Ncac/Cadc Ii Exam Study Materials Questions And Answers

NCAC/CADC II Exam Study
Materials QUESTIONS AND
ANSWERS

crisis management - Correct Answer - 1. Focuses on present or immediate past.
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2. Goal is to have situation subside.
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3. Meet in person if possible, nonverbal communication is important
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4. Uses verbal de-escalation, establishes rapport, NOT long history of the problem.
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Relapse Prevention - Correct Answer - A focus on changing one's lifestyle to healthy and positive changes
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which set a strong foundation to ward off triggers and temptations.
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-Concentrates on coping and prevention skills necessary to be prepared throughout the process. B B B B B B B B B B B B




-Does not end abruptly
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-If it happens, it should be seen as a learning experience
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-Focuses on cognitive and behavioral techniques B B B B B




CENAPS Components - Correct Answer - 1. Assessment B B B BB B B B




2. Warning Sign Identification
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3. Warning Sign Management
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4. Recovery Planning
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5. Relapse Early Intervention Training
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CENAPS Stages - Correct Answer - 1. Transition: accept powerlessness and abstinence as the only solution.
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2. Stabilization: recuperate from effects of withdrawal, work through feelings of guilt, shame, and remorse
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3. Early Recovery: Live with the past and who we are individually.
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4. Middle Recovery: repair damage addiction has caused
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5. Late Recovery: overcome dysfunction and obstacles to healthy living
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6. Maintenance: continually grow and practice daily recovery
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,CENAPS Definition - Correct Answer - Center of applied science; Terrence Gorski: addiction is a disease and
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strives for the client to be completely abstinent and make positive changes in lifestyle through five stages or
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components.
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Abstinence Violation Effect - Correct Answer - Marlatt & Gordon: A reaction to an initial lapse that influences
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whether it becomes a full-blown relapse. Focuses on emotional response to lapse and causes of lapse. The
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progression from lapse to relapse is NOT inevitable.
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Marlatt & Gordon's Model - Correct Answer - Relapse is caused by immediate determinants and covert
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antecedents.
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Immediate Determinants: High risk situation coping skills, outcome expectations, abstinence violation affect
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Covert Antecedents: Lifestyle factors, urges, and cravings.
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Use both specific and global intervention strategies.
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Specific: identify high-risk situation, and hence coping skills, self efficacy, illuminate myths about effects,
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manage lapses, restructure perception of relapse process.
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Global: balance lifestyle, develop positive addictions, stimulus control and urge management techniques,
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relapse roadmaps.
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EBP goals - Correct Answer - EBP provide scientific evidence of why certain treatments work.
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The goal is to help the process as a whole, not eradicate other means
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EBPs incorporate opinions of clinical experts, uses science to determine usable evidence, incorporates
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individual tendencies of client and caregiver into the treatment plan.
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Motivational Enhancement - Correct Answer - Proposes to quicken the process to encourage rapid B B B BB B B B B B B B B B




development through initial assessment. This includes battery assessment and individual sessions at a rapid
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pace.
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Contingency Management - Correct Answer - A type of behavioral therapy where patients are rewarded or
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reinforced for positive changes. Uses positive reinforcement to increase a behavior or frequency.
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EX: gift cards for negative UA's.
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Cultural Accommodation vs. Adaptation - Correct Answer - Cultural accommodation: modifies how a model is
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delivered for better understanding.
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Cultural adaptation: changes the actual structure of the model for cultural reasons.
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Trauma Informed vs Specific - Correct Answer - Trauma informed: provides information about potential
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traumas and how to handle them.
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Trauma specific: deals with treating effects from a specific event that caused the trauma.
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,Qualitative vs Quantitative Assessment - Correct Answer - Qualitative: considers less tangible factors:
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observations, gut reaction.
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Quantitative: based on facts and associated data B B B B B B




Ethical consideration precedence - Correct Answer - 1. Law: nothing supersedes federal or state law.
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2. Precedent by caselaw
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3. Common sense
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4. Administrative rule
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5. Contracts
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Trauma Informed Care Principles - Correct Answer - Decisions are collaborative and team-based, not from a
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single source.
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1: understanding trauma and its affects.
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2. safety.
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3. help client gain regain control.
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4. sharing of power.
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5. cultural sensitivities power
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6. integrating care.
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7. establish or repair relationships.
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8. ensure possibility of recovery.
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Elements of Morality - Correct Answer - 1. The counselor as a person: the counselor's understanding of right
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and wrong through experience in life events.
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2. A moral sense: innate sense of right and wrong that develops throughout one's life.
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3. Values: what is important in a persons life.
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Daily Ethical Conduct - Correct Answer - 1. provide informed consent.
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2. operate in a competent manner.
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3. ensure confidentiality.
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4. maintain appropriate relationship boundaries.
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5. utilize adequate consultation.
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, 6. honor personal and cultural values.
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Informed Consent Parts - Correct Answer - 1. client must be of stable mind to think rationally
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2. client was understand the issue at hand
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3. client must not be held against their will
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Cultural Competence - Correct Answer - 1. Destructiveness
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2. Incapacity
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3. Blindness
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4. Pre-Competence
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5. Competence & Proficiency
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Stereotype vs. Generalization - Correct Answer - Stereotype: Determines facts upfront without considering
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evidence. It is important to not use stereotypes by any means.
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Generalizations: Are common trend which can be used as a basis and are an acceptable way to begin B B B B B B B B B B B B B B B B B




investigation into facts and then a determination can be made.
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Cultural Competence - Correct Answer - One recognizes that culturally responsive practices should be
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implemented. It is more a stage of mental transformation, not related to actual implementation.
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Universal/Selective/Indicated Prevention - Correct Answer - Universal: an attempt to reduce the risk of B B B BB B B B B B B B B B




alcohol and drugs across a general population.
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Selective: an attempt to reduce risk of alcohol and drugs for a specific family or group.
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Indicated: attempt to reduce risk for people already using substances.
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Comprehensive Risk Assessment - Correct Answer - 1: recognition of potential risk. B B B B BB B B B B B B B




2: initial screening.
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3: comprehensive assessment.
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4: interventions.
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5: process evaluation and outcome determination.
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Crisis Determination - Correct Answer - A crisis and the need to intervene depends on the client's mental state.
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A stressful event occurring doesn't necessarily create a crisis.
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The reaction by the client is most important.
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