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CADC Certification Practice Test 2026 with 300 Real Exam Prep Questions and Correct Answers | Certified Alcohol and Drug Counselor Exam Latest Prep (brand new!)CADC Certification Practice Test 2026 with 300 Real Exam Prep Questions and Correct Answers | Certified Alcohol and Drug Counselor Exam Latest Prep (brand new!)
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1 | P a g e Page | 1
What is a brief but comprehensively integrated public health approach to early substance abuse intervention and treatment known as? ......answer.....Screening, Brief Intervention and referral to treatment (SBIRT) What is the key feature that differentiates a substance abuse counselor who merely practices in the field from one who succeeds in changing client's lives? ......answer.....the ability to be empathetic A great deal is communicated nonverbally in the counseling process. How much communication does nonverbal body language account for, according to research? ......answer.....50% During the intake process it is important for client to sign and informed consent form. What is the MOST important reasons for signing this form? ......answer.....to acquaint clients with program rules, regulations, and boundaries
SAMHSA maintains a national registry known as NREPP. What does this acronym refer to? ......answer.....National Registry of Evidence based Programs Practices It is important to determine a client's readiness for change at the outset of treatment. What is the BEST indicator of readiness? ......answer.....The client and family's level of emotional and physical pain Significant substance abuse can arrest personal progress and growth in many ways. How will emotional and other normal developmental stages MOST likely to be affected? ......answer.....they will be largely skipped due to significant substance abuse What is one reason substance abuse in the family is NOT initiated or maintained? ......answer.....The need to exert control over other family members Who carries out a programmed confrontation? ......answer.....a family member
Which brief therapeutic approach use the miracle question technique? ......answer.....Solution focused family therapy It is estimated that genetic factors account for: ......answer.....40%-60% of addiction vulnerability If the home itself is a high risk environment, how can a minor's healthy development be optimized? ......answer.....they distance themselves from their dysfunctional families and/or develop a talent, skill, or something valued by others. How is the concept of resilience, from the perspective of mental health, BEST described? ......answer.....Internal strengths necessary to cope with challenging events How do Hispanic and Latino populations, in general, tend to respond to alcohol problems in the family? ......answer.....By attempting to ignore and avoid discussing the drinking problem African Americans have a significant presence in the US. What is the percentage of the population that identifies themselves as black? ......answer.....13% Native Americans have distinct cultures, particularly among those living on reservations or trust lands.What percentage report alcohol use? ......answer.....20%
5 | P a g e Page | 5 The racial mix of the US continues to shift. What is the fastest growing minority group in the nation? ......answer.....Asians & Pacific Islanders What is the difference between a discharge summary and a continuing care plan? ......answer.....A discharge plan provides an overview of treatment and outcomes, while the continuing care plan addresses after care options based on the client's response to treatment Tracking client progress longitudinally is important to measure progress and document program effectiveness. How often is client data typically reviewed? ......answer.....Annually Ideally, a treatment plan should be developed with which of the following sets of people? ......answer.....the counselor and the client together Treatment plans should refer to the type of program service modality being offered. Which of the following is NOT a common modality? ......answer.....Scholastic Fundamental ethical principles govern the addiction treatment process, especially in situations of medication-assisted treatment (MAT) for opioid addiction. What does the principle of nonmaleficence refer to? ......answer.....Doing no harm
7 | P a g e Page | 7 counseling relationship. Which of the following is NOT a key counselor contribution to the development of trust? ......answer.....greater latitude in boundary setting Counselor-client relationships can at times become inappropriately intimate and intense. What is one particularly problematic potential from this? ......answer.....Client romantic feelings for a counselor Client with a history of sexual abuse may have poor boundaries with others. If a counselor becomes sexually involved with a client, what are the consequences? ......answer.....a. Termination of employment b. Loss of licensure c. Potential prosecution d. All of the above <-----------------
