CADC exam (practice test)

52. A frequent client reaction during the termination phase of counseling is: a. acting out behavior b. defensiveness c. lack of trust d. apathy

a. acting out behavior

62. If an individua were to take two barbiturates, such a phenobarbital and secobarbital simultaneously, the drug interaction effect would most appropriately be described as: a. additive b. potentiating c. antagonistic d. synergistic

a. additive

6. Which of the following is essential for successful recovery from addiction? a. admitting to a drinking and/or drug problem b. working all 12 steps of a 12-step program c. inpatient treatment and aftercare d. resolving family issues

a. admitting to a drinking and/or drug problem

66. The disease concept of addiction is a useful concept for treating alcoholics and addicts because it: a. allows the client not to feel guilty for being addicted b. predicts that things will get better and there is a reason for the problem c. predicts that the problem is permanent and there is little hope for recovery d. suggests that there is no common etiology which explains addiction

a. allows the client not to feel guilty for being addicted

55. The following issue MUST be considered when consulting with out-of-agency professionals a. best practices related to confidentiality b. documentation of client problems c. the client's ability to adapt d. the client's aftercare plan

a. best practices related to confidentiality

68. After completing an assessment interview with a difficult client, the counselor received a phone call from the client suggesting that the two have dinner together. What is the most appropriate course of action for the counselor? a. decline the invitation b. suggest a public restaurant c. only agree to attend if there is no drinking d. have dinner as it will help the therapeutic relationship

a. decline the invitation

56. Of the following AIDS associated illnesses, which may be less recognizable in substance abusers? a. dementia b. tuberculosis c. wasting syndrome d. chronic herpes simplex

a. dementia

61. After several months in marital and family therapy the alcoholic spouse suffers a relapse. The MOST useful approach to the couple is to: a. frame the relapse as a sign that marital therapy was moving too quickly, and it would be good to get back to the basics of early recovery b. consider that family therapy may be needed since the basis of the relapse may be rooted in dynamics that involve other members of the family c. inquire what the non-addicted spouse might be doing to enable the return to drinking d. explore the relapse as a difficulty in the couple's ability to negotiate

a. frame the relapse as a sign that marital therapy was moving too quickly, and it would be good to get back to the basics of early recovery

31. Which of the following is TRUE about case management? a. it is the coordination of services in an effort to reach the goals of the treatment plan b. it is the clinical supervision of the counseling staff by case manager c. it is management of treatment to assure collateral care with outside agencies d. it is the process of monitoring the client's compliance with accreditation standards

a. it is the coordination of services in an effort to reach the goals of the treatment plan

23. Burnout in counselors might be avoided by periodic: a. self-assessment b. attitude adjustment c. medication evaluation d. disputing of rational beliefs

a. self-assessment

63. With regard to case management, which of the following is TRUE? a. the counselor should coordinate regular communication between professionals involved in the client's treatment b. good integration of services requires team meetings with the client present c. with a well-integrated team of professionals, the case manager's review of progress notes will alone determine how the treatment plan is being followed d. once the treatment plan is written, the use of other services is determined and will remain unchanged

a. the counselor should coordinate regular communication between professionals involved in the client's treatment

3. Which statement is TRUE regarding dual relationships with clients that might impair the counselor's judgement? a. they must be avoided b. they should be discouraged c. they are left to the discretion of the counselor d. they should first be discussed with one's superior

a. they must be avoided

70. The identification and ranking of problems needing resolution is a function of: a. treatment planning b. client education c. assessment d. counseling

a. treatment planning

43. Marijuana is a unique compound which contains over 200 chemicals. One particular chemical, however, is the main psychoactive chemical that makes marijuana "go." The name of this psychoactive compound is: a. Tetrahydroisoquinolone b. Cannabinoid c. Trideltagammanase d. Cannabis Sativa

b. Cannabinoid

39. Which of the following is a characteristic of Gestalt therapy? a. an emphasis on the past b. a focus on unfinished business c. an emphasis on diagnostic considerations d. a focus on the conflict between the id and the superego

