CERTIFIED CHILD AND ADOLESCENT
COUNSELOR (CCAC) EXAM QUESTION
AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A
INSTANT DOWNLOAD PDF
1. A primary developmental task of early childhood is
A. Identity formation
B. Autonomy vs. shame
C. Intimacy vs. isolation
D. Industry vs. inferiority
Answer: B
Rationale: Erikson identified autonomy vs. shame and doubt as the key
psychosocial task of early childhood.
2. Which theory emphasizes observable behaviors and reinforcement?
A. Psychodynamic
B. Humanistic
C. Behavioral
D. Cognitive
Answer: C
Rationale: Behavioral theory focuses on learned behaviors shaped by
reinforcement and punishment.
3. A child exposed to chronic trauma may most likely show
A. Increased trust
B. Secure attachment
C. Hypervigilance
, D. Advanced moral reasoning
Answer: C
Rationale: Chronic trauma often leads to hyperarousal and hypervigilance.
4. The best initial response to a child disclosing abuse is to
A. Investigate details
B. Promise confidentiality
C. Report immediately without listening
D. Listen calmly and supportively
Answer: D
Rationale: Counselors should listen supportively without making promises
or interrogating.
5. Which attachment style results from inconsistent caregiving?
A. Secure
B. Avoidant
C. Anxious-ambivalent
D. Disorganized
Answer: C
Rationale: Inconsistent caregiving leads to anxious or ambivalent
attachment.
6. Play therapy is MOST effective because it
A. Teaches discipline
B. Allows symbolic expression
C. Focuses on academics
D. Eliminates parental involvement
Answer: B
Rationale: Play allows children to symbolically express emotions they
cannot verbalize.
7. Adolescents are primarily developing
A. Object permanence
B. Identity
C. Basic trust
, D. Motor coordination
Answer: B
Rationale: Identity vs. role confusion is the main task of adolescence.
8. A counselor suspects neglect. The legal obligation is to
A. Counsel the parents
B. Keep it confidential
C. Make a mandated report
D. Wait for proof
Answer: C
Rationale: Counselors are mandated reporters when abuse or neglect is
suspected.
9. Which disorder is characterized by persistent defiance and hostility?
A. ADHD
B. Conduct Disorder
C. Oppositional Defiant Disorder
D. Anxiety Disorder
Answer: C
Rationale: ODD involves ongoing defiant and hostile behavior toward
authority figures.
10.CBT with adolescents primarily targets
A. Dreams
B. Unconscious conflicts
C. Thoughts and behaviors
D. Family systems only
Answer: C
Rationale: CBT focuses on changing maladaptive thoughts and behaviors.
11.A risk factor for adolescent substance abuse is
A. Strong family bonds
B. Positive peer influence
C. Poor impulse control
D. Consistent supervision
COUNSELOR (CCAC) EXAM QUESTION
AND CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A
INSTANT DOWNLOAD PDF
1. A primary developmental task of early childhood is
A. Identity formation
B. Autonomy vs. shame
C. Intimacy vs. isolation
D. Industry vs. inferiority
Answer: B
Rationale: Erikson identified autonomy vs. shame and doubt as the key
psychosocial task of early childhood.
2. Which theory emphasizes observable behaviors and reinforcement?
A. Psychodynamic
B. Humanistic
C. Behavioral
D. Cognitive
Answer: C
Rationale: Behavioral theory focuses on learned behaviors shaped by
reinforcement and punishment.
3. A child exposed to chronic trauma may most likely show
A. Increased trust
B. Secure attachment
C. Hypervigilance
, D. Advanced moral reasoning
Answer: C
Rationale: Chronic trauma often leads to hyperarousal and hypervigilance.
4. The best initial response to a child disclosing abuse is to
A. Investigate details
B. Promise confidentiality
C. Report immediately without listening
D. Listen calmly and supportively
Answer: D
Rationale: Counselors should listen supportively without making promises
or interrogating.
5. Which attachment style results from inconsistent caregiving?
A. Secure
B. Avoidant
C. Anxious-ambivalent
D. Disorganized
Answer: C
Rationale: Inconsistent caregiving leads to anxious or ambivalent
attachment.
6. Play therapy is MOST effective because it
A. Teaches discipline
B. Allows symbolic expression
C. Focuses on academics
D. Eliminates parental involvement
Answer: B
Rationale: Play allows children to symbolically express emotions they
cannot verbalize.
7. Adolescents are primarily developing
A. Object permanence
B. Identity
C. Basic trust
, D. Motor coordination
Answer: B
Rationale: Identity vs. role confusion is the main task of adolescence.
8. A counselor suspects neglect. The legal obligation is to
A. Counsel the parents
B. Keep it confidential
C. Make a mandated report
D. Wait for proof
Answer: C
Rationale: Counselors are mandated reporters when abuse or neglect is
suspected.
9. Which disorder is characterized by persistent defiance and hostility?
A. ADHD
B. Conduct Disorder
C. Oppositional Defiant Disorder
D. Anxiety Disorder
Answer: C
Rationale: ODD involves ongoing defiant and hostile behavior toward
authority figures.
10.CBT with adolescents primarily targets
A. Dreams
B. Unconscious conflicts
C. Thoughts and behaviors
D. Family systems only
Answer: C
Rationale: CBT focuses on changing maladaptive thoughts and behaviors.
11.A risk factor for adolescent substance abuse is
A. Strong family bonds
B. Positive peer influence
C. Poor impulse control
D. Consistent supervision
