IL CADC Study Guide Exam Questions
And All Actual Answers.
Purpose of client advocate - Answer Formal relationship with the employer, Involve the employer in
the patient's treatment, Promote information to employer about the patient's disease, Educate
employer on the treatment process, Help provide support for the patient in recovery
Community education purpose - Answer Identify the major drug problems in the community
Role for local churches and religious groups - Answer Start a self-help group that meets in the facility
Counselor responsibilities - Answer Educating other agencies on effective ways to work with specific
cases relating to drugs/alcohol
Two- Stepping - Answer Defense that is destructive to the newly sober client in which they help others
with their alcoholism but do not concentrate on their sobriety
Signs/symptoms of Alcoholism - Answer Solitary drinking, Over permissive norms of drinking, Lack of
specific drinking norms, Tolerance of drunkenness, Adverse social behaviors, Utilitarian use of alcohol to
reduce tension/anxiety, Lack of ritual/ceremonial use of alcohol, Alcohol use separated from eating
patterns
Signs/symptoms of Alcoholism - Answer Alcohol use separated from family, social functions, Drinking
with strangers, Alcohol not introduced in small amounts when a child, Drinking pursued as recreation,
Drinking concentrated in young males, Culture that stresses individualism, self-reliance and high
achievement
Referring to AA/NA - Answer Have a AA/NA person meet w/them and explain how the group and
recovery can work together, Not proper to refer an atheist since it is built on a belief in God, do not refer
if it would seem to be disrespectful of clients rights and views, Make sure the referral meets the clients
personality and background
Dual Diagnosis - Answer Sometimes appear as patients sober up
,Referral processes - Answer Identifying the needs of the client that cannot be met by the
counselor/agency and Assisting the client to utilize the support system and community resources
available
Discharge summary is needed - Answer Inpatient, aftercare, detox, half way houses, etc,
Communications from one agency to another and increases accountability, Reports and record keeping
tells the story of the client from beginning to end, No universally accepted format for maintaining
records
Reports - Answer Explains various aspects of the assessment, treatment plans, and discharge to parties
who need such information to enhance the care of the client
Documents patient can sign - Answer Consent for treatment, Public aid, DASA, statistics, Treatment
plans, Release of information, To acquire medical attention, Education/prevention, Client education,
Crisis intervention
Patient has a right to - Answer Treatment costs they are liable for, When treatment services are
available, Types of counseling approaches used, Opportunity to complain to appropriate staff
Client files - Answer Only the clinical supervisor has unrestricted access to client's files
Physiological dependence for alcohol- Alpha - Answer Psychological dependence, no loss of control,
reliance on alcohol to weather problems
Physiological dependence for alcohol- Beta - Answer Psychological dependence, physical problems
(cirrhosis) but no physical dependence
Physiological dependence for alcohol - Gamma - Answer Change in tolerance, physical withdrawal, loss
of control. Use for Jellinek Chart with 4 stages
Physiological dependence for alcohol - Delta - Answer Same as Gamma but no loss of control but drinks
,Physiological dependence for alcohol - Epsilon - Answer Periodic alcoholism/binge drinking
Aversive therapy - Answer Disulfiram/Antibuse - Most effect for binge drinkers and No alcohol for 2
weeks or severe allergy reactions occur
Direct Reinforcement - Answer Providing positive feedback and rewarding in a direct way and
Introducing new and competing behaviors to replace negative behaviors
Analytic therapy - Answer Oriented toward achieving insight, identifying and experiencing feelings,
memories developing, in-depth self-understanding, re-experiencing, reconstructing childhood
experience, Not appropriate for first month of counseling
Erickson's Psychological Theory - Answer Trust vs Mistrust; Autonomy vs Doubt; Initiative vs Guilt;
Industry vs Inferiority; Identity vs Role Diffusion - Adolescent; Intimacy vs Isolation - Adult; Generativity
vs Stagnation - Adult; Integrity vs Despair - Old age
Social Learning - Answer Behavior learned through interaction with other people, peer group, AA
group, group therapy
Cognitive Restructuring - Answer Positive affirmations spoken to self to modify negative thoughts
Reality Therapy/Transactional Therapy (Glasser 1960s) - Answer What is going on "here and now", How
