IL CADC Study Questions and
Answers Latest 2026
Purpose of client advocate Ans: Formal relationship with
the employer, Involve the employer in the patient's
treatment, Promote information to employer about the
patient's disease, Educate employer on the treatment
process, Help provide support for the patient in recovery
Community education purpose Ans: Identify the major
drug problems in the community
Role for local churches and religious groups Ans: Start a
self-help group that meets in the facility
Counselor responsibilities Ans: Educating other agencies
on effective ways to work with specific cases relating to
drugs/alcohol
Two- Stepping Ans: Defense that is destructive to the
newly sober client in which they help others with their
alcoholism but do not concentrate on their sobriety
Signs/symptoms of Alcoholism Ans: Solitary drinking,
Over permissive norms of drinking, Lack of specific
drinking norms, Tolerance of drunkenness, Adverse
social behaviors, Utilitarian use of alcohol to reduce
tension/anxiety, Lack of ritual/ceremonial use of alcohol,
Alcohol use separated from eating patterns
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Signs/symptoms of Alcoholism Ans: Alcohol use
separated from family, social functions, Drinking with
strangers, Alcohol not introduced in small amounts when
a child, Drinking pursued as recreation, Drinking
concentrated in young males, Culture that stresses
individualism, self-reliance and high achievement
Referring to AA/NA Ans: Have a AA/NA person meet
w/them and explain how the group and recovery can
work together, Not proper to refer an atheist since it is
built on a belief in God, do not refer if it would seem to
be disrespectful of clients rights and views, Make sure
the referral meets the clients personality and background
Dual Diagnosis Ans: Sometimes appear as patients sober
up
Referral processes Ans: Identifying the needs of the
client that cannot be met by the counselor/agency and
Assisting the client to utilize the support system and
community resources available
Discharge summary is needed Ans: Inpatient, aftercare,
detox, half way houses, etc, Communications from one
agency to another and increases accountability, Reports
and record keeping tells the story of the client from
beginning to end, No universally accepted format for
maintaining records
Reports Ans: Explains various aspects of the assessment,
treatment plans, and discharge to parties who need such
information to enhance the care of the client
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Documents patient can sign Ans: Consent for treatment,
Public aid, DASA, statistics, Treatment plans, Release of
information, To acquire medical attention,
Education/prevention, Client education, Crisis
intervention
Patient has a right to Ans: Treatment costs they are liable
for, When treatment services are available, Types of
counseling approaches used, Opportunity to complain to
appropriate staff
Client files Ans: Only the clinical supervisor has
unrestricted access to client's files
Physiological dependence for alcohol- Alpha Ans:
Psychological dependence, no loss of control, reliance on
alcohol to weather problems
Physiological dependence for alcohol- Beta Ans:
Psychological dependence, physical problems (cirrhosis)
but no physical dependence
Physiological dependence for alcohol - Gamma Ans:
Change in tolerance, physical withdrawal, loss of control.
Use for Jellinek Chart with 4 stages
Physiological dependence for alcohol - Delta Ans: Same
as Gamma but no loss of control but drinks
Physiological dependence for alcohol - Epsilon Ans:
Periodic alcoholism/binge drinking
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Aversive therapy Ans: Disulfiram/Antibuse - Most effect
for binge drinkers and No alcohol for 2 weeks or severe
allergy reactions occur
Direct Reinforcement Ans: Providing positive feedback
and rewarding in a direct way and Introducing new and
competing behaviors to replace negative behaviors
Analytic therapy Ans: Oriented toward achieving insight,
identifying and experiencing feelings, memories
developing, in-depth self-understanding, re-experiencing,
reconstructing childhood experience, Not appropriate for
first month of counseling
Erickson's Psychological Theory Ans: Trust vs Mistrust;
Autonomy vs Doubt; Initiative vs Guilt; Industry vs
Inferiority; Identity vs Role Diffusion - Adolescent;
Intimacy vs Isolation - Adult; Generativity vs Stagnation -
Adult; Integrity vs Despair - Old age
Social Learning Ans: Behavior learned through interaction
with other people, peer group, AA group, group therapy
Cognitive Restructuring Ans: Positive affirmations
spoken to self to modify negative thoughts
Reality Therapy/Transactional Therapy (Glasser 1960s)
Ans: What is going on "here and now", How a client can
change old patterns, Client makes decisions based on
awareness
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