NAADAC PRACTICE REVIEW BANK 2026
EXPERT SOLUTIONS PROVIDED
⫸ ____________________ 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. Answer:
assessment
⫸ A client tells a counselor that she is unhappy with the way her
treatment is progressing. The counselor should Answer: discuss these
concerns with the client and make necessary adjustments in treatment
goals
⫸ A female client retorts that she has some concerns about the
relationship between her husband and her 14 year old daughter from a
previous marriage. She report that her husband a d daughter
frequently argue, that her daughter refuses to tame direction from her
stepfather and that her daughter regularly describes how her
biological father is better. The MOST relevant professional to whom a
referral should be made is a Answer: marriage and family therapist
⫸ A key factor for counselors to consider is that in a counseling
relationship, the coy selor has differential power. one of the best
safeguards is Answer: to be alert to understand the power relationship
⫸ A pretreatment period is frequently the result of waiting lists or
client reluctance to become fully engaged in primary treatment. what
,might be a danger of this pretreatment period? Answer: the
pretreatment period may be when clients lose interest in treatment
⫸ According to Marlatt's model of the relapse process, which of the
following statements is not true? Answer: Clients should be helped to
recognize that one or more temporary lapses are likely to occur and
are permitted
⫸ Bob is a case manager in an intensive inpatient trestment facility.
He recently was assigned a client, Mary, who presents not only with
alcoholism but has also been diagnosed with AIDS. to assist Mary in
her treatment and recovery needs, Bob would probably need to habe
knowledge of all of the following except: Answer: new medication.
used in treatment regimens
⫸ Counselors rely heavily on the work of developmental theorists as
they attempt to stimulate clients to initiate relevant growth. According
to Eriksin, one of the leaders in developmental theory, the task to be
accomplished in adulthood is: Answer: intimacy vs isolation
⫸ Drug use by adolescents is: Answer: most affected by peer drug
use
⫸ During the intake, a counselor can expect to address all of the
following issues EXCEPT: Answer: treatment planning
,⫸ Effective case management for persons in need of multiple
services requires: Answer: monitoring, feedback and evaluation of
services
⫸ In determining whether a chemically dependant patient should be
treated in an inpatient or outpatient program, all of the following
should be considered EXCEPT: Answer: whether the patient has a
history of sobriety during the last several years
⫸ Long-term effects of alcoholism may include: Answer: cerebral
atrophy and cardiovascular damage
⫸ It is crucial for the case manager to be aware of what may inhibit
minorities participation in the substance abuse treatment continuum.
Suppose that you are a case manager, working in an outpatient
program with a Somali client. AA is an integral part of tour program,
yet you are aware of the fact that while "accepting ones
powerlessness" is a central tenet of the 12 step self help programs,
members of oppressed groups may not accept it, given their own
societal powerlessness. What would be the best thing to do in such
case? Answer: Be sensitive to such cultural differences and seek out
other recovery resources that are relevant to the individuals values.
⫸ It is important to understand clients and their expectations for
counseling. Client's coming in for treatment carry with them both
helpful and harmful expecrstiins. Which of the following is a harmful
client expectation? Answer: "My counselor will direct me to do what I
need to do and everything will be okay"
, ⫸ 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: Answer:
assess Joe's potential for suicide by asking him about his intent and
evaluating his high risk factors.
