CAADC FINAL PAPER 2025/2026 ANSWERS AND
QUESTIONS GRADED A+
✔✔A standard criteria for admission to an inpatient program or a residential program is:
A court order
A polysubstance dependence
3 DUI convictions within 5 years
A need for 24 hour supervision - ✔✔A need for 24 hour supervision
✔✔The first session or first initial interview is mainly intended to:
Work with the patient to determine what his or her treatment expectations might be
Determine if the patient is appropriate and ready for treatment
Work with the patient by showing him or her that significant change can happen with
the first session
Get the patient started by the creation of a formal contract - ✔✔Work with the patient to
determine what his or her treatment expectations might be
✔✔A Korean client comes to your practice; you are unfamiliar with Korean customs and
beliefs. The first thing you should do is to:
Postpone therapy with the client until you have read up on Wicca culture
Indicate to the client that you are unfamiliar with her cultural background
Say nothing, but continue therapy
Refer the client to someone with a similar background - ✔✔Indicate to the client that
you are unfamiliar with her cultural background
An ethical practitioner does not intentionally practice outside his/her major areas of
competence, and makes it his/her business to attempt to objectively assess where
his/her deficits lie. Since all clinical problems exist in particular contexts, however, the
practitioner must attempt to distinguish general clinical principles that transcend
particular contexts and "micro-competencies" that are needed to work effectively with
particular client populations. In addition, competence must be evaluated against a
constantly changing context of existing knowledge in a particular field. The practitioner
is advised to be honest with his/her client regarding his/her lack of knowledge in a
particular area.
✔✔When dealing with crisis intervention, a addictions professional should FIRST:
Do a "reality check" with the patient
Present a rational explanation to the patient
Go with the patient's feelings regarding the traumatic experience
Talk with the patient about future goals and objectives to keep him focused - ✔✔Go
with the patient's feelings regarding the traumatic experience
✔✔Which is not a repercussion of compliance with HIPAA standards?
Eliminate redundant paperwork
Allow remote access to records
,Streamline operations
Increased exposure to lawsuits - ✔✔Increased exposure to lawsuits
✔✔A 28-year-old woman comes to your agency, indicating that she is ready to cash in
her chips. She is depressed, but also recognizes that she needs help. She really seems
upset, but doesn't seem to have a plan to commit suicide at this time. She has a support
network consisting of her husband and his parents. To protect the safety of this patient
you might first:
Establish rapport and have your secretary call her husband
Try some self-disclosure with the patient, indicating that everyone feels down in the
dumps from time to time
Don't mess around. Call 911 and get her into a hospital ASAP
Since she does not have a specific plan, work with the patient on writing a no-suicide
agreement - ✔✔Since she does not have a specific plan, work with the patient on
writing a no-suicide agreement
✔✔For an intense, chronic, dual disorder the client probably will have:
Some treatment complications, to need more care, and will progress in TX more slowly
No treatment complications, to need less medical care, and will progress quickly in TX
Extensive treatment complications, to need more medical care, and will progress slowly
Few treatment complications, to need some medical care, and will progress in TX -
✔✔Extensive treatment complications, to need more medical care, and will progress
slowly
✔✔During the course of working with a client, you discover that he cannot perform
sexually. As an addictions counselor you would: (Choose the BEST answer)
Make a referral to a Psychiatrist
Make a referral to a Mental Health Professional
Make a referral to Medical Doctor
Make a referral to a Sex Therapist - ✔✔Make a referral to Medical Doctor
✔✔Mary is three months pregnant and wants to quit smoking. She says she currently
smokes a pack of cigarettes a day. You should refer Mary to: (Choose the BEST
answer)
Her nearest pharmacy for nicotine patches or gum
A medical doctor
Social services
A psychologist - ✔✔A medical doctor
✔✔A client of yours was not hired for a position after the employer discovered that he is
a recovering alcoholic. You feel that your client would be an excellent candidate for the
job and know that he has been sober for over a year. What should you do?
