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NCAC Exam Guide 2025/2026 | 110+ Practice Questions with Answers | Addiction Studies, Counseling, Ethics, Neurobiology

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This in-depth NCAC (National Certified Addiction Counselor) Exam Study Guide for the 2025/2026 academic year features over 110 carefully curated and fully answered practice questions. The content is structured to provide a comprehensive preparation experience, focusing on key areas essential for success in the NCAC certification exam. Topics covered include types of treatment programs (detox, inpatient, outpatient), addiction screening tools (e.g., MAST, DAST, ASI), ASAM assessment dimensions, relapse stages, and biopsychosocial assessments. The document further explores the neurobiological basis of addiction, including brain structures like the amygdala and prefrontal cortex, as well as neurotransmitters such as dopamine, serotonin, and GABA. Various evidence-based therapeutic approaches are thoroughly outlined, including Cognitive Behavioral Therapy (CBT), Rational Emotive Behavior Therapy (REBT), Motivational Interviewing (MI), and solution-focused therapy. Ethical frameworks are also explained in detail, spanning from principle and virtue ethics to mandatory and aspirational standards relevant to clinical practice. This study guide is highly relevant for students and professionals in Addiction Studies, Clinical Psychology, Mental Health Counseling, Social Work, Behavioral Health, Public Health, and other related programs. It is particularly useful for those preparing for roles such as Addiction Counselor, Case Manager, Clinical Social Worker, or Mental Health Clinician, whether at the undergraduate or graduate level. Keywords: NCAC exam, addiction counseling, practice questions, substance use disorder, ASAM criteria, screening tools, CBT, REBT, motivational interviewing, relapse stages, pharmacotherapy, neurobiology, ethics in counseling, clinical assessment, therapy models

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NCAC Exam Study Guide 2025/2026
Exam Questions and Detailed Answers |
Get it 100% Correct Answers



Detoxification treatment programs - 🧠 ANSWER ✔✔1) Medically treating

withdrawal from psychoactive substances

2) treatment can be between 2 and 14 days


Inpatient treatment programs - 🧠 ANSWER ✔✔1) full time medical

professionals

2) required to attend 12 step or similar group

3) offer: family, individual and group counseling


Intensive outpatient programs - 🧠 ANSWER ✔✔1) Individual, group, family


2) between 9-20 hours weekly

,Outpatient treatment programs - 🧠 ANSWER ✔✔weekly or biweekly

individual, family, psychoeducation, group


Michigan alcohol screening test - 🧠 ANSWER ✔✔22 answer yes or no

questions

6 or more = problem drinker


Drug abuse screening test - 🧠 ANSWER ✔✔uses the addiction severity

index to determine what areas the drug has been the most invasive


Substance abuse subtle screening inventory - 🧠 ANSWER ✔✔Used to

identify covert abusers


ASAM dimensions - 🧠 ANSWER ✔✔1) acute intoxication & withdrawal


2) biomedical conditions and complications

3) cognitive, behavioral and emotional conditions

4) Readiness to change

5) relapse, continued use or continued problem potential

6) recovery environment

, Addiction severity index - 🧠 ANSWER ✔✔assessment tool that collects

information on several aspects of the client's substance use


Domains of addiction severity index - 🧠 ANSWER ✔✔1) medical status


2) employment and support

3) drug use

4) alcohol use

5) legal status

6) family.social status

7) psyciatric status


Phases of formal intake process - 🧠 ANSWER ✔✔1) administrative-

informed consent, fees, explain services

2) BIOPSYCHOsocial assessment (CA)


biopsychosocial spiritual assessment - 🧠 ANSWER ✔✔Holistic and include-

biological, psychological, social and spiritual

Genetics and biological factors account for how much of a person's risk of

addiction? - 🧠 ANSWER ✔✔50%



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