b. a focus on unfinished business

60. Phobic behaviors are reinforced by: a. an increase in one's self-esteem b. a reduction in one's feelings of anxiety c. significant repetition of the phobic behaviors d. sympathy received from others

b. a reduction in one's feelings of anxiety

7. Interventions by a group counselor should: a. be governed by group content as outlined during the orientation process b. address issues critical to the functioning of the group as a whole c. disregard the group process when it is deemed necessary d. only be made to halt potential violence

b. address issues critical to the functioning of the group as a whole

19. A person wants to accept a party invitation because he/she is very social but is concerned because there will be a lot of drinking and he/she is a member of AA. He/she is experiencing a(an): a. mixed blessing dilemma b. approach-avoidance conflict c. double-avoidance conflict d. relapse conflict

b. approach-avoidance conflict

49. When a group faces denial by group members, the counselor should: a. analyze the denial b. directly confront the denial c. realize denial enhances entrance into treatment d. realize denial does not reoccur after counseling begins

b. directly confront the denial

8. When clients ask directly for advice, it is usually helpful for counselors to: a. avoid offering advice, since it negatively effects communication with the client b. encourage the client to explore various alternatives c. discuss with the client his/her request for advice d. give advice since it encourages independence in the counseling relationship

b. encourage the client to explore various alternatives

13. Concise and accurate reporting is necessary in order to: a. assist in client education b. ensure continuity of client care c. demonstrate counselor competence d. identify client strengths and weaknesses

b. ensure continuity of client care

Coralynn is a 24-year-old African American woman seeking treatment for a substance use disorder. She reports daily smoking crack cocaine and crystal methamphetamine for more than three years. She states that she used which ever one was readily available, particularly since she has been in graduate school. Her boyfriend, who lives with her, is insisting that she doesn't really have a problem. He also uses, maintaining that the drugs enhance their sex life. Coralynn says that they enjoy experimenting sexually at parties and do not plan to alter this aspect of their lifestyle. 72. What is the appropriate response to Coralynn's sexual behavior? a. this part of her lifestyle is not related to her recovery b. explore her feelings about this behavior as it relates to her addiction c. encourage her to stop this destructive behavior regardless of her recovery status

b. explore her feelings about this behavior as it relates to her addiction

4. If the orientation process is neglected or incomplete a client may: a. remain in denial about his/her addiction and leave against staff advice b. have incorrect information and unanswered questions about the program c. need to be referred to an outside agency for additional counseling d. need additional education about addiction and its effects on the body.

b. have incorrect information and unanswered questions about the program

26. According to Rational-Emotive Behavior Therapy, we develop emotional disturbances because of our: a. need to be accepted by most people b. intrinsic beliefs about certain beliefs c. overemphasis on childhood experiences d. need for systematic desensitization

b. intrinsic beliefs about certain beliefs

2. When participating in the screening process, a counselor must also be skilled in: a. consulting with other professionals b. making referrals c. family system dynamics d. release of information forms

b. making referrals

41. Which of the following defense-oriented behaviors is of the damage-repair type? a. denying b. mourning c. repressing d. rationalizing

b. mourning

42. The primary factor in the development of young people's attitudes toward drugs is: a. peer pressure b. parental role models c. mass media d. societal expectation

b. parental role models

46. The intake process is usually an extension of the: a. client's orientation b. screening c. client's education d. assessment

b. screening

53. In order to provide clients with updated information concerning addiction and recovery, the counselor must: a. regularly attend AA and/or NA meetings b. stay well-informed and aware of recent developments in the field c. assume that the client will ask for what he/she needs d. memorize as much of the technical and scientific data available

b. stay well-informed and aware of recent developments in the field

28. Which of the following MUST be included in a treatment plan? a. a compete medical report b. the client's problems and services to be provided c. an overview of the client's educational and psychological history d. a mental status exam including orientation to time, place, and person