Offer your client a job working with you
Offer to help your client sue the employer for discrimination
Discuss other employment options with your client
, Write the employer a letter, with the client's consent, explaining why he would be a
good candidate for the position - ✔✔Write the employer a letter, with the client's
consent, explaining why he would be a good candidate for the position
✔✔You are an intake counselor working in a drug treatment facility. When you screen
for suicide potential, your most important concern should be lethal plan, means, and
opportunity. When you identify that the client in front of you presents these qualities you
should: (Choose the BEST answer)
Contact her family in order to provide her support and taking steps to maintain her
safety
Contact your supervisor, to maintain her safety
Call the police to have her Baker Acted into protective custody to maintain her safety
Begin a crisis intervention, taking steps to maintain her safety - ✔✔Begin a crisis
intervention, taking steps to maintain her safety
✔✔During the screening appointment, the client sitting across from you begins to tell
you that he has had to put aluminum foil over his windows to block the radio
transmissions, and stop the voices. As an Addictions Counselor you should:
Terminate the interview and arrange for this client to be screened and evaluated by a
mental health counselor
Following the interview, arrange for this client to be screened and evaluated at a mental
health crisis unit
Following the interview, give this client a referral to a mental health provider
Terminate the interview and write an evaluation that indicates that this client is not
appropriate for treatment at this time - ✔✔Following the interview, arrange for this client
to be screened and evaluated at a mental health crisis unit
Any client that manifests an indication of a serious mental health issue or problem
needs to be assessed by competent mental health providers. Being an addictions
counselor does NOT qualify one to deal with schizophrenia. Before any treatment, a
client with mental health problems MUST be stabilized prior to addictions treatment.
✔✔What is the best way to respond to a client who is dissatisfied with the way her
counseling is progressing?
discuss her concerns and make necessary changes
refer her to a new counselor
confront her resistance
terminate her counseling - ✔✔discuss her concerns and make necessary changes
✔✔Your client has been married to a substance user for twelve years. He tells you that
he had always used sleeping pills and enjoyed an occasional cocktail, but that recently
he has been using a gram of cocaine each week. He has begun taking cash advances
on their credit cards and writing bad checks. The MOST appropriate referral for this
client would be: (Choose the BEST answer) A referral to
A referral to Narcanon
, A referral to Alcoholics Anonymous
A referral to Narcotics Anonymous
A referral to CoDA - ✔✔A referral to Narcanon
This group is targeted to dealing with those involved with cocaine
✔✔One of your clients is a 40 year old chronic alcoholic male, a veteran of the USMC.
He has begun treatment after a family intervention. During group he has expressed his
anger towards his employer, and his coworkers, whom he feels is treating him unfairly.
This client, when he was drinking was abusive to his wife and children. You know that
he is a hunter, and has firearms in the home. He has become withdrawn and sullen.
According to his assessment he has few hobbies or outside interests. He often
disagrees with other group members and is argumentative. Based on these
observations, and in reviewing all of these factors you are concerned that he may be:
(Choose the BEST answer)
Dangerous to others in his workplace, and make a referral for an evaluation by a
Mental Health Counselor
Secretly drinking or using drugs. You would do a random drug screen
Demonstrating Post Acute Withdrawal Syndrome
In the midst of a rela - ✔✔Dangerous to others in his workplace, and make a referral for
an evaluation by a Mental Health Counselor
Based on these observations, and in reviewing all of these factors you are concerned
that he may be dangerous to others in his workplace, and make a referral for an
evaluation by a Mental Health Counselor.
✔✔One of your clients witnessed a severe accident in which individuals were killed and
badly injured. During group, about a month following the accident, he discloses that he
has been having vivid physical reactions which include feelings of panic, shortness of
breath, sweating, a tightness in his chest and palpitations. As an addictions counselor
you would recognize these symptoms as: (Choose the BEST answer)
Possible evidence of a Schizoid Disorder and make a referral to a mental health
professional for an evaluation
Possible evidence of a health disorder and make a referral to a medical health
professional for an evaluation
Possible evidence of Post Traumatic Stress Disorder and make a referral to a mental
health professional for an evaluation
Possible evidence of Depression and make a referral to a mental health professional
for an evaluation - ✔✔Possible evidence of Post Traumatic Stress Disorder and make a
referral to a mental health professional for an evaluation
These symptoms, feelings of panic, shortness of breath, sweating, a tightness in his
chest and palpitations are possible evidence of Post Traumatic Stress Disorder, and
would justify a referral to a mental health professional for an evaluation.
