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NAADAC Practice Test 2: Questions and Answers for Addiction Counseling, Exams of Nursing

A series of multiple-choice questions and answers related to the naadac practice test 2, covering topics relevant to addiction counseling. It offers insights into key concepts, assessment tools, and therapeutic approaches used in addiction treatment. Designed to aid in preparation for the naadac exam, providing a valuable resource for students and professionals in the field of addiction counseling.

Typology: Exams

2024/2025

Available from 01/12/2025

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1) Quantity, frequency of use, patterns over time, and progression are necessary questions when taking the client's _______________. A. legal history B. medical history C. family history D. drug and alcohol history - CORRECT ANSWERS A. legal history B. medical history C. family history *D. drug and alcohol history * See page 42 of the study module two updated version 1) To identify those who have a condition related to a psychoactive substance use disorder 2) To assess the full range of difficulties currently experienced by the client. The addiction counselor or other helping professional should rate the symptom severity, diagnose evident mental health disorders and screen for related difficulties or challenges 3) To plan appropriate treatment interventions for the client 4) To involve the appropriate family members or significant others in the client's evaluation and treatment 5) To determine the methods for evaluating the effectiveness of the treatment interventions that will be implemented. 2) A good treatment plan generally consists of the following elements except _____________. A. problem statement

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B. goal statement C. measurable objectives D. consequences of relapse - CORRECT ANSWERS A. problem statement B. goal statement C. measurable objectives D. consequences of relapse See page 46 of the study module two updated version A, B and C are listed, not D The Need A Goal Statement Measurable Objective Strategies and Interventions 3) When working with a client who has relapsed, it is most important to __________________. A. discontinue treatment B. help the client identify his or her internal and external relapse triggers C. make sure the client understands the very serious consequences of using D. strongly confront the client on his or her behavior - CORRECT ANSWERS A. discontinue treatment B. help the client identify his or her internal and external relapse triggers C. make sure the client understands the very serious consequences of using D. strongly confront the client on his or her behavior

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See page 58 of the study module two updated version "The client requires a great deal of empathy and understanding after a relapse" Which is not C of D 4) The DAST is used to assess a client's __________________. A. progress during treatment B. mental health C. financial stability D. level of psychoactive substance abuse - CORRECT ANSWERS A. progress during treatment B. mental health C. financial stability D. level of psychoactive substance abuse See page 41 of the study module two updated version One example is the Drug Abuse Screening Test (DAST) Another tool is the Michigan Alcoholism Screening Test (MAST) 5) The two phase process by which a counselor forms a caring relationship with the client and begins gathering pertinent information about the client is known as ______.

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A. treatment planning B. followup C. evaluation D. intervention - CORRECT ANSWERS A. treatment planning B. followup C. evaluation D. intervention See page 40 of the study module two updated version 6) History of communication patterns and the generational history of addiction and mental health problems are associated with interview questions regarding __________________. A. drinking history B. drug history C. family history D. employment history - CORRECT ANSWERS A. drinking history B. drug history C. family history D. employment history See page 43 of the study module two updated version 7) Good interpersonal skills, limited confrontation, and the frequent use of empathy been empirically found to be characteristics of __________________.

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A. unsuccessful counseling B. adequate counseling C. enabling counseling D. effective counseling - CORRECT ANSWERS A. unsuccessful counseling B. adequate counseling C. enabling counseling D. effective counseling See page 84 of the study module two updated version These are all the traits listed in this section 8) An _______________ differs from a listening response in that it deals with the implicit part. A. interpretation B. action response C. empathic response D. integration - CORRECT ANSWERS A. interpretation B. action response C. empathic response D. integration See page 87 of the study module two updated version 9) In motivational interviewing, the "A" in the acronym OARS stands for __________________.

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A. ask B. assess C. affirm D. action - CORRECT ANSWERS A. ask B. assess C. affirm D. action See page 59 of the study module two updated version OARS Open Questions Affirmation Reflective Listening Summary Reflections Open questions, affirmation, reflective listening, and summary reflections (OARS) are the basic interaction techniques and skills that are used "early and often" in the motivational interviewing approach. https://www.google.com/search? q=oars+questioning&oq=oars+questioning&aqs=chrome..69i57.4614j1j7&sourceid=chrome &ie=UTF- 10) The purpose of the screening process during evaluation is all of the following except _________________.

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A. to determine the presence of any dual disorders B. to determine who will be paying for the client's treatment services C. to ascertain whether the client is a good fit for the treatment program D. to gather basic biographical information about the client - CORRECT ANSWERS A. to