NCAC II EXAM 3 2025 QUESTIONS WITH ANSWERS RATED
A+
✔✔Rational Enhancement Behavioral Therapy - ✔✔based on the principle that people
are not disturbed by events but rather how they see the event. Attitudes and negative
self- concepts can start and maintain the process of addiction.
✔✔methadone maintenance - ✔✔a treatment program for heroin abusers in which
heroin is replaced by the long-term intake of methadone
✔✔Continuous Quality Improvement (CQI) - ✔✔system of development in the
workplace for daily improving performance at every level in every operational process
by focusing on meeting or exceeding customer expectations
✔✔Stage two of the comprehensive assessment process, screening, refers to all,
EXCEPT: - ✔✔Determining which treatment program is best for the client
✔✔When conducting a psychoeducational group, the level of facilitator activity is: -
✔✔High, with a strong focus on the leader
✔✔Psychoactive Substance - ✔✔Any drug that affects the central nervous system and
alters consciousness and/or perceptions
✔✔Providing therapy to clients who have a different cultural background than the
therapist: - ✔✔Requires that the therapist obtains additional training to work with
diverse clients
✔✔Which is NOT a symptom of Sedative, Hypnotic or Anxiolytic Intoxication? -
✔✔Sweating or cold chills
✔✔The first stage in group process may be referred to as: - ✔✔Dependency
✔✔Physiological effects - ✔✔Physical signs and symptoms of a pscyhoactive
substance
✔✔A treatment plan must be in place within - ✔✔One week
✔✔Which is NOT an MAO inhibitor? - ✔✔Elavil
✔✔Suicide Risk Factors - ✔✔More women attempt although more men commit.
✔✔Questioning - ✔✔the appropriate use of open and close-ended questions, and
avoiding complex double/embedded/nested questioning.
,✔✔Psychological effects - ✔✔Alterations in perception and/or judgement caused by a
psychoactive substance
✔✔Reflecting - ✔✔using paraphrasing, summarizing, and feeling-based reflection. Also,
reflecting values, beliefs, and key meanings.
✔✔Chemical Interaction - ✔✔Physiological and psychological effects of two or more
psychoactive substances that are administered simutaneously
✔✔Confrontation - ✔✔challenging clients in productive ways to overcome denial,
avoidance, misdirection, and deception, etc.
✔✔Encouragers - ✔✔the appropriate use of phrases such as "tell me more," etc., to
encourage and facilitate further dialogue.
✔✔Withdrawal - ✔✔Signs and symptoms that occur when an individual who is
physically dependent upon a psychoactive substance discontinues it's use
✔✔Nonverbal communication - ✔✔such as proper body positioning, eye contact,
optimal spatial distancing (seating, standing, room use, etc.), and rate, tone and rhythm
of speech, etc.
✔✔Treatment Applications - ✔✔The method of detoxification, stabilization and
maintenance that is unique to each client in order to facilitate sobriety
✔✔professionalism and ethics - ✔✔understanding and applying proper rules of conduct.
✔✔Supeona Guidelines - ✔✔1) a subpoena should not be ignored, but should not
automatically be obeyed, 2) the lawyer issuing the subpoena should be contacted, 3) if
after consultation with the lawyer who issued the subpoena it is agreed upon that the
patient records contain no germane information, the subpoena should be destroyed, 4)
a court order involving a hearing must be issued before release of information, 5) the
therapist, or program, should refuse to comply with the subpoena if possible, 6) the
patient and his/her lawyer should be contacted, and if the patient wants the information
released, written consent should be obtained.
✔✔Case Management - ✔✔he coordination of resources and services in behalf of a
client. It is normally engaged for individuals in high risk situations, where the cost of
failure is high.
✔✔multicultural sensitivity - ✔✔awareness and responsiveness to cultural issues.
✔✔Development of Alcoholism - ✔✔a pre-alcoholic phase (increased consumption);
a prodromal phase (including blackouts and other serious symptoms);
, the crucial phase (increased loss of control, with serious disruption of day-to-day
functioning); and,
a chronic phase (evident in daily drinking, compelling cravings, and severe physical
and psychological deterioration, ultimately fatal).
