DOMAIN 4 CASAC EXAM QUESTIONS AND ANSWERS LATEST UPDATE 2025-2026
Which of the following is an example of an exploitation?
A - going to the same AA meeting as a client
B - buying groceries at a clients store
C - leaking the name of a famous celebrity who is in treatment at your facility to the public
D - referring a client to a friend for ongoing therapy - Answers C - leaking the name of a famous
celebrity who is in treatment at your facility to the public
The administrator of your hospital mandates that all drug and alcohol patients be given
psychological testing upon admission. It is your job to:
A - make sure the testing occurs as mandated
B - challenge the authority of the administrator in making such a mandate
C - refuse to follow such a mandate
D - work to ensure that only medically necessary and appropriate care is administered - Answers
A - make sure the testing occurs as mandated
The agency you work for does not provide post discharge services. It is your professional
responsibility to:
A - adhere to the policy and limitations of your agency
B - write a proposal for post discharge services and submit it to the agency Director
C - work for an agency that provides a continuum of care
D - develop a plan for ongoing client support - Answers D - develop a plan for ongoing client
support
You are having difficulty with a client early on in the case. The best thing for you to do is:
A - transfer the client to another counselor
B - Let the relationship develop and try to work it out
C - challenge the client about his or her resistance to treatment
D - seek out supervision with a colleague or a supervisor - Answers D - seek out supervision with
a colleague or a supervisor
A professional discipline is defined by:
, A - a common body of knowledge
B - a code of ethics
C - a concern for their peers
D - all of the above - Answers D - all of the above
Which of the following does not define ethics?
A - principles of morality
B - the science of the good
C - the nature of the right
D - the legal issues of counseling - Answers D - the legal issues of counseling
The ancient dictum ""primum non nocere" means:
A - do no harm
B - do only good
C - do primary care
D - do not notice - Answers A - do no harm
Professional competence means:
A - being able to provide all needs to the client
B - knowing one's limitations and abilities
C - having the ability to do private practice
D - all of the above - Answers B - knowing one's limitations and abilities
Confidentiality:
A - may never be broken
B - can only be broken with a signed release of information
C - may be broken if a client is dangerous to self or others
D - all of the above - Answers
A key factor for counselors to consider is that in a counseling relationship, the counselor has
differential power. One of the best safeguards is:
Which of the following is an example of an exploitation?
A - going to the same AA meeting as a client
B - buying groceries at a clients store
C - leaking the name of a famous celebrity who is in treatment at your facility to the public
D - referring a client to a friend for ongoing therapy - Answers C - leaking the name of a famous
celebrity who is in treatment at your facility to the public
The administrator of your hospital mandates that all drug and alcohol patients be given
psychological testing upon admission. It is your job to:
A - make sure the testing occurs as mandated
B - challenge the authority of the administrator in making such a mandate
C - refuse to follow such a mandate
D - work to ensure that only medically necessary and appropriate care is administered - Answers
A - make sure the testing occurs as mandated
The agency you work for does not provide post discharge services. It is your professional
responsibility to:
A - adhere to the policy and limitations of your agency
B - write a proposal for post discharge services and submit it to the agency Director
C - work for an agency that provides a continuum of care
D - develop a plan for ongoing client support - Answers D - develop a plan for ongoing client
support
You are having difficulty with a client early on in the case. The best thing for you to do is:
A - transfer the client to another counselor
B - Let the relationship develop and try to work it out
C - challenge the client about his or her resistance to treatment
D - seek out supervision with a colleague or a supervisor - Answers D - seek out supervision with
a colleague or a supervisor
A professional discipline is defined by:
, A - a common body of knowledge
B - a code of ethics
C - a concern for their peers
D - all of the above - Answers D - all of the above
Which of the following does not define ethics?
A - principles of morality
B - the science of the good
C - the nature of the right
D - the legal issues of counseling - Answers D - the legal issues of counseling
The ancient dictum ""primum non nocere" means:
A - do no harm
B - do only good
C - do primary care
D - do not notice - Answers A - do no harm
Professional competence means:
A - being able to provide all needs to the client
B - knowing one's limitations and abilities
C - having the ability to do private practice
D - all of the above - Answers B - knowing one's limitations and abilities
Confidentiality:
A - may never be broken
B - can only be broken with a signed release of information
C - may be broken if a client is dangerous to self or others
D - all of the above - Answers
A key factor for counselors to consider is that in a counseling relationship, the counselor has
differential power. One of the best safeguards is:
