NCAC/CADC II Exam Study Materials With Correct Solutions
crisis management - (Answer)1. Focuses on present or immediate past.
2. Goal is to have situation subside.
3. Meet in person if possible, nonverbal communication is important
4. Uses verbal de-escalation, establishes rapport, NOT long history of the problem.
Relapse Prevention - (Answer)A focus on changing one's lifestyle to healthy and positive changes
which set a strong foundation to ward off triggers and temptations.
-Concentrates on coping and prevention skills necessary to be prepared throughout the process.
-Does not end abruptly
-If it happens, it should be seen as a learning experience
-Focuses on cognitive and behavioral techniques
CENAPS Components - (Answer)1. Assessment
2. Warning Sign Identification
3. Warning Sign Management
4. Recovery Planning
5. Relapse Early Intervention Training
CENAPS Stages - (Answer)1. Transition: accept powerlessness and abstinence as the only solution.
2. Stabilization: recuperate from effects of withdrawal, work through feelings of guilt, shame, and
remorse
3. Early Recovery: Live with the past and who we are individually.
4. Middle Recovery: repair damage addiction has caused
5. Late Recovery: overcome dysfunction and obstacles to healthy living
6. Maintenance: continually grow and practice daily recovery
,NCAC/CADC II Exam Study Materials With Correct Solutions
CENAPS Definition - (Answer)Center of applied science; Terrence Gorski: addiction is a disease and
strives for the client to be completely abstinent and make positive changes in lifestyle through five
stages or components.
Abstinence Violation Effect - (Answer)Marlatt & Gordon: A reaction to an initial lapse that influences
whether it becomes a full-blown relapse. Focuses on emotional response to lapse and causes of lapse.
The progression from lapse to relapse is NOT inevitable.
Marlatt & Gordon's Model - (Answer)Relapse is caused by immediate determinants and covert
antecedents.
Immediate Determinants: High risk situation coping skills, outcome expectations, abstinence violation
affect
Covert Antecedents: Lifestyle factors, urges, and cravings.
Use both specific and global intervention strategies.
Specific: identify high-risk situation, and hence coping skills, self efficacy, illuminate myths about
effects, manage lapses, restructure perception of relapse process.
Global: balance lifestyle, develop positive addictions, stimulus control and urge management
techniques, relapse roadmaps.
EBP goals - (Answer)EBP provide scientific evidence of why certain treatments work.
The goal is to help the process as a whole, not eradicate other means
EBPs incorporate opinions of clinical experts, uses science to determine usable evidence, incorporates
individual tendencies of client and caregiver into the treatment plan.
Motivational Enhancement - (Answer)Proposes to quicken the process to encourage rapid
development through initial assessment. This includes battery assessment and individual sessions at a
rapid pace.
Contingency Management - (Answer)A type of behavioral therapy where patients are rewarded or
reinforced for positive changes. Uses positive reinforcement to increase a behavior or frequency.
,NCAC/CADC II Exam Study Materials With Correct Solutions
EX: gift cards for negative UA's.
Cultural Accommodation vs. Adaptation - (Answer)Cultural accommodation: modifies how a model is
delivered for better understanding.
Cultural adaptation: changes the actual structure of the model for cultural reasons.
Trauma Informed vs Specific - (Answer)Trauma informed: provides information about potential
traumas and how to handle them.
Trauma specific: deals with treating effects from a specific event that caused the trauma.
Qualitative vs Quantitative Assessment - (Answer)Qualitative: considers less tangible factors:
observations, gut reaction.
Quantitative: based on facts and associated data
Ethical consideration precedence - (Answer)1. Law: nothing supersedes federal or state law.
2. Precedent by caselaw
3. Common sense
4. Administrative rule
5. Contracts
Trauma Informed Care Principles - (Answer)Decisions are collaborative and team-based, not from a
single source.
1: understanding trauma and its affects.
2. safety.
3. help client gain regain control.
4. sharing of power.
5. cultural sensitivities power
, NCAC/CADC II Exam Study Materials With Correct Solutions
6. integrating care.
7. establish or repair relationships.
8. ensure possibility of recovery.
Elements of Morality - (Answer)1. The counselor as a person: the counselor's understanding of right
and wrong through experience in life events.
2. A moral sense: innate sense of right and wrong that develops throughout one's life.
3. Values: what is important in a persons life.
Daily Ethical Conduct - (Answer)1. provide informed consent.
2. operate in a competent manner.
3. ensure confidentiality.
4. maintain appropriate relationship boundaries.
5. utilize adequate consultation.
6. honor personal and cultural values.
Informed Consent Parts - (Answer)1. client must be of stable mind to think rationally
2. client was understand the issue at hand
3. client must not be held against their will
Cultural Competence - (Answer)1. Destructiveness
2. Incapacity
3. Blindness
4. Pre-Competence
5. Competence & Proficiency
crisis management - (Answer)1. Focuses on present or immediate past.
