CADC LATEST 2026 EXAM QUESTIONS AND ANSWERS
GUARANTEE A+
✔✔53) All of the following statements about the effects of alcohol abuse on the body
are true
EXCEPT:
A. Malnutrition can occur in drinkers who eat well-balanced diets.
B. Stimulation of the brain's frontal lobe can occur.
C. The second stage of liver deterioration can be reversed.
D. A vitamin B6 deficiency can occur. - ✔✔B. Stimulation of the brain's frontal lobe can
occur.
✔✔54) Heroin is an example of a(an):
A. Natural narcotic.
B. Semi-synthetic narcotic.
C. Synthetic narcotic.
D. Quasi-narcotic. - ✔✔B. Semi-synthetic narcotic.
✔✔66) Which of the following is MOST helpful for counselors in defining their
professional roles
for counseling clients?
A. An understanding of self-help groups
B. An ethical code of conduct
C. Certification
D. An advanced degree - ✔✔B. An ethical code of conduct
✔✔67) Your dually-diagnosed client, stabilized on medication for his psychiatric
disorder, decides
he wants to quit smoking. You should:
A. Advise him to select a quit date within the next 2 weeks.
B. Encourage him to use the nicotine patch or gum.
C. Consult with his physician regarding nicotine/medication interaction.
D. Suggest he cut down the number of cigarettes daily for 2 weeks before quitting. -
✔✔C. Consult with his physician regarding nicotine/medication interaction.
✔✔68) Which of the following essential tasks was NOT completed during the client's
intake
process?
A. The client was assigned a primary counselor
B. An initial assessment was completed
C. The client was admitted to the program
D. The client signed all required consent forms - ✔✔D. The client signed all required
consent forms
✔✔73) After a counselor has made a summary statement, the most important thing the
,counselor should do is:
A. Remain quite for a time to allow the client to consider the summarized material.
B. Document the summary as soon as possible as part of the treatment plan.
C. Recommend that the client discuss the session with his/her sponsor.
D. Terminate the session immediately. - ✔✔A. Remain quite for a time to allow the
client to consider the summarized material.
✔✔76) The first contact that a potential client would have with an agency would likely be
for the
purpose of:
A. Family therapy.
B. Education.
C. Psychosocial assessment.
D. Screening. - ✔✔D. Screening.
✔✔77) Based upon the initial interview, Bill was given a provisional Axis I diagnosis of
"alcohol dependence" and admitted to an Intensive outpatient program. After completion
of the initial interview, Bill was given a tour of the facility, a client ' handbook, and
introduced to his primary counselor and scheduled an appointment the next day to
discuss what the client could expect during treatment and what would be expected of
him in return. During his treatment Bill worked with his counselor to develop four primary
treatment goals: 1) To spend at least four hours every other weekend with his children;
2) To attend three A.A. meetings a week for the next three months; 3) To abstain from
alcohol and all mind altering and mood enhancing substances; and 4) Complete the 12
week Intensive outpatient treatment program. Bill was
quite resistant to attending A.A. meetings because of fear of being seen by his friends at
meeting - ✔✔B. Rational Emotive
✔✔81) Which situation requires a client's informed consent?
A. A counselor refers a client back to the referring source at completion of treatment
B. A counselor discusses a client's case with the counselor's supervisor
C. A counselor discusses a client's case with another counselor in the treatment facility
D. A client reports recent child abuse - ✔✔D. A client reports recent child abuse
✔✔83) A cocaine-dependent client admits being fired from his job for absenteeism,
losing his home and car by defaulting on his loans, and associating only with peers who
use cocaine. He states that he does not require residential treatment because his
problem is not serious enough. He further states that he has lost his house and car
because his wife didn't work enough hours. Which defense mechanisms is this client
displaying?
A. Projection, denial, and displacement
B. Denial, minimization, and rationalization
C. Sub-limitation, displacement, and compensation
D. Identification, minimization, and Sub-limitation - ✔✔B. Denial, minimization, and
rationalization
,✔✔86) The quality of counseling is directly related to the counselor's ability to:
A. Formulate and carry out realistic personal and professional goals.
B. Interpret the deeper meaning of problems.
C. Analyze client problems.
D. Convince clients to change. - ✔✔A. Formulate and carry out realistic personal and
professional goals.
✔✔88) The process of termination should be discussed:
A. When the client appears to have gained all that he or she can from therapy.
B. At the point specified in the therapeutic contract.
C. At the onset of therapy.
D. When the client brings it up. - ✔✔D. When the client brings it up.
✔✔89) What are the PRIMARY factors that made the client appropriate for this level of
care?
A. There were no physical complications and the client was motivated
B. The client was court-ordered and had the ability to pay for services
C. The client was intelligent and highly motivated
D. The client lived close by and was gainfully employed - ✔✔A. There were no physical
complications and the client was motivated
✔✔95) Which of the following important treatment planning activities were NOT
accomplished in working with this client?
