CADC/CDAC Certified Alcohol and Drug
Counselor Pre-Test Exam NC Version
2023-2024
. 7) One of the counselor's tasks is to guide the client in relating and communicating in
specific
terms, rather than in general or abstract terms. That characteristic or ability is called:
A. Confrontation.
B. Immediacy.
C. Potency.
D. Concreteness. - -answer-D. Concreteness.
8) Relapse prevention efforts are aimed at:
A. Developing a therapeutic relationship for sobriety and maintenance.
B. Changing expectations regarding the effects of intervention.
C. Identifying high-risk situations and learning alternative coping skills.
D. Discussing aspects of evaluation and treatment. - -answer-C. Identifying high-risk
situations and learning alternative coping skills.
5) A mental status exam does NOT assess:
A. Educational level.
B. Appearance.
C. Speech.
D. Thought processes. - -answer-A. Educational level.
6) The PRIMARY purpose of a professional code of ethics is to:
A. Serve as a guide in helping clients while behaving in a fair way to colleagues.
B. Strengthen the appearance of professionalism among addiction counselors.
C. Clarify the difference between acceptable and unacceptable client behavior.
D. Provide legal recourse and concrete consequences for unethical behavior. - -answer-
A. Serve as a guide in helping clients while behaving in a fair way to colleagues.
3) A major method of reinforcing the therapeutic alliance and spirit of collaboration
between the client and the counselor is:
A. Including the client's family members in counseling.
B. Setting mutually-established goals.
C. Going to 12-step meetings with the client.
D. Offering to make home visits. - -answer-B. Setting mutually-established goals.
4) Which of the following patterns of drinking is accurately associated with the term
"alcoholism"?
A. A lack of tolerance for alcohol
,B. Frequent short periods of sobriety
C. The inability to control the amount one drinks
D. Light drinking EXCEPT on weekends - -answer-C. The inability to control the amount
one drinks
u1) A reward is something given for a special behavior, whereas positive reinforcement
is:
A. A mutual reward to reinforce behavior by the same amount.
B. Something specifically designed to increase the occurrence of a particular behavior.
C. The process of observing behavior of others.
D. A type of learning in which behaviors are increased as the result of the
consequences. - -answer-B. Something specifically designed to increase the
occurrence of a particular behavior.
2) A common error that counselors make when conducting an assessment is:
A. Asking too many questions.
B. Moving too quickly from data collection to treatment planning.
C. Focusing on strengths and weaknesses.
D. Processing the data collected from the client. - -answer-B. Moving too quickly from
data collection to treatment planning
77) Based upon the initial interview, Bill was given a provisional Axis I diagnosis of
"alcohol dependence" and admitted to an Intensive outpatient program. After completion
of the initial interview, Bill was given a tour of the facility, a client ' handbook, and
introduced to his primary counselor and scheduled an appointment the next day to
discuss what the client could expect during treatment and what would be expected of
him in return. During his treatment Bill worked with his counselor to develop four primary
treatment goals: 1) To spend at least four hours every other weekend with his children;
2) To attend three A.A. meetings a week for the next three months; 3) To abstain from
alcohol and all mind altering and mood enhancing substances; and 4) Complete the 12
week Intensive outpatient treatment program. Bill was
quite resistant to attending A.A. meetings because of fear of being seen by his friends at
meeting - -answer-B. Rational Emotive
81) Which situation requires a client's informed consent?
A. A counselor refers a client back to the referring source at completion of treatment
B. A counselor discusses a client's case with the counselor's supervisor
C. A counselor discusses a client's case with another counselor in the treatment facility
D. A client reports recent child abuse - -answer-D. A client reports recent child abuse
83) A cocaine-dependent client admits being fired from his job for absenteeism, losing
his home and car by defaulting on his loans, and associating only with peers who use
cocaine. He states that he does not require residential treatment because his problem is
not serious enough. He further states that he has lost his house and car because his
wife didn't work enough hours. Which defense mechanisms is this client displaying?
A. Projection, denial, and displacement
,B. Denial, minimization, and rationalization
C. Sub-limitation, displacement, and compensation
D. Identification, minimization, and Sub-limitation - -answer-B. Denial, minimization, and
rationalization
86) The quality of counseling is directly related to the counselor's ability to:
A. Formulate and carry out realistic personal and professional goals.
B. Interpret the deeper meaning of problems.
C. Analyze client problems.
D. Convince clients to change. - -answer-A. Formulate and carry out realistic personal
and professional goals.
88) The process of termination should be discussed:
A. When the client appears to have gained all that he or she can from therapy.
B. At the point specified in the therapeutic contract.
C. At the onset of therapy.
D. When the client brings it up. - -answer-D. When the client brings it up.
89) What are the PRIMARY factors that made the client appropriate for this level of
care?
A. There were no physical complications and the client was motivated
B. The client was court-ordered and had the ability to pay for services
C. The client was intelligent and highly motivated
D. The client lived close by and was gainfully employed - -answer-A. There were no
physical complications and the client was motivated
95) Which of the following important treatment planning activities were NOT
accomplished in working with this client?
