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Certified Alcohol and Drug Counselor CADC/CDAC Pre-Test Exam NC Version|Latest Expert Update()

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Certified Alcohol and Drug Counselor CADC/CDAC Pre-Test Exam NC Version|Latest Expert Update() 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. - ANSWERB. 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. - ANSWERB. 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" - ANSWERA. "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. - ANSWERA. The "here and now." 19) A frequent client reaction during the termination phase of counseling is: A. Defensiveness. B. Acting out behavior. C. Apathy. D. Lack of trust. - ANSWERB. Acting out behavior. 25) The branch of pharmacology that deals with the biological, biochemical, and physical characteristics of natural drugs is: A. Pharmacokinetics. B. Pharmacognosy. C. Pharmacotherapeutics. D. Pharmacodynamics. - ANSWERB. Pharmacognosy. 29) Which of the following statements about dysfunctional families is TRUE? A. The family cannot get well until the dependent person seeks help. B. The children in a dysfunctional family can be protected from the problems cause by chemical dependency. C. The divorce rate in dysfunctional families is highest after recovery has been initiated. D. Family problems develop in the later phases of the addiction process. - ANSWERC. The divorce rate in dysfunctional families is highest after recovery has been initiated. 40) Assessment, according to the behavioral approach, involves: A. Taking a client history and specifying problematic behavior. B. Specification of the problematic behavior and collection of baseline data. C. Identification of the problematic behavior and evaluation of the client's motivation to change. D. Specification of the problematic behavior and evaluation of the client's motivation to change. - ANSWERB. Specification of the problematic behavior and collection of baseline data. 53) All of the following statements about the effects of alcohol abuse on the body are true EXCEPT: A. Malnutrition can occur in drinkers who eat well-balanced diets. B. Stimulation of the brain's frontal lobe can occur. C. The second stage of liver deterioration can be reversed. D. A vitamin B6 deficiency can occur. - ANSWERB. Stimulation of the brain's frontal lobe can occur. 54) Heroin is an example of a(an): A. Natural narcotic. B. Semi-synthetic narcotic. C. Synthetic narcotic. D. Quasi-narcotic. - ANSWERB. Semi-synthetic narcotic. 66) Which of the following is MOST helpful for counselors in defining their professional roles for counseling clients? A. An understanding of self-help groups B. An ethical code of conduct C. Certification D. An advanced degree - ANSWERB. An ethical code of conduct 67) Your dually-diagnosed client, stabilized on medication for his psychiatric disorder, decides he wants to quit smoking. You should: A. Advise him to select a quit date within the next 2 weeks. B. Encourage him to use the nicotine patch or gum. C. Consult with his physician regarding nicotine/medication interaction. D. Suggest he cut down the number of cigarettes daily for 2 weeks before quitting. - ANSWERC. Consult with his physician regarding nicotine/medication interaction. 68) Which of the following essential tasks was NOT completed during the client's intake process? A. The client was assigned a primary counselor B. An initial assessment was completed C. The client was admitted to the program D. The client signed all required consent forms - ANSWERD. The client signed all required consent forms 73) After a counselor has made a summary statement, the most important thing the counselor should do is: A. Remain quite for a time to allow the client to consider the summarized material. B. Document the summary as soon as possible as part of the treatment plan. C. Recommend that the client discuss the session with his/her sponsor. D. Terminate the session immediately. - ANSWERA. Remain quite for a time to allow the client to consider the summarized material. 76) The first contact that a potential client would have with an agency would likely be for the purpose of: A. Family therapy. B. Education. C. Psychosocial assessment. D. Screening. - ANSWERD. Screening. 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 - ANSWERB. 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 - ANSWERD. A client reports recent child abuse

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CADC EXAM LATEST EXPERT
UPDATE(2024-2024)3
VERSIONS|BRAND NEW EXAM
QUESTIONS AND(100%) CORRECT
ANSWERS ALL GRADED
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CNS Depressants Action - ANSWER✅✅Increase GABA which slows brain activity

CNS Depressants Class of Drugs - ANSWER✅✅benzodiazepines, barbiturates, sleep
aids, opioids, and alcohol

CNS Stimulants Action - ANSWER✅✅Increasee CNS activity by releasing
catecholamines (epinephrine, norepinephrine, and dopamine)

CNS Stimulants Class of Drugs - ANSWER✅✅amphetamines, cocaine, nicotine, and
caffeine

,Hallucinogens Action - ANSWER✅✅affect acetylcholine in the parasympathetic
nervous system, also dopamine, serotonin, and epinephrine

Hallucinogens Class of Drug - ANSWER✅✅LSD, mushrooms, MDMA, ketamine,
spice

Cannabis action - ANSWER✅✅Cannabinoid receptors THC and CBD

Inhalants action - ANSWER✅✅suppressing CNS

Inhalants class of drugs - ANSWER✅✅gases, aerosols, and volatile solvents (nitrates
work as vasodilators)

