NCAC/CADC II Exam Study Materials
Questions and Answers
crisis management - Correct Answers -1. Focuses on present or immediate past.
2. Goal is to have situation subside.
3. Meet in person if possible, nonverbal communication is important
4. Uses verbal de-escalation, establishes rapport, NOT long history of the problem.
Relapse Prevention - Correct Answers -A focus on changing one's lifestyle to healthy
and positive changes which set a strong foundation to ward off triggers and temptations.
-Concentrates on coping and prevention skills necessary to be prepared throughout the
process.
-Does not end abruptly
-If it happens, it should be seen as a learning experience
-Focuses on cognitive and behavioral techniques
CENAPS Components - Correct Answers -1. Assessment
2. Warning Sign Identification
3. Warning Sign Management
4. Recovery Planning
5. Relapse Early Intervention Training
Ginzberg - Correct Answers -Theorized that a career is a long-term process. That
requires education, vision, values, goals, skills, and interests. Vocational choices are
divided into 3 stages namely:
1. Childhood or infancy
2. Adolescence
3. Adulthood or maturity
-fantasy, tentative, realistic
Dwight Anderson - Correct Answers -1942 article titled "Alcohol and Public Opinion."
Argued that the new scientific approach to alcohol-related problems needed a new
symbol to differentiate itself unmistakably from the old vying "dry" and "wet" camps of
the previous era. The idea that the alcoholic was "a sick man"
Jung Stages of Life - Correct Answers -is comprised of five levels: childhood, puberty,
young adulthood, middle age, and old age. He discussed these using the Sunrise-
Sunset metaphor.
Piaget stages of cognitive development - Correct Answers -Sensorimotor. Birth through
ages 18-24 months.
,Preoperational. Toddler (18-24 months) - early childhood (age 7)
Concrete operational. Ages 7 to 11.
Formal operational. Adolescence - adulthood.
CENAPS Stages - Correct Answers -1. Transition: accept powerlessness and
abstinence as the only solution.
2. Stabilization: recuperate from effects of withdrawal, work through feelings of guilt,
shame, and remorse
3. Early Recovery: Live with the past and who we are individually.
4. Middle Recovery: repair damage addiction has caused
5. Late Recovery: overcome dysfunction and obstacles to healthy living
6. Maintenance: continually grow and practice daily recovery
CENAPS Definition - Correct Answers -Center of applied science; Terrence Gorski:
addiction is a disease and strives for the client to be completely abstinent and make
positive changes in lifestyle through five stages or components.
Abstinence Violation Effect - Correct Answers -Marlatt & Gordon: A reaction to an initial
lapse that influences whether it becomes a full-blown relapse. Focuses on emotional
response to lapse and causes of lapse. The progression from lapse to relapse is NOT
inevitable.
Marlatt & Gordon's Model - Correct Answers -Relapse is caused by immediate
determinants and covert antecedents.
Immediate Determinants: High risk situation coping skills, outcome expectations,
abstinence violation affect
Covert Antecedents: Lifestyle factors, urges, and cravings.
Use both specific and global intervention strategies.
Specific: identify high-risk situation, and hence coping skills, self efficacy, illuminate
myths about effects, manage lapses, restructure perception of relapse process.
Global: balance lifestyle, develop positive addictions, stimulus control and urge
management techniques, relapse roadmaps.
EBP goals - Correct Answers -EBP provide scientific evidence of why certain treatments
work.
The goal is to help the process as a whole, not eradicate other means
EBPs incorporate opinions of clinical experts, uses science to determine usable
evidence, incorporates individual tendencies of client and caregiver into the treatment
plan.
Motivational Enhancement - Correct Answers -Proposes to quicken the process to
encourage rapid development through initial assessment. This includes battery
assessment and individual sessions at a rapid pace.
,Contingency Management - Correct Answers -A type of behavioral therapy where
patients are rewarded or reinforced for positive changes. Uses positive reinforcement to
increase a behavior or frequency.
EX: gift cards for negative UA's.
Cultural Accommodation vs. Adaptation - Correct Answers -Cultural accommodation:
modifies how a model is delivered for better understanding.
Cultural adaptation: changes the actual structure of the model for cultural reasons.
Trauma Informed vs Specific - Correct Answers -Trauma informed: provides information
about potential traumas and how to handle them.
Trauma specific: deals with treating effects from a specific event that caused the
trauma.
Qualitative vs Quantitative Assessment - Correct Answers -Qualitative: considers less
tangible factors: observations, gut reaction.
Quantitative: based on facts and associated data
Ethical consideration precedence - Correct Answers -1. Law: nothing supersedes
federal or state law.
2. Precedent by caselaw
3. Common sense
4. Administrative rule
5. Contracts
Trauma Informed Care Principles - Correct Answers -Decisions are collaborative and
team-based, not from a single source.