A. The counselor formulated appropriate short term goals for the client
B. The counselor identified and ranked the client's problems needing resolution
C. The counselor worked with the client in establishing the client's treatment goals
D. The client's treatment goals were expressed in measurable behavioral terms - -
answer-B. The counselor identified and ranked the client's problems needing resolution
116) The focus of intervention in the criminal justice system is first to:
A. Rehabilitate offenders.
B. Use the threat of incarceration as a motivator to change.
C. Protect the health, safety, and welfare of the public.
D. Keep the chronic, chemically dependent person off the streets. - -answer-C. Protect
the health, safety, and welfare of the public.
141) According to Marlatt's model of the relapse process, which of the following
statements is NOT true?
A. Clients should be taught skills for anticipating, avoiding, and coping with their
personal high-risk situations.
, B. Clients should be taught constructive responses to cope with lapses when they do
occur.
C. Clients should be helped to recognize that one or more temporary lapses are likely to
occur and are permitted.
D. Any positive expectations that clients have about drug use should be countered with
reminders about the lows that follow the highs and about the long-term negative
consequences of substance abuse. - -answer-C. Clients should be helped to recognize
that one or more temporary lapses are likely to
occur and are permitted.
31) While the overall national suicide rate has increased slightly but consistently in
recent years, disproportionate increases have occurred among:
A. Females and the elderly.
B. Females and the young.
C. Males and the elderly.
D. Males and the young. - -answer-B. Females and the young.
11) Comprehensive client documentation:
A. Is best achieved when done independently from direct client care.
B. Facilitates communication and enhances accountability.
C. Is used primarily by the primary counselor.
D. Is a standardized process. - -answer-B. Facilitates communication and enhances
accountability.
14) If a client appears to be in denial due to discrepancies stated during an intake
interview,
which of the following statements by the counselor would be MOST appropriate?
A. "I'm not sure I understand. Let me check this out"
B. "First you tell me one thing, then another. Which is really the truth?"
C. "There's a lot of confusion in your story"
D. "Addiction fosters denial" - -answer-A. "I'm not sure I understand. Let me check this
out"
17) Pointing out parallels between a client's interpersonal relationships and the
client/counselor interaction serves to focus awareness on:
A. The "here and now."
B. The client's weaknesses in communication.
C. The counselor's feelings about the relationship.
D. The unique qualities of the client/counselor relationship. - -answer-A. The "here and
now."
19) A frequent client reaction during the termination phase of counseling is:
A. Defensiveness.
B. Acting out behavior.
C. Apathy.
Counselor Pre-Test Exam NC Version
2023-2024
. 7) One of the counselor's tasks is to guide the client in relating and communicating in
specific
terms, rather than in general or abstract terms. That characteristic or ability is called:
A. Confrontation.
B. Immediacy.
C. Potency.
D. Concreteness. - -answer-D. Concreteness.
8) Relapse prevention efforts are aimed at:
A. Developing a therapeutic relationship for sobriety and maintenance.
B. Changing expectations regarding the effects of intervention.
C. Identifying high-risk situations and learning alternative coping skills.
D. Discussing aspects of evaluation and treatment. - -answer-C. Identifying high-risk
situations and learning alternative coping skills.
5) A mental status exam does NOT assess:
A. Educational level.
B. Appearance.
C. Speech.
D. Thought processes. - -answer-A. Educational level.
6) The PRIMARY purpose of a professional code of ethics is to:
A. Serve as a guide in helping clients while behaving in a fair way to colleagues.
B. Strengthen the appearance of professionalism among addiction counselors.
C. Clarify the difference between acceptable and unacceptable client behavior.
D. Provide legal recourse and concrete consequences for unethical behavior. - -answer-
A. Serve as a guide in helping clients while behaving in a fair way to colleagues.
3) A major method of reinforcing the therapeutic alliance and spirit of collaboration
between the client and the counselor is:
A. Including the client's family members in counseling.
B. Setting mutually-established goals.
C. Going to 12-step meetings with the client.
D. Offering to make home visits. - -answer-B. Setting mutually-established goals.
4) Which of the following patterns of drinking is accurately associated with the term
"alcoholism"?
A. A lack of tolerance for alcohol
,B. Frequent short periods of sobriety
C. The inability to control the amount one drinks
D. Light drinking EXCEPT on weekends - -answer-C. The inability to control the amount
one drinks
u1) A reward is something given for a special behavior, whereas positive reinforcement
is:
A. A mutual reward to reinforce behavior by the same amount.
B. Something specifically designed to increase the occurrence of a particular behavior.
C. The process of observing behavior of others.
D. A type of learning in which behaviors are increased as the result of the
consequences. - -answer-B. Something specifically designed to increase the
occurrence of a particular behavior.
