NAADAC EXAM AND PRACTICE EXAM NEWEST 2026
TEST BANK| 2 VERSIONS (VERSION A & B) WITH
COMPLETE 400 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
GRADED A+| NAADAC EXAM PREP 2026 (BRAND
NEW!!)
1. A client reports feeling "broken" after a relapse. Using a
Motivational Interviewing (MI) approach, what is the most
appropriate initial response?
A. "Relapse is a sign that your last treatment plan failed."
B. "You shouldn't feel broken; you made a mistake, and we need
to fix it."
C. "It sounds like you are feeling very frustrated. What worked
well for you before this relapse?"
D. "Let's review the 12 steps to see where you went wrong."
Answer: C
1
,Rationale: MI emphasizes expressing empathy and developing
discrepancy. Option C uses a reflective listening statement ("It
sounds like...") followed by an open-ended question to elicit
"change talk" and past successes, which supports self-efficacy.
2. According to the 2025 NAADAC/NCC AP Code of Ethics, a
major structural change is that "Standards" were replaced
with which concept?
A. Rules
B. Directives
C. Principles
D. Guidelines
Answer: C
Rationale: The 2025 Code is a completely new document built
"from the ground up" where previous Standards were replaced
with Principles, each considering the clinician, supervisor, and
relevant others.
2
,3. A client in early recovery from alcohol use disorder is
prescribed a medication that causes severe nausea and
flushing if they drink alcohol. Which medication is this?
A. Naltrexone
B. Methadone
C. Disulfiram
D. Buprenorphine
Answer: C
Rationale: Disulfiram (Antabuse) is a sensitizer. It blocks the
metabolism of alcohol, leading to the accumulation of
acetaldehyde, which causes highly unpleasant symptoms
(flushing, nausea, vomiting) as a deterrent.
4. When treating a client with Co-Occurring Disorders (COD),
the model that suggests mental health and substance use
disorders are separate but interactive is known as:
A. Primary Mental Health Model
3
, B. Correlation Model
C. Integrated Treatment Model
D. Sequential Treatment Model
Answer: B
Rationale: The Correlation Model posits that while the disorders
are distinct entities, they influence each other’s course and
expression. This is distinct from integrated treatment (which treats
both simultaneously in one setting).
5. Which of the following is a key principle of Person-Centered
Therapy as defined by Carl Rogers?
A. The therapist interprets the client's unconscious drives.
B. The therapist directs the client toward specific behavioral
goals.
C. The therapist provides unconditional positive regard.
D. The therapist uses systematic desensitization.
Answer: C
4
TEST BANK| 2 VERSIONS (VERSION A & B) WITH
COMPLETE 400 REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
GRADED A+| NAADAC EXAM PREP 2026 (BRAND
NEW!!)
1. A client reports feeling "broken" after a relapse. Using a
Motivational Interviewing (MI) approach, what is the most
appropriate initial response?
A. "Relapse is a sign that your last treatment plan failed."
B. "You shouldn't feel broken; you made a mistake, and we need
to fix it."
C. "It sounds like you are feeling very frustrated. What worked
well for you before this relapse?"
D. "Let's review the 12 steps to see where you went wrong."
Answer: C
1
,Rationale: MI emphasizes expressing empathy and developing
discrepancy. Option C uses a reflective listening statement ("It
sounds like...") followed by an open-ended question to elicit
"change talk" and past successes, which supports self-efficacy.
2. According to the 2025 NAADAC/NCC AP Code of Ethics, a
major structural change is that "Standards" were replaced
with which concept?
A. Rules
B. Directives
C. Principles
D. Guidelines
Answer: C
Rationale: The 2025 Code is a completely new document built
"from the ground up" where previous Standards were replaced
with Principles, each considering the clinician, supervisor, and
relevant others.
2
,3. A client in early recovery from alcohol use disorder is
prescribed a medication that causes severe nausea and
flushing if they drink alcohol. Which medication is this?
A. Naltrexone
B. Methadone
C. Disulfiram
D. Buprenorphine
Answer: C
Rationale: Disulfiram (Antabuse) is a sensitizer. It blocks the
metabolism of alcohol, leading to the accumulation of
acetaldehyde, which causes highly unpleasant symptoms
(flushing, nausea, vomiting) as a deterrent.
4. When treating a client with Co-Occurring Disorders (COD),
the model that suggests mental health and substance use
disorders are separate but interactive is known as:
A. Primary Mental Health Model
3
, B. Correlation Model
C. Integrated Treatment Model
D. Sequential Treatment Model
Answer: B
Rationale: The Correlation Model posits that while the disorders
are distinct entities, they influence each other’s course and
expression. This is distinct from integrated treatment (which treats
both simultaneously in one setting).
5. Which of the following is a key principle of Person-Centered
Therapy as defined by Carl Rogers?
A. The therapist interprets the client's unconscious drives.
B. The therapist directs the client toward specific behavioral
goals.
C. The therapist provides unconditional positive regard.
D. The therapist uses systematic desensitization.
Answer: C
4
