CADC Sample questions (2016) LATEST EXAM 2023

CADC Sample questions (2016) LATEST EXAM 2023 Which of the following is the MOST appropriate course of action for a counselor that encounters an ethical dilemma? - CORRECT ANSWER-Discuss dilemma with their clinical supervisor At the beginning of the initial counseling session with a child whose parent has a substance use disorder, the child stubbornly refuses to leave the waiting room, even with parental coaxing. The counselor says to the child: "You are not sure that you want to be here today. You don't know me and you're not sure that you will like me. I'll leave my office door open, and your mother and I will be in there. When you are ready, you can come in." The counselor's response is an example of - CORRECT ANSWER-empathic reflection. In group therapy, a client consistently perceives another group member as an angry, critical man like her father. This is an example of which of the following? - CORRECT ANSWER-Transference How can trauma disorders complicate the treatment of substance use disorders? - CORRECT ANSWER-Undiagnosed trauma symptoms can be mistaken as an unwillingness to engage in treatment A client with an alcohol use disorder that also presents with depressive symptoms would benefit MOST from which of the following? - CORRECT ANSWER-reatment of both disorders concurrently What is the MOST probable classification for a substance that causes a client to experience an instant euphoric flash when using? - CORRECT ANSWER-CNS Stimulant A client in a methadone maintenance program reports an increase in anxiety and drug cravings. It is MOST appropriate for the counselor to - CORRECT ANSWER-determine if the client is experiencing anxiety associated with withdrawal. What is one of the first steps in the treatment planning process? - CORRECT ANSWER-Prioritize the problems that have been identified during assessment in collaboration with the client Which of the following is NOT one of the basic principles of ethics? - CORRECT ANSWER-Right to Privacy Which of the following is an example of a treatment plan goal for a client? - CORRECT ANSWER-Incorporating healthy activities into everyday life A wife refers her husband for substance abuse counseling. His drug of choice is cocaine, which he has been using episodically with friends—biweekly to weekly—for some years. She is disturbed at the illicit nature of the drug and the long-standing quality of the use. Given the information provided, how is his use of cocaine BEST described? A.Substance abuse B. Cocaine dependence C.Recreational use D. Cocaine addiction - CORRECT ANSWER-Recreational Use What does the experienced effect of a drug depend upon? A.The amount taken and past drug experiences B.The modality of administration C.All of these answer choices D.Poly drug use, setting, and circumstance - CORRECT ANSWER-All of these answer choices How is drug tolerance BEST described? A.The need for more of a drug to get intoxicated B.The inability to get intoxicated C.Increased sensitivity to a drug over time D.Decreased sensitivity to a drug over time - CORRECT ANSWER-Decreased sensitive to a drug over time Which of the following is NOT a "drug cue"? A. Drug avoidance strategies B. Drug use paraphernalia C. A prior drug-use setting D. Seeing others use drugs - CORRECT ANSWER-Drug avoidance strategies What happens as tolerance for barbiturates develops? A.Tolerance does not develop for barbiturates B.The margin between intoxication and lethality decreases C.The margin between intoxication and lethality stays the same D.The margin between intoxication and lethality increases - CORRECT ANSWER-The margin between intoxication and lethality stays the same What is the MOST common symptom of Wernicke's encephalopathy? A. Loss of older memories B.New memory formation C.Psychosis D. Confusion - CORRECT ANSWER-Confusion Which of the following conditions does alcohol NOT induce? A.Cirrhosis B.Nephrosis C.Hepatitis D.Steatosis - CORRECT ANSWER-Nephrosis What does formication refer to? A.Extrapyramidal symptoms of agitation B.A sensation of bugs crawling under the skin C. The creation of freebase cocaine D. Sex between two unmarried individuals - CORRECT ANSWER-A sensation of bugs crawling under the skin What is/are the organ(s) most damaged by cocaine abuse? A.The heart B. The lungs C. The brain D. The kidneys - CORRECT ANSWER-The heart Which of the following is NOT a basic chemical class of amphetamines? A. Amphetamine sulphate B. Benzedrine C. Dextroamphetamine D. Methamphetamine - CORRECT ANSWER-Benzedrine In terms of difficulty quitting (dependence), which of the following four drugs ranks the highest? A. Nicotine B. Cocaine C. Alcohol D. Heroin - CORRECT ANSWER-Nicotine Which of the statements below is MOST correct? A.THC content in marijuana is predictable B.THC content in hashish is lower than in a joint C.THC content in marijuana varies widely D.THC content in all marijuana is about the same - CORRECT ANSWER-The content in the marijuana varies widely Regarding substance abuse, what does Convergence Theory propose? A.Rates of substance abuse among women are converging with those of men B. Age is a key factor in eventual substance abuse abstinence C. All individuals eventually narrow drug use to a drug of choice preference D. As individuals age, gender disparities in rates of abuse tend to converge - CORRECT ANSWER-Rates of substance abuse among women are converging with those of men Among psychiatric disorders in the elderly, where does alcohol abuse rank? A. twenty-fifth B.fifth C.third D. fifteenth - CORRECT ANSWER-Third Which of the following subcategories of alcohol use disorder onset is NOT in the elderly? A.Late-onset exacerbation drinking B.Early-onset alcoholism C. Delayed-onset alcoholism D. Late-onset alcoholism - CORRECT ANSWER-Delayed-onset alcoholism It is important to understand clients and their expectations for counseling. Clients coming in for treatment carry with them both helpful and harmful expectations. Which of the following is a harmful expectation? A. " This counselor is a stranger, but maybe I can learn to trust her." B. "My counselor will direct me to do what I need to do, and everything will be OK." C. "My counselor will be a resource that I can use to resolve my problems." D. "The counselor's main concern and responsibility is to help me achieve my goals and objectives." - CORRECT ANSWER-"My counselor will direct me to do what I need to do, and everything will be OK." Joe is a 27-year old addict