2) A common error that counselors make when conducting an assessment is:
A. Asking too many questions.
B. Moving too quickly from data collection to treatment planning.
C. Focusing on strengths and weaknesses.
D. Processing the data collected from the client. - -answer-B. Moving too quickly from
data collection to treatment planning
77) Based upon the initial interview, Bill was given a provisional Axis I diagnosis of
"alcohol dependence" and admitted to an Intensive outpatient program. After completion
of the initial interview, Bill was given a tour of the facility, a client ' handbook, and
introduced to his primary counselor and scheduled an appointment the next day to
discuss what the client could expect during treatment and what would be expected of
him in return. During his treatment Bill worked with his counselor to develop four primary
treatment goals: 1) To spend at least four hours every other weekend with his children;
2) To attend three A.A. meetings a week for the next three months; 3) To abstain from
alcohol and all mind altering and mood enhancing substances; and 4) Complete the 12
week Intensive outpatient treatment program. Bill was
quite resistant to attending A.A. meetings because of fear of being seen by his friends at
meeting - -answer-B. Rational Emotive
81) Which situation requires a client's informed consent?
A. A counselor refers a client back to the referring source at completion of treatment
B. A counselor discusses a client's case with the counselor's supervisor
C. A counselor discusses a client's case with another counselor in the treatment facility
D. A client reports recent child abuse - -answer-D. A client reports recent child abuse
83) A cocaine-dependent client admits being fired from his job for absenteeism, losing
his home and car by defaulting on his loans, and associating only with peers who use
cocaine. He states that he does not require residential treatment because his problem is
not serious enough. He further states that he has lost his house and car because his
wife didn't work enough hours. Which defense mechanisms is this client displaying?
A. Projection, denial, and displacement
,B. Denial, minimization, and rationalization
C. Sub-limitation, displacement, and compensation
D. Identification, minimization, and Sub-limitation - -answer-B. Denial, minimization, and
rationalization
86) The quality of counseling is directly related to the counselor's ability to:
A. Formulate and carry out realistic personal and professional goals.
B. Interpret the deeper meaning of problems.
C. Analyze client problems.
D. Convince clients to change. - -answer-A. Formulate and carry out realistic personal
and professional goals.
88) The process of termination should be discussed:
A. When the client appears to have gained all that he or she can from therapy.
B. At the point specified in the therapeutic contract.
C. At the onset of therapy.
D. When the client brings it up. - -answer-D. When the client brings it up.
89) What are the PRIMARY factors that made the client appropriate for this level of
care?
A. There were no physical complications and the client was motivated
B. The client was court-ordered and had the ability to pay for services
C. The client was intelligent and highly motivated
D. The client lived close by and was gainfully employed - -answer-A. There were no
physical complications and the client was motivated
95) Which of the following important treatment planning activities were NOT
accomplished in working with this client?
A. The counselor formulated appropriate short term goals for the client
B. The counselor identified and ranked the client's problems needing resolution
C. The counselor worked with the client in establishing the client's treatment goals
D. The client's treatment goals were expressed in measurable behavioral terms - -
answer-B. The counselor identified and ranked the client's problems needing resolution
116) The focus of intervention in the criminal justice system is first to:
A. Rehabilitate offenders.
B. Use the threat of incarceration as a motivator to change.
C. Protect the health, safety, and welfare of the public.
D. Keep the chronic, chemically dependent person off the streets. - -answer-C. Protect
the health, safety, and welfare of the public.
141) According to Marlatt's model of the relapse process, which of the following
statements is NOT true?
A. Clients should be taught skills for anticipating, avoiding, and coping with their
personal high-risk situations.
, B. Clients should be taught constructive responses to cope with lapses when they do
occur.
C. Clients should be helped to recognize that one or more temporary lapses are likely to
occur and are permitted.
D. Any positive expectations that clients have about drug use should be countered with
reminders about the lows that follow the highs and about the long-term negative
consequences of substance abuse. - -answer-C. Clients should be helped to recognize
that one or more temporary lapses are likely to
occur and are permitted.
31) While the overall national suicide rate has increased slightly but consistently in
recent years, disproportionate increases have occurred among:
A. Females and the elderly.
B. Females and the young.
C. Males and the elderly.
D. Males and the young. - -answer-B. Females and the young.
11) Comprehensive client documentation:
A. Is best achieved when done independently from direct client care.
B. Facilitates communication and enhances accountability.
C. Is used primarily by the primary counselor.
D. Is a standardized process. - -answer-B. Facilitates communication and enhances
accountability.
14) If a client appears to be in denial due to discrepancies stated during an intake
interview,
which of the following statements by the counselor would be MOST appropriate?
A. "I'm not sure I understand. Let me check this out"
B. "First you tell me one thing, then another. Which is really the truth?"
C. "There's a lot of confusion in your story"
D. "Addiction fosters denial" - -answer-A. "I'm not sure I understand. Let me check this
out"
17) Pointing out parallels between a client's interpersonal relationships and the
client/counselor interaction serves to focus awareness on:
A. The "here and now."
B. The client's weaknesses in communication.
C. The counselor's feelings about the relationship.
D. The unique qualities of the client/counselor relationship. - -answer-A. The "here and
now."
19) A frequent client reaction during the termination phase of counseling is:
A. Defensiveness.
B. Acting out behavior.
C. Apathy.
