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NAADAC – Basics of Addiction Counseling Desk Reference (Module 1, 2025/2026) – 90+ Exam Questions & Answers with Addiction Theories, Assessment, and Counseling Skills

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This complete Module 1 exam study guide for the NAADAC Basics of Addiction Counseling Desk Reference provides over 90 fully answered and up-to-date questions designed to prepare students and professionals for certification or academic assessments. It offers a thorough overview of foundational addiction counseling concepts, including the nature of addiction, major theoretical models, and the biopsychosocial framework. The guide covers screening and assessment tools, client engagement strategies, stages of change, motivational interviewing, and ethical standards for professional practice. Students will find in-depth explanations of major addiction theories (disease model, behavioral model, cognitive-behavioral approaches, and harm reduction), as well as guidance on cultural competency, co-occurring disorders, and confidentiality regulations such as HIPAA and 42 CFR Part 2. The document also addresses relapse prevention strategies, treatment planning, crisis intervention techniques, and counselor self-care practices. This resource is ideal for addiction counseling students, psychology and social work majors, mental health trainees, and professionals preparing for NAADAC certification. It is equally valuable for practitioners seeking a quick-reference tool to reinforce their knowledge of evidence-based practices, assessment protocols, and ethical guidelines in the field of substance use disorder treatment. Its structured question-and-answer format supports active recall and efficient preparation for both coursework and professional exams. Keywords: addiction counseling, NAADAC module 1, disease model of addiction, behavioral model, cognitive behavioral therapy, harm reduction, motivational interviewing, stages of change, substance use disorder assessment, screening tools, treatment planning, relapse prevention, co-occurring disorders, cultural competency, HIPAA, 42 CFR Part 2, ethical standards, counselor self-care

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NAADAC Basics of Addiction
Counseling Desk Reference Module 1
(up to Hallucinogens) 2025 Expert
Verified | Ace the Test



Designer psychoactive substances - 🧠 ANSWER ✔✔psychoactive substances

specifically invented with a different molecular chemical formula of similar

controlled substances to evade law enforcement.


half life - 🧠 ANSWER ✔✔the amount of time necessary to eliminate one half of

the original dosage of a psychoactive substance from the body.


Central Nervous System - 🧠 ANSWER ✔✔Reticular Activating System, Limbic

System, Basal Ganglia


Central Nervous System Depressants - 🧠 ANSWER ✔✔Alcohol, Barbituates,

Benzodiazepines

,CNS Depressant Physiological Effects - 🧠 ANSWER ✔✔Impaired coordination,

slurred speech, staggering gait, drowsiness, muscle relaxation, slowing of breath,

slowing of heart rate, dizziness, sedation


CNS Depressants Short Term Psychological Effects - 🧠 ANSWER ✔✔loss

ofmemory, euphoria, impaired judgement, feeling of decreased inhibition,

decreased fear, confusion, irritability, paranoia, reduction in tension and anxiety,

inappropriate obnoxious behavior


Habituation - 🧠 ANSWER ✔✔the circumstance where an individual takes daily,

therapeutic doses of the prescribed medication for sleep and finds that it is difficult

to induce sleep without it.


BAC Limits - 🧠 ANSWER ✔✔0.08 while operating a motor vehicle is illegal in

most states


Lethal Alcohol Toxicity (Alcohol Poisoning) - 🧠 ANSWER ✔✔BAC is .40 or

above


ETOH Stages of Withdrawal (Stage 1) - 🧠 ANSWER ✔✔Stage 1: (Tremors) 8 hrs

after heavy drinking. Peak intensity is 24-36 hours after the last drink. Symptoms:

tremors, slurred speech, irritability, nausea, vomiting, easily startled, face flushed,

,diuretic effects, sweating, rapid heart rate, increased blood pressure and temp., loss

of appetite, unsteady gait, inxomnia, inattention, poor coordination, mild

disorientation, poor recent memory and uneasiness. (Experience by 90% of ETOH

dependent clients.)


ETOH Stages of Withdrawal (Stage 2) - 🧠 ANSWER ✔✔Stage 2: (Hallucinations)

25% of clients sx distorted perceptions. auditory and/or visual hallucinations.


ETOH Stages of Withdrawal (Stage 3) - 🧠 ANSWER ✔✔Stage 3 (Withdrawal

Seizures) Grand Mall type in bursts of 2-6. 90% occur between 7-48 hours after the

last drink. Peak incidence: 13-24 hours after last drink. 1/3 will go on to develop

delirium tremens.


ETOH Stages of Withdrawal (Stage 4) - 🧠 ANSWER ✔✔Stage 4: (Delirium

Tremens) Profound confusion, delusions, vivid hallucinations, tremors, severe

agitation, sleeplessness, reduction in psychomotor activity, dilated pupils, fever,

tachycardia and profuse perspiration. 15% Fatality Rate in severe cases. A single

episode lasts 72 hours or less in 80% of cases.


FDA Approved Pharmacologies to treat ETOH Dependence - 🧠 ANSWER ✔✔1.

disulfiram (Antabuse)

2. acamprosate (Campral)


COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
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, 3. naltrexone (ReVia, Depade or Vivitrol)


Barbituate Uses - 🧠 ANSWER ✔✔1. anticonvulsant


2. anesthetic

3. sedative (daytime sedatives replaced by Benzodiazepines)

4. analgesic


Barbituate Short Term Physiological Effects - 🧠 ANSWER ✔✔muscles relax,

drowsiness, slowing of breath, slowing of heart rate, slurred speech, slowing of

motor activity, impaired coordination, dizziness, double vision


Barbituate Long Term Psychological Effects - 🧠 ANSWER ✔✔mood swings

(depression), irritability, inappropriate, obnoxious behavior, manipulation,

nervousness, confusion, insomnia, lack of coordination, anxiety, hyperactivity,

nightmares, hallucinations.


Barbituate Physical Dependence - 🧠 ANSWER ✔✔Requires Hospitalization for

gradual reduction of dose.


Barbituate Withdrawal Symptoms - 🧠 ANSWER ✔✔Within 6-8 hours of last dose:

Expect nausea, vomiting, increased heart rate, excessive sweating, abdominal

cramps, tremors of the extremities, anxiety, restlessness, agitation. Peak on 2nd/3rd

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