1: understanding trauma and its affects.
2. safety.
3. help client gain regain control.
4. sharing of power.
5. cultural sensitivities power
6. integrating care.
7. establish or repair relationships.
8. ensure possibility of recovery.
Elements of Morality - Correct Answers -1. The counselor as a person: the counselor's
understanding of right and wrong through experience in life events.
2. A moral sense: innate sense of right and wrong that develops throughout one's life.
3. Values: what is important in a persons life.
Daily Ethical Conduct - Correct Answers -1. provide informed consent.
2. operate in a competent manner.
3. ensure confidentiality.
4. maintain appropriate relationship boundaries.
5. utilize adequate consultation.
, 6. honor personal and cultural values.
Informed Consent Parts - Correct Answers -1. client must be of stable mind to think
rationally
2. client was understand the issue at hand
3. client must not be held against their will
Cultural Competence - Correct Answers -1. Destructiveness
2. Incapacity
3. Blindness
4. Pre-Competence
5. Competence & Proficiency
Stereotype vs. Generalization - Correct Answers -Stereotype: Determines facts upfront
without considering evidence. It is important to not use stereotypes by any means.
Generalizations: Are common trend which can be used as a basis and are an
acceptable way to begin investigation into facts and then a determination can be made.
Cultural Competence - Correct Answers -One recognizes that culturally responsive
practices should be implemented. It is more a stage of mental transformation, not
related to actual implementation.
Universal/Selective/Indicated Prevention - Correct Answers -Universal: an attempt to
reduce the risk of alcohol and drugs across a general population.
Selective: an attempt to reduce risk of alcohol and drugs for a specific family or group.
Indicated: attempt to reduce risk for people already using substances.
Comprehensive Risk Assessment - Correct Answers -1: recognition of potential risk.
2: initial screening.
3: comprehensive assessment.
4: interventions.
5: process evaluation and outcome determination.
Crisis Determination - Correct Answers -A crisis and the need to intervene depends on
the client's mental state.
A stressful event occurring doesn't necessarily create a crisis.
The reaction by the client is most important.
Altering of mental state may cause the client to potentially spiral into a problematic
state.
Triggers - Correct Answers -Can involve many events, actions, and emotions.
Vary from person to person: is important to treat everyone individually to determine
triggers.
Most common triggers are unpleasant emotions, interpersonal conflict, or social
pressure.
Questions and Answers
crisis management - Correct Answers -1. Focuses on present or immediate past.
2. Goal is to have situation subside.
3. Meet in person if possible, nonverbal communication is important
4. Uses verbal de-escalation, establishes rapport, NOT long history of the problem.
Relapse Prevention - Correct Answers -A focus on changing one's lifestyle to healthy
and positive changes which set a strong foundation to ward off triggers and temptations.
-Concentrates on coping and prevention skills necessary to be prepared throughout the
process.
-Does not end abruptly
-If it happens, it should be seen as a learning experience
-Focuses on cognitive and behavioral techniques
CENAPS Components - Correct Answers -1. Assessment
2. Warning Sign Identification
3. Warning Sign Management
4. Recovery Planning
5. Relapse Early Intervention Training
Ginzberg - Correct Answers -Theorized that a career is a long-term process. That
requires education, vision, values, goals, skills, and interests. Vocational choices are
divided into 3 stages namely:
1. Childhood or infancy
2. Adolescence
3. Adulthood or maturity
-fantasy, tentative, realistic
Dwight Anderson - Correct Answers -1942 article titled "Alcohol and Public Opinion."
Argued that the new scientific approach to alcohol-related problems needed a new
symbol to differentiate itself unmistakably from the old vying "dry" and "wet" camps of
the previous era. The idea that the alcoholic was "a sick man"
Jung Stages of Life - Correct Answers -is comprised of five levels: childhood, puberty,
young adulthood, middle age, and old age. He discussed these using the Sunrise-
Sunset metaphor.
Piaget stages of cognitive development - Correct Answers -Sensorimotor. Birth through
ages 18-24 months.
,Preoperational. Toddler (18-24 months) - early childhood (age 7)
Concrete operational. Ages 7 to 11.
Formal operational. Adolescence - adulthood.
CENAPS Stages - Correct Answers -1. Transition: accept powerlessness and
abstinence as the only solution.
2. Stabilization: recuperate from effects of withdrawal, work through feelings of guilt,
shame, and remorse
3. Early Recovery: Live with the past and who we are individually.
4. Middle Recovery: repair damage addiction has caused
5. Late Recovery: overcome dysfunction and obstacles to healthy living
6. Maintenance: continually grow and practice daily recovery
CENAPS Definition - Correct Answers -Center of applied science; Terrence Gorski:
addiction is a disease and strives for the client to be completely abstinent and make
positive changes in lifestyle through five stages or components.
