Alcohol and Drug Counselor Exam
Questions and Answers (Latest
Update 2026)
Culture-bound syndrome -
correct answer ✅illness truly bound to specific culture; refer to
otherwise common mental or physical illnesses that are
subsequently construed as unusual because of pathoplastic
influence of clture (e.g, hallucinatory sx of schizophrenia could be
due to demon possession)
pharmacological therapy and psychotherapy -
correct answer ✅two key mental health treatment paradigms of
Western medicine (multimodal therapy)
racism and discrimination -
correct answer ✅refer to attitudes, beliefs, and practices that
prejudge and denigrate individuals or gs based on disparate
phenotypic characteristics (skin color, hair texture, facial features,
etc) or ethnic minority group affiliation
What is the trend for cultural diversity in the US? -
correct answer ✅increasing rapidly and steadily; by 2025, 40%
adults (48% children) will be from ethnic and racial minority gps.
,Alcohol and Drug Counselor Exam
Questions and Answers (Latest
Update 2026)
HIV -
correct answer ✅the viral agent that causes AIDS (Acquired
Immunodeficiency Syndrome), which is the final stage in the HIV
disease process; most prevalent in men having sex with men and IV
drug users; contributes to poverty, homelessness, an other medical
problems
50% -
correct answer ✅percent increase in the number of seniors
needing substance abuse treatment. 70% rate of increase in
treatment
Limits to confidentiality -
correct answer ✅1. Client request for release of information
2. Court orders for release of information
3. Danger to self
4. Danger to others
5. Suspected Child abuse/neglect cause by a client
6. Grave disability
,Alcohol and Drug Counselor Exam
Questions and Answers (Latest
Update 2026)
CAGE questionnaire -
correct answer ✅Have you ever felt you should CUT DOWN on
your drinking?
Have people ANNOYED you by criticizing your drinking?
Have you ever felt bad or GUILTY about your drinking?
Have you ever had a drink first thing in the morning to steady your
nerves (EYE-OPENER)?
- 4-question on alcohol abuse
MAST -
correct answer ✅Michigan Alcoholism Screening Test - yes or no to
25 questions to explore number of treatment issues; most accurate
and oldest screening tool to identify drinkers with 98% accuracy
What is another cultural issues beyond the client's culture? -
correct answer ✅counselor's culture
Relapse-remitting model of addiction -
correct answer ✅recognizes that some issues tend to return
cyclically overtime, can help counselor and CLT make advance
, Alcohol and Drug Counselor Exam
Questions and Answers (Latest
Update 2026)
contingency plans to avoid having brief relapse in negative
circumstances or behaviors
Authentically connected referral network -
correct answer ✅refers to a carefully established set of services
providers prepared to meet client needs; goal is for all network
agencies an providers to recognize their valued and essential roles
in the addiction treatment process and for clients to recognize this
and respond with similar trust and confidence.
What is the primary aim of case management services, beyond
providing seamless care and being client-centered? -
correct answer ✅to provide least restrictive level of care
Ask-teLl-ask technique -
correct answer ✅asking permission of the client to talk with them,
telling them of any concerns you have, and then asking for their
thoughts on what you shared.
Referral form -
correct answer ✅used to track the results of the referral; WHO
(identifies the client and counselor involved/demographic info;
Questions and Answers (Latest
Update 2026)
Culture-bound syndrome -
correct answer ✅illness truly bound to specific culture; refer to
otherwise common mental or physical illnesses that are
subsequently construed as unusual because of pathoplastic
influence of clture (e.g, hallucinatory sx of schizophrenia could be
due to demon possession)
pharmacological therapy and psychotherapy -
correct answer ✅two key mental health treatment paradigms of
Western medicine (multimodal therapy)
racism and discrimination -
correct answer ✅refer to attitudes, beliefs, and practices that
prejudge and denigrate individuals or gs based on disparate
phenotypic characteristics (skin color, hair texture, facial features,
etc) or ethnic minority group affiliation
What is the trend for cultural diversity in the US? -
correct answer ✅increasing rapidly and steadily; by 2025, 40%
adults (48% children) will be from ethnic and racial minority gps.
,Alcohol and Drug Counselor Exam
Questions and Answers (Latest
Update 2026)
HIV -
correct answer ✅the viral agent that causes AIDS (Acquired
Immunodeficiency Syndrome), which is the final stage in the HIV
disease process; most prevalent in men having sex with men and IV
drug users; contributes to poverty, homelessness, an other medical
problems
50% -
correct answer ✅percent increase in the number of seniors
needing substance abuse treatment. 70% rate of increase in
treatment
Limits to confidentiality -
correct answer ✅1. Client request for release of information
2. Court orders for release of information
3. Danger to self
4. Danger to others
5. Suspected Child abuse/neglect cause by a client
6. Grave disability
,Alcohol and Drug Counselor Exam
Questions and Answers (Latest
Update 2026)
CAGE questionnaire -
correct answer ✅Have you ever felt you should CUT DOWN on
your drinking?
Have people ANNOYED you by criticizing your drinking?
Have you ever felt bad or GUILTY about your drinking?
Have you ever had a drink first thing in the morning to steady your
nerves (EYE-OPENER)?
- 4-question on alcohol abuse
MAST -
correct answer ✅Michigan Alcoholism Screening Test - yes or no to
25 questions to explore number of treatment issues; most accurate
and oldest screening tool to identify drinkers with 98% accuracy
What is another cultural issues beyond the client's culture? -
correct answer ✅counselor's culture
Relapse-remitting model of addiction -
correct answer ✅recognizes that some issues tend to return
cyclically overtime, can help counselor and CLT make advance
, Alcohol and Drug Counselor Exam
Questions and Answers (Latest
Update 2026)
contingency plans to avoid having brief relapse in negative
circumstances or behaviors
Authentically connected referral network -
correct answer ✅refers to a carefully established set of services
providers prepared to meet client needs; goal is for all network
agencies an providers to recognize their valued and essential roles
in the addiction treatment process and for clients to recognize this
and respond with similar trust and confidence.
What is the primary aim of case management services, beyond
providing seamless care and being client-centered? -
correct answer ✅to provide least restrictive level of care
Ask-teLl-ask technique -
correct answer ✅asking permission of the client to talk with them,
telling them of any concerns you have, and then asking for their
thoughts on what you shared.
Referral form -
correct answer ✅used to track the results of the referral; WHO
(identifies the client and counselor involved/demographic info;
