NCAC/CADC II Exam Study Materials
With Correct Solutions.
crisis management Answer- 1. Focuses on present or immediate past.
2. Goal is to have situation subside.
3. Meet in person if possible, nonverbal communication is important
4. Uses verbal de-escalation, establishes rapport, NOT long history of the problem.
Relapse Prevention Answer- A focus on changing one's lifestyle to healthy and
positive changes which set a strong foundation to ward off triggers and temptations.
-Concentrates on coping and prevention skills necessary to be prepared throughout
the process.
-Does not end abruptly
-If it happens, it should be seen as a learning experience
-Focuses on cognitive and behavioral techniques
CENAPS Components Answer- 1. Assessment
2. Warning Sign Identification
3. Warning Sign Management
4. Recovery Planning
5. Relapse Early Intervention Training
CENAPS Stages Answer- 1. Transition: accept powerlessness and abstinence as
the only solution.
2. Stabilization: recuperate from effects of withdrawal, work through feelings of guilt,
shame, and remorse
3. Early Recovery: Live with the past and who we are individually.
4. Middle Recovery: repair damage addiction has caused
5. Late Recovery: overcome dysfunction and obstacles to healthy living
6. Maintenance: continually grow and practice daily recovery
CENAPS Definition Answer- Center of applied science; Terrence Gorski: addiction
is a disease and strives for the client to be completely abstinent and make positive
changes in lifestyle through five stages or components.
Abstinence Violation Effect Answer- Marlatt & Gordon: A reaction to an initial lapse
that influences whether it becomes a full-blown relapse. Focuses on emotional
response to lapse and causes of lapse. The progression from lapse to relapse is
NOT inevitable.
,Marlatt & Gordon's Model Answer- Relapse is caused by immediate determinants
and covert antecedents.
Immediate Determinants: High risk situation coping skills, outcome expectations,
abstinence violation affect
Covert Antecedents: Lifestyle factors, urges, and cravings.
Use both specific and global intervention strategies.
Specific: identify high-risk situation, and hence coping skills, self efficacy, illuminate
myths about effects, manage lapses, restructure perception of relapse process.
Global: balance lifestyle, develop positive addictions, stimulus control and urge
management techniques, relapse roadmaps.
EBP goals Answer- EBP provide scientific evidence of why certain treatments work.
The goal is to help the process as a whole, not eradicate other means
EBPs incorporate opinions of clinical experts, uses science to determine usable
evidence, incorporates individual tendencies of client and caregiver into the
treatment plan.
Motivational Enhancement Answer- Proposes to quicken the process to encourage
rapid development through initial assessment. This includes battery assessment and
individual sessions at a rapid pace.
Contingency Management Answer- A type of behavioral therapy where patients are
rewarded or reinforced for positive changes. Uses positive reinforcement to increase
a behavior or frequency.
EX: gift cards for negative UA's.
Cultural Accommodation vs. Adaptation Answer- Cultural accommodation: modifies
how a model is delivered for better understanding.
Cultural adaptation: changes the actual structure of the model for cultural reasons.
Trauma Informed vs Specific Answer- Trauma informed: provides information about
potential traumas and how to handle them.
Trauma specific: deals with treating effects from a specific event that caused the
trauma.
Qualitative vs Quantitative Assessment Answer- Qualitative: considers less tangible
factors: observations, gut reaction.
Quantitative: based on facts and associated data
Ethical consideration precedence Answer- 1. Law: nothing supersedes federal or
state law.
2. Precedent by caselaw
3. Common sense
4. Administrative rule
5. Contracts
Trauma Informed Care Principles Answer- Decisions are collaborative and team-
based, not from a single source.
1: understanding trauma and its affects.
2. safety.
,3. help client gain regain control.
4. sharing of power.
5. cultural sensitivities power
6. integrating care.
7. establish or repair relationships.
8. ensure possibility of recovery.
Elements of Morality Answer- 1. The counselor as a person: the counselor's
understanding of right and wrong through experience in life events.
2. A moral sense: innate sense of right and wrong that develops throughout one's
life.
3. Values: what is important in a persons life.
Daily Ethical Conduct Answer- 1. provide informed consent.
2. operate in a competent manner.
3. ensure confidentiality.
4. maintain appropriate relationship boundaries.
5. utilize adequate consultation.
6. honor personal and cultural values.
Informed Consent Parts Answer- 1. client must be of stable mind to think rationally
2. client was understand the issue at hand
3. client must not be held against their will
Cultural Competence Answer- 1. Destructiveness
2. Incapacity
3. Blindness
4. Pre-Competence
5. Competence & Proficiency
Stereotype vs. Generalization Answer- Stereotype: Determines facts upfront without
considering evidence. It is important to not use stereotypes by any means.