b. the client's problems and services to be provided

1. It is considered unethical for a counselor to: a. talk with a client any place other than the counseling office b. treat client problems that are beyond his skill level c. refuse treatment for certain clients d. discuss some personal feelings

b. treat client problems that are beyond his skill level

37. All of the following counseling theories are appropriate for the direct care of recovering addicts during the first month of rehabilitation EXCEPT: a. Rational Emotive Therapy b. Reality Therapy c. Psychoanalysis d. Gestalt Therapy

c. Psychoanalysis

Julio is an alcoholic who has been drinking for more than twenty years. For the past 9 years, he drinks daily. He has tremors and rarely attends family functions because he knows he cannot drink without drawing attention to himself, since nobody else in his family drinks at all. He has been suicidal in the past, although he denies it now. Past treatment attempts have failed, largely because he refuses to attend support groups and his wife thinks those meetings are unnecessary. 76. Should you even accept Julio as a client, knowing he is noncompliant? a. No, because Julio has made it clear that he will not comply with any aftercare b. No, because he clearly needs a different approach than you can offer him c. Yes, because attitudes can change and this is an opportunity to try to reach him

c. Yes, because attitudes can change and this is an opportunity to try to reach him

65. A "speedball" is: a. another street name for crack b. another street name for freebasing c. an injectable mixture of heroin and cocaine d. a form of cocaine that is sniffed or snorted

c. an injectable mixture of heroin and cocaine

38. According to the addiction counselor code of ethics, a certified counselor must do all of the following EXCEPT: a. prevent the practice of alcohol and drug abuse counseling by unqualified and unauthorized persons b. make provisions for the maintenance of confidentiality and the ultimate disposition of confidential reports c. be concerned primarily with the reputation of the profession when in the presence of professional conflict d. espouse objectivity and integrity and maintain the highest standards in the services provided

c. be concerned primarily with the reputation of the profession when in the presence of professional conflict

48. Which of the following is TRUE about a treatment plan? a. treatment plans should relate to the counselor's treatment philosophy and methods b. treatment plans need not be updated after the client agrees to the initial plan c. client's own goals for treatment must be considered and discussed d. client's family should agree with treatment plan

c. client's own goals for treatment must be considered and discussed

Julio is an alcoholic who has been drinking for more than twenty years. For the past 9 years, he drinks daily. He has tremors and rarely attends family functions because he knows he cannot drink without drawing attention to himself, since nobody else in his family drinks at all. He has been suicidal in the past, although he denies it now. Past treatment attempts have failed, largely because he refuses to attend support groups and his wife thinks those meetings are unnecessary. 77. If Julio refuses detox, what should you do? a. admit him and allow him to self-detox b. deny admission because this client is clearly a lost cause c. deny admission because the client is unwilling to follow even the most necessary measures

c. deny admission because the client is unwilling to follow even the most necessary measures

17. In a crisis interview with a client, you are most concerned with: a. the client's family dynamics as they relate to the specific dynamics of the crisis situation b. getting all the information that you can from the client and available family members c. focusing questions about the present situation and the client's means of coping with the stress d. what your immediate response should be regardless of the cleint's response to questions

c. focusing questions about the present situation and the client's means of coping with the stress

Coralynn is a 24-year-old African American woman seeking treatment for a substance use disorder. She reports daily smoking crack cocaine and crystal methamphetamine for more than three years. She states that she used which ever one was readily available, particularly since she has been in graduate school. Her boyfriend, who lives with her, is insisting that she doesn't really have a problem. He also uses, maintaining that the drugs enhance their sex life. Coralynn says that they enjoy experimenting sexually at parties and do not plan to alter this aspect of their lifestyle. 73. What strengths do you see in Coralynn, aside from her motivation toward treatment? a. she has good social support from her live-in boyfriend and her IQ b. being sexually adventurous shows that she is open-minded and social c. her intelligence and work ethic are demonstrated in her education level

c. her intelligence and work ethic are demonstrated in her education level

58. _________ is defined as "the revulsion toward homosexuals and often the desire to inflict punishment as retribution, and in the case of homosexuals themselves, self-loathing." a. sexual hatred b. gay bashing c. homophobia d. homosexuality