8 | P a g e What does the experienced effect of a drug depend upon? ......answer.....The Amount taken, past drug experiences, form of administration, poly drug use, setting, circumstance. How is drug tolerance BEST described? ......answer.....Decreased sensitivity to a drug over time Which of the following is NOT a "drug cue"? ......answer.....Drug avoidance strategies What happens as tolerance for barbiturates develops? ......answer.....The margin between intoxication and lethality stays the same
10 | P a g e Which of the following is NOT a basic chemical class of amphetamines? ......answer.....Benzedrine (amphetaimen sulphate, dextroamphetamine, methamphetamine are amphetamines) In terms of difficulty quitting, which of the following drugs ranks the highest? ......answer.....Nicotine Which of the statement below is MOST correct? ......answer.....THC content in marijuana varies widely Regarding substance abuse, what does Convergence Theory propose? ......answer.....Rates of SA among women are converging with those of men
11 | Among psychiatric disorders in the elderly, where does alcohol abuse rank? ......answer.....Third Which of the following subcategories of alcohol use disorder onset is NOT found in the elderly? ......answer.....Early-onset alcoholism At an initial meeting with a new client, what is the FIRST requirement? ......answer.....Establish Rapport What does motivational interviewing (MI) primarily involve? ......answer.....Supportive Persuasion
13 | P a g e To which of the following do assessment processes and instruments NOT need be sensitive? ......answer.....Political orientation What are serious mental health symptoms that resolve with abstinence in thirty days or less MOST likely due to? ......answer.....Substance abuseinduced disorders that require continued abstinence Which one of the following alcohol abuse screening tests is designed specifically for use with adolescents? ......answer.....CRAFFT Which of the following is the MOST important introductory statement or question to ask in a suicidality evaluation? ......answer.....I need to ask you a few questions about suicide
What is the purpose of screening? ......answer.....to determine the need for placement or referral What is the primary purpose of SA assessment? ......answer.....To determine the severity of the substance problem Who should create a treatment plan? ......answer.....Collaborative team with the client How must assessment information be handled to be MOST effective? ......answer.....Converted into goal and objectives Which of these key elements does NOT bolster a client's desire to complete the program? ......answer.....frequent interdisciplinary consultations
When is a client fully prepared to enter treatment? ......answer.....When a client accepts the need for treatment Guiding principles in treatment planning are identified by which acronym? ......answer.....MATRS (Measurable, Attainable, Time, Realistic, Specific) In cases involving the criminal justice system, what is the minimum recommendation for frequency of updating treatment plans? ......answer.....At all transition points How many problem domains are addressed in the Addiction Severity Index (ASI)? ......answer.....Six
17 | P a g e The Addiction Severity Index (ASI) has been formally adopted by which organization? ......answer.....By NIDA (National Institute on Drug Abuse) What does it mean if an assessment instrument is valid? ......answer.....The instrument assesses what it purports to assess All of the following are true of depression and SA EXCEPT that ......answer.....Drugs of abuse can treat depression How does motivation for participating in treatment differ from motivation to change problem behaviors? ......answer.....Motivation for change is internal; treatment may be pushed on a client What of the following is NOT a key component in a treatment plan?
19 | P a g e How does the Center for SA Treatment (CSAT) recommend that substance abuse be considered and treated? ......answer.....A Chronic treatable condition How does the center for SA treatment (CSAT) indicate that treatment or interventions provided following discharge from a formal inpatient or outpatient program be referred to? ......answer.....Continuing care What is the best distinction between substance abuse treatment programs and mutual help groups such as 12 steps support groups? ......answer.....Programs offer treatment and groups offer support According to the American Society of Addition Medicine (ASAM) What is the minimum of treatment time the intensive outpatient treatment(IOT) must provide? ......answer.....9hrs of txt per week
Which of the following is not a core feature or service that the Center for Substance Abuse Treatment (CSAT) consensus panel agreed upon? ......answer.....Recreational Therapy Which form of SA is naltrexone used to treat? ......answer.....Alcohol and Opioid dependence Which of the following is not a core treatment and recovery skill? ......answer.....Exercise and health training Which of the following is NOT a primary learning style? ......answer.....Gustatory