✔✔Tolerance - ✔✔After repeated administration, a given dose of psychoactive
substance produces a decreased effect or conversely when increasingly larger doses
must be administered to obtain the effect observed with the original dose
✔✔Dependence - ✔✔Consistent involvement with the use of a psychoactive substance
the securing of it's supply and a high tendency to relapse after withdrawal
✔✔Detox - ✔✔The process of eliminating all psychoactive substances from the
individuals body
✔✔Mode of Administration - ✔✔How the substance physically enters the user's body
and bloodstream
✔✔The addict - ✔✔This role is acted out by member of the family who has an addiction.
The role involves deception and other negative behaviors to cover for the addiction. An
important goal is to make it appear as if other family members have a problem, rather
the addiction being a problem. Lacking meaningful connection to family (deepest
connection is to the addiction) the addict is often oblivious to the negative family
consequences of the addiction.
✔✔Mechanism of Action - ✔✔The process and interactions that take place inside the
individuals body and brain to create the desired effects or resulting side effects of the
substance
✔✔The enabler - ✔✔This role is often assumed by a spouse, but it can be a parent, a
sibling, or even a friend who is deeply invested in trying to help the addict. The Enabler
may make excuses for the addict and deny the existence of a problem, at least to the
degree that it exists. Then Enabler may eventually be aware of the severity of the
problem, but may deeply desire to avoid conflict and contention. Thus, the Enabler
capitulates and helps the addict obtain substances or other resources that perpetuate
and make the addiction worse. The Enabler often tries to keep the family in balance,
even while blocking out the real issue of addiction. Enablers try to control the situation
by doing what the addict wants to appease or satisfy the addict.
✔✔Short - Term Physiological Effects - ✔✔Possible signs and symptoms exhibited by
the individuals body shortly after the substance is consumed
✔✔the scapegoat - ✔✔(n.) a person or thing carrying the blame for others
, ✔✔the hero - ✔✔The Hero is the counterbalance to the Scapegoat. The Hero achieves,
does positive things, and otherwise overshadows the issue of addiction by gaining
attention through diligent efforts and over-achievement. Typically the Hero is the eldest
child. In spite of all the Hero's efforts, however, there is never as much recognition or
attention as desired, because much of it continues to be directed toward the Addict.
Consequently, Heroes in dysfunctional/addiction families tend to resent what they do.
The Hero is also complicit in denying the underlying addiction
✔✔the mascot - ✔✔utilizes humor and fun to mask what is really going on in
the home. Like the Hero, this is done to allay feelings of shame, embarrassment and
guilt. The Mascot's contributions typically help keep the family from outright collapse,
and aids them to forget their problems through comic relief, etc. Even if the mascot
overdoes the role, the family allows him the latitude to continue the role as long as the
real problem of addiction remains masked.
✔✔the lost child - ✔✔The Lost Child is the family member who becomes invisible in all
the chaos of addiction and dysfunction. Seldom considered for opinions, the Lost Child
keeps quiet and avoids trouble and attention. If the role is assumed for an extended
time, it may be difficult to develop a proper sense of self and escape the role because of
a life spent in the background being invisible and unrecognized.
✔✔Short - Term Psychological Effects - ✔✔Possible signs and symptoms exhibited by
the individuals perceptions and senses shortly after the substance is consumed
✔✔Long Term Psychological Effects - ✔✔Possible mental illness, disease or
dysfunction, resulting from chronic, continued use of a substance
✔✔Long Term Physiological Effects - ✔✔Possible physical illness, disease or
dysfunction resulting from chronic continued use of a substance
✔✔Toxicity Level / Risk of Overdose - ✔✔Amount of specific psychoactive substances
necessary to cause death and the likelihood of that occurring
✔✔Drug Interactions - ✔✔Combinations of specific psychoactive substances that can
have dangerous/lethal effects
✔✔Neuron - ✔✔The so-called building blocks of the nervous system that receive
information from neurotransmitters
✔✔Homeostasis - ✔✔An internal stability and balance that the central nervous systems
work to maintain
✔✔Cross-Tolerance - ✔✔The ability of pharmacologically similar psychoactive
substances to substitute from one other in relation to tolerance and preventing
withdrawal symptoms
A+
✔✔Rational Enhancement Behavioral Therapy - ✔✔based on the principle that people
are not disturbed by events but rather how they see the event. Attitudes and negative
self- concepts can start and maintain the process of addiction.
