CADC CERTIFIED DRUG AND ALCOHOL COUNSELOR FINAL PAPER
2025/2026 QUESTIONS WITH ANSWERS GRADED A+
✔✔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 - ✔✔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 - ✔✔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. - ✔✔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. - ✔✔C. Clients should be helped to recognize that
one or more temporary lapses are likely to
occur and are permitted.
✔✔146) Stress inoculation focuses primarily on:
A. Increasing self-control.
B. Increasing coping skills.
C. Decreasing anxious responding.
D. Decreasing negative thought patterns. - ✔✔B. Increasing coping skills.
,✔✔147) According to the American Society of Addiction Medicine (ASAM), which of the
following is NOT one of the five categories of primary treatment?
A. Relapse Prevention
B. Early intervention
C. Intensive outpatient or partial hospitalization
D. Residential or inpatient services - ✔✔A. Relapse Prevention
✔✔150) Regarding a "seropositive" result, which of the following is NOT a meaning of
HIV
antibody test results?
A. The person has the AIDS virus
B. HIV infection occurred at some point in the past
C. The person is infectious and will remain so for life
D. The HIV infection has been in the system long enough to produce antibodies - ✔✔A.
The person has the AIDS virus
✔✔149) Of the following statements made by a client in a group, which would MOST
warrant
documentation in the client's progress notes?
A. "I'm finding the support from this group to be very helpful."
B. "Getting caught for drunk driving was a mixed blessing."
C. "Ever since I stopped drinking, my emotional swings have been quite intense."
D. "Let's change the subject. Did anyone see the game last night?" - ✔✔C. "Ever since I
stopped drinking, my emotional swings have been quite intense."
✔✔148) Bipolar mood disorder is distinguished from major depression by:
A. At least one episode of mania.
B. Evidence of earlier cyclothymia.
C. Evidence of earlier dysthymia.
D. Chronic forms of depression. - ✔✔A. At least one episode of mania.
✔✔145) Brian is a 15-year old boy who has been admitted to a program for chemical
dependency. He has a history of running away from home, erratic performance in
school, and has been arrested twice for petty theft. In assessing Brian, the counselor
should first consider which of the following before making a treatment recommendation?
A. Brian's goals in life
B. Brian's social resources
C. If Brian really needs the program
D. Brian's familial relationships and social milieu - ✔✔D. Brian's familial relationships
and social milieu
✔✔144) A client tells a counselor that she is unhappy with the way her treatment is
progressing. The counselor should:
A. Draw up a new contract with the client.
, B. Talk to the client about possible denial.
C. Create new goals and objectives, and suggest alternate forms of therapy.
D. Discuss these concerns with the client and make necessary changes in treatment
goals. - ✔✔D. Discuss these concerns with the client and make necessary changes in
treatment goals.
✔✔143) The PRIMARY purpose of professional standards of practice is to:
A. Provide recognition of demonstrated competency in addictions counseling.
B. Ensure that each client receives equal treatment regardless of ability to pay.
C. Help programs qualify for Medicaid and other third-party reimbursement.
D. Allow unlicensed counselors to work in licensed facilities. - ✔✔A. Provide recognition
of demonstrated competency in addictions counseling.
✔✔142) Effective case management for persons in need of multiple services requires:
A. Monitoring, feedback, and evaluation of services.
B. Frequent face-to-face contact with the client.
C. Collaboration with family members.
D. Careful matching with appropriate 12-step groups. - ✔✔A. Monitoring, feedback, and
evaluation of services.
✔✔140) It is important to understand clients and their expectations for counseling.
Clients
coming in for treatment carry with them both helpful and harmful expectations. Which of
the
following is a harmful client expectation?
A. "This counselor is a stranger, but maybe I can learn to trust her."
B. "My counselor will direct me to do what I need to do, and everything will be OK."
C. "My counselor will be a resource that I can use to resolve my problems."
D. "The counselor's main concern and responsibility is to help me achieve my goals and
objectives." - ✔✔B. "My counselor will direct me to do what I need to do, and everything
will be OK."
✔✔139) Which statement MOST accurately describes the relationship between
Alcoholics Anonymous and the professional treatment community?
A. AA policy clearly states that recovery can often be frustrated by contact with
professionals.
B. AA has made no statements for or against the professional treatment community.
C. There are inherent conflicts between AA and the professional treatment community
which are unlikely to be resolved.
D. A partnership between AA and the professional community was repeatedly
emphasized by the founders of AA. - ✔✔D. A partnership between AA and the
professional community was repeatedly
emphasized by the founders of AA.
