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NCAC II Exam 2025/2026 | 200+ Questions with Verified Answers | Substance Abuse Counseling, Pharmacology, Ethics

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This expertly structured NCAC II (National Certified Addiction Counselor Level II) Exam Study Guide for the 2025/2026 academic year contains over 200 exam-style questions with fully verified and correct answers. It is an essential resource for candidates preparing for the IC&RC/NAADAC certification exams, offering in-depth coverage of core topics such as substance abuse pharmacology, psychotherapeutic models, withdrawal management, professional ethics, and clinical practice principles. Students will find detailed entries on the neurological and physiological effects of psychoactive substances, the stages of addiction and recovery, DSM diagnostic criteria, psychopharmacology terms, and theoretical models including CBT, Gestalt, Person-Centered Therapy, Psychoanalytic Theory, and more. It covers everything from drug metabolism and neurotransmitters to the family dynamics of addiction, legal responsibilities in counseling (e.g., duty to warn, informed consent), and advanced behavioral theories. Ideal for students enrolled in Addiction Studies, Clinical Psychology, Social Work, Nursing, Public Health, Behavioral Science, or Counseling programs, this guide also benefits professionals seeking certification or continuing education. It is particularly relevant for roles such as Addiction Counselors, Case Managers, Rehabilitation Specialists, Clinical Social Workers, and Mental Health Clinicians working in detox units, outpatient centers, or integrated care settings. Keywords: NCAC II exam, substance abuse counseling, addiction pharmacology, counseling ethics, therapeutic models, neurotransmitters, withdrawal stages, DSM criteria, CBT, motivational therapy, treatment planning, case management, dual diagnosis, family therapy, psychopharmacology

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NCAC II Exam 2025/2026 Exam
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Pharmacology - 🧠 ANSWER ✔✔the branch of science that examines how

psychoactive substances taken to alter bodily functions or enhance bodily

functions interact with the brain and body.

Due to it's short half-life, which requires a divided dosing? - 🧠 ANSWER

✔✔Wellbutrin


The first stage in group process may be referred to as: - 🧠 ANSWER

✔✔Dependency


The ICRC/AODA defines assessment as: - 🧠 ANSWER ✔✔An identification

of the client's strengths, weaknesses, needs and problems to develop the

treatment plan.

,In regard to crisis situations, the most useful criterion for evaluating the

effectiveness of actions taken between sessions is: - 🧠 ANSWER ✔✔Level

of functioning, compared to pre-crisis level


The Cephalocaudle Principle - 🧠 ANSWER ✔✔Development proceeds from

the head downward, with control over the head and face first, then the

arms, and finally the legs. Within two months from birth infants develop

control over head and face movements. In the following few months, they

are able to use their arms to lift themselves up. Control over the legs

develops between 6 to 12 months of age, with infants then able crawl,

stand, and eventually walk. Arm coordination always precedes leg

coordination.


The Proximodistal Principle - 🧠 ANSWER ✔✔Development proceeds from

the center of the body outward. Thus, arms develop before hands, and the

fingers and toes follow. Muscle control over the fingers and toes develops

last, as well.


Sigmund Freud - 🧠 ANSWER ✔✔Freud emphasized the significance of

childhood events and experiences, but focused nearly entirely on abnormal

development instead of normal functioning. Freud described child

,development as a set of "psychosexual stages," referred to as oral, anal,

phallic, latency and genital.


Erik Erickson - 🧠 ANSWER ✔✔A neo-Freudian psychologist that

hypothesized that people face pass through 8 social development stages

from infancy to old age. Each challenge has an outcome that affects a

persons social and personality development.


Jean Piaget - 🧠 ANSWER ✔✔Theorist Jean Piaget focused primarily on the

mental aspects of childhood, and proposed a four-stage theory of cognitive

development. He pioneered the idea that children's knowledge of the world

is gained by active interaction, describing them as "little scientists" in this

endeavor.


Rational Emotive Psychotherapy - 🧠 ANSWER ✔✔The earliest form of a

cognitive-behaviour approach to social work practice, in which personal

problems are understood to be the result of irrational patterns of thinking

and the dysfunctional behaviours that happen as a result. The goal of the

therapist is to help a client to see that the negative emotions experienced

are due to a flawed perception of reality.




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, Motivational Enhancement Therapy - 🧠 ANSWER ✔✔a brief,

nonconfrontational, client-centered therapy designed to change specific

problematic behaviors such as alcohol or drug use


Freudian Psychoanalytic Theory - 🧠 ANSWER ✔✔based on the idea that

people are influenced considerably by their unconscious, inner drives.


Cognitive Behavioral Therapy - 🧠 ANSWER ✔✔a popular integrative

therapy that combines cognitive therapy (changing self-defeating thinking)

with behavior therapy (changing behavior)


Socratic Dialogue - 🧠 ANSWER ✔✔A process that cognitive therapists use

in helping clients empirically test their core beliefs. Clients form hypotheses

about their behavior through observation and monitoring.


Gestalt therapy - 🧠 ANSWER ✔✔therapy that aims to integrate different

and sometimes opposing aspects of personality into a unified sense of self


Person Centered Therapy - 🧠 ANSWER ✔✔a nondirective insight therapy

based on the work of Carl Rogers in which the client does all the talking

and the therapist listens

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