c. homophobia

Coralynn is a 24-year-old African American woman seeking treatment for a substance use disorder. She reports daily smoking crack cocaine and crystal methamphetamine for more than three years. She states that she used which ever one was readily available, particularly since she has been in graduate school. Her boyfriend, who lives with her, is insisting that she doesn't really have a problem. He also uses, maintaining that the drugs enhance their sex life. Coralynn says that they enjoy experimenting sexually at parties and do not plan to alter this aspect of their lifestyle. 71. What level of treatment would be most appropriate for Coralynn? a. out-patient counseling, following the least restrictive environment principle b. detox first, then out-patient counseling because she has been a daily user c. in-patient because of the destructive environment and lack of support

c. in-patient because of the destructive environment and lack of support

45. If a counselor knows that he/she is unable to assure the client of confidentiality, he/she should: a. discuss this with his/her supervisor b. refer the client to someone else c. inform the client of this fact d. do not inform the client of this fact

c. inform the client of this fact

Coralynn is a 24-year-old African American woman seeking treatment for a substance use disorder. She reports daily smoking crack cocaine and crystal methamphetamine for more than three years. She states that she used which ever one was readily available, particularly since she has been in graduate school. Her boyfriend, who lives with her, is insisting that she doesn't really have a problem. He also uses, maintaining that the drugs enhance their sex life. Coralynn says that they enjoy experimenting sexually at parties and do not plan to alter this aspect of their lifestyle. 74. What weaknesses do you see that might interfere with her recovery? a. her HIV status is unclear b. she takes drugs to have sex c. lack of a support system and risky sexual behavior

c. lack of a support system and risky sexual behavior

16. Which of the following is an example of exploitation? a. going to the same AA meeting as a former client b. purposely buying groceries at a store that you know is owned by your client c. leaking to the public the name of a celebrity who is in treatment at your facility d. referring a client to someone you personally know for their aftercare sessions

c. leaking to the public the name of a celebrity who is in treatment at your facility

11. While progress has been made, society still disapproves much more strongly of substance abuse by women than by men. Which of the following statements is NOT true? a. women have customarily been expected to live up to a higher standard of moral and social behavior b. society perceives female substance abusers as promiscuous, immoral, and unfeminine c. mothers bear the additional burden of guilt over how substance abuse has interfered with their childrearing responsibilities d. a number of roles traditionally deemed female - in particular, nurturing and maternal duties - are perceived as incompatible with drug-affected behavior

c. mothers bear the additional burden of guilt over how substance abuse has interfered with their childrearing responsibilities

5. A common error that counselors make when conducting an assessment is: a. processing the data collected from the client b. asking too many questions and interrupting the client c. moving too quickly from data collection to treatment planning d. focusing on strengths and weaknesses rather than relationships

c. moving too quickly from data collection to treatment planning

54. Client files should be readily accessible to: a. the client and family b. the agency board of directors and their support staff c. only persons directly involved in providing clinical services d. the police department and/or judicial system officials connected to the case

c. only persons directly involved in providing clinical services

27. Which of the following is the BEST indicator that an individual is physically dependent upon alcohol or another drug? a. the amount consumed daily b. the length in years of heavy drinking or drug use c. presence of withdrawal symptoms d. the frequency of memory blackouts

c. presence of withdrawal symptoms

9. Which of the following does NOT have to appear on a "Release of Information" form? a. purpose of the release of information b. name of the recipient of information c. signature of counselor d. signature of client

c. signature of counselor

Julio is an alcoholic who has been drinking for more than twenty years. For the past 9 years, he drinks daily. He has tremors and rarely attends family functions because he knows he cannot drink without drawing attention to himself, since nobody else in his family drinks at all. He has been suicidal in the past, although he denies it now. Past treatment attempts have failed, largely because he refuses to attend support groups and his wife thinks those meetings are unnecessary. 75. What would you recommend for Julio in terms of aftercare? a. Outpatient counseling on a weekly basis, in place of support meetings b. a monthly relapse prevention meeting as a compromise from support meetings c. support meetings, as his past attempts have shown that the lack of support has led to failure

c. support meetings, as his past attempts have shown that the lack of support has led to failure

