Addiction Counsellor I (CPAC I) Exam
,Question 1. Which broader subject area best matches the topic 'Psychoactive substance classification:
depressants, stimulants, opioids, hallucinogens, cannabis, inhalants, and novel psychoactive substances'?
A. Case Management and Service Coordination
B. Neurobiology, Pharmacology, and Physiology of Substance Use
C. Core Counseling Micro-Skills and Motivational Interviewing
D. Psychological Theories and Behavioral Foundations
Correct Answer: B
Full Explanation: 'Psychoactive substance classification: depressants, stimulants, opioids, hallucinogens, cannabis, inhalants, and novel
psychoactive substances (NPS).' is grouped under the broader area 'Neurobiology, Pharmacology, and Physiology of Substance Use'.
Question 2. Where is 'Pharmacokinetics and pharmacodynamics: routes of administration, absorption,
metabolism, bioavailability, tolerance, cross-tolerance, and' most appropriately placed among the broader
subject areas?
A. Individualized Treatment Planning
B. Neurobiology, Pharmacology, and Physiology of Substance Use
C. Screening Protocols and Initial Engagement
D. Core Counseling Micro-Skills and Motivational Interviewing
Correct Answer: B
Full Explanation: 'Pharmacokinetics and pharmacodynamics: routes of administration, absorption, metabolism, bioavailability,
tolerance, cross-tolerance, and elimination.' is grouped under the broader area 'Neurobiology, Pharmacology, and Physiology of
Substance Use'.
Question 3. A task centered on 'Neurochemistry of reward and dependency: dopamine pathways,
mesolimbic system, GABA/glutamate balance, and receptor neuroadaptation.' falls under which broader
area?
A. Neurobiology, Pharmacology, and Physiology of Substance Use
B. Individualized Treatment Planning
C. Case Management and Service Coordination
D. Psychological Theories and Behavioral Foundations
Correct Answer: A
Full Explanation: 'Neurochemistry of reward and dependency: dopamine pathways, mesolimbic system, GABA/glutamate balance, and
receptor neuroadaptation.' is grouped under the broader area 'Neurobiology, Pharmacology, and Physiology of Substance Use'.
Question 4. Which heading provides the best match for 'Acute intoxication, physiological tolerance,
physical dependence, acute withdrawal syndromes, and Post-Acute Withdrawal Syndrome (PAWS).'?
A. Neurobiology, Pharmacology, and Physiology of Substance Use
B. Reflective Practice and Supervision
C. Individualized Treatment Planning
D. Ethical Principles and Scope of Practice
Correct Answer: A
Full Explanation: 'Acute intoxication, physiological tolerance, physical dependence, acute withdrawal syndromes, and Post-Acute
Withdrawal Syndrome (PAWS).' is grouped under the broader area 'Neurobiology, Pharmacology, and Physiology of Substance Use'.
Question 5. For 'Physiological consequences of chronic substance use: organ systems impact, teratogenic
effects, infectious diseases (HIV, HCV), and overdose', which broader subject area is the correct
classification?
A. Reflective Practice and Supervision
B. Evidence-Based Clinical Interventions
C. Group, Family, and Crisis Counseling
D. Neurobiology, Pharmacology, and Physiology of Substance Use
Correct Answer: D
Full Explanation: 'Physiological consequences of chronic substance use: organ systems impact, teratogenic effects, infectious diseases
(HIV, HCV), and overdose mechanisms.' is grouped under the broader area 'Neurobiology, Pharmacology, and Physiology of Substance
Use'.
2
,Question 6. The topic 'Major psychological paradigms applied to addiction: Psychodynamic, Behaviorism,
Cognitive-Behavioral, Constructivist, and Humanistic-Existential' belongs most directly to which broader
subject area?
A. Psychological Theories and Behavioral Foundations
B. Compassion Fatigue and Practitioner Wellness
C. Neurobiology, Pharmacology, and Physiology of Substance Use
D. Comprehensive Bio-Psycho-Social-Spiritual Assessment
Correct Answer: A
Full Explanation: 'Major psychological paradigms applied to addiction: Psychodynamic, Behaviorism, Cognitive-Behavioral,
Constructivist, and Humanistic-Existential theories.' is grouped under the broader area 'Psychological Theories and Behavioral
Foundations'.
Question 7. Which broader subject area best matches the topic 'Learning theories of addiction: classical
conditioning (cue-reactivity), operant conditioning (reinforcement schedules), and observational'?
A. Individualized Treatment Planning
B. Neurobiology, Pharmacology, and Physiology of Substance Use
C. Compassion Fatigue and Practitioner Wellness
D. Psychological Theories and Behavioral Foundations
Correct Answer: D
Full Explanation: 'Learning theories of addiction: classical conditioning (cue-reactivity), operant conditioning (reinforcement schedules),
and observational learning.' is grouped under the broader area 'Psychological Theories and Behavioral Foundations'.
Question 8. Where is 'Personality theories, trait theory, coping mechanisms, and psychological
vulnerability models.' most appropriately placed among the broader subject areas?
A. Evidence-Based Clinical Interventions
B. Psychological Theories and Behavioral Foundations
C. Screening Protocols and Initial Engagement
D. Individualized Treatment Planning
Correct Answer: B
Full Explanation: 'Personality theories, trait theory, coping mechanisms, and psychological vulnerability models.' is grouped under the
broader area 'Psychological Theories and Behavioral Foundations'.
Question 9. A task centered on 'Etiological models of addiction: moral, disease, biopsychosocial-spiritual,
public health, and social learning models.' falls under which broader area?
