CAADC EXAM AND PRACTICE EXAM NEWEST 2026
TEST BANK| CERTIFIED ADVANCED ALCOHOL AND
DRUG COUNSELOR CERTIFICATION EXAM PREP WITH
COMPLETE 500 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
GRADED A+ (BRAND NEW!!)
QUESTION 1
A client in early recovery from alcohol use disorder states, “I
can have just one beer with dinner – I don’t have a problem.”
This statement is an example of which defense mechanism?
A) Projection
B) Denial
C) Rationalization
D) Intellectualization
1
,Correct Answer: B
Rationale: Denial is the refusal to acknowledge the reality of
addiction. The client minimizes severity (“just one beer”) and
rejects the diagnosis. Rationalization uses logical excuses;
projection blames others.
QUESTION 2
According to the Transtheoretical Model (Stages of Change), a
client who states, “I know I need to stop using cocaine, but
I’m not ready yet” is in which stage?
A) Precontemplation
B) Contemplation
C) Preparation
D) Action
2
,Correct Answer: B
Rationale: Contemplation: client acknowledges the problem and
considers change but is not yet committed to action.
Precontemplation: no intention to change. Preparation: planning
to act soon. Action: actively changing.
QUESTION 3
A counselor is working with a client who has opioid use
disorder and is prescribed buprenorphine/naloxone
(Suboxone). What is the primary purpose of the naloxone
component?
A) To block the euphoric effects of opioids
B) To prevent diversion by causing withdrawal if injected
C) To treat co-occurring depression
D) To increase the half-life of buprenorphine
3
, Correct Answer: B
Rationale: Naloxone is poorly absorbed sublingually but
precipitates withdrawal if the medication is crushed and injected
(diversion deterrent). Buprenorphine is the partial agonist that
reduces cravings and withdrawal.
QUESTION 4
A client with alcohol use disorder is prescribed disulfiram
(Antabuse). Which statement by the client indicates correct
understanding?
A) “I can drink alcohol after 24 hours of stopping this
medication.”
B) “I must avoid alcohol in all forms, including mouthwash
and cough syrup.”
C) “This medication will reduce my cravings for alcohol.”
4
TEST BANK| CERTIFIED ADVANCED ALCOHOL AND
DRUG COUNSELOR CERTIFICATION EXAM PREP WITH
COMPLETE 500 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
GRADED A+ (BRAND NEW!!)
QUESTION 1
A client in early recovery from alcohol use disorder states, “I
can have just one beer with dinner – I don’t have a problem.”
This statement is an example of which defense mechanism?
A) Projection
B) Denial
C) Rationalization
D) Intellectualization
1
,Correct Answer: B
Rationale: Denial is the refusal to acknowledge the reality of
addiction. The client minimizes severity (“just one beer”) and
rejects the diagnosis. Rationalization uses logical excuses;
projection blames others.
QUESTION 2
According to the Transtheoretical Model (Stages of Change), a
client who states, “I know I need to stop using cocaine, but
I’m not ready yet” is in which stage?
A) Precontemplation
B) Contemplation
C) Preparation
D) Action
2
,Correct Answer: B
Rationale: Contemplation: client acknowledges the problem and
considers change but is not yet committed to action.
Precontemplation: no intention to change. Preparation: planning
to act soon. Action: actively changing.
QUESTION 3
A counselor is working with a client who has opioid use
disorder and is prescribed buprenorphine/naloxone
(Suboxone). What is the primary purpose of the naloxone
component?
A) To block the euphoric effects of opioids
B) To prevent diversion by causing withdrawal if injected
C) To treat co-occurring depression
D) To increase the half-life of buprenorphine
3
, Correct Answer: B
Rationale: Naloxone is poorly absorbed sublingually but
precipitates withdrawal if the medication is crushed and injected
(diversion deterrent). Buprenorphine is the partial agonist that
reduces cravings and withdrawal.
QUESTION 4
A client with alcohol use disorder is prescribed disulfiram
(Antabuse). Which statement by the client indicates correct
understanding?
A) “I can drink alcohol after 24 hours of stopping this
medication.”
B) “I must avoid alcohol in all forms, including mouthwash
and cough syrup.”
C) “This medication will reduce my cravings for alcohol.”
4