21. Hallucinogens work on the brain by interfering with various neurotransmitters, causing an overlap of the senses to occur. The term for this overlap of the senses is: a. synergy b. synthesis c. synesthesia d. synaptic overload

c. synesthesia

50. Which of the following is TRUE of defense mechanisms? a. they are fairly reliable indicators of emotional impairment b. they involve the individual's conscious attempts to keep others at a distance c. they are ways of coping that are used by everyone d. they are not a counseling issue with essentially healthy clients

c. they are ways of coping that are used by everyone

10. A client experiences a crisis situation. As a counselor, your MOST important function is: a. to solve the client's presenting problem b. to refer him/her to the nearest psychiatrist c. to help convert the emergency into a solvable problem d. to try not to get the client any more upset than they already are

c. to help convert the emergency into a solvable problem

51. The BEST way of dealing with individual needs in a group is to: a. conduct one-on-one sessions in the group b. not allow monopolizing by members in group c. use the group process to share mutual concerns d. see the client for individual counseling outside of group

c. use the group process to share mutual concerns

59. Factors often cited as responsible for unsuccessful treatment programs for Hispanic Americans include all of the following EXCEPT: a. the inequality of services provided b. confusion caused by language barriers c. viewing the Hispanic culture as heterogeneous d. traditional techniques of psychodynamic treatment

c. viewing the Hispanic culture as heterogeneous

64. Which of the following statements made by a client in a group would MOST warrant documentation in the client's progress notes? a. "I'm finding the support from this group very helpful" b. "Getting caught for drunk driving was a mixed blessing" c. "Let's change the subject. Did anyone see the game last night" d. "Ever since I stopped drinking, my emotional swings have been quite intense"

d. "Ever since I stopped drinking, my emotional swings have been quite intense"

32. Sally is a 16-year old girl who has been admitted to a program for chemical dependency. She has a history of running away from home, erratic performance in school, and has been arrested twice for petty theft. In assessing Sally, the counselor should first consider: a. Sally's goals in life b. Sally's social resources c. Sally's internal conflict d. Sally's familial relationships and social milieu

d. Sally's familial relationships and social milieu

22. In alcohol and drug abuse, denial is: a. stronger in males than in females b. not a problem after one year of sobriety c. not a problem for the non-substance abusing family members d. a common barrier to overcome in the early stage of accepting the abuse problem

d. a common barrier to overcome in the early stage of accepting the abuse problem

67. "Pink Cloud" is an expression used to describe alcoholics in early recovery who: a. are likely to relapse unless they attend support groups on a daily basis b. are secretly fearful of recovery and the associated changes in lifestyle c. can't remember aspects of their lives while drinking or using other drugs d. are overly optimistic about their futures and don't predict normal stresses

d. are overly optimistic about their futures and don't predict normal stresses

29. When a client discloses suicidal thoughts, the counselor's first step is to: a. identify alternative courses of action b. contact emergency personnel c. offer emotional support d. assess the degree of risk

d. assess the degree of risk

33. It is appropriate for a counselor to teach a client about the physiological effects of the drugs he/she has been using during the administration of which of these core functions? a. screening b. assessment c. crisis intervention d. client education

d. client education

36. If a client is experiencing difficulties conforming to the rules and expectations of the program, the counselor's first course of action would be to: a. revise the treatment plan b. refer the client to the agency psychiatrist c. cancel the client's next individual counseling session d. consult with supervisor and other members of the treatment team.

d. consult with supervisor and other members of the treatment team.