✔✔Which of these clients most need a referral to a physician?
QUESTIONS GRADED A+
✔✔A standard criteria for admission to an inpatient program or a residential program is:
A court order
A polysubstance dependence
3 DUI convictions within 5 years
A need for 24 hour supervision - ✔✔A need for 24 hour supervision
✔✔The first session or first initial interview is mainly intended to:
Work with the patient to determine what his or her treatment expectations might be
Determine if the patient is appropriate and ready for treatment
Work with the patient by showing him or her that significant change can happen with
the first session
Get the patient started by the creation of a formal contract - ✔✔Work with the patient to
determine what his or her treatment expectations might be
✔✔A Korean client comes to your practice; you are unfamiliar with Korean customs and
beliefs. The first thing you should do is to:
Postpone therapy with the client until you have read up on Wicca culture
Indicate to the client that you are unfamiliar with her cultural background
Say nothing, but continue therapy
Refer the client to someone with a similar background - ✔✔Indicate to the client that
you are unfamiliar with her cultural background
An ethical practitioner does not intentionally practice outside his/her major areas of
competence, and makes it his/her business to attempt to objectively assess where
his/her deficits lie. Since all clinical problems exist in particular contexts, however, the
practitioner must attempt to distinguish general clinical principles that transcend
particular contexts and "micro-competencies" that are needed to work effectively with
particular client populations. In addition, competence must be evaluated against a
constantly changing context of existing knowledge in a particular field. The practitioner
is advised to be honest with his/her client regarding his/her lack of knowledge in a
particular area.
✔✔When dealing with crisis intervention, a addictions professional should FIRST:
Do a "reality check" with the patient
Present a rational explanation to the patient
Go with the patient's feelings regarding the traumatic experience
Talk with the patient about future goals and objectives to keep him focused - ✔✔Go
with the patient's feelings regarding the traumatic experience
✔✔Which is not a repercussion of compliance with HIPAA standards?
Eliminate redundant paperwork
Allow remote access to records
,Streamline operations
Increased exposure to lawsuits - ✔✔Increased exposure to lawsuits
✔✔A 28-year-old woman comes to your agency, indicating that she is ready to cash in
her chips. She is depressed, but also recognizes that she needs help. She really seems
upset, but doesn't seem to have a plan to commit suicide at this time. She has a support
network consisting of her husband and his parents. To protect the safety of this patient
you might first:
Establish rapport and have your secretary call her husband
Try some self-disclosure with the patient, indicating that everyone feels down in the
dumps from time to time
Don't mess around. Call 911 and get her into a hospital ASAP
Since she does not have a specific plan, work with the patient on writing a no-suicide
agreement - ✔✔Since she does not have a specific plan, work with the patient on
writing a no-suicide agreement
✔✔For an intense, chronic, dual disorder the client probably will have:
Some treatment complications, to need more care, and will progress in TX more slowly
No treatment complications, to need less medical care, and will progress quickly in TX
Extensive treatment complications, to need more medical care, and will progress slowly
Few treatment complications, to need some medical care, and will progress in TX -
✔✔Extensive treatment complications, to need more medical care, and will progress
slowly
✔✔During the course of working with a client, you discover that he cannot perform
sexually. As an addictions counselor you would: (Choose the BEST answer)
Make a referral to a Psychiatrist
Make a referral to a Mental Health Professional
Make a referral to Medical Doctor
Make a referral to a Sex Therapist - ✔✔Make a referral to Medical Doctor
✔✔Mary is three months pregnant and wants to quit smoking. She says she currently
smokes a pack of cigarettes a day. You should refer Mary to: (Choose the BEST
answer)
Her nearest pharmacy for nicotine patches or gum
A medical doctor
Social services
A psychologist - ✔✔A medical doctor
✔✔A client of yours was not hired for a position after the employer discovered that he is
a recovering alcoholic. You feel that your client would be an excellent candidate for the
job and know that he has been sober for over a year. What should you do?
