NCAC II EXAM QUESTIONS AND
ANSWERS
Pharmacology79-79answer--
the79branch79of79science79that79examines79how79psychoactive79substances79taken79to79alter7
9bodily79functions79or79enhance79bodily79functions79interact79with79the79brain79and79body.
Due79to79it's79short79half-life,79which79requires79a79divided79dosing?79-79answer--Wellbutrin
The79first79stage79in79group79process79may79be79referred79to79as:79-79answer--Dependency
The79ICRC/AODA79defines79assessment79as:79-79answer--
An79identification79of79the79client's79strengths,79weaknesses,79needs79and79problems79to79de
velop79the79treatment79plan.
In79regard79to79crisis79situations,79the79most79useful79criterion79for79evaluating79the79effective
ness79of79actions79taken79between79sessions79is:79-79answer--
Level79of79functioning,79compared79to79pre-crisis79level
The79Cephalocaudle79Principle79-79answer--
Development79proceeds79from79the79head79downward,79with79control79over79the79head79and7
9face79first,79then79the79arms,79and79finally79the79legs.79Within79two79months79from79birth79infa
nts79develop79control79over79head79and79face79movements.79In79the79following79few79months,
79they79are79able79to79use79their79arms79to79lift79themselves79up.79Control79over79the79legs79de
velops79between79679to791279months79of79age,79with79infants79then79able79crawl,79stand,79and7
9eventually79walk.79Arm79coordination79always79precedes79leg79coordination.
The79Proximodistal79Principle79-79answer--
Development79proceeds79from79the79center79of79the79body79outward.79Thus,79arms79develop
79before79hands,79and79the79fingers79and79toes79follow.79Muscle79control79over79the79fingers79
and79toes79develops79last,79as79well.
Sigmund79Freud79-79answer--
Freud79emphasized79the79significance79of79childhood79events79and79experiences,79but79focu
sed79nearly79entirely79on79abnormal79development79instead79of79normal79functioning.79Freud
79described79child79development 79as79a79set79of79"psychosexual79stages,"79referred79to79as79
oral,79anal,79phallic,79latency79and79genital.
Erik79Erickson79-79answer--A79neo-
Freudian79psychologist79that79hypothesized79that79people79face79pass79through79879social79d
,evelopment79stages79from79infancy79to79old79age.79Each79challenge79has79an79outcome79that
79affects79a79persons79social79and79personality79development.
Jean79Piaget79-79answer--
Theorist79Jean79Piaget79focused79primarily79on79the79mental79aspects79of79childhood,79and79
proposed79a79four-
stage79theory79of79cognitive79development.79He79pioneered79the79idea79that79children's79kno
wledge79of79the79world79is79gained79by79active79interaction,79describing79them79as79"little79sci
entists"79in79this79endeavor.
Rational79Emotive79Psychotherapy79-79answer--The79earliest79form79of79a79cognitive-
behaviour79approach79to79social79work79practice,79in79which79personal79problems79are79unde
rstood79to79be79the79result79of79irrational79patterns79of79thinking79and79the79dysfunctional79beh
aviours79that79happen79as79a79result.79The79goal79of79the79therapist79is79to79help79a79client79to79
see79that79the79negative79emotions79experienced79are79due79to79a79flawed79perception79of79re
ality.
Motivational79Enhancement79Therapy79-79answer--a79brief,79nonconfrontational,79client-
centered79therapy79designed79to79change79specific79problematic79behaviors79such79as79alco
hol79or79drug79use
Freudian79Psychoanalytic79Theory79-79answer--
based79on79the79idea79that79people79are79influenced79considerably79by79their79unconscious,79
inner79drives.
Cognitive79Behavioral79Therapy79-79answer--
a79popular79integrative79therapy79that79combines79cognitive79therapy79(changing79self-
defeating79thinking)79with79behavior79therapy79(changing79behavior)
Socratic79Dialogue79-79answer--
A79process79that79cognitive79therapists79use79in79helping79clients79empirically79test79their79cor
e79beliefs.79Clients79form79hypotheses79about79their79behavior79through79observation79and79
monitoring.
Gestalt79therapy79-79answer--
therapy79that79aims79to79integrate79different79and79sometimes79opposing79aspects79of79perso
nality79into79a79unified79sense79of79self
Person79Centered79Therapy79-79answer--
a79nondirective79insight79therapy79based79on79the79work79of79Carl79Rogers79in79which79the79cli
ent79does79all79the79talking79and79the79therapist79listens
Priviledge79-79answer--
refers79to79the79right79of79an79individual79not79to79have79confidential79information79disclosed79i
n79legal79proceedings.
