Download CADC Exam (practice test) 2024-2025. Real Exam Questions and Correct Detailed Answers. A+ and more Exams Career Counseling in PDF only on Docsity! CADC Exam (practice test) 2024-2025. Real Exam Questions and Correct Detailed Answers. (Verified Answers). Graded A+ 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 - ANSb. treat client problems that are beyond his skill level 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 - ANSc. to help convert the emergency into a solvable problem 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 - ANSc. mothers bear the additional burden of guilt over how substance abuse has interfered with their childrearing responsibilities 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 - ANSd. counselors should visit AA meetings and have a list of meetings to share with clients 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 - ANSb. ensure continuity of client care 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 - ANSd. input and information from others will assist the treatment process 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 - ANSd. vaginal secretions 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 - ANSc. leaking to the public the name of a celebrity who is in treatment at your facility 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 - ANSc. focusing questions about the present situation and the client's means of coping with the stress d. a mental status exam including orientation to time, place, and person - ANSb. the client's problems and services to be provided 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 - ANSd. assess the degree of risk 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 - ANSa. they must be avoided 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 - ANSd. normalizing the drinking urge and encouraging continued efforts towards relapse prevention 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 - ANSa. it is the coordination of services in an effort to reach the goals of the treatment plan 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 - ANSd. Sally's familial relationships and social milieu 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 - ANSd. client education 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 - ANSd. notify the referral resource of the referral and have client call to make an appointment 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 - ANSd. providing professional feedback to enhance the counseling process 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. - ANSd. consult with supervisor and other members of the treatment team. 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 - ANSc. Psychoanalysis 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 - ANSc. be concerned primarily with the reputation of the profession when in the presence of professional conflict 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 - ANSb. a focus on unfinished business 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. - ANSb. have incorrect information and unanswered questions about the program 41. Which of the following defense-oriented behaviors is of the damage-repair type? a. denying b. mourning c. repressing d. rationalizing - ANSb. 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 - ANSb. parental role models 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 - ANSb. stay well- informed and aware of recent developments in the field 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 - ANSc. only persons directly involved in providing clinical services 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 - ANSa. best practices related to confidentiality 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 - ANSa. dementia 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 - ANSd. develop a plan for ongoing client support 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 - ANSc. homophobia 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 - ANSc. viewing the Hispanic culture as heterogeneous 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 - ANSa. admitting to a drinking and/or drug problem 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 - ANSb. a reduction in one's feelings of anxiety 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 - ANSa. 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 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 - ANSa. additive 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 - ANSa. the counselor should coordinate regular communication between professionals involved in the client's treatment 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" - ANSd. "Ever since I stopped drinking, my emotional swings have been quite intense" 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 - ANSc. an injectable mixture of heroin and cocaine 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 - ANSa. allows the client not to feel guilty for being addicted 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 - ANSd. are overly optimistic about their futures and don't predict normal stresses 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? 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 - ANSc. lack of a support system and risky sexual behavior 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 - ANSc. support meetings, as his past attempts have shown that the lack of support has led to failure 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 - ANSc. Yes, because attitudes can change and this is an opportunity to try to reach him 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 - ANSc. deny admission because the client is unwilling to follow even the most necessary measures 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 - ANSd. the "culturally-liberated" counselor