A. Evidence-Based Clinical Interventions
B. Individualized Treatment Planning
C. Psychological Theories and Behavioral Foundations
D. Group, Family, and Crisis Counseling
Correct Answer: C
Full Explanation: 'Etiological models of addiction: moral, disease, biopsychosocial-spiritual, public health, and social learning models.' is
grouped under the broader area 'Psychological Theories and Behavioral Foundations'.
Question 10. Which heading provides the best match for 'Administering standardized, evidence-based
screening instruments (e.g., AUDIT, DAST, CAGE, ASSIST, CRAFFT).'?
A. Reflective Practice and Supervision
B. Screening Protocols and Initial Engagement
C. Compassion Fatigue and Practitioner Wellness
D. Legal Regulations and Client Rights
Correct Answer: B
Full Explanation: 'Administering standardized, evidence-based screening instruments (e.g., AUDIT, DAST, CAGE, ASSIST, CRAFFT).' is
grouped under the broader area 'Screening Protocols and Initial Engagement'.
Question 11. For 'Evaluating immediate risk factors: suicide risk, self-harm, medical crises, severe
withdrawal, and risk of harm to others.', which broader subject area is the correct classification?
A. Individualized Treatment Planning
B. Cultural Competence and Diversity
C. Case Management and Service Coordination
D. Screening Protocols and Initial Engagement
Correct Answer: D
Full Explanation: 'Evaluating immediate risk factors: suicide risk, self-harm, medical crises, severe withdrawal, and risk of harm to
others.' is grouped under the broader area 'Screening Protocols and Initial Engagement'.
3
, Question 12. The topic 'Assessing readiness to change, ambivalence, and motivation within the Stages of
Change framework (Transtheoretical Model).' belongs most directly to which broader subject area?
A. Reflective Practice and Supervision
B. Screening Protocols and Initial Engagement
C. Comprehensive Bio-Psycho-Social-Spiritual Assessment
D. Neurobiology, Pharmacology, and Physiology of Substance Use
Correct Answer: B
Full Explanation: 'Assessing readiness to change, ambivalence, and motivation within the Stages of Change framework
(Transtheoretical Model).' is grouped under the broader area 'Screening Protocols and Initial Engagement'.
Question 13. Which broader subject area best matches the topic 'Establishing trauma-informed, culturally
sensitive initial rapport and client orientation to counseling services.'?
A. Cultural Competence and Diversity
B. Neurobiology, Pharmacology, and Physiology of Substance Use
C. Compassion Fatigue and Practitioner Wellness
D. Screening Protocols and Initial Engagement
Correct Answer: D
Full Explanation: 'Establishing trauma-informed, culturally sensitive initial rapport and client orientation to counseling services.' is
grouped under the broader area 'Screening Protocols and Initial Engagement'.
Question 14. Where is 'Conducting comprehensive clinical interviews: substance use history, treatment
history, medical/psychiatric background, and family history.' most appropriately placed among the
broader subject areas?
A. Comprehensive Bio-Psycho-Social-Spiritual Assessment
B. Legal Regulations and Client Rights
C. Reflective Practice and Supervision
D. Case Management and Service Coordination
Correct Answer: A
Full Explanation: 'Conducting comprehensive clinical interviews: substance use history, treatment history, medical/psychiatric
background, and family history.' is grouped under the broader area 'Comprehensive Bio-Psycho-Social-Spiritual Assessment'.
Question 15. A task centered on 'Assessment of functional domains: emotional, cognitive, vocational,
housing, family/social relationships, legal status, and spiritual needs.' falls under which broader area?
A. Comprehensive Bio-Psycho-Social-Spiritual Assessment
B. Neurobiology, Pharmacology, and Physiology of Substance Use
C. Screening Protocols and Initial Engagement
D. Legal Regulations and Client Rights
Correct Answer: A
Full Explanation: 'Assessment of functional domains: emotional, cognitive, vocational, housing, family/social relationships, legal status,
and spiritual needs.' is grouped under the broader area 'Comprehensive Bio-Psycho-Social-Spiritual Assessment'.
Question 16. Which heading provides the best match for 'Identifying co-occurring mental health disorders
(dual diagnosis): mood disorders, anxiety disorders, PTSD/trauma, and personality disorders.'?
A. Comprehensive Bio-Psycho-Social-Spiritual Assessment
B. Legal Regulations and Client Rights
C. Cultural Competence and Diversity
D. Evidence-Based Clinical Interventions
Correct Answer: A
Full Explanation: 'Identifying co-occurring mental health disorders (dual diagnosis): mood disorders, anxiety disorders, PTSD/trauma,
and personality disorders.' is grouped under the broader area 'Comprehensive Bio-Psycho-Social-Spiritual Assessment'.
Question 17. For 'Diagnostic classification applying DSM-5-TR and ICD-11 criteria for Substance Use
Disorders (SUD) and process/behavioral addictions.', which broader subject area is the correct
classification?
A. Neurobiology, Pharmacology, and Physiology of Substance Use
B. Psychological Theories and Behavioral Foundations
C. Ethical Principles and Scope of Practice
D. Comprehensive Bio-Psycho-Social-Spiritual Assessment
Correct Answer: D
Full Explanation: 'Diagnostic classification applying DSM-5-TR and ICD-11 criteria for Substance Use Disorders (SUD) and
process/behavioral addictions.' is grouped under the broader area 'Comprehensive Bio-Psycho-Social-Spiritual Assessment'.
4