a client can change old patterns, Client makes decisions based on awareness
Maslow - Self-actualization - Answer Teaches person to challenge old ideas and replace/internalize
logic or science
Gestalt Therapy - Answer Increase awareness of feelings, Persons are born innately good, Focuses on
unfinished business, Focus on "what and how" and not "why". Client's are to be aware of what they are
doing, how they are doing it and the gaining of self-esteem. No diagnosis or interpretation
Carl Rogers - Answer Persons need self-fulfillment rather than being occupied with others
, Relaxation Therapy - Answer If body and breathing are relaxed it is impossible to feel anxious, Tensing
and then relaxing muscles
Systematic Desensitization - Answer Used w/relaxation for treating phobias
Adlerian Therapy - Answer Concept of inferiority complex, Encouragement to recognize strengths and
weaknesses, Believes in dignity and self-worth, Mainly used in family counseling
Client Centered "Rogerian Therapy" - Answer Based on assumption that the client is in the best
position to resolve their own problems, Safe atmosphere to feel/discuss and obtain insight is provided
Jungian Therapy - Answer Developed the concept of collective unconscious and archetypes, Goal is to
have clients become adequately adopted to reality allowing them to fulfill their creative potential,
Individuation is the ultimate goal
Vernon Johnson's Therapy - Answer Learning theory; Individual learns that drinking is a successful way
to deal w/problems, Family, etc in the addict's life reinforces this by their behaviors which enables the
alcoholic's drinking, Relationship w/alcohol deteriorates over time, but the learning was so powerful the
person continues to seek those early positive experiences that are not there now
It is essential to have an atmosphere of high ethical standards - Answer Establishes a mutual respect
during treatment, Using therapy techniques and interventions that lack data are unethical.
Transference - Answer Counter-transference becomes unethical when the counselor's unresolved
conflicts get in the way of effective therapy.
Unethical - Answer Impose values on the client that are not already theirs, Counselors are to refer
clients when they can't refrain from imposing views other than the client's
Family and Friends - Answer Counselors are not to treat family or friends due to biased opinions they
would have.
And All Actual Answers.
Purpose of client advocate - Answer Formal relationship with the employer, Involve the employer in
the patient's treatment, Promote information to employer about the patient's disease, Educate
employer on the treatment process, Help provide support for the patient in recovery
Community education purpose - Answer Identify the major drug problems in the community
Role for local churches and religious groups - Answer Start a self-help group that meets in the facility
Counselor responsibilities - Answer Educating other agencies on effective ways to work with specific
cases relating to drugs/alcohol
Two- Stepping - Answer Defense that is destructive to the newly sober client in which they help others
with their alcoholism but do not concentrate on their sobriety
Signs/symptoms of Alcoholism - Answer Solitary drinking, Over permissive norms of drinking, Lack of
specific drinking norms, Tolerance of drunkenness, Adverse social behaviors, Utilitarian use of alcohol to
reduce tension/anxiety, Lack of ritual/ceremonial use of alcohol, Alcohol use separated from eating
patterns
Signs/symptoms of Alcoholism - Answer Alcohol use separated from family, social functions, Drinking
with strangers, Alcohol not introduced in small amounts when a child, Drinking pursued as recreation,
Drinking concentrated in young males, Culture that stresses individualism, self-reliance and high
achievement
Referring to AA/NA - Answer Have a AA/NA person meet w/them and explain how the group and
recovery can work together, Not proper to refer an atheist since it is built on a belief in God, do not refer
if it would seem to be disrespectful of clients rights and views, Make sure the referral meets the clients
personality and background
Dual Diagnosis - Answer Sometimes appear as patients sober up
,Referral processes - Answer Identifying the needs of the client that cannot be met by the
counselor/agency and Assisting the client to utilize the support system and community resources
available
Discharge summary is needed - Answer Inpatient, aftercare, detox, half way houses, etc,
Communications from one agency to another and increases accountability, Reports and record keeping
tells the story of the client from beginning to end, No universally accepted format for maintaining
records
Reports - Answer Explains various aspects of the assessment, treatment plans, and discharge to parties
who need such information to enhance the care of the client
Documents patient can sign - Answer Consent for treatment, Public aid, DASA, statistics, Treatment
plans, Release of information, To acquire medical attention, Education/prevention, Client education,
Crisis intervention
Patient has a right to - Answer Treatment costs they are liable for, When treatment services are
available, Types of counseling approaches used, Opportunity to complain to appropriate staff
Client files - Answer Only the clinical supervisor has unrestricted access to client's files
Physiological dependence for alcohol- Alpha - Answer Psychological dependence, no loss of control,
reliance on alcohol to weather problems
Physiological dependence for alcohol- Beta - Answer Psychological dependence, physical problems
(cirrhosis) but no physical dependence
Physiological dependence for alcohol - Gamma - Answer Change in tolerance, physical withdrawal, loss
of control. Use for Jellinek Chart with 4 stages
Physiological dependence for alcohol - Delta - Answer Same as Gamma but no loss of control but drinks
,Physiological dependence for alcohol - Epsilon - Answer Periodic alcoholism/binge drinking
Aversive therapy - Answer Disulfiram/Antibuse - Most effect for binge drinkers and No alcohol for 2
weeks or severe allergy reactions occur
Direct Reinforcement - Answer Providing positive feedback and rewarding in a direct way and
Introducing new and competing behaviors to replace negative behaviors
Analytic therapy - Answer Oriented toward achieving insight, identifying and experiencing feelings,
memories developing, in-depth self-understanding, re-experiencing, reconstructing childhood
experience, Not appropriate for first month of counseling
Erickson's Psychological Theory - Answer Trust vs Mistrust; Autonomy vs Doubt; Initiative vs Guilt;
Industry vs Inferiority; Identity vs Role Diffusion - Adolescent; Intimacy vs Isolation - Adult; Generativity
vs Stagnation - Adult; Integrity vs Despair - Old age
Social Learning - Answer Behavior learned through interaction with other people, peer group, AA
group, group therapy
Cognitive Restructuring - Answer Positive affirmations spoken to self to modify negative thoughts
Reality Therapy/Transactional Therapy (Glasser 1960s) - Answer What is going on "here and now", How
a client can change old patterns, Client makes decisions based on awareness
Maslow - Self-actualization - Answer Teaches person to challenge old ideas and replace/internalize
logic or science
Gestalt Therapy - Answer Increase awareness of feelings, Persons are born innately good, Focuses on
unfinished business, Focus on "what and how" and not "why". Client's are to be aware of what they are
doing, how they are doing it and the gaining of self-esteem. No diagnosis or interpretation
Carl Rogers - Answer Persons need self-fulfillment rather than being occupied with others
, Relaxation Therapy - Answer If body and breathing are relaxed it is impossible to feel anxious, Tensing
and then relaxing muscles
Systematic Desensitization - Answer Used w/relaxation for treating phobias
Adlerian Therapy - Answer Concept of inferiority complex, Encouragement to recognize strengths and
weaknesses, Believes in dignity and self-worth, Mainly used in family counseling
Client Centered "Rogerian Therapy" - Answer Based on assumption that the client is in the best
position to resolve their own problems, Safe atmosphere to feel/discuss and obtain insight is provided
Jungian Therapy - Answer Developed the concept of collective unconscious and archetypes, Goal is to
have clients become adequately adopted to reality allowing them to fulfill their creative potential,
Individuation is the ultimate goal
Vernon Johnson's Therapy - Answer Learning theory; Individual learns that drinking is a successful way
to deal w/problems, Family, etc in the addict's life reinforces this by their behaviors which enables the
alcoholic's drinking, Relationship w/alcohol deteriorates over time, but the learning was so powerful the
person continues to seek those early positive experiences that are not there now
It is essential to have an atmosphere of high ethical standards - Answer Establishes a mutual respect
during treatment, Using therapy techniques and interventions that lack data are unethical.
Transference - Answer Counter-transference becomes unethical when the counselor's unresolved
conflicts get in the way of effective therapy.
Unethical - Answer Impose values on the client that are not already theirs, Counselors are to refer
clients when they can't refrain from imposing views other than the client's
Family and Friends - Answer Counselors are not to treat family or friends due to biased opinions they
would have.