Generalizations: Are common trend which can be used as a basis and are an
acceptable way to begin investigation into facts and then a determination can be
made.
Cultural Competence Answer- One recognizes that culturally responsive practices
should be implemented. It is more a stage of mental transformation, not related to
actual implementation.
Universal/Selective/Indicated Prevention Answer- Universal: an attempt to reduce
the risk of alcohol and drugs across a general population.
Selective: an attempt to reduce risk of alcohol and drugs for a specific family or
group.
Indicated: attempt to reduce risk for people already using substances.
Comprehensive Risk Assessment Answer- 1: recognition of potential risk.
2: initial screening.
3: comprehensive assessment.
4: interventions.
, 5: process evaluation and outcome determination.
Crisis Determination Answer- A crisis and the need to intervene depends on the
client's mental state.
A stressful event occurring doesn't necessarily create a crisis.
The reaction by the client is most important.
Altering of mental state may cause the client to potentially spiral into a problematic
state.
Triggers Answer- Can involve many events, actions, and emotions.
Vary from person to person: is important to treat everyone individually to determine
triggers.
Most common triggers are unpleasant emotions, interpersonal conflict, or social
pressure.
Men/women SUD Answer- Men are more likely to be given an opportunity to use
drugs for the first time.
Once opportunity occurs, men and women are equally likely to try the drug.
Effects for women differ.
More men have substance use disorder.
Among youth, substance use disorder is about equal between men and women
Ensuring culturally sensitive practices Answer- 1: use culturally appropriate
communication
2: integrate clients customs and traditions into practice
3: consult other service providers for best practices
Voluntary vs Legally Mandated Answer- Most think it is better for individuals to make
the choice to come to treatment, but the fact is most people with SUD's won't freely
admit this. Mandated treatment takes away choice from the individual and creates a
higher chance for attendance & longevity of treatment.
Drug Recognition Techniques Answer- 1: note any clear physical/behavioral signs of
substance abuse
2: try to determine specific substance being used
3: before moving on, you must rule out any other physical or medical issue that could
be causing the behavior
4: there may be other factors that cause similar signs as substance abuse
Sources of Information Gathering-Ax Answer- 1: existing information
2: interviews
3: any testing
* field observation would be beneficial, but it's not a practical means of gathering
information
Counseling Intention-elements Answer- 1: explore a problem
2: investigate persons thoughts & emotions
3: consider solutions through a persons thoughts & emotions
* a problem has already been identified
With Correct Solutions.
crisis management Answer- 1. Focuses on present or immediate past.
2. Goal is to have situation subside.
3. Meet in person if possible, nonverbal communication is important
4. Uses verbal de-escalation, establishes rapport, NOT long history of the problem.
Relapse Prevention Answer- A focus on changing one's lifestyle to healthy and
positive changes which set a strong foundation to ward off triggers and temptations.
-Concentrates on coping and prevention skills necessary to be prepared throughout
the process.
-Does not end abruptly
-If it happens, it should be seen as a learning experience
-Focuses on cognitive and behavioral techniques
CENAPS Components Answer- 1. Assessment
2. Warning Sign Identification
3. Warning Sign Management
4. Recovery Planning
5. Relapse Early Intervention Training
CENAPS Stages Answer- 1. Transition: accept powerlessness and abstinence as
the only solution.
2. Stabilization: recuperate from effects of withdrawal, work through feelings of guilt,
shame, and remorse
3. Early Recovery: Live with the past and who we are individually.
4. Middle Recovery: repair damage addiction has caused
5. Late Recovery: overcome dysfunction and obstacles to healthy living
6. Maintenance: continually grow and practice daily recovery
CENAPS Definition Answer- Center of applied science; Terrence Gorski: addiction
is a disease and strives for the client to be completely abstinent and make positive
changes in lifestyle through five stages or components.
Abstinence Violation Effect Answer- Marlatt & Gordon: A reaction to an initial lapse
that influences whether it becomes a full-blown relapse. Focuses on emotional
response to lapse and causes of lapse. The progression from lapse to relapse is
NOT inevitable.
,Marlatt & Gordon's Model Answer- Relapse is caused by immediate determinants
and covert antecedents.
Immediate Determinants: High risk situation coping skills, outcome expectations,
abstinence violation affect
Covert Antecedents: Lifestyle factors, urges, and cravings.
Use both specific and global intervention strategies.
Specific: identify high-risk situation, and hence coping skills, self efficacy, illuminate
myths about effects, manage lapses, restructure perception of relapse process.
Global: balance lifestyle, develop positive addictions, stimulus control and urge
management techniques, relapse roadmaps.
EBP goals Answer- EBP provide scientific evidence of why certain treatments work.
The goal is to help the process as a whole, not eradicate other means
EBPs incorporate opinions of clinical experts, uses science to determine usable
evidence, incorporates individual tendencies of client and caregiver into the
treatment plan.
