CADC SAMPLE CERTIFICATION SCRIPT
2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◍ Some researchers have concluded that no one pattern of dysfunctional
substance abuse exists. They also conclude that there is more than one
personality type that happens to be more prone to addiction than some
others. This multivariate focus is MOST consistent with the: a. medical
modelb. biopsychosocial modelc. multimodal modeld. disease concept.
Answer: b
◍ The measurement of progress toward treatment plan goals is best assessed
by:.
Answer: reviewing documentation in progress notes
◍ One major problem associated with victimology and recovery is that:a.
proclaiming powerlessness runs counter to the empowerment mentality
needed to overcome victimhoodb. sexual assault victims fear the exposure
associated with attending meetingsc. African Americans sometimes fear
institutionalized racism as it may exist among support groupsd. feminists are
unwilling to accept the principle of anonymity that may shield perpetrators
from justice.
Answer: a
◍ Which statement about counseling is TRUE?a. counselors are in the
business of changing peopleb. it is best to choose a single counseling
approach to master and use with clientsc. early childhood experiences are
usually irrelevant in counselingd. counselors must be open to their own
struggles and personal growth.
Answer: d
,◍ This counseling technique is an extension of active listening and involves
reiterating what a client has just said:.
Answer: Reflecting
◍ The screening process involves all of the following EXCEPT:.
Answer: Determining which treatment program is best for the client
◍ When a counselor steps out of the clinical role, there is:.
Answer: A potential boundary violation
◍ Joshua is treated for his Attention-Deficit/Hyperactivity Disorder over the
course of several years. At 15, Joshua reports he needs more of his
medication to achieve the same results. His physician increases Joshua's
dosage according to Joshua's reports, and his parents agree that Joshua
seems to be happier. Joshua notices getting a "rush" one day when he
doubled his dose, so he began regularly taking the higher dose pursuing the
same feeling again and again. His tolerance quickly began to increase, and
he began feeling highly agitated with skipping a dose. Joshua's presentation
is consistent with:.
Answer: Stimulant use disorder
◍ Nonmaleficence is the ethical principle that means: a. show unconditional
positive regardb. show equal respect for genderc. do no harmd. respect
confidentiality.
Answer: c
◍ Service coordination for a client with mental health needs outside the scope
of the agency's services might include which task?.
Answer: Calling a local health department to make an appointment
◍ How is HIV-related information unique from other client information?.
Answer: It requires the agency to maintain a separate chart containing HIV
information
◍ Bertrand qualifies for job re-training because of a disability. His counselor
made an appointment with the state rehabilitation commission to evaluate
the type of training that might be beneficial for Bertrand. The counselor also
, made arrangements for Bertrand to be transported to the appointment,
although he was still in primary treatment. The counselor's actions are BEST
described as:a. consultationb. case managementc. client educationd. ethical
responsibility.
Answer: b
◍ When a drug initiates a physiological response when attaching to a receptor
site in the brain, it is BEST classified as:a. an antagonistb. a barbituratec. an
agonistd. a neurotransmitter.
Answer: c
◍ Jose shares in group about the pain of his divorce, triggered by his spouse's
affair with his brother. Jose was left isolated from his family, feeling no
support whatsoever. Other members have similar stories, but Mark's spouse
specifically had an affair with his brother, leaving him feeling he had no
support either. The group counselor says, "Mark, you shared your wife is
now dating your brother. I wonder if there is any part of Jose's story you
related to or that you would like to share about today." The group counselor
has demonstrated:.
Answer: Linking
◍ Describe the development of goals in counseling:.
Answer: Goals are developed collaboratively by the client and counselor
◍ Rates of opioid use are higher in __________ than in ____________.a.
males;femalesb. adults; adolescentsc. Asian Americans; African Americans
d. geriatric populations; adolescent populations.
Answer: a
◍ Which of the following legal sanctions involves case management,
treatment, drug testing, intense supervision of clients, regular court
appearances, and a system of sanctions & rewards leading to graduation?.
Answer: Drug Court
◍ Drowsiness or coma, slurred speech, impairment in attention or memory are
all signs or symptoms of:a. caffeine intoxication b. cocaine intoxicationc.
, alcohol intoxicationd. opioid intoxication.
Answer: d
◍ With regard to relapse prevention, what is the BEST definition of a trigger?
a. when the client makes the choice to return to drinking/drug usingb. the
build-up of anger that most clients experience before a relapse experiencec.
those situations, events, people, places, thoughts, and activities that
re-kindle the sense of need for drugsd. the single event that is the root cause
of the substance use disorder and precipitates the bottom that leads to
treatment.
Answer: c
◍ During a counseling session, a client recalls having been abused as a child.
Prior to treatment, the client has no recollection of the abuse. The inability
to recall the abuse earlier is an example of the defense mechanism called:a.
reaction formationb. repressionc. projectiond. rationalization.
Answer: b
◍ A client presents for treatment of a diagnosed alcohol use disorder. She
reports wanting to avoid further problems but says she still enjoys drinking.
What stage of change best matches this client?.
Answer: Contemplation
◍ Counselors rely heavily on the work of developmental theorists as they
attempt to stimulate clients to initiate relevant growth. According to
Erickson, one of the leaders in developmental theory, the task to be
accomplished in adulthood is:a. trust vs. mistrustb. initiative vs. guiltc.
integrity vs. despair d. intimacy vs isolation.
Answer: d
◍ A model of assessment and treatment that includes the client's physical,
emotional, and relationship needs is called:.