who has begun counseling, but has not yet been able to give up using drugs. during one session, he tells his counselor that he is beginning to feel that "it is useless to try to stop," and that "sometimes life is not worth living." The counselor is concerned that Joe could be suicidal. The counselor should: A. assess Joe's potential for suicide without directly asking him about suicide plans, but assess his high-risk factors B. assess Joe's potential for suicide by asking him about his intent, and evaluating high risk factors C. determine if Joe has a gun or other weapon D. initiate involuntary hospitalization procedures - CORRECT ANSWER-assess Joe's potential for suicide by asking him about his intent, and evaluating high risk factors If the orientation process is neglected or incomplete a client may: A. remain in denial about his/her addiction B. Have incorrect information and unanswered questions about the program C. need to be referred to an outside agency D. need additional education about addiction - CORRECT ANSWER-Have incorrect information and unanswered questions about the program ________ is one of case management's hall mark characteristics. A. Advocacy B. Cooperation C. Stabilization D. Flexibility - CORRECT ANSWER-Advocacy The first contact that potential client would have with an agency would likely be for the purpose of: A. family therapy B. education C. psychosocial assessment D. screening - CORRECT ANSWER-screening You are asked to see a client in the emergency room for a consultation. The nursing notes read: pupils dilated; gooseflesh; lacrimation; yawning; muscle jerks; flu syndrome; vomiting; diarrhea; nervousness; yawning; and severe anxiety. You conclude that the client is withdrawing from: A. Hallucinogens B. CNS depressants C. Opioids D. Dextro-amphetamines - CORRECT ANSWER-Opiods One of the counselor's tasks is to guide the client in relating and communication in specific terms, rather than in general abstract terms. That characteristic or ability is called: A. Confrontation B. Immediacy C. Potency D. Concreteness - CORRECT ANSWER-Concreteness Record keeping is an important part of the counseling process. Which of the following best reflect the types of information which should be kept in a client's record? A. The name of an attending physician, referrals made, diagnostic procedures used B. Information about consultations, diagnosis, treatment, prognosis, and progress C. Names of family members, emergency number, DSM-5 diagnosis D. Personal notes, insurance information, treatment notes - CORRECT ANSWERInformation about consultations, diagnosis, treatment, prognosis, and progress Which os the following is NOT a commonly use technique for crisis intervention? A. Help the client to express feelings generated by the crisis B. Eliminate negative beliefs that contributed to the crisis C. Assign specific behavior tasks such as spending time with people D. Immediately refer the client to an agency to help change the situation - CORRECT ANSWER-Immediately refer the client to an agency to help change the situation During the Intake, a counselor can expect to address all of the following issues EXCEPT: A. a client's fears and denial B. confidentiality C. Information gathering D. treatment planning - CORRECT ANSWER-treatment planning A client tells a counselor that she is unhappy with the way her treatment is progressing. The counselor should: A.create new goals and objectives, and suggest alternate forms of therapy B.talk to the client about possible denial C.refer the client for more appropriate treatment D. draw up a new contract with the client E.discuss these concerns with the client and make necessary changes in treatment goals. - CORRECT ANSWER-discuss these concerns with the client and make necessary changes in treatment goals. A key factor for counselors to consider is that in a counseling relationship, the counselor has differential power. One of the best safeguards is: A.To be alert to and understand the power relationship. B.To utilize the differential power to motivate the client. C.To realize the importance of this power in client interventions. D.To not become involved in a dating relationship until the client has completed treatment. E.To use differential power to get the client to try new behaviors. - CORRECT ANSWER-To be alert to and understand the power relationship. According to Marlatt's model of the relapse process, which of the following statements is not true? A. Abstinence, not controlled use, must be the ultimate goal. B. Clients should be helped to recognize that one or more temporary lapses are likely to occur and are permitted. C. Clients should be taught skills for anticipating, avoiding, and coping with their personal high-risk situations. D. Clients should be taught constructive responses to cope with lapses when they do occur. E. Any positive expectations that clients have about drug use should be countered with reminders about the lows that follow the highs and about the long-term negative consequences of substance abuse. - CORRECT ANSWER-Clients should be helped to recognize that one or more temporary lapses are likely to occur and are permitted. Case management is needed because services tend to be fragmented and inadequate to meet the needs of the substance-abusing population. This lack of coordinated services may result from all of the following factors EXCEPT: A.funding focused on single modalities rather than a continuum of care B.waiting lists caused by inadequate funding C.barriers between systems (e.g., mental health vs. substance abuse, criminal justice vs. mental health and substance abuse) D.eligibility/admission criteria that focus on special need clients E. lack of incentives for programs to work together - CORRECT ANSWEReligibility/admission criteria that focus on special need clients Drug use by adolescents is: A. not affected by parental drug use B. not affected by peer drug use C. most affected by parental drug use D. most affected by peer drug use E. equally affected by parental and peer drug use - CORRECT ANSWER-most affected by peer drug use Effective case management for persons in need of multiple services requires: A. Monitoring, feedback, and evaluation of services. B. Frequent face-to-face contact with the client. C. Collaboration with family members. D. Consent for full disclosure of information among all service providers. E. Careful matching with appropriate 12-step groups. - CORRECT ANSWERMonitoring, feedback, and evaluation of service