CADC-CERTIFIED DRUG AND ALCOHO COUSELOR EXAM|QUESTIONS AND VERIFIED
ANSWERS|NEW UPDATE 2026/2027| GUARANTEED SUCCESS|GRADED A+
All of the following are questions on the CAGE questionnaire EXCEPT?
a. Have you ever felt the need to cut down on your drinking?
b. Have you ever felt annoyed by others criticizing your drinking?
c. Have you ever experienced delirium tremens?
d. Have you ever felt guilty about your drinking?
CORRECT|ANSWER
c. Have you ever experienced delirium tremens?
Delirium tremens are a severe form of alcohol withdrawal which is not included on the CAGE questionnaire. Delirium
tremens usually occur three days into withdrawal and can last 2-3 days.
2.Which of the following drugs would be present on a Urine Drug Screen (UDS) 5 days after use?
a. Cocaine
b. Marijuana
c. Methamphetamine
d. Heroin
CORRECT|ANSWER
b. Marijuana
The active ingredient in marijuana, THC, is fat soluble whereas the other substances listed are water soluble. Fat cells are
harder to burn, therefore can remain in a person's system longer.
Joseph comes into your office for an intake assessment required by his Probation Officer. Joseph is reluctant to discuss
his opiate use. However, he is compliant because he knows that the results of the intake would be reported to his PO.
He shared that he is on probation as a result of being arrested for stealing. Joseph explained that he was stealing to
support his heroin use and has continued to use since his arrest. Joseph began using Oxycodone recreationally at age 17
which progressed to daily use soon after. Joseph began using heroin approximately 8 months later due to the cost
difference. Joseph has used to avoid withdrawal symptoms. He recently began to share needles and noted that he is
aware of the health risk that this behavior poses. Joseph's family began distancing themselves from him when he
continued using heroin after being arrested.With the information provided, how would you diagnose Joseph?
,a. Opia
CORRECT|ANSWER
c. Opiate Use Disorder, Moderate
The summary above falls into the moderate level of the DSM-V for Opiate Use Disorder. The severity rating scale is as
follows:Mild: 2-3 SymptomsModerate: 4-5 SymptomsSevere: 6 or more SymptomsSymptoms identified in the summary
were as follows. Joseph had continued use despite persistent social and interpersonal issues (discord with family).
Joseph continued to use in physically dangerous situations (sharing needles). Joseph has developed a tolerance which
led to him using larger amounts over time. Lastly, he has experienced withdrawal and uses to avoid symptoms.
Susan was referred for an Alcohol Assessment by her Primary Care Physician. She scored a 17 on the AUDIT assessment.
Which risk zone and action recommendation would be the most appropriate?
a. Zone I; Brief education
b. Zone III; Brief education or referral for specialized treatment
c. Zone II; Brief education
d. Zone III; Referral to a specialist for treatment
CORRECT|ANSWER
b. Zone III; Brief education or referral for specialized treatment
AUDIT scores ranging from 13-19 for a Woman fall into Zone III with the recommendation of simple advice plus brief
counseling and continued monitoring. When scoring the AUDIT, the gender of the client will aide in determining the
recommendation. Zone recommendations are as follows:
Zone I: Brief education
Zone II: Brief intervention
Zone III: Brief intervention or referral to specialized treatment
Zone IV: Referral to specialized treatment
Which option correctly represents the Stages of Change Model?
a. Pre-contemplation, contemplation, preparation, action and maintenance
b. Pre-contemplation, contemplation, action and relapse
c. Contemplation, preparation, action and maintenance
d. Contemplation, preparation, action, maintenance and relapse
, CORRECT|ANSWER
a. Pre-contemplation, contemplation, preparation, action and maintenance
The Stages of Change Model was developed by Prochaska and DiClemente in the 1970's to allow professionals to gauge
a client's readiness for change to aide in treatment planning.
A 67 year old female, Mary, attends an intake assessment with you on Monday. You diagnosis her with Alcohol Use
Disorder, Severe and Bipolar I. You gave her a treatment schedule to engage her in group sessions along with a referral
for a doctor on staff to assess for medications. Mary lives alone and has limited mobility due to severe arthritis. Mary
misses her group session on Wednesday. As her primary clinician, you call her to follow up regarding her absence. While
on the phone, it becomes apparent that she is inebriated and she reported falling down stairs and is struggling to get up.
You encourage her to call 911, however she refuses.Which would be the best course of action to present to your
supervisor?
a. Call her son so he can go check on her.
b. Talk to her about the incident when she comes in for group and discuss the danger she put herself in.
c. Document the call; process the call if she brings is up wit
CORRECT|ANSWER
d. Call 911 for a wellness check.
The best option to discuss with your supervisor would be to call for a Wellness Check. Her apparent intoxication, limited
mobility, living alone and her self-report of falling with a difficulty of getting up poses a concern for her safety.
Therefore, you have an ethical responsibility to break confidentiality to ensure her safety. Consulting with your
supervisor or colleague allows you the opportunity to receive feedback regarding your plan of action.