2. Goal is to have situation subside.
3. Meet in person if possible, nonverbal communication is important
4. Uses verbal de-escalation, establishes rapport, NOT long history of the problem.
Relapse Prevention - (Answer)A focus on changing one's lifestyle to healthy and positive changes
which set a strong foundation to ward off triggers and temptations.
-Concentrates on coping and prevention skills necessary to be prepared throughout the process.
-Does not end abruptly
-If it happens, it should be seen as a learning experience
-Focuses on cognitive and behavioral techniques
CENAPS Components - (Answer)1. Assessment
2. Warning Sign Identification
3. Warning Sign Management
4. Recovery Planning
5. Relapse Early Intervention Training
CENAPS Stages - (Answer)1. Transition: accept powerlessness and abstinence as the only solution.
2. Stabilization: recuperate from effects of withdrawal, work through feelings of guilt, shame, and
remorse
3. Early Recovery: Live with the past and who we are individually.
4. Middle Recovery: repair damage addiction has caused
5. Late Recovery: overcome dysfunction and obstacles to healthy living
6. Maintenance: continually grow and practice daily recovery
,NCAC/CADC II Exam Study Materials With Correct Solutions
CENAPS Definition - (Answer)Center of applied science; Terrence Gorski: addiction is a disease and
strives for the client to be completely abstinent and make positive changes in lifestyle through five
stages or components.
Abstinence Violation Effect - (Answer)Marlatt & Gordon: A reaction to an initial lapse that influences
whether it becomes a full-blown relapse. Focuses on emotional response to lapse and causes of lapse.
The progression from lapse to relapse is NOT inevitable.
Marlatt & Gordon's Model - (Answer)Relapse is caused by immediate determinants and covert
antecedents.
Immediate Determinants: High risk situation coping skills, outcome expectations, abstinence violation
affect
Covert Antecedents: Lifestyle factors, urges, and cravings.
Use both specific and global intervention strategies.
Specific: identify high-risk situation, and hence coping skills, self efficacy, illuminate myths about
effects, manage lapses, restructure perception of relapse process.
Global: balance lifestyle, develop positive addictions, stimulus control and urge management
techniques, relapse roadmaps.
EBP goals - (Answer)EBP provide scientific evidence of why certain treatments work.
The goal is to help the process as a whole, not eradicate other means
EBPs incorporate opinions of clinical experts, uses science to determine usable evidence, incorporates
individual tendencies of client and caregiver into the treatment plan.
Motivational Enhancement - (Answer)Proposes to quicken the process to encourage rapid
development through initial assessment. This includes battery assessment and individual sessions at a
rapid pace.
Contingency Management - (Answer)A type of behavioral therapy where patients are rewarded or
reinforced for positive changes. Uses positive reinforcement to increase a behavior or frequency.
,NCAC/CADC II Exam Study Materials With Correct Solutions
EX: gift cards for negative UA's.
Cultural Accommodation vs. Adaptation - (Answer)Cultural accommodation: modifies how a model is
delivered for better understanding.
Cultural adaptation: changes the actual structure of the model for cultural reasons.
Trauma Informed vs Specific - (Answer)Trauma informed: provides information about potential
traumas and how to handle them.
Trauma specific: deals with treating effects from a specific event that caused the trauma.
Qualitative vs Quantitative Assessment - (Answer)Qualitative: considers less tangible factors:
observations, gut reaction.
Quantitative: based on facts and associated data
Ethical consideration precedence - (Answer)1. Law: nothing supersedes federal or state law.
2. Precedent by caselaw
3. Common sense
4. Administrative rule
5. Contracts
Trauma Informed Care Principles - (Answer)Decisions are collaborative and team-based, not from a
single source.
1: understanding trauma and its affects.
2. safety.
3. help client gain regain control.
4. sharing of power.
5. cultural sensitivities power
, NCAC/CADC II Exam Study Materials With Correct Solutions
6. integrating care.
7. establish or repair relationships.
8. ensure possibility of recovery.
Elements of Morality - (Answer)1. The counselor as a person: the counselor's understanding of right
and wrong through experience in life events.
2. A moral sense: innate sense of right and wrong that develops throughout one's life.
3. Values: what is important in a persons life.
Daily Ethical Conduct - (Answer)1. provide informed consent.
2. operate in a competent manner.
3. ensure confidentiality.
4. maintain appropriate relationship boundaries.
5. utilize adequate consultation.
6. honor personal and cultural values.
Informed Consent Parts - (Answer)1. client must be of stable mind to think rationally
2. client was understand the issue at hand
3. client must not be held against their will
Cultural Competence - (Answer)1. Destructiveness
2. Incapacity
3. Blindness
4. Pre-Competence
5. Competence & Proficiency