Motivational Enhancement Answer- Proposes to quicken the process to encourage
rapid development through initial assessment. This includes battery assessment and
individual sessions at a rapid pace.
Contingency Management Answer- A type of behavioral therapy where patients are
rewarded or reinforced for positive changes. Uses positive reinforcement to increase
a behavior or frequency.
EX: gift cards for negative UA's.
Cultural Accommodation vs. Adaptation Answer- Cultural accommodation: modifies
how a model is delivered for better understanding.
Cultural adaptation: changes the actual structure of the model for cultural reasons.
Trauma Informed vs Specific Answer- Trauma informed: provides information about
potential traumas and how to handle them.
Trauma specific: deals with treating effects from a specific event that caused the
trauma.
Qualitative vs Quantitative Assessment Answer- Qualitative: considers less tangible
factors: observations, gut reaction.
Quantitative: based on facts and associated data
Ethical consideration precedence Answer- 1. Law: nothing supersedes federal or
state law.
2. Precedent by caselaw
3. Common sense
4. Administrative rule
5. Contracts
Trauma Informed Care Principles Answer- Decisions are collaborative and team-
based, not from a single source.
1: understanding trauma and its affects.
2. safety.
,3. help client gain regain control.
4. sharing of power.
5. cultural sensitivities power
6. integrating care.
7. establish or repair relationships.
8. ensure possibility of recovery.
Elements of Morality Answer- 1. The counselor as a person: the counselor's
understanding of right and wrong through experience in life events.
2. A moral sense: innate sense of right and wrong that develops throughout one's
life.
3. Values: what is important in a persons life.
Daily Ethical Conduct Answer- 1. provide informed consent.
2. operate in a competent manner.
3. ensure confidentiality.
4. maintain appropriate relationship boundaries.
5. utilize adequate consultation.
6. honor personal and cultural values.
Informed Consent Parts Answer- 1. client must be of stable mind to think rationally
2. client was understand the issue at hand
3. client must not be held against their will
Cultural Competence Answer- 1. Destructiveness
2. Incapacity
3. Blindness
4. Pre-Competence
5. Competence & Proficiency
Stereotype vs. Generalization Answer- Stereotype: Determines facts upfront without
considering evidence. It is important to not use stereotypes by any means.
Generalizations: Are common trend which can be used as a basis and are an
acceptable way to begin investigation into facts and then a determination can be
made.
Cultural Competence Answer- One recognizes that culturally responsive practices
should be implemented. It is more a stage of mental transformation, not related to
actual implementation.
Universal/Selective/Indicated Prevention Answer- Universal: an attempt to reduce
the risk of alcohol and drugs across a general population.
Selective: an attempt to reduce risk of alcohol and drugs for a specific family or
group.
Indicated: attempt to reduce risk for people already using substances.
Comprehensive Risk Assessment Answer- 1: recognition of potential risk.
2: initial screening.
3: comprehensive assessment.
4: interventions.
, 5: process evaluation and outcome determination.
Crisis Determination Answer- A crisis and the need to intervene depends on the
client's mental state.
A stressful event occurring doesn't necessarily create a crisis.
The reaction by the client is most important.
Altering of mental state may cause the client to potentially spiral into a problematic
state.
Triggers Answer- Can involve many events, actions, and emotions.
Vary from person to person: is important to treat everyone individually to determine
triggers.
Most common triggers are unpleasant emotions, interpersonal conflict, or social
pressure.
Men/women SUD Answer- Men are more likely to be given an opportunity to use
drugs for the first time.
Once opportunity occurs, men and women are equally likely to try the drug.
Effects for women differ.
More men have substance use disorder.
Among youth, substance use disorder is about equal between men and women
Ensuring culturally sensitive practices Answer- 1: use culturally appropriate
communication
2: integrate clients customs and traditions into practice
3: consult other service providers for best practices
Voluntary vs Legally Mandated Answer- Most think it is better for individuals to make
the choice to come to treatment, but the fact is most people with SUD's won't freely
admit this. Mandated treatment takes away choice from the individual and creates a
higher chance for attendance & longevity of treatment.
Drug Recognition Techniques Answer- 1: note any clear physical/behavioral signs of
substance abuse
2: try to determine specific substance being used
3: before moving on, you must rule out any other physical or medical issue that could
be causing the behavior
4: there may be other factors that cause similar signs as substance abuse
Sources of Information Gathering-Ax Answer- 1: existing information
2: interviews
3: any testing
* field observation would be beneficial, but it's not a practical means of gathering
information
Counseling Intention-elements Answer- 1: explore a problem
2: investigate persons thoughts & emotions
3: consider solutions through a persons thoughts & emotions
* a problem has already been identified