Performance-enhancing drugs action and class - ANSWER✅✅anabolic steroids that
activate androgen receptors and increase calcium levels

Substance withdrawal - ANSWER✅✅The state experienced with the reduction or
cessation of a substance that has been misused for a period of time

Substance-induced mental disorder - ANSWER✅✅when use of a substance creates
behavior similar to that of a mental health disorder such as depression, anxiety, or
psychosis (hallucinations/delirium)

DSM-5 Criteria for SUD (11) - ANSWER✅✅Amount
Control
Time
Cravings
Obligations
Social
Importance
Risk
Harm
Tolerance
Withdrawal

The 5 Stages of SUD - ANSWER✅✅1. Abstinence
2. Experimental Use
3. Social Use (Mild SUD)
4. Abuse (Moderate SUD)
5. Chemical Dependency/Addiction (Severe SUD)

Psychological dependence - ANSWER✅✅Cravings, urges, and the desire for
substance use

Physical dependence - ANSWER✅✅the result of brain changes due to drug use,
where the brain starts to require the heightened state of activity produced by the
drug and therefore creates physical reactions when the drug is absent

,Dependency - ANSWER✅✅a brain disease characterized by an uncontrollable
desire to consume increased quantities of a psychoactive substance

Tolerance - ANSWER✅✅requiring an increased amount of the substance to attain
the desired effect

Behavioral tolerance - ANSWER✅✅when individuals display behaviors that mask
the effects of substance use from others, including changes in disposition, attitude,
or speech associated with psychoactive substance intoxication

Dispositional or metabolic tolerance - ANSWER✅✅when a person's body tries to
accelerate metabolism to rid itself of chemically toxic substances creating the need
for more and more of the substance to be consumed

Cross-tolerance - ANSWER✅✅when people become tolerant of psychoactive
substances in the same pharmaceutical family as those previously tolerated (heroin
to other opioids)

Pharmacodynamic tolerance or cellular-adaptive tolerance - ANSWER✅✅when
neurotransmitters are altered so that the brain has become desensitized to the
substance which lessens the effects

Reverse tolerance - ANSWER✅✅when a person becomes more sensitive to the
substance because the substance has harmed neuronal activity (alcohol and liver
damage)

Select tolerance - ANSWER✅✅when some effects of a drug are experienced and
others are not (euphoric feeling gone but affects other parts of the body)

4 Stages of Withdrawal - ANSWER✅✅1. Stage 1 within hours, varies by substance
2. Stage 2 intensification of symptoms (body aches, sleep disturbances, depression,
tremors, and anxiety)
3. Stage 3 Post-Acute sharp peak and then a decline in symptoms can last weeks or
months and may need a medical professional (insomnia, emotional lability, memory
impairment, and anxiety)
4. Post-Acute Withdrawal can last months to years and affects biopsychosocial
functioning (memory impairment, difficulty thinking clearly, mood swings, cravings,
anhedonia, suicidal ideation, fatigue, muscle aches, social withdrawal, and pain
sensitivity)

Anhedonia - ANSWER✅✅inability to experience pleasure

Medical detox is required when... - ANSWER✅✅detoxing from alcohol and
benzodiazepines

3 steps of detox management - ANSWER✅✅1. Screening, assessment, evaluation

, 2. stabilization
3. treatment engagement

What passes through the blood-brain barrier easily? - ANSWER✅✅fat-soluble
substances (alcohol, cocaine)

Half-life - ANSWER✅✅duration of time it takes for half of the substance to be
eliminated from the body

Metabolism - ANSWER✅✅process through which a substance is eliminated from
the body

Peripheral nervous system - ANSWER✅✅somatic and autonomic nervous system

The primary neurotransmitter of the parasympathetic nervous system is -
ANSWER✅✅acetylcholine (inhibiting)

The primary neurotransmitter of the sympathetic nervous system -
ANSWER✅✅norepinephrine (excitatory)

Amygdala - ANSWER✅✅emotion, motivation, and memory formation in relation to
the stress and fear response, most relevant in the withdrawal experience

Reticular activating system - ANSWER✅✅responsible for an individual's state of
arousal

Basal ganglia - ANSWER✅✅motivation, movement-related functions, and habit
formation (pleasure/reward pathways)

Cerebellum - ANSWER✅✅coordination, posture, motor skills, and movement

Prefrontal cortex - ANSWER✅✅thinking, planning, problem solving (especially
relevant in adolescents)

Hypothalamus - ANSWER✅✅hormone production and sends hormones via
pituitary gland (regulates the body's stress response)

Neurons - ANSWER✅✅specialized cell that sends and receives biochemical
information made up of the dendrites, axon, and soma

Synapses - ANSWER✅✅deliver neurotransmitters such as dopamine and serotonin
from neuron to neuron

Dendrites - ANSWER✅✅receive synaptic inputs from axons

Axon - ANSWER✅✅part of the brain cell that determines whether or not a neuron
will be fired to signal the release of a neurotransmitter

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