✔✔methadone maintenance - ✔✔a treatment program for heroin abusers in which
heroin is replaced by the long-term intake of methadone
✔✔Continuous Quality Improvement (CQI) - ✔✔system of development in the
workplace for daily improving performance at every level in every operational process
by focusing on meeting or exceeding customer expectations
✔✔Stage two of the comprehensive assessment process, screening, refers to all,
EXCEPT: - ✔✔Determining which treatment program is best for the client
✔✔When conducting a psychoeducational group, the level of facilitator activity is: -
✔✔High, with a strong focus on the leader
✔✔Psychoactive Substance - ✔✔Any drug that affects the central nervous system and
alters consciousness and/or perceptions
✔✔Providing therapy to clients who have a different cultural background than the
therapist: - ✔✔Requires that the therapist obtains additional training to work with
diverse clients
✔✔Which is NOT a symptom of Sedative, Hypnotic or Anxiolytic Intoxication? -
✔✔Sweating or cold chills
✔✔The first stage in group process may be referred to as: - ✔✔Dependency
✔✔Physiological effects - ✔✔Physical signs and symptoms of a pscyhoactive
substance
✔✔A treatment plan must be in place within - ✔✔One week
✔✔Which is NOT an MAO inhibitor? - ✔✔Elavil
✔✔Suicide Risk Factors - ✔✔More women attempt although more men commit.
✔✔Questioning - ✔✔the appropriate use of open and close-ended questions, and
avoiding complex double/embedded/nested questioning.
,✔✔Psychological effects - ✔✔Alterations in perception and/or judgement caused by a
psychoactive substance
✔✔Reflecting - ✔✔using paraphrasing, summarizing, and feeling-based reflection. Also,
reflecting values, beliefs, and key meanings.
✔✔Chemical Interaction - ✔✔Physiological and psychological effects of two or more
psychoactive substances that are administered simutaneously
✔✔Confrontation - ✔✔challenging clients in productive ways to overcome denial,
avoidance, misdirection, and deception, etc.
✔✔Encouragers - ✔✔the appropriate use of phrases such as "tell me more," etc., to
encourage and facilitate further dialogue.
✔✔Withdrawal - ✔✔Signs and symptoms that occur when an individual who is
physically dependent upon a psychoactive substance discontinues it's use
✔✔Nonverbal communication - ✔✔such as proper body positioning, eye contact,
optimal spatial distancing (seating, standing, room use, etc.), and rate, tone and rhythm
of speech, etc.
✔✔Treatment Applications - ✔✔The method of detoxification, stabilization and
maintenance that is unique to each client in order to facilitate sobriety
✔✔professionalism and ethics - ✔✔understanding and applying proper rules of conduct.
✔✔Supeona Guidelines - ✔✔1) a subpoena should not be ignored, but should not
automatically be obeyed, 2) the lawyer issuing the subpoena should be contacted, 3) if
after consultation with the lawyer who issued the subpoena it is agreed upon that the
patient records contain no germane information, the subpoena should be destroyed, 4)
a court order involving a hearing must be issued before release of information, 5) the
therapist, or program, should refuse to comply with the subpoena if possible, 6) the
patient and his/her lawyer should be contacted, and if the patient wants the information
released, written consent should be obtained.
✔✔Case Management - ✔✔he coordination of resources and services in behalf of a
client. It is normally engaged for individuals in high risk situations, where the cost of
failure is high.
✔✔multicultural sensitivity - ✔✔awareness and responsiveness to cultural issues.
✔✔Development of Alcoholism - ✔✔a pre-alcoholic phase (increased consumption);
a prodromal phase (including blackouts and other serious symptoms);
, the crucial phase (increased loss of control, with serious disruption of day-to-day
functioning); and,
a chronic phase (evident in daily drinking, compelling cravings, and severe physical
and psychological deterioration, ultimately fatal).
