CADC SAMPLE ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
◍ Alcohol Use Disorder.
Answer: Given the information provided, which DSM diagnosis should be
considered?
◍ A collaborative effort between the client and counselor.
Answer: The treatment plan should be:
◍ What is the reason for assessing identity vulnerability during conflict?.
Answer: To enhance awareness.
◍ What is the reason for reviewing identity-role conflict impacts?.
Answer: To understand personal struggles.
◍ What is the purpose of evaluating readiness for group participation?.
Answer: Suitability
◍ What is the purpose of exploring identity conflict?.
Answer: To understand emotional labor.
◍ S2BI.
Answer: The counselor seeks a standardized screening instrument to
determine whether the client is using other substances and, if so, the
frequency of their use in the past year. Which of the following tools would
best provide this information?
◍ 6 assessment dimensions.
Answer: How many assessment dimensions are recognized by the American
Society of Addiction Medicine (ASAM)?
◍ What is the reason for designing relapse warning-sign checklists?.
Answer: Prediction
,◍ The case manager can advocate with other service providers for a client's
specific needs.
Answer: Regarding advocating for a client diagnosed with substance or
alcohol use disorder which is true of case management?
◍ What is the purpose of practicing identity-healthy emotional closeness?.
Answer: To strengthen relational bonds.
◍ What is the aim of integrating culturally respectful treatment adaptations?.
Answer: Alignment
◍ Hispanics.
Answer: According to the 2021 National Survey on Drug Use and Health
(NSDUH), which of the following populations were LEAST likely to seek
substance use disorder treatment?
◍ Symptom Presentation.
Answer: For the counselor, in which of the following is the influence of
culture MOST likely to be apparent
◍ No, the client did not provide authorization allowing the counselor to do so.
Answer: The client's prescription drug and alcohol use places her at high
risk for harmful consequences. Does the counselor have an ethical
obligation to contact her prescribers?
◍ What is the benefit of honoring client cultural identity expression?.
Answer: Respect
◍ What is the aim of clarifying identity roles during change?.
Answer: To enhance understanding.
◍ What is the function of challenging identity-based rejection assumptions?.
Answer: To promote reframing.
◍ What is the aim of validating cultural identity survival strategies?.
Answer: To honor resilience.
◍ What is the benefit of encouraging identity-consistent relational choices?.
, Answer: To enhance alignment.
◍ Individual substance use patterns over the lifespan.
Answer: The term substance use trajectory refers to:
◍ Depression.
Answer: The mnemonic SIGECAPS evaluates which psychological state?
◍ What is the aim of reinforcing identity during relapse fears?.
Answer: For assessment.
◍ One-half.
Answer: Research shows the epigenetic factors make up roughly what
proportion of the risk for substance use disorder?
◍ Avoid becoming overly drawn into the client's history and issues.
Answer: The capacity to be empathetic is important in counseling. What
must a counselor do when relating to clients over issues of their past?
◍ Altered perceptions.
Answer: Which of the following is the MOST common characteristic of a
psychedelic drug?
◍ What is the reason for addressing identity rejection internalization?.
Answer: Healing.
◍ The counselor has an ethical duty to uphold the client's confidentiality.
Answer: What is the counselor's responsibility in disclosing a minor client's
substance use to their parents?
◍ Behavior, Intervention, Response, Plan.
Answer: What does the BIRP progress note acronym stand for?
◍ What is the aim of reviewing identity fragmentation effects?.
Answer: To enhance coherence.
◍ Tp determine the need for placement or a referral.
Answer: What is the purpose of screening?
◍ Risk factors rarely occur in isolation.
, Answer: Which of the following statements is NOT true of risk factors?
◍ What is the aim of enhancing identity interpersonal boundaries?.
Answer: Protection
◍ What is the aim of discussing cultural expectations of obedience?.
Answer: To clarify behavioral norms.
◍ What is the function of supporting identity-respectful communication
patterns?.
Answer: Respect
◍ "There are absolutely no consequences associated with your alcohol use.".
Answer: The client states, "I just don't think alcohol is a problem for me."
Which of the following counselor responses is an example of an amplified
reflection?
◍ Glutamate.
Answer: Alcohol impacts neurotransmitters by decreasing the levels of
which of the following?
◍ Asians and Pacific Islanders.
Answer: The racial mix of the US continues to shift substantially. What is
the fastest growing minority group in the nation?
◍ What is the aim of reinforcing identity-based emotional grounding
routines?.
Answer: Stability.
◍ What is the aim of encouraging trauma-informed empowerment choices?.
Answer: Autonomy
◍ What is the aim of revealing identity-related emotional patterns?.
Answer: To promote insight.
◍ What is the core reason for monitoring treatment compliance?.
Answer: Progress tracking
◍ The overall severity of the symptoms.
