CADC/CDAC Certified Alcohol and Drug Counselor Pre-Test Exam NC Version 2023-2024 . 7) One of the counselor's tasks is to guide the client in relating and communicating in specific terms, rather than in general or abstract terms. That characteristic or ability is called: A. Confrontation. B. Immediacy. C. Potency. D. Concreteness. - -answer-D. Concreteness. 8) Relapse prevention efforts are aimed at: A. Developing a therapeutic relationship for sobriety and maintenance. B. Changing expectations regarding the effects of intervention. C. Identifying high-risk situations and learning alternative coping skills. D. Discussing aspects of evaluation and treatment. - -answer-C. Identifying high-risk situations and learning alternative coping skills. 5) A mental status exam does NOT assess: A. Educational level. B. Appearance. C. Speech. D. Thought processes. - -answer-A. Educational level. 6) The PRIMARY purpose of a professional code of ethics is to: A. Serve as a guide in helping clients while behaving in a fair way to colleagues. B. Strengthen the appearance of professionalism among addiction counselors. C. Clarify the difference between acceptable and unacceptable client behavior. D. Provide legal recourse and concrete consequences for unethical behavior. - -answerA. Serve as a guide in helping clients while behaving in a fair way to colleagues. 3) A major method of reinforcing the therapeutic alliance and spirit of collaboration between the client and the counselor is: A. Including the client's family members in counseling. B. Setting mutually-established goals. C. Going to 12-step meetings with the client. D. Offering to make home visits. - -answer-B. Setting mutually-established goals. 4) Which of the following patterns of drinking is accurately associated with the term "alcoholism"? A. A lack of tolerance for alcohol B. Frequent short periods of sobriety C. The inability to control the amount one drinks D. Light drinking EXCEPT on weekends - -answer-C. The inability to control the amount one drinks u1) A reward is something given for a special behavior, whereas positive reinforcement is: A. A mutual reward to reinforce behavior by the same amount. B. Something specifically designed to increase the occurrence of a particular behavior. C. The process of observing behavior of others. D. A type of learning in which behaviors are increased as the result of the consequences. - -answer-B. Something specifically designed to increase the occurrence of a particular behavior. 2) A common error that counselors make when conducting an assessment is: A. Asking too many questions. B. Moving too quickly from data collection to treatment planning. C. Focusing on strengths and weaknesses. D. Processing the data collected from the client. - -answer-B. Moving too quickly from data collection to treatment planning 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 - -answer-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 - -answer-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 - -answer-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. - -answer-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. - -answer-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 - -answer-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 - - answer-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. - -answer-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. - -answer-C. Clients should be helped to recognize that one or more temporary lapses are likely to occur and are permitted. 31) While the overall national suicide rate has increased slightly but consistently in recent years, disproportionate increases have occurred among: A. Females and the elderly. B. Females and the young. C. Males and the elderly. D. Males and the young. - -answer-B. Females and the young.