Answer: Biopsychosocial model
◍ A disproportionate and excessive response to life circumstances is a typical
symptom of: a. depressionb. post-traumatic stress syndromec. protective
2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◍ Some researchers have concluded that no one pattern of dysfunctional
substance abuse exists. They also conclude that there is more than one
personality type that happens to be more prone to addiction than some
others. This multivariate focus is MOST consistent with the: a. medical
modelb. biopsychosocial modelc. multimodal modeld. disease concept.
Answer: b
◍ The measurement of progress toward treatment plan goals is best assessed
by:.
Answer: reviewing documentation in progress notes
◍ One major problem associated with victimology and recovery is that:a.
proclaiming powerlessness runs counter to the empowerment mentality
needed to overcome victimhoodb. sexual assault victims fear the exposure
associated with attending meetingsc. African Americans sometimes fear
institutionalized racism as it may exist among support groupsd. feminists are
unwilling to accept the principle of anonymity that may shield perpetrators
from justice.
Answer: a
◍ Which statement about counseling is TRUE?a. counselors are in the
business of changing peopleb. it is best to choose a single counseling
approach to master and use with clientsc. early childhood experiences are
usually irrelevant in counselingd. counselors must be open to their own
struggles and personal growth.
Answer: d
,◍ This counseling technique is an extension of active listening and involves
reiterating what a client has just said:.
Answer: Reflecting
◍ The screening process involves all of the following EXCEPT:.
Answer: Determining which treatment program is best for the client
◍ When a counselor steps out of the clinical role, there is:.
Answer: A potential boundary violation
◍ Joshua is treated for his Attention-Deficit/Hyperactivity Disorder over the
course of several years. At 15, Joshua reports he needs more of his
medication to achieve the same results. His physician increases Joshua's
dosage according to Joshua's reports, and his parents agree that Joshua
seems to be happier. Joshua notices getting a "rush" one day when he
doubled his dose, so he began regularly taking the higher dose pursuing the
same feeling again and again. His tolerance quickly began to increase, and
he began feeling highly agitated with skipping a dose. Joshua's presentation
is consistent with:.
Answer: Stimulant use disorder
◍ Nonmaleficence is the ethical principle that means: a. show unconditional
positive regardb. show equal respect for genderc. do no harmd. respect
confidentiality.
Answer: c
◍ Service coordination for a client with mental health needs outside the scope
of the agency's services might include which task?.
Answer: Calling a local health department to make an appointment
◍ How is HIV-related information unique from other client information?.
Answer: It requires the agency to maintain a separate chart containing HIV
information
◍ Bertrand qualifies for job re-training because of a disability. His counselor
made an appointment with the state rehabilitation commission to evaluate
the type of training that might be beneficial for Bertrand. The counselor also
, made arrangements for Bertrand to be transported to the appointment,
although he was still in primary treatment. The counselor's actions are BEST
described as:a. consultationb. case managementc. client educationd. ethical
responsibility.
Answer: b
◍ When a drug initiates a physiological response when attaching to a receptor
site in the brain, it is BEST classified as:a. an antagonistb. a barbituratec. an
agonistd. a neurotransmitter.
Answer: c
◍ Jose shares in group about the pain of his divorce, triggered by his spouse's
affair with his brother. Jose was left isolated from his family, feeling no
support whatsoever. Other members have similar stories, but Mark's spouse
specifically had an affair with his brother, leaving him feeling he had no
support either. The group counselor says, "Mark, you shared your wife is
now dating your brother. I wonder if there is any part of Jose's story you
related to or that you would like to share about today." The group counselor
has demonstrated:.
Answer: Linking
◍ Describe the development of goals in counseling:.
Answer: Goals are developed collaboratively by the client and counselor
◍ Rates of opioid use are higher in __________ than in ____________.a.
males;femalesb. adults; adolescentsc. Asian Americans; African Americans
d. geriatric populations; adolescent populations.
Answer: a
◍ Which of the following legal sanctions involves case management,
treatment, drug testing, intense supervision of clients, regular court
appearances, and a system of sanctions & rewards leading to graduation?.
Answer: Drug Court
◍ Drowsiness or coma, slurred speech, impairment in attention or memory are
all signs or symptoms of:a. caffeine intoxication b. cocaine intoxicationc.
, alcohol intoxicationd. opioid intoxication.
Answer: d
◍ With regard to relapse prevention, what is the BEST definition of a trigger?
a. when the client makes the choice to return to drinking/drug usingb. the
build-up of anger that most clients experience before a relapse experiencec.
those situations, events, people, places, thoughts, and activities that
re-kindle the sense of need for drugsd. the single event that is the root cause
of the substance use disorder and precipitates the bottom that leads to
treatment.
Answer: c
◍ During a counseling session, a client recalls having been abused as a child.
Prior to treatment, the client has no recollection of the abuse. The inability
to recall the abuse earlier is an example of the defense mechanism called:a.
reaction formationb. repressionc. projectiond. rationalization.
Answer: b
◍ A client presents for treatment of a diagnosed alcohol use disorder. She
reports wanting to avoid further problems but says she still enjoys drinking.
What stage of change best matches this client?.
Answer: Contemplation
◍ Counselors rely heavily on the work of developmental theorists as they
attempt to stimulate clients to initiate relevant growth. According to
Erickson, one of the leaders in developmental theory, the task to be
accomplished in adulthood is:a. trust vs. mistrustb. initiative vs. guiltc.
integrity vs. despair d. intimacy vs isolation.
Answer: d
◍ A model of assessment and treatment that includes the client's physical,
emotional, and relationship needs is called:.
Answer: Biopsychosocial model
◍ A disproportionate and excessive response to life circumstances is a typical
symptom of: a. depressionb. post-traumatic stress syndromec. protective