All of the following are indicators that a person would be appropriate for inpatient treatment except:
a. Continued use of marijuana
b. Use of alcohol to prevent withdrawal symptoms
c. Cocaine use that impairs functioning at work
d. Inability to engage in daily living skills
CORRECT|ANSWER
a. Continued use of marijuana
ANSWERS|NEW UPDATE 2026/2027| GUARANTEED SUCCESS|GRADED A+
All of the following are questions on the CAGE questionnaire EXCEPT?
a. Have you ever felt the need to cut down on your drinking?
b. Have you ever felt annoyed by others criticizing your drinking?
c. Have you ever experienced delirium tremens?
d. Have you ever felt guilty about your drinking?
CORRECT|ANSWER
c. Have you ever experienced delirium tremens?
Delirium tremens are a severe form of alcohol withdrawal which is not included on the CAGE questionnaire. Delirium
tremens usually occur three days into withdrawal and can last 2-3 days.
2.Which of the following drugs would be present on a Urine Drug Screen (UDS) 5 days after use?
a. Cocaine
b. Marijuana
c. Methamphetamine
d. Heroin
CORRECT|ANSWER
b. Marijuana
The active ingredient in marijuana, THC, is fat soluble whereas the other substances listed are water soluble. Fat cells are
harder to burn, therefore can remain in a person's system longer.
Joseph comes into your office for an intake assessment required by his Probation Officer. Joseph is reluctant to discuss
his opiate use. However, he is compliant because he knows that the results of the intake would be reported to his PO.
He shared that he is on probation as a result of being arrested for stealing. Joseph explained that he was stealing to
support his heroin use and has continued to use since his arrest. Joseph began using Oxycodone recreationally at age 17
which progressed to daily use soon after. Joseph began using heroin approximately 8 months later due to the cost
difference. Joseph has used to avoid withdrawal symptoms. He recently began to share needles and noted that he is
aware of the health risk that this behavior poses. Joseph's family began distancing themselves from him when he
continued using heroin after being arrested.With the information provided, how would you diagnose Joseph?
,a. Opia
CORRECT|ANSWER
c. Opiate Use Disorder, Moderate
The summary above falls into the moderate level of the DSM-V for Opiate Use Disorder. The severity rating scale is as
follows:Mild: 2-3 SymptomsModerate: 4-5 SymptomsSevere: 6 or more SymptomsSymptoms identified in the summary
were as follows. Joseph had continued use despite persistent social and interpersonal issues (discord with family).
Joseph continued to use in physically dangerous situations (sharing needles). Joseph has developed a tolerance which
led to him using larger amounts over time. Lastly, he has experienced withdrawal and uses to avoid symptoms.
Susan was referred for an Alcohol Assessment by her Primary Care Physician. She scored a 17 on the AUDIT assessment.
Which risk zone and action recommendation would be the most appropriate?
a. Zone I; Brief education
b. Zone III; Brief education or referral for specialized treatment
c. Zone II; Brief education
d. Zone III; Referral to a specialist for treatment
CORRECT|ANSWER
b. Zone III; Brief education or referral for specialized treatment
AUDIT scores ranging from 13-19 for a Woman fall into Zone III with the recommendation of simple advice plus brief
counseling and continued monitoring. When scoring the AUDIT, the gender of the client will aide in determining the
recommendation. Zone recommendations are as follows:
Zone I: Brief education
Zone II: Brief intervention
Zone III: Brief intervention or referral to specialized treatment
Zone IV: Referral to specialized treatment
Which option correctly represents the Stages of Change Model?
a. Pre-contemplation, contemplation, preparation, action and maintenance
b. Pre-contemplation, contemplation, action and relapse
c. Contemplation, preparation, action and maintenance
d. Contemplation, preparation, action, maintenance and relapse
, CORRECT|ANSWER
a. Pre-contemplation, contemplation, preparation, action and maintenance
The Stages of Change Model was developed by Prochaska and DiClemente in the 1970's to allow professionals to gauge
a client's readiness for change to aide in treatment planning.
A 67 year old female, Mary, attends an intake assessment with you on Monday. You diagnosis her with Alcohol Use
Disorder, Severe and Bipolar I. You gave her a treatment schedule to engage her in group sessions along with a referral
for a doctor on staff to assess for medications. Mary lives alone and has limited mobility due to severe arthritis. Mary
misses her group session on Wednesday. As her primary clinician, you call her to follow up regarding her absence. While
on the phone, it becomes apparent that she is inebriated and she reported falling down stairs and is struggling to get up.
You encourage her to call 911, however she refuses.Which would be the best course of action to present to your
supervisor?
a. Call her son so he can go check on her.
b. Talk to her about the incident when she comes in for group and discuss the danger she put herself in.
c. Document the call; process the call if she brings is up wit
CORRECT|ANSWER
d. Call 911 for a wellness check.
The best option to discuss with your supervisor would be to call for a Wellness Check. Her apparent intoxication, limited
mobility, living alone and her self-report of falling with a difficulty of getting up poses a concern for her safety.
Therefore, you have an ethical responsibility to break confidentiality to ensure her safety. Consulting with your
supervisor or colleague allows you the opportunity to receive feedback regarding your plan of action.
All of the following are indicators that a person would be appropriate for inpatient treatment except:
a. Continued use of marijuana
b. Use of alcohol to prevent withdrawal symptoms
c. Cocaine use that impairs functioning at work
d. Inability to engage in daily living skills
CORRECT|ANSWER
a. Continued use of marijuana
