alcohol and tranquilizer abusing client reveals a history of self-destructiveness when frustrated and an inability to delay impulses. The MOST appropriate assessment battery in this case is: A. The Beck Depression Scale , the MAST test, and the MMPI. B. The Beck Depression Scale the MAST test, and the Stanford-Binet. C. The MAST test, the Strong-Campbell, and the Stanford-Binet. D. The MMPI, the Strong-Campbell, and the Stanford-Binet. - ANSWER A. The Beck Depression Scale

A. Reviewing documentation in progress notes. B. Consulting with the client's significant others. C. Referring the client to a professional outside your agency for an objective review. D. Asking the client to write a personal evaluation of his/her own progress. - ANSWER A. Reviewing documentation in progress notes.

  1. During the intake, a counselor can expect to address all of the following issues EXCEPT: A. A client's fears and denial. B. Confidentiality. C. Information gathering. D. Treatment planning. - ANSWER D. Treatment planning.
  2. Which of the following responses would be helpful ¡n establishing a therapeutic relationship with a client? A. "What's the matter with you? Why didn't you just take care of the problem yourself?" B. "Let's get right to the point. You've got a drinking problem" C. "Let's talk about each of our expectations for counseling" D. "Let me tell you what you need to stay sober" - ANSWER C. "Let's talk about each of our expectations for counseling"
  3. The completion of various forms, including releases of information, financial, and consent for treatment, happens during the client's: A. Intake. B. Orientation. C. Case review. D. Psychosocial assessment. - ANSWER A. Intake
  1. 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.
  2. Which of the following is a TRUE statement? A. Alcohol accounts for one-half of the ten leading causes of death in the Native American population. B. Cultural issues no longer play a role in alcoholism rates with the Native American population. C. Past efforts to treat the Native American alcoholic have proven highly successful. D. Revia has proven to be a popular intervention in the effective treatment of Native American populations. - ANSWER A. Alcohol accounts for one-half of the ten leading causes of death in the Native American population
  3. During a session you notice that the client is getting progressively more agitated. You suspect a potential for violence unless something is done immediately. Your BEST course of action would be to: A. Summarize the inappropriateness of the client's feelings. B. Confront the client's behavior.