A. The counselor formulated appropriate short term goals for the client
B. The counselor identified and ranked the client's problems needing resolution
C. The counselor worked with the client in establishing the client's treatment goals
D. The client's treatment goals were expressed in measurable behavioral terms - ✔✔B.
The counselor identified and ranked the client's problems needing resolution
✔✔116) The focus of intervention in the criminal justice system is first to:
A. Rehabilitate offenders.
B. Use the threat of incarceration as a motivator to change.
C. Protect the health, safety, and welfare of the public.
D. Keep the chronic, chemically dependent person off the streets. - ✔✔C. Protect the
health, safety, and welfare of the public.
✔✔141) According to Marlatt's model of the relapse process, which of the following
statements is NOT true?
A. Clients should be taught skills for anticipating, avoiding, and coping with their
personal high-risk situations.
B. Clients should be taught constructive responses to cope with lapses when they do
occur.
C. Clients should be helped to recognize that one or more temporary lapses are likely to
occur and are permitted.
, D. 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. - ✔✔C. Clients should be helped to recognize that
one or more temporary lapses are likely to
occur and are permitted.
✔✔146) Stress inoculation focuses primarily on:
A. Increasing self-control.
B. Increasing coping skills.
C. Decreasing anxious responding.
D. Decreasing negative thought patterns. - ✔✔B. Increasing coping skills.
✔✔147) According to the American Society of Addiction Medicine (ASAM), which of the
following is NOT one of the five categories of primary treatment?
A. Relapse Prevention
B. Early intervention
C. Intensive outpatient or partial hospitalization
D. Residential or inpatient services - ✔✔A. Relapse Prevention
✔✔150) Regarding a "seropositive" result, which of the following is NOT a meaning of
HIV
antibody test results?
A. The person has the AIDS virus
B. HIV infection occurred at some point in the past
C. The person is infectious and will remain so for life
D. The HIV infection has been in the system long enough to produce antibodies - ✔✔A.
The person has the AIDS virus
✔✔149) Of the following statements made by a client in a group, which would MOST
warrant
documentation in the client's progress notes?
A. "I'm finding the support from this group to be very helpful."
B. "Getting caught for drunk driving was a mixed blessing."
C. "Ever since I stopped drinking, my emotional swings have been quite intense."
D. "Let's change the subject. Did anyone see the game last night?" - ✔✔C. "Ever since I
stopped drinking, my emotional swings have been quite intense."
✔✔148) Bipolar mood disorder is distinguished from major depression by:
A. At least one episode of mania.
B. Evidence of earlier cyclothymia.
C. Evidence of earlier dysthymia.
D. Chronic forms of depression. - ✔✔A. At least one episode of mania.
✔✔145) Brian is a 15-year old boy who has been admitted to a program for chemical
dependency. He has a history of running away from home, erratic performance in
GUARANTEE A+
✔✔53) All of the following statements about the effects of alcohol abuse on the body
are true
EXCEPT:
A. Malnutrition can occur in drinkers who eat well-balanced diets.
B. Stimulation of the brain's frontal lobe can occur.
C. The second stage of liver deterioration can be reversed.
D. A vitamin B6 deficiency can occur. - ✔✔B. Stimulation of the brain's frontal lobe can
occur.
✔✔54) Heroin is an example of a(an):
A. Natural narcotic.
B. Semi-synthetic narcotic.
C. Synthetic narcotic.
D. Quasi-narcotic. - ✔✔B. Semi-synthetic narcotic.
✔✔66) Which of the following is MOST helpful for counselors in defining their
professional roles
for counseling clients?
A. An understanding of self-help groups
B. An ethical code of conduct
C. Certification
D. An advanced degree - ✔✔B. An ethical code of conduct
✔✔67) Your dually-diagnosed client, stabilized on medication for his psychiatric
disorder, decides
he wants to quit smoking. You should:
A. Advise him to select a quit date within the next 2 weeks.
B. Encourage him to use the nicotine patch or gum.
C. Consult with his physician regarding nicotine/medication interaction.
D. Suggest he cut down the number of cigarettes daily for 2 weeks before quitting. -
✔✔C. Consult with his physician regarding nicotine/medication interaction.
✔✔68) Which of the following essential tasks was NOT completed during the client's
intake
process?
A. The client was assigned a primary counselor
B. An initial assessment was completed
C. The client was admitted to the program
D. The client signed all required consent forms - ✔✔D. The client signed all required
consent forms
✔✔73) After a counselor has made a summary statement, the most important thing the
,counselor should do is:
A. Remain quite for a time to allow the client to consider the summarized material.
B. Document the summary as soon as possible as part of the treatment plan.
C. Recommend that the client discuss the session with his/her sponsor.
D. Terminate the session immediately. - ✔✔A. Remain quite for a time to allow the
client to consider the summarized material.