⫸ 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: Answer: concreteness
⫸ One of the earliest models for case management services in the
criminal justice system was created in 1972, when the White House
launched a demonstration program known as: Answer: Treatment
Alternatives to Street Crime (TASC)
⫸ Ralph is a recovering alcoholic. He has been sober for 10 months
and has managed to find employment and re-establish family
relationships. He is in a 12 step program as well as individual
counseling. One day, he arrives to a counseling session upset. He
reveals that he had a "slip" and drank a whiskey at a partt. He did not
get drunk, but feels remorseful and has promised himself that he will
not donor again. Which of the following is most true? Answer: the
counselor should talk to Ralph about the implications of dangerous
situations like this. bit assure him that it is possible to continue his
recovery process
EXPERT SOLUTIONS PROVIDED
⫸ ____________________ 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. Answer:
assessment
⫸ A client tells a counselor that she is unhappy with the way her
treatment is progressing. The counselor should Answer: discuss these
concerns with the client and make necessary adjustments in treatment
goals
⫸ A female client retorts that she has some concerns about the
relationship between her husband and her 14 year old daughter from a
previous marriage. She report that her husband a d daughter
frequently argue, that her daughter refuses to tame direction from her
stepfather and that her daughter regularly describes how her
biological father is better. The MOST relevant professional to whom a
referral should be made is a Answer: marriage and family therapist
⫸ A key factor for counselors to consider is that in a counseling
relationship, the coy selor has differential power. one of the best
safeguards is Answer: to be alert to understand the power relationship
⫸ A pretreatment period is frequently the result of waiting lists or
client reluctance to become fully engaged in primary treatment. what
,might be a danger of this pretreatment period? Answer: the
pretreatment period may be when clients lose interest in treatment
⫸ According to Marlatt's model of the relapse process, which of the
following statements is not true? Answer: Clients should be helped to
recognize that one or more temporary lapses are likely to occur and
are permitted
⫸ Bob is a case manager in an intensive inpatient trestment facility.
He recently was assigned a client, Mary, who presents not only with
alcoholism but has also been diagnosed with AIDS. to assist Mary in
her treatment and recovery needs, Bob would probably need to habe
knowledge of all of the following except: Answer: new medication.
used in treatment regimens
⫸ Counselors rely heavily on the work of developmental theorists as
they attempt to stimulate clients to initiate relevant growth. According
to Eriksin, one of the leaders in developmental theory, the task to be
accomplished in adulthood is: Answer: intimacy vs isolation
⫸ Drug use by adolescents is: Answer: most affected by peer drug
use
⫸ During the intake, a counselor can expect to address all of the
following issues EXCEPT: Answer: treatment planning
,⫸ Effective case management for persons in need of multiple
services requires: Answer: monitoring, feedback and evaluation of
services
⫸ In determining whether a chemically dependant patient should be
treated in an inpatient or outpatient program, all of the following
should be considered EXCEPT: Answer: whether the patient has a
history of sobriety during the last several years
⫸ Long-term effects of alcoholism may include: Answer: cerebral
atrophy and cardiovascular damage
⫸ It is crucial for the case manager to be aware of what may inhibit
minorities participation in the substance abuse treatment continuum.
Suppose that you are a case manager, working in an outpatient
program with a Somali client. AA is an integral part of tour program,
yet you are aware of the fact that while "accepting ones
powerlessness" is a central tenet of the 12 step self help programs,
members of oppressed groups may not accept it, given their own
societal powerlessness. What would be the best thing to do in such
case? Answer: Be sensitive to such cultural differences and seek out
other recovery resources that are relevant to the individuals values.
⫸ It is important to understand clients and their expectations for
counseling. Client's coming in for treatment carry with them both
helpful and harmful expecrstiins. Which of the following is a harmful
client expectation? Answer: "My counselor will direct me to do what I
need to do and everything will be okay"
, ⫸ 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: Answer:
assess Joe's potential for suicide by asking him about his intent and
evaluating his high risk factors.
⫸ 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: Answer: concreteness
⫸ One of the earliest models for case management services in the
criminal justice system was created in 1972, when the White House
launched a demonstration program known as: Answer: Treatment
Alternatives to Street Crime (TASC)
⫸ Ralph is a recovering alcoholic. He has been sober for 10 months
and has managed to find employment and re-establish family
relationships. He is in a 12 step program as well as individual
counseling. One day, he arrives to a counseling session upset. He
reveals that he had a "slip" and drank a whiskey at a partt. He did not
get drunk, but feels remorseful and has promised himself that he will
not donor again. Which of the following is most true? Answer: the
counselor should talk to Ralph about the implications of dangerous
situations like this. bit assure him that it is possible to continue his
recovery process