QUESTIONS WITH ANSWERS GRADED A+
◍ Alcohol Use Disorder.
Answer: Given the information provided, which DSM diagnosis should be
considered?
◍ A collaborative effort between the client and counselor.
Answer: The treatment plan should be:
◍ What is the reason for assessing identity vulnerability during conflict?.
Answer: To enhance awareness.
◍ What is the reason for reviewing identity-role conflict impacts?.
Answer: To understand personal struggles.
◍ What is the purpose of evaluating readiness for group participation?.
Answer: Suitability
◍ What is the purpose of exploring identity conflict?.
Answer: To understand emotional labor.
◍ S2BI.
Answer: The counselor seeks a standardized screening instrument to
determine whether the client is using other substances and, if so, the
frequency of their use in the past year. Which of the following tools would
best provide this information?
◍ 6 assessment dimensions.
Answer: How many assessment dimensions are recognized by the American
Society of Addiction Medicine (ASAM)?
◍ What is the reason for designing relapse warning-sign checklists?.
Answer: Prediction
,◍ The case manager can advocate with other service providers for a client's
specific needs.
Answer: Regarding advocating for a client diagnosed with substance or
alcohol use disorder which is true of case management?
◍ What is the purpose of practicing identity-healthy emotional closeness?.
Answer: To strengthen relational bonds.
◍ What is the aim of integrating culturally respectful treatment adaptations?.
Answer: Alignment
◍ Hispanics.
Answer: According to the 2021 National Survey on Drug Use and Health
(NSDUH), which of the following populations were LEAST likely to seek
substance use disorder treatment?
◍ Symptom Presentation.
Answer: For the counselor, in which of the following is the influence of
culture MOST likely to be apparent
◍ No, the client did not provide authorization allowing the counselor to do so.
Answer: The client's prescription drug and alcohol use places her at high
risk for harmful consequences. Does the counselor have an ethical
obligation to contact her prescribers?
◍ What is the benefit of honoring client cultural identity expression?.
Answer: Respect
◍ What is the aim of clarifying identity roles during change?.
Answer: To enhance understanding.
◍ What is the function of challenging identity-based rejection assumptions?.
Answer: To promote reframing.
◍ What is the aim of validating cultural identity survival strategies?.
Answer: To honor resilience.
◍ What is the benefit of encouraging identity-consistent relational choices?.
, Answer: To enhance alignment.
◍ Individual substance use patterns over the lifespan.
Answer: The term substance use trajectory refers to:
◍ Depression.
Answer: The mnemonic SIGECAPS evaluates which psychological state?
◍ What is the aim of reinforcing identity during relapse fears?.
Answer: For assessment.
◍ One-half.
Answer: Research shows the epigenetic factors make up roughly what
proportion of the risk for substance use disorder?
◍ Avoid becoming overly drawn into the client's history and issues.
Answer: The capacity to be empathetic is important in counseling. What
must a counselor do when relating to clients over issues of their past?
◍ Altered perceptions.
Answer: Which of the following is the MOST common characteristic of a
psychedelic drug?
◍ What is the reason for addressing identity rejection internalization?.
Answer: Healing.
◍ The counselor has an ethical duty to uphold the client's confidentiality.
Answer: What is the counselor's responsibility in disclosing a minor client's
substance use to their parents?
◍ Behavior, Intervention, Response, Plan.
Answer: What does the BIRP progress note acronym stand for?
◍ What is the aim of reviewing identity fragmentation effects?.
Answer: To enhance coherence.
◍ Tp determine the need for placement or a referral.
Answer: What is the purpose of screening?
◍ Risk factors rarely occur in isolation.
, Answer: Which of the following statements is NOT true of risk factors?
◍ What is the aim of enhancing identity interpersonal boundaries?.
Answer: Protection
◍ What is the aim of discussing cultural expectations of obedience?.
Answer: To clarify behavioral norms.
◍ What is the function of supporting identity-respectful communication
patterns?.
Answer: Respect
◍ "There are absolutely no consequences associated with your alcohol use.".
Answer: The client states, "I just don't think alcohol is a problem for me."
Which of the following counselor responses is an example of an amplified
reflection?
◍ Glutamate.
Answer: Alcohol impacts neurotransmitters by decreasing the levels of
which of the following?
◍ Asians and Pacific Islanders.
Answer: The racial mix of the US continues to shift substantially. What is
the fastest growing minority group in the nation?
◍ What is the aim of reinforcing identity-based emotional grounding
routines?.
Answer: Stability.
◍ What is the aim of encouraging trauma-informed empowerment choices?.
Answer: Autonomy
◍ What is the aim of revealing identity-related emotional patterns?.
Answer: To promote insight.
◍ What is the core reason for monitoring treatment compliance?.
Answer: Progress tracking
◍ The overall severity of the symptoms.