✔✔76) The first contact that a potential client would have with an agency would likely be
for the
purpose of:
A. Family therapy.
B. Education.
C. Psychosocial assessment.
D. Screening. - ✔✔D. Screening.
✔✔77) Based upon the initial interview, Bill was given a provisional Axis I diagnosis of
"alcohol dependence" and admitted to an Intensive outpatient program. After completion
of the initial interview, Bill was given a tour of the facility, a client ' handbook, and
introduced to his primary counselor and scheduled an appointment the next day to
discuss what the client could expect during treatment and what would be expected of
him in return. During his treatment Bill worked with his counselor to develop four primary
treatment goals: 1) To spend at least four hours every other weekend with his children;
2) To attend three A.A. meetings a week for the next three months; 3) To abstain from
alcohol and all mind altering and mood enhancing substances; and 4) Complete the 12
week Intensive outpatient treatment program. Bill was
quite resistant to attending A.A. meetings because of fear of being seen by his friends at
meeting - ✔✔B. Rational Emotive
✔✔81) Which situation requires a client's informed consent?
A. A counselor refers a client back to the referring source at completion of treatment
B. A counselor discusses a client's case with the counselor's supervisor
C. A counselor discusses a client's case with another counselor in the treatment facility
D. A client reports recent child abuse - ✔✔D. A client reports recent child abuse
✔✔83) A cocaine-dependent client admits being fired from his job for absenteeism,
losing his home and car by defaulting on his loans, and associating only with peers who
use cocaine. He states that he does not require residential treatment because his
problem is not serious enough. He further states that he has lost his house and car
because his wife didn't work enough hours. Which defense mechanisms is this client
displaying?
A. Projection, denial, and displacement
B. Denial, minimization, and rationalization
C. Sub-limitation, displacement, and compensation
D. Identification, minimization, and Sub-limitation - ✔✔B. Denial, minimization, and
rationalization
,✔✔86) The quality of counseling is directly related to the counselor's ability to:
A. Formulate and carry out realistic personal and professional goals.
B. Interpret the deeper meaning of problems.
C. Analyze client problems.
D. Convince clients to change. - ✔✔A. Formulate and carry out realistic personal and
professional goals.
✔✔88) The process of termination should be discussed:
A. When the client appears to have gained all that he or she can from therapy.
B. At the point specified in the therapeutic contract.
C. At the onset of therapy.
D. When the client brings it up. - ✔✔D. When the client brings it up.
✔✔89) What are the PRIMARY factors that made the client appropriate for this level of
care?
A. There were no physical complications and the client was motivated
B. The client was court-ordered and had the ability to pay for services
C. The client was intelligent and highly motivated
D. The client lived close by and was gainfully employed - ✔✔A. There were no physical
complications and the client was motivated
✔✔95) Which of the following important treatment planning activities were NOT
accomplished in working with this client?
A. The counselor formulated appropriate short term goals for the client
B. The counselor identified and ranked the client's problems needing resolution
C. The counselor worked with the client in establishing the client's treatment goals
D. The client's treatment goals were expressed in measurable behavioral terms - ✔✔B.
The counselor identified and ranked the client's problems needing resolution
✔✔116) The focus of intervention in the criminal justice system is first to:
A. Rehabilitate offenders.
B. Use the threat of incarceration as a motivator to change.
C. Protect the health, safety, and welfare of the public.
D. Keep the chronic, chemically dependent person off the streets. - ✔✔C. Protect the
health, safety, and welfare of the public.
✔✔141) According to Marlatt's model of the relapse process, which of the following
statements is NOT true?
A. Clients should be taught skills for anticipating, avoiding, and coping with their
personal high-risk situations.
B. Clients should be taught constructive responses to cope with lapses when they do
occur.
C. Clients should be helped to recognize that one or more temporary lapses are likely to
occur and are permitted.
, D. 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. - ✔✔C. Clients should be helped to recognize that
one or more temporary lapses are likely to
occur and are permitted.
✔✔146) Stress inoculation focuses primarily on:
A. Increasing self-control.
B. Increasing coping skills.
C. Decreasing anxious responding.
D. Decreasing negative thought patterns. - ✔✔B. Increasing coping skills.
✔✔147) According to the American Society of Addiction Medicine (ASAM), which of the
following is NOT one of the five categories of primary treatment?
A. Relapse Prevention
B. Early intervention
C. Intensive outpatient or partial hospitalization
D. Residential or inpatient services - ✔✔A. Relapse Prevention
✔✔150) Regarding a "seropositive" result, which of the following is NOT a meaning of
HIV
antibody test results?
A. The person has the AIDS virus
B. HIV infection occurred at some point in the past
C. The person is infectious and will remain so for life
D. The HIV infection has been in the system long enough to produce antibodies - ✔✔A.
The person has the AIDS virus
✔✔149) Of the following statements made by a client in a group, which would MOST
warrant
documentation in the client's progress notes?
A. "I'm finding the support from this group to be very helpful."
B. "Getting caught for drunk driving was a mixed blessing."
C. "Ever since I stopped drinking, my emotional swings have been quite intense."
D. "Let's change the subject. Did anyone see the game last night?" - ✔✔C. "Ever since I
stopped drinking, my emotional swings have been quite intense."
✔✔148) Bipolar mood disorder is distinguished from major depression by:
A. At least one episode of mania.
B. Evidence of earlier cyclothymia.
C. Evidence of earlier dysthymia.
D. Chronic forms of depression. - ✔✔A. At least one episode of mania.
✔✔145) Brian is a 15-year old boy who has been admitted to a program for chemical
dependency. He has a history of running away from home, erratic performance in