,Transactional79Analysis79-79answer--
treatment79that79focuses79on79patterns79of79interaction79with79others,79especially79patterns79t
hat79indicate79personal79problems
When79is79privilege79waived?79-79answer--
Privilege79is79waived79in79the79following79ways:791)79when79the79client79has79agreed79that79the
79counselor79may79reveal79confidential79information,792)79when79a79third79person79has79been7
9made79privy79to79the79information,79and793)79under79certain79legal79conditions.79The79therapi
st79cannot79claim79privilege79once79the79client79has79agreed79to79waive79privilege.
Existential79Therapy79-79answer--
a79therapy79that79encourages79clients79to79accept79responsibility79for79their79lives79and79to79liv
e79with79greater79meaning79and79value
Informed79Consent79-79answer--
requires79that79an79individual79not79only79provide79voluntary79consent,79but79that79he79or79she
79be79adequately79informed79regarding79choices,79options,79and79outcomes79to79have79prope
rly79understood79the79meaning79of79the79consent79or79refusal79that79was79given.79Typically79th
is79requires79disclosure79of:
79nature79and79purpose79of79the79treatment
79the79risks79and79consequences
79the79available79alternatives
79the79risks79of79no79treatment.
Who79created79CBT?79-79answer--Aaron79Beck
Duty79to79warn79-79answer--
Mental79health79professional's79responsibility79to79break79confidentiality79and79notify79the79p
otential79victim79whom79a79client79has79specifically79threatened.
Rational79Enhancement79Behavioral79Therapy79-79answer--
based79on79the79principle79that79people79are79not79disturbed79by79events79but79rather79how79t
hey79see79the79event.79Attitudes79and79negative79self-
79concepts79can79start79and79maintain79the79process79of79addiction.
methadone79maintenance79-79answer--
a79treatment79program79for79heroin79abusers79in79which79heroin79is79replaced79by79the79long-
term79intake79of79methadone
Continuous79Quality79Improvement79(CQI)79-79answer--
system79of79development79in79the79workplace79for79daily79improving79performance79at79every
79level79in79every79operational79process79by79focusing79on79meeting79or79exceeding79custom
er79expectations
Stage79two79of79the79comprehensive79assessment79process,79screening,79refers79to79all,79E
XCEPT:79-79answer--Determining79which79treatment79program79is79best79for79the79client
, When79conducting79a79psychoeducational79group,79the79level79of79facilitator79activity79is:79-
79answer--High,79with79a79strong79focus79on79the79leader
Psychoactive79Substance79-79answer--
Any79drug79that79affects79the79central79nervous79system79and79alters79consciousness79and/
or79perceptions
Providing79therapy79to79clients79who79have79a79different79cultural79background79than79the79th
erapist:79-79answer--
Requires79that79the79therapist79obtains79additional79training79to79work79with79diverse79clients
Which79is79NOT79a79symptom79of79Sedative,79Hypnotic79or79Anxiolytic79Intoxication?79-
79answer--Sweating79or79cold79chills
The79first79stage79in79group79process79may79be79referred79to79as:79-79answer--Dependency
Physiological79effects79-79answer--
Physical79signs79and79symptoms79of79a79pscyhoactive79substance
A79treatment79plan79must79be79in79place79within79-79answer--One79week
Which79is79NOT79an79MAO79inhibitor?79-79answer--Elavil
Suicide79Risk79Factors79-79answer--More79women79attempt79although79more79men79commit.
Questioning79-79answer--the79appropriate79use79of79open79and79close-
ended79questions,79and79avoiding79complex79double/embedded/nested79questioning.
Psychological79effects79-79answer--Alterations79in79perception79and/
or79judgement79caused79by79a79psychoactive79substance
Reflecting79-79answer--using79paraphrasing,79summarizing,79and79feeling-
based79reflection.79Also,79reflecting79values,79beliefs,79and79key79meanings.
Chemical79Interaction79-79answer--
Physiological79and79psychological79effects79of79two79or79more79psychoactive79substances79t
hat79are79administered79simutaneously
Confrontation79-79answer--
challenging79clients79in79productive79ways79to79overcome79denial,79avoidance,79misdirection
,79and79deception,79etc.
Encouragers79-79answer--
the79appropriate79use79of79phrases79such79as79"tell79me79more,"79etc.,79to79encourage79and79f
acilitate79further79dialogue.
