Certified Alcohol and Drug Counselor (CADC/CDAC) Pre-Test Exam NC
Version Questions and Answers 2026/2027 A+ Grade Substance Abuse
Counseling Study Guide
31) While the overall national suicide rate has increased slightly but consistently in recent years,
disproportionate increases have occurred among:
A. Females and the elderly.
B. Females and the young.
C. Males and the elderly.
D. Males and the young. - (ANSWER)B. Females and the young.
11) Comprehensive client documentation:
A. Is best achieved when done independently from direct client care.
B. Facilitates communication and enhances accountability.
C. Is used primarily by the primary counselor.
D. Is a standardized process. - (ANSWER)B. Facilitates communication and enhances accountability.
14) If a client appears to be in denial due to discrepancies stated during an intake interview,
which of the following statements by the counselor would be MOST appropriate?
A. "I'm not sure I understand. Let me check this out"
B. "First you tell me one thing, then another. Which is really the truth?"
C. "There's a lot of confusion in your story"
D. "Addiction fosters denial" - (ANSWER)A. "I'm not sure I understand. Let me check this out"
17) Pointing out parallels between a client's interpersonal relationships and the
client/counselor interaction serves to focus awareness on:
A. The "here and now."
B. The client's weaknesses in communication.
C. The counselor's feelings about the relationship.
D. The unique qualities of the client/counselor relationship. - (ANSWER)A. The "here and now."
,Certified Alcohol and Drug Counselor (CADC/CDAC) Pre-Test Exam NC
Version Questions and Answers 2026/2027 A+ Grade Substance Abuse
Counseling Study Guide
19) A frequent client reaction during the termination phase of counseling is:
A. Defensiveness.
B. Acting out behavior.
C. Apathy.
D. Lack of trust. - (ANSWER)B. Acting out behavior.
25) The branch of pharmacology that deals with the biological, biochemical, and physical
characteristics of natural drugs is:
A. Pharmacokinetics.
B. Pharmacognosy.
C. Pharmacotherapeutics.
D. Pharmacodynamics. - (ANSWER)B. Pharmacognosy.
29) Which of the following statements about dysfunctional families is TRUE?
A. The family cannot get well until the dependent person seeks help.
B. The children in a dysfunctional family can be protected from the problems cause by
chemical dependency.
C. The divorce rate in dysfunctional families is highest after recovery has been initiated.
D. Family problems develop in the later phases of the addiction process. - (ANSWER)C. The divorce rate
in dysfunctional families is highest after recovery has been initiated.
40) Assessment, according to the behavioral approach, involves:
A. Taking a client history and specifying problematic behavior.
B. Specification of the problematic behavior and collection of baseline data.
C. Identification of the problematic behavior and evaluation of the client's motivation to
,Certified Alcohol and Drug Counselor (CADC/CDAC) Pre-Test Exam NC
Version Questions and Answers 2026/2027 A+ Grade Substance Abuse
Counseling Study Guide
change.
D. Specification of the problematic behavior and evaluation of the client's motivation to
change. - (ANSWER)B. Specification of the problematic behavior and collection of baseline data.
53) All of the following statements about the effects of alcohol abuse on the body are true
EXCEPT:
A. Malnutrition can occur in drinkers who eat well-balanced diets.
B. Stimulation of the brain's frontal lobe can occur.
C. The second stage of liver deterioration can be reversed.
D. A vitamin B6 deficiency can occur. - (ANSWER)B. Stimulation of the brain's frontal lobe can occur.
54) Heroin is an example of a(an):
A. Natural narcotic.
B. Semi-synthetic narcotic.
C. Synthetic narcotic.
D. Quasi-narcotic. - (ANSWER)B. Semi-synthetic narcotic.
66) Which of the following is MOST helpful for counselors in defining their professional roles
for counseling clients?
A. An understanding of self-help groups
B. An ethical code of conduct
C. Certification
D. An advanced degree - (ANSWER)B. An ethical code of conduct
67) Your dually-diagnosed client, stabilized on medication for his psychiatric disorder, decides
, Certified Alcohol and Drug Counselor (CADC/CDAC) Pre-Test Exam NC
Version Questions and Answers 2026/2027 A+ Grade Substance Abuse
Counseling Study Guide
he wants to quit smoking. You should:
A. Advise him to select a quit date within the next 2 weeks.
B. Encourage him to use the nicotine patch or gum.
C. Consult with his physician regarding nicotine/medication interaction.
D. Suggest he cut down the number of cigarettes daily for 2 weeks before quitting. - (ANSWER)C. Consult
with his physician regarding nicotine/medication interaction.
68) Which of the following essential tasks was NOT completed during the client's intake
process?
A. The client was assigned a primary counselor
B. An initial assessment was completed
C. The client was admitted to the program
D. The client signed all required consent forms - (ANSWER)D. The client signed all required consent forms
73) After a counselor has made a summary statement, the most important thing the
counselor should do is:
A. Remain quite for a time to allow the client to consider the summarized material.
B. Document the summary as soon as possible as part of the treatment plan.
C. Recommend that the client discuss the session with his/her sponsor.
D. Terminate the session immediately. - (ANSWER)A. Remain quite for a time to allow the client to
consider the summarized material.