Abstinence Violation Effect - Correct Answers -Marlatt & Gordon: A reaction to an initial
lapse that influences whether it becomes a full-blown relapse. Focuses on emotional
response to lapse and causes of lapse. The progression from lapse to relapse is NOT
inevitable.
Marlatt & Gordon's Model - Correct Answers -Relapse is caused by immediate
determinants and covert antecedents.
Immediate Determinants: High risk situation coping skills, outcome expectations,
abstinence violation affect
Covert Antecedents: Lifestyle factors, urges, and cravings.
Use both specific and global intervention strategies.
Specific: identify high-risk situation, and hence coping skills, self efficacy, illuminate
myths about effects, manage lapses, restructure perception of relapse process.
Global: balance lifestyle, develop positive addictions, stimulus control and urge
management techniques, relapse roadmaps.
EBP goals - Correct Answers -EBP provide scientific evidence of why certain treatments
work.
The goal is to help the process as a whole, not eradicate other means
EBPs incorporate opinions of clinical experts, uses science to determine usable
evidence, incorporates individual tendencies of client and caregiver into the treatment
plan.
Motivational Enhancement - Correct Answers -Proposes to quicken the process to
encourage rapid development through initial assessment. This includes battery
assessment and individual sessions at a rapid pace.
,Contingency Management - Correct Answers -A type of behavioral therapy where
patients are rewarded or reinforced for positive changes. Uses positive reinforcement to
increase a behavior or frequency.
EX: gift cards for negative UA's.
Cultural Accommodation vs. Adaptation - Correct Answers -Cultural accommodation:
modifies how a model is delivered for better understanding.
Cultural adaptation: changes the actual structure of the model for cultural reasons.
Trauma Informed vs Specific - Correct Answers -Trauma informed: provides information
about potential traumas and how to handle them.
Trauma specific: deals with treating effects from a specific event that caused the
trauma.
Qualitative vs Quantitative Assessment - Correct Answers -Qualitative: considers less
tangible factors: observations, gut reaction.
Quantitative: based on facts and associated data
Ethical consideration precedence - Correct Answers -1. Law: nothing supersedes
federal or state law.
2. Precedent by caselaw
3. Common sense
4. Administrative rule
5. Contracts
Trauma Informed Care Principles - Correct Answers -Decisions are collaborative and
team-based, not from a single source.
1: understanding trauma and its affects.
2. safety.
3. help client gain regain control.
4. sharing of power.
5. cultural sensitivities power
6. integrating care.
7. establish or repair relationships.
8. ensure possibility of recovery.
Elements of Morality - Correct Answers -1. The counselor as a person: the counselor's
understanding of right and wrong through experience in life events.
2. A moral sense: innate sense of right and wrong that develops throughout one's life.
3. Values: what is important in a persons life.
Daily Ethical Conduct - Correct Answers -1. provide informed consent.
2. operate in a competent manner.
3. ensure confidentiality.
4. maintain appropriate relationship boundaries.
5. utilize adequate consultation.
, 6. honor personal and cultural values.
Informed Consent Parts - Correct Answers -1. client must be of stable mind to think
rationally
2. client was understand the issue at hand
3. client must not be held against their will
Cultural Competence - Correct Answers -1. Destructiveness
2. Incapacity
3. Blindness
4. Pre-Competence
5. Competence & Proficiency
Stereotype vs. Generalization - Correct Answers -Stereotype: Determines facts upfront
without considering evidence. It is important to not use stereotypes by any means.
Generalizations: Are common trend which can be used as a basis and are an
acceptable way to begin investigation into facts and then a determination can be made.
Cultural Competence - Correct Answers -One recognizes that culturally responsive
practices should be implemented. It is more a stage of mental transformation, not
related to actual implementation.
Universal/Selective/Indicated Prevention - Correct Answers -Universal: an attempt to
reduce the risk of alcohol and drugs across a general population.
Selective: an attempt to reduce risk of alcohol and drugs for a specific family or group.
Indicated: attempt to reduce risk for people already using substances.
Comprehensive Risk Assessment - Correct Answers -1: recognition of potential risk.
2: initial screening.
3: comprehensive assessment.
4: interventions.
5: process evaluation and outcome determination.
Crisis Determination - Correct Answers -A crisis and the need to intervene depends on
the client's mental state.
A stressful event occurring doesn't necessarily create a crisis.
The reaction by the client is most important.
Altering of mental state may cause the client to potentially spiral into a problematic
state.
Triggers - Correct Answers -Can involve many events, actions, and emotions.
Vary from person to person: is important to treat everyone individually to determine
triggers.
Most common triggers are unpleasant emotions, interpersonal conflict, or social
pressure.