ANSWERS
Pharmacology79-79answer--
the79branch79of79science79that79examines79how79psychoactive79substances79taken79to79alter7
9bodily79functions79or79enhance79bodily79functions79interact79with79the79brain79and79body.
Due79to79it's79short79half-life,79which79requires79a79divided79dosing?79-79answer--Wellbutrin
The79first79stage79in79group79process79may79be79referred79to79as:79-79answer--Dependency
The79ICRC/AODA79defines79assessment79as:79-79answer--
An79identification79of79the79client's79strengths,79weaknesses,79needs79and79problems79to79de
velop79the79treatment79plan.
In79regard79to79crisis79situations,79the79most79useful79criterion79for79evaluating79the79effective
ness79of79actions79taken79between79sessions79is:79-79answer--
Level79of79functioning,79compared79to79pre-crisis79level
The79Cephalocaudle79Principle79-79answer--
Development79proceeds79from79the79head79downward,79with79control79over79the79head79and7
9face79first,79then79the79arms,79and79finally79the79legs.79Within79two79months79from79birth79infa
nts79develop79control79over79head79and79face79movements.79In79the79following79few79months,
79they79are79able79to79use79their79arms79to79lift79themselves79up.79Control79over79the79legs79de
velops79between79679to791279months79of79age,79with79infants79then79able79crawl,79stand,79and7
9eventually79walk.79Arm79coordination79always79precedes79leg79coordination.
The79Proximodistal79Principle79-79answer--
Development79proceeds79from79the79center79of79the79body79outward.79Thus,79arms79develop
79before79hands,79and79the79fingers79and79toes79follow.79Muscle79control79over79the79fingers79
and79toes79develops79last,79as79well.
Sigmund79Freud79-79answer--
Freud79emphasized79the79significance79of79childhood79events79and79experiences,79but79focu
sed79nearly79entirely79on79abnormal79development79instead79of79normal79functioning.79Freud
79described79child79development 79as79a79set79of79"psychosexual79stages,"79referred79to79as79
oral,79anal,79phallic,79latency79and79genital.
Erik79Erickson79-79answer--A79neo-
Freudian79psychologist79that79hypothesized79that79people79face79pass79through79879social79d
,evelopment79stages79from79infancy79to79old79age.79Each79challenge79has79an79outcome79that
79affects79a79persons79social79and79personality79development.
Jean79Piaget79-79answer--
Theorist79Jean79Piaget79focused79primarily79on79the79mental79aspects79of79childhood,79and79
proposed79a79four-
stage79theory79of79cognitive79development.79He79pioneered79the79idea79that79children's79kno
wledge79of79the79world79is79gained79by79active79interaction,79describing79them79as79"little79sci
entists"79in79this79endeavor.
Rational79Emotive79Psychotherapy79-79answer--The79earliest79form79of79a79cognitive-
behaviour79approach79to79social79work79practice,79in79which79personal79problems79are79unde
rstood79to79be79the79result79of79irrational79patterns79of79thinking79and79the79dysfunctional79beh
aviours79that79happen79as79a79result.79The79goal79of79the79therapist79is79to79help79a79client79to79
see79that79the79negative79emotions79experienced79are79due79to79a79flawed79perception79of79re
ality.
Motivational79Enhancement79Therapy79-79answer--a79brief,79nonconfrontational,79client-
centered79therapy79designed79to79change79specific79problematic79behaviors79such79as79alco
hol79or79drug79use
Freudian79Psychoanalytic79Theory79-79answer--
based79on79the79idea79that79people79are79influenced79considerably79by79their79unconscious,79
inner79drives.
Cognitive79Behavioral79Therapy79-79answer--
a79popular79integrative79therapy79that79combines79cognitive79therapy79(changing79self-
defeating79thinking)79with79behavior79therapy79(changing79behavior)
Socratic79Dialogue79-79answer--
A79process79that79cognitive79therapists79use79in79helping79clients79empirically79test79their79cor
e79beliefs.79Clients79form79hypotheses79about79their79behavior79through79observation79and79
monitoring.
Gestalt79therapy79-79answer--
therapy79that79aims79to79integrate79different79and79sometimes79opposing79aspects79of79perso
nality79into79a79unified79sense79of79self
Person79Centered79Therapy79-79answer--
a79nondirective79insight79therapy79based79on79the79work79of79Carl79Rogers79in79which79the79cli
ent79does79all79the79talking79and79the79therapist79listens
Priviledge79-79answer--
refers79to79the79right79of79an79individual79not79to79have79confidential79information79disclosed79i
n79legal79proceedings.