12. Which of the following would be MOST appropriate in providing linkage between a treatment program and AA? a. counselors should take their clients to AA meetings b. counselors should assign the client an AA sponsor c. an AA representative should be invited to visit the program d. counselors should visit AA meetings and have a list of meetings to share with clients

d. counselors should visit AA meetings and have a list of meetings to share with clients

57. The agency you work for does not provide post-discharge services. It is your professional responsibility to: a. propose a plan for post-discharge services at the facility b. work for an agency that provides a continuum of care c. adhere to the policies and limitations of the agency d. develop a plan for ongoing client support

d. develop a plan for ongoing client support

24. During the screening process, a critic task is that the counselor has is to: a. complete a mental status exam b. engage the client's family in treatment c. develop a treatment plan d. establish rapport with the client

d. establish rapport with the client

47. While gathering an alcohol and other drug history, which of the following is a good clue to alcohol dependency? a. depression and lethargy accompanied by radical mood swings b. recurring incidents of driving under the influence c. continued use despite experiencing problems that result from drinking d. increased tolerance and withdrawal symptoms when abstinence is attempted

d. increased tolerance and withdrawal symptoms when abstinence is attempted

14. Consultations are an important component of the treatment process because: a. they are mandated by most funding sources b. they are reviewed and deemed medically necessary c. counselor's caseloads are generally too large to manage alone d. input and information from others will assist the treatment process

d. input and information from others will assist the treatment process

20. The first stage in the process of family change is: a. a referral to a licensed family therapist b. a period of sobriety for all family members c. development of a 3-generation genogram d. interruption of ongoing patterns with confrontation or disengagement

d. interruption of ongoing patterns with confrontation or disengagement

30. In an apologetic tone, a recovering client tells the counselor that he is still having urges to drink. The counselor can help by: a. challenging the client about behaviors that prompted the urge b. detailing a schedule of increased AA attendance for the client c. confronting the urge to drink by reinforcing the reality that the client can never return to drinking d. normalizing the drinking urge and encouraging continued efforts towards relapse prevention

d. normalizing the drinking urge and encouraging continued efforts towards relapse prevention

34. Which of the following woul be the MOST appropriate way to assure follow-through on a referral? a. give the client the phone number of the referral resource b. have the client sign a release form in case the resource calls c. take the client to the referral resource's facility for their initial interview d. notify the referral resource of the referral and have client call to make an appointment

d. notify the referral resource of the referral and have client call to make an appointment

44. Which drug does NOT fall under the prescription drug classification of benzodiazepine? a. valium b. xanax c. ativan d. percodan

d. percodan

35. Client files are reviewed by the clinical supervisor for the purpose of: a. expanding the treatment plans b. identifying the counselor's incompetencies c. monitoring the counselor's utilization of time d. providing professional feedback to enhance the counseling process

d. providing professional feedback to enhance the counseling process

18. The style of counseling in which a counselor has made a decision to be committed to equality for all people and acts to treat all people alike, regardless of race or cultural background, is known as: a. cultural ignorance b. covert (hidden) prejudice c. overt racism and hostility d. the "color-blind" counselor

d. the "color-blind" counselor

Of the five basic counseling styles that define how a non-minority counselor might deal with a minority client, which style will produce the most positive outcome when working with a minority client? a. Overt Racism and Hostility b. covert (hidden) prejudice c. the "color-blind" counselor d. the "culturally-liberated" counselor

d. the "culturally-liberated" counselor

25. During the intake, a counselor can expect to address all of the following issues EXCEPT: a. a client's fears and denial b. information gathering c. preliminary identification of client goals d. treatment planning

d. treatment planning

15. Which of the following bodily fluids has the highest risk of potential infection? a. tears b. breast milk c. spinal fluid d. vaginal secretions

d. vaginal secretions

69. In determining whether a chemically dependent patient should be treated in an inpatient or outpatient program, all of the following should be considered EXCEPT: a. whether the patient has family support for sobriety b. whether the patient believes he can succeed in an outpatient program c. whether the patient has a history of sobriety during the last several years d. whether the patient's family is likely to give him another chance if this treatment fails

d. whether the patient's family is likely to give him another chance if this treatment fails