NCAC I Exam Questions and Answers
Screening - Correct Answers -Determine if client is appropriate for the treatment
program at a given facility; rapport critical in this stage.
Group Development Stage 1 - Correct Answers -Formation. Group members often ask
one another for advice at this stage. Individual members are assessed by the others,
and tested.
Group Development Stage 2 - Correct Answers -Transition
Group Development Stage 3 - Correct Answers -Working
Group Development Stage 4 - Correct Answers -Termination
3 Processes of Groups - Correct Answers -1.) Compliance
2.) Identification
3.) Internalization
2 Stages of Group Growth - Correct Answers -1. Developing
2. Potency
The Addiction Process: Biopsychosocial Components - Correct Answers --Biological:
tolerance and withdrawal
-Psychological: loss of control and post abuse distress
-Social: adverse consequences, DUI, arrests, job loss, relationship loss
Agonist Substitution - Correct Answers -Medications w/ effects similar to those of drug
of abuse. Ex: nicotine patch
Antagonist Treatment - Correct Answers -Medications that block effects of drug of
abuse. Ex: Antabuse for alcoholism; Naltrexone for Opiates
Stage Theory of Addiction - Correct Answers -1. Tx Initiation
2. Early abstinence
3. Maintenance of Abstinence
4. Advanced Recovery
Types of Treatment Programs - Correct Answers -residential programs, inpatient
hospital, therapeutic community, outpatient non-methadone, combined settings
,4 Categories of Medication Therapy - Correct Answers -1. Agonists
2. Antagonists
3. Antidepressants
4. Antipsychotics
7 Principles of Crisis Intervention - Correct Answers -1. Proximity
2. Immediacy
3. Expectancy
4. Brevity
5. Simplicity
6. Creativity
7.Practicality
Substages of Developing (stages of group growth) - Correct Answers -1. Acquaintance
period
2. Groundwork
Substages of Potency (stages of group growth) - Correct Answers -1. Working
2. Closing
Therapy Groups - Correct Answers -Limited size; screened membership; focused on
process
Support Groups - Correct Answers -Open membership; unlimited size; focused on
content
Dynamic Family Therapy - Correct Answers -therapy based on gaining insight to be
able to understand conflicts which are present in the family setting
Experiential/Humanistic Family Therapy - Correct Answers -therapy is based on the
present circumstance and the most important factor of recovery is self-determination
and self-awareness
Bowenian Family Therapy - Correct Answers -based on the concept that the emotions
and intellect of a family may become entangled or fused. This causes an automatic
emotional arousal within the family.
Structural Family Therapy - Correct Answers -the counselor tries to change the
dysfunctional structure of the family
Family Disease Model - Correct Answers -based on the idea that alcoholism is a family
disease and the disease itself is codependence
7 Core Functions of Case Management - Correct Answers -1. engagement
2. assessment
, 3. planning
4. linkage
5. monitoring
6. advocacy
7. disengagement
4 Models of Case Management - Correct Answers -1. Broker/Generalist
2. Strengths Based
3. CLinical/rehabilitation
4. Assertive Community Treatment
Crisis: 3 conditions - Correct Answers -1. a hazardous or stressful situation
2. awareness of the potential for significant life disruption or emotional upset
3. inadequate existing coping skills
Critical incident - Correct Answers -Event that overwhelms an individual's coping skills
because of the emotional intensity involved. Typically fear-inducing, grotesque,
threatening, or dangerous. Once individual experiences acute emotional response, it's
called a "Crisis"
SAFER-R Crisis Intervention Model - Correct Answers -S: stabilize the situation
A: acknowledge the reality of the crisis event and the understandable distress it has
produced.
F: facilitate situational understanding and develop options
E: encourage the development of an action plan
R: refer when significant impairment persists
(Crisis) Physical Distress Symptoms - Correct Answers -exacerbated startle reflex,
tension, shock, gastrointestinal distress, marked fatigue, and hyperventilation
(Crisis) Cognitive Distress Symptoms - Correct Answers -impaired decision making,
poor concentration, memory problems, flashbacks
(Crisis) Emotional Distress Symptoms - Correct Answers -grief, fear, depression, guilt,
anger, resentment, self-doubt
(Crisis) Behavioral Distress Symptoms - Correct Answers -emotional withdrawal,
agitation, inappropriate affect
"A Drink" - Correct Answers -12oz beer, 5oz wine, or 1.5oz liquor
4 Components of Suicide Assessment - Correct Answers -1. Behavioral indications
2. Historical patterns
3. Present situation
4. Degree of lethality
Screening - Correct Answers -Determine if client is appropriate for the treatment
program at a given facility; rapport critical in this stage.