76) The first contact that a potential client would have with an agency would likely be for the
purpose of:
A. Family therapy.
B. Education.
Version Questions and Answers 2026/2027 A+ Grade Substance Abuse
Counseling Study Guide
31) While the overall national suicide rate has increased slightly but consistently in recent years,
disproportionate increases have occurred among:
A. Females and the elderly.
B. Females and the young.
C. Males and the elderly.
D. Males and the young. - (ANSWER)B. Females and the young.
11) Comprehensive client documentation:
A. Is best achieved when done independently from direct client care.
B. Facilitates communication and enhances accountability.
C. Is used primarily by the primary counselor.
D. Is a standardized process. - (ANSWER)B. Facilitates communication and enhances accountability.
14) If a client appears to be in denial due to discrepancies stated during an intake interview,
which of the following statements by the counselor would be MOST appropriate?
A. "I'm not sure I understand. Let me check this out"
B. "First you tell me one thing, then another. Which is really the truth?"
C. "There's a lot of confusion in your story"
D. "Addiction fosters denial" - (ANSWER)A. "I'm not sure I understand. Let me check this out"
17) Pointing out parallels between a client's interpersonal relationships and the
client/counselor interaction serves to focus awareness on:
A. The "here and now."
B. The client's weaknesses in communication.
C. The counselor's feelings about the relationship.
D. The unique qualities of the client/counselor relationship. - (ANSWER)A. The "here and now."
,Certified Alcohol and Drug Counselor (CADC/CDAC) Pre-Test Exam NC
Version Questions and Answers 2026/2027 A+ Grade Substance Abuse
Counseling Study Guide
19) A frequent client reaction during the termination phase of counseling is:
A. Defensiveness.
B. Acting out behavior.
C. Apathy.
D. Lack of trust. - (ANSWER)B. Acting out behavior.
25) The branch of pharmacology that deals with the biological, biochemical, and physical
characteristics of natural drugs is:
A. Pharmacokinetics.
B. Pharmacognosy.
C. Pharmacotherapeutics.
D. Pharmacodynamics. - (ANSWER)B. Pharmacognosy.
29) Which of the following statements about dysfunctional families is TRUE?
A. The family cannot get well until the dependent person seeks help.
B. The children in a dysfunctional family can be protected from the problems cause by
chemical dependency.
C. The divorce rate in dysfunctional families is highest after recovery has been initiated.
D. Family problems develop in the later phases of the addiction process. - (ANSWER)C. The divorce rate
in dysfunctional families is highest after recovery has been initiated.
40) Assessment, according to the behavioral approach, involves:
A. Taking a client history and specifying problematic behavior.
B. Specification of the problematic behavior and collection of baseline data.
C. Identification of the problematic behavior and evaluation of the client's motivation to
,Certified Alcohol and Drug Counselor (CADC/CDAC) Pre-Test Exam NC
Version Questions and Answers 2026/2027 A+ Grade Substance Abuse
Counseling Study Guide
change.
D. Specification of the problematic behavior and evaluation of the client's motivation to
change. - (ANSWER)B. Specification of the problematic behavior and collection of baseline data.
53) All of the following statements about the effects of alcohol abuse on the body are true
EXCEPT:
A. Malnutrition can occur in drinkers who eat well-balanced diets.
B. Stimulation of the brain's frontal lobe can occur.
C. The second stage of liver deterioration can be reversed.
D. A vitamin B6 deficiency can occur. - (ANSWER)B. Stimulation of the brain's frontal lobe can occur.
54) Heroin is an example of a(an):
A. Natural narcotic.
B. Semi-synthetic narcotic.
C. Synthetic narcotic.
D. Quasi-narcotic. - (ANSWER)B. Semi-synthetic narcotic.
66) Which of the following is MOST helpful for counselors in defining their professional roles
for counseling clients?
A. An understanding of self-help groups
B. An ethical code of conduct
C. Certification
D. An advanced degree - (ANSWER)B. An ethical code of conduct
67) Your dually-diagnosed client, stabilized on medication for his psychiatric disorder, decides
, Certified Alcohol and Drug Counselor (CADC/CDAC) Pre-Test Exam NC
Version Questions and Answers 2026/2027 A+ Grade Substance Abuse
Counseling Study Guide
he wants to quit smoking. You should:
A. Advise him to select a quit date within the next 2 weeks.
B. Encourage him to use the nicotine patch or gum.
C. Consult with his physician regarding nicotine/medication interaction.
D. Suggest he cut down the number of cigarettes daily for 2 weeks before quitting. - (ANSWER)C. Consult
with his physician regarding nicotine/medication interaction.
68) Which of the following essential tasks was NOT completed during the client's intake
process?
A. The client was assigned a primary counselor
B. An initial assessment was completed
C. The client was admitted to the program
D. The client signed all required consent forms - (ANSWER)D. The client signed all required consent forms
73) After a counselor has made a summary statement, the most important thing the
counselor should do is:
A. Remain quite for a time to allow the client to consider the summarized material.
B. Document the summary as soon as possible as part of the treatment plan.
C. Recommend that the client discuss the session with his/her sponsor.
D. Terminate the session immediately. - (ANSWER)A. Remain quite for a time to allow the client to
consider the summarized material.
76) The first contact that a potential client would have with an agency would likely be for the
purpose of:
A. Family therapy.
B. Education.