✔✔Tolerance - ✔✔After repeated administration, a given dose of psychoactive
substance produces a decreased effect or conversely when increasingly larger doses
must be administered to obtain the effect observed with the original dose
✔✔Dependence - ✔✔Consistent involvement with the use of a psychoactive substance
the securing of it's supply and a high tendency to relapse after withdrawal
✔✔Detox - ✔✔The process of eliminating all psychoactive substances from the
individuals body
✔✔Mode of Administration - ✔✔How the substance physically enters the user's body
and bloodstream
✔✔The addict - ✔✔This role is acted out by member of the family who has an addiction.
The role involves deception and other negative behaviors to cover for the addiction. An
important goal is to make it appear as if other family members have a problem, rather
the addiction being a problem. Lacking meaningful connection to family (deepest
connection is to the addiction) the addict is often oblivious to the negative family
consequences of the addiction.
✔✔Mechanism of Action - ✔✔The process and interactions that take place inside the
individuals body and brain to create the desired effects or resulting side effects of the
substance
✔✔The enabler - ✔✔This role is often assumed by a spouse, but it can be a parent, a
sibling, or even a friend who is deeply invested in trying to help the addict. The Enabler
may make excuses for the addict and deny the existence of a problem, at least to the
degree that it exists. Then Enabler may eventually be aware of the severity of the
problem, but may deeply desire to avoid conflict and contention. Thus, the Enabler
capitulates and helps the addict obtain substances or other resources that perpetuate
and make the addiction worse. The Enabler often tries to keep the family in balance,
even while blocking out the real issue of addiction. Enablers try to control the situation
by doing what the addict wants to appease or satisfy the addict.
✔✔Short - Term Physiological Effects - ✔✔Possible signs and symptoms exhibited by
the individuals body shortly after the substance is consumed
✔✔the scapegoat - ✔✔(n.) a person or thing carrying the blame for others
, ✔✔the hero - ✔✔The Hero is the counterbalance to the Scapegoat. The Hero achieves,
does positive things, and otherwise overshadows the issue of addiction by gaining
attention through diligent efforts and over-achievement. Typically the Hero is the eldest
child. In spite of all the Hero's efforts, however, there is never as much recognition or
attention as desired, because much of it continues to be directed toward the Addict.
Consequently, Heroes in dysfunctional/addiction families tend to resent what they do.
The Hero is also complicit in denying the underlying addiction
✔✔the mascot - ✔✔utilizes humor and fun to mask what is really going on in
the home. Like the Hero, this is done to allay feelings of shame, embarrassment and
guilt. The Mascot's contributions typically help keep the family from outright collapse,
and aids them to forget their problems through comic relief, etc. Even if the mascot
overdoes the role, the family allows him the latitude to continue the role as long as the
real problem of addiction remains masked.
✔✔the lost child - ✔✔The Lost Child is the family member who becomes invisible in all
the chaos of addiction and dysfunction. Seldom considered for opinions, the Lost Child
keeps quiet and avoids trouble and attention. If the role is assumed for an extended
time, it may be difficult to develop a proper sense of self and escape the role because of
a life spent in the background being invisible and unrecognized.
✔✔Short - Term Psychological Effects - ✔✔Possible signs and symptoms exhibited by
the individuals perceptions and senses shortly after the substance is consumed
✔✔Long Term Psychological Effects - ✔✔Possible mental illness, disease or
dysfunction, resulting from chronic, continued use of a substance
✔✔Long Term Physiological Effects - ✔✔Possible physical illness, disease or
dysfunction resulting from chronic continued use of a substance
✔✔Toxicity Level / Risk of Overdose - ✔✔Amount of specific psychoactive substances
necessary to cause death and the likelihood of that occurring
✔✔Drug Interactions - ✔✔Combinations of specific psychoactive substances that can
have dangerous/lethal effects
✔✔Neuron - ✔✔The so-called building blocks of the nervous system that receive
information from neurotransmitters
✔✔Homeostasis - ✔✔An internal stability and balance that the central nervous systems
work to maintain
✔✔Cross-Tolerance - ✔✔The ability of pharmacologically similar psychoactive
substances to substitute from one other in relation to tolerance and preventing
withdrawal symptoms