,Transactional79Analysis79-79answer--
treatment79that79focuses79on79patterns79of79interaction79with79others,79especially79patterns79t
hat79indicate79personal79problems
When79is79privilege79waived?79-79answer--
Privilege79is79waived79in79the79following79ways:791)79when79the79client79has79agreed79that79the
79counselor79may79reveal79confidential79information,792)79when79a79third79person79has79been7
9made79privy79to79the79information,79and793)79under79certain79legal79conditions.79The79therapi
st79cannot79claim79privilege79once79the79client79has79agreed79to79waive79privilege.
Existential79Therapy79-79answer--
a79therapy79that79encourages79clients79to79accept79responsibility79for79their79lives79and79to79liv
e79with79greater79meaning79and79value
Informed79Consent79-79answer--
requires79that79an79individual79not79only79provide79voluntary79consent,79but79that79he79or79she
79be79adequately79informed79regarding79choices,79options,79and79outcomes79to79have79prope
rly79understood79the79meaning79of79the79consent79or79refusal79that79was79given.79Typically79th
is79requires79disclosure79of:
79nature79and79purpose79of79the79treatment
79the79risks79and79consequences
79the79available79alternatives
79the79risks79of79no79treatment.
Who79created79CBT?79-79answer--Aaron79Beck
Duty79to79warn79-79answer--
Mental79health79professional's79responsibility79to79break79confidentiality79and79notify79the79p
otential79victim79whom79a79client79has79specifically79threatened.
Rational79Enhancement79Behavioral79Therapy79-79answer--
based79on79the79principle79that79people79are79not79disturbed79by79events79but79rather79how79t
hey79see79the79event.79Attitudes79and79negative79self-
79concepts79can79start79and79maintain79the79process79of79addiction.
methadone79maintenance79-79answer--
a79treatment79program79for79heroin79abusers79in79which79heroin79is79replaced79by79the79long-
term79intake79of79methadone
Continuous79Quality79Improvement79(CQI)79-79answer--
system79of79development79in79the79workplace79for79daily79improving79performance79at79every
79level79in79every79operational79process79by79focusing79on79meeting79or79exceeding79custom
er79expectations
Stage79two79of79the79comprehensive79assessment79process,79screening,79refers79to79all,79E
XCEPT:79-79answer--Determining79which79treatment79program79is79best79for79the79client
, When79conducting79a79psychoeducational79group,79the79level79of79facilitator79activity79is:79-
79answer--High,79with79a79strong79focus79on79the79leader
Psychoactive79Substance79-79answer--
Any79drug79that79affects79the79central79nervous79system79and79alters79consciousness79and/
or79perceptions
Providing79therapy79to79clients79who79have79a79different79cultural79background79than79the79th
erapist:79-79answer--
Requires79that79the79therapist79obtains79additional79training79to79work79with79diverse79clients
Which79is79NOT79a79symptom79of79Sedative,79Hypnotic79or79Anxiolytic79Intoxication?79-
79answer--Sweating79or79cold79chills
The79first79stage79in79group79process79may79be79referred79to79as:79-79answer--Dependency
Physiological79effects79-79answer--
Physical79signs79and79symptoms79of79a79pscyhoactive79substance
A79treatment79plan79must79be79in79place79within79-79answer--One79week
Which79is79NOT79an79MAO79inhibitor?79-79answer--Elavil
Suicide79Risk79Factors79-79answer--More79women79attempt79although79more79men79commit.
Questioning79-79answer--the79appropriate79use79of79open79and79close-
ended79questions,79and79avoiding79complex79double/embedded/nested79questioning.
Psychological79effects79-79answer--Alterations79in79perception79and/
or79judgement79caused79by79a79psychoactive79substance
Reflecting79-79answer--using79paraphrasing,79summarizing,79and79feeling-
based79reflection.79Also,79reflecting79values,79beliefs,79and79key79meanings.
Chemical79Interaction79-79answer--
Physiological79and79psychological79effects79of79two79or79more79psychoactive79substances79t
hat79are79administered79simutaneously
Confrontation79-79answer--
challenging79clients79in79productive79ways79to79overcome79denial,79avoidance,79misdirection
,79and79deception,79etc.
Encouragers79-79answer--
the79appropriate79use79of79phrases79such79as79"tell79me79more,"79etc.,79to79encourage79and79f
acilitate79further79dialogue.