2025/2026 QUESTIONS WITH ANSWERS GRADED A+
✔✔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 - ✔✔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 - ✔✔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. - ✔✔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. - ✔✔C. Clients should be helped to recognize that
one or more temporary lapses are likely to
occur and are permitted.
✔✔146) Stress inoculation focuses primarily on:
A. Increasing self-control.
B. Increasing coping skills.
C. Decreasing anxious responding.
D. Decreasing negative thought patterns. - ✔✔B. Increasing coping skills.
,✔✔147) According to the American Society of Addiction Medicine (ASAM), which of the
following is NOT one of the five categories of primary treatment?
A. Relapse Prevention
B. Early intervention
C. Intensive outpatient or partial hospitalization
D. Residential or inpatient services - ✔✔A. Relapse Prevention
✔✔150) Regarding a "seropositive" result, which of the following is NOT a meaning of
HIV
antibody test results?
A. The person has the AIDS virus
B. HIV infection occurred at some point in the past
C. The person is infectious and will remain so for life
D. The HIV infection has been in the system long enough to produce antibodies - ✔✔A.
The person has the AIDS virus
✔✔149) Of the following statements made by a client in a group, which would MOST
warrant
documentation in the client's progress notes?
A. "I'm finding the support from this group to be very helpful."
B. "Getting caught for drunk driving was a mixed blessing."
C. "Ever since I stopped drinking, my emotional swings have been quite intense."
D. "Let's change the subject. Did anyone see the game last night?" - ✔✔C. "Ever since I
stopped drinking, my emotional swings have been quite intense."
✔✔148) Bipolar mood disorder is distinguished from major depression by:
A. At least one episode of mania.
B. Evidence of earlier cyclothymia.
C. Evidence of earlier dysthymia.
D. Chronic forms of depression. - ✔✔A. At least one episode of mania.
✔✔145) Brian is a 15-year old boy who has been admitted to a program for chemical
dependency. He has a history of running away from home, erratic performance in
school, and has been arrested twice for petty theft. In assessing Brian, the counselor
should first consider which of the following before making a treatment recommendation?
A. Brian's goals in life
B. Brian's social resources
C. If Brian really needs the program
D. Brian's familial relationships and social milieu - ✔✔D. Brian's familial relationships
and social milieu
✔✔144) A client tells a counselor that she is unhappy with the way her treatment is
progressing. The counselor should:
A. Draw up a new contract with the client.
, B. Talk to the client about possible denial.
C. Create new goals and objectives, and suggest alternate forms of therapy.
D. Discuss these concerns with the client and make necessary changes in treatment
goals. - ✔✔D. Discuss these concerns with the client and make necessary changes in
treatment goals.
✔✔143) The PRIMARY purpose of professional standards of practice is to:
A. Provide recognition of demonstrated competency in addictions counseling.
B. Ensure that each client receives equal treatment regardless of ability to pay.
C. Help programs qualify for Medicaid and other third-party reimbursement.
D. Allow unlicensed counselors to work in licensed facilities. - ✔✔A. Provide recognition
of demonstrated competency in addictions counseling.
✔✔142) Effective case management for persons in need of multiple services requires:
A. Monitoring, feedback, and evaluation of services.
B. Frequent face-to-face contact with the client.
C. Collaboration with family members.
D. Careful matching with appropriate 12-step groups. - ✔✔A. Monitoring, feedback, and
evaluation of services.
✔✔140) It is important to understand clients and their expectations for counseling.
Clients
coming in for treatment carry with them both helpful and harmful expectations. Which of
the
following is a harmful client expectation?
A. "This counselor is a stranger, but maybe I can learn to trust her."
B. "My counselor will direct me to do what I need to do, and everything will be OK."
C. "My counselor will be a resource that I can use to resolve my problems."
D. "The counselor's main concern and responsibility is to help me achieve my goals and
objectives." - ✔✔B. "My counselor will direct me to do what I need to do, and everything
will be OK."
✔✔139) Which statement MOST accurately describes the relationship between
Alcoholics Anonymous and the professional treatment community?
A. AA policy clearly states that recovery can often be frustrated by contact with
professionals.
B. AA has made no statements for or against the professional treatment community.
C. There are inherent conflicts between AA and the professional treatment community
which are unlikely to be resolved.
D. A partnership between AA and the professional community was repeatedly
emphasized by the founders of AA. - ✔✔D. A partnership between AA and the
professional community was repeatedly
emphasized by the founders of AA.