Offer your client a job working with you
Offer to help your client sue the employer for discrimination
Discuss other employment options with your client
, Write the employer a letter, with the client's consent, explaining why he would be a
good candidate for the position - ✔✔Write the employer a letter, with the client's
consent, explaining why he would be a good candidate for the position
✔✔You are an intake counselor working in a drug treatment facility. When you screen
for suicide potential, your most important concern should be lethal plan, means, and
opportunity. When you identify that the client in front of you presents these qualities you
should: (Choose the BEST answer)
Contact her family in order to provide her support and taking steps to maintain her
safety
Contact your supervisor, to maintain her safety
Call the police to have her Baker Acted into protective custody to maintain her safety
Begin a crisis intervention, taking steps to maintain her safety - ✔✔Begin a crisis
intervention, taking steps to maintain her safety
✔✔During the screening appointment, the client sitting across from you begins to tell
you that he has had to put aluminum foil over his windows to block the radio
transmissions, and stop the voices. As an Addictions Counselor you should:
Terminate the interview and arrange for this client to be screened and evaluated by a
mental health counselor
Following the interview, arrange for this client to be screened and evaluated at a mental
health crisis unit
Following the interview, give this client a referral to a mental health provider
Terminate the interview and write an evaluation that indicates that this client is not
appropriate for treatment at this time - ✔✔Following the interview, arrange for this client
to be screened and evaluated at a mental health crisis unit
Any client that manifests an indication of a serious mental health issue or problem
needs to be assessed by competent mental health providers. Being an addictions
counselor does NOT qualify one to deal with schizophrenia. Before any treatment, a
client with mental health problems MUST be stabilized prior to addictions treatment.
✔✔What is the best way to respond to a client who is dissatisfied with the way her
counseling is progressing?
discuss her concerns and make necessary changes
refer her to a new counselor
confront her resistance
terminate her counseling - ✔✔discuss her concerns and make necessary changes
✔✔Your client has been married to a substance user for twelve years. He tells you that
he had always used sleeping pills and enjoyed an occasional cocktail, but that recently
he has been using a gram of cocaine each week. He has begun taking cash advances
on their credit cards and writing bad checks. The MOST appropriate referral for this
client would be: (Choose the BEST answer) A referral to
A referral to Narcanon
, A referral to Alcoholics Anonymous
A referral to Narcotics Anonymous
A referral to CoDA - ✔✔A referral to Narcanon
This group is targeted to dealing with those involved with cocaine
✔✔One of your clients is a 40 year old chronic alcoholic male, a veteran of the USMC.
He has begun treatment after a family intervention. During group he has expressed his
anger towards his employer, and his coworkers, whom he feels is treating him unfairly.
This client, when he was drinking was abusive to his wife and children. You know that
he is a hunter, and has firearms in the home. He has become withdrawn and sullen.
According to his assessment he has few hobbies or outside interests. He often
disagrees with other group members and is argumentative. Based on these
observations, and in reviewing all of these factors you are concerned that he may be:
(Choose the BEST answer)
Dangerous to others in his workplace, and make a referral for an evaluation by a
Mental Health Counselor
Secretly drinking or using drugs. You would do a random drug screen
Demonstrating Post Acute Withdrawal Syndrome
In the midst of a rela - ✔✔Dangerous to others in his workplace, and make a referral for
an evaluation by a Mental Health Counselor
Based on these observations, and in reviewing all of these factors you are concerned
that he may be dangerous to others in his workplace, and make a referral for an
evaluation by a Mental Health Counselor.
✔✔One of your clients witnessed a severe accident in which individuals were killed and
badly injured. During group, about a month following the accident, he discloses that he
has been having vivid physical reactions which include feelings of panic, shortness of
breath, sweating, a tightness in his chest and palpitations. As an addictions counselor
you would recognize these symptoms as: (Choose the BEST answer)
Possible evidence of a Schizoid Disorder and make a referral to a mental health
professional for an evaluation
Possible evidence of a health disorder and make a referral to a medical health
professional for an evaluation
Possible evidence of Post Traumatic Stress Disorder and make a referral to a mental
health professional for an evaluation
Possible evidence of Depression and make a referral to a mental health professional
for an evaluation - ✔✔Possible evidence of Post Traumatic Stress Disorder and make a
referral to a mental health professional for an evaluation
These symptoms, feelings of panic, shortness of breath, sweating, a tightness in his
chest and palpitations are possible evidence of Post Traumatic Stress Disorder, and
would justify a referral to a mental health professional for an evaluation.
✔✔Which of these clients most need a referral to a physician?