Group Development Stage 1 - Correct Answers -Formation. Group members often ask
one another for advice at this stage. Individual members are assessed by the others,
and tested.
Group Development Stage 2 - Correct Answers -Transition
Group Development Stage 3 - Correct Answers -Working
Group Development Stage 4 - Correct Answers -Termination
3 Processes of Groups - Correct Answers -1.) Compliance
2.) Identification
3.) Internalization
2 Stages of Group Growth - Correct Answers -1. Developing
2. Potency
The Addiction Process: Biopsychosocial Components - Correct Answers --Biological:
tolerance and withdrawal
-Psychological: loss of control and post abuse distress
-Social: adverse consequences, DUI, arrests, job loss, relationship loss
Agonist Substitution - Correct Answers -Medications w/ effects similar to those of drug
of abuse. Ex: nicotine patch
Antagonist Treatment - Correct Answers -Medications that block effects of drug of
abuse. Ex: Antabuse for alcoholism; Naltrexone for Opiates
Stage Theory of Addiction - Correct Answers -1. Tx Initiation
2. Early abstinence
3. Maintenance of Abstinence
4. Advanced Recovery
Types of Treatment Programs - Correct Answers -residential programs, inpatient
hospital, therapeutic community, outpatient non-methadone, combined settings
,4 Categories of Medication Therapy - Correct Answers -1. Agonists
2. Antagonists
3. Antidepressants
4. Antipsychotics
7 Principles of Crisis Intervention - Correct Answers -1. Proximity
2. Immediacy
3. Expectancy
4. Brevity
5. Simplicity
6. Creativity
7.Practicality
Substages of Developing (stages of group growth) - Correct Answers -1. Acquaintance
period
2. Groundwork
Substages of Potency (stages of group growth) - Correct Answers -1. Working
2. Closing
Therapy Groups - Correct Answers -Limited size; screened membership; focused on
process
Support Groups - Correct Answers -Open membership; unlimited size; focused on
content
Dynamic Family Therapy - Correct Answers -therapy based on gaining insight to be
able to understand conflicts which are present in the family setting
Experiential/Humanistic Family Therapy - Correct Answers -therapy is based on the
present circumstance and the most important factor of recovery is self-determination
and self-awareness
Bowenian Family Therapy - Correct Answers -based on the concept that the emotions
and intellect of a family may become entangled or fused. This causes an automatic
emotional arousal within the family.
Structural Family Therapy - Correct Answers -the counselor tries to change the
dysfunctional structure of the family
Family Disease Model - Correct Answers -based on the idea that alcoholism is a family
disease and the disease itself is codependence
7 Core Functions of Case Management - Correct Answers -1. engagement
2. assessment
, 3. planning
4. linkage
5. monitoring
6. advocacy
7. disengagement
4 Models of Case Management - Correct Answers -1. Broker/Generalist
2. Strengths Based
3. CLinical/rehabilitation
4. Assertive Community Treatment
Crisis: 3 conditions - Correct Answers -1. a hazardous or stressful situation
2. awareness of the potential for significant life disruption or emotional upset
3. inadequate existing coping skills
Critical incident - Correct Answers -Event that overwhelms an individual's coping skills
because of the emotional intensity involved. Typically fear-inducing, grotesque,
threatening, or dangerous. Once individual experiences acute emotional response, it's
called a "Crisis"
SAFER-R Crisis Intervention Model - Correct Answers -S: stabilize the situation
A: acknowledge the reality of the crisis event and the understandable distress it has
produced.
F: facilitate situational understanding and develop options
E: encourage the development of an action plan
R: refer when significant impairment persists
(Crisis) Physical Distress Symptoms - Correct Answers -exacerbated startle reflex,
tension, shock, gastrointestinal distress, marked fatigue, and hyperventilation
(Crisis) Cognitive Distress Symptoms - Correct Answers -impaired decision making,
poor concentration, memory problems, flashbacks
(Crisis) Emotional Distress Symptoms - Correct Answers -grief, fear, depression, guilt,
anger, resentment, self-doubt
(Crisis) Behavioral Distress Symptoms - Correct Answers -emotional withdrawal,
agitation, inappropriate affect
"A Drink" - Correct Answers -12oz beer, 5oz wine, or 1.5oz liquor
4 Components of Suicide Assessment - Correct Answers -1. Behavioral indications
2. Historical patterns
3. Present situation
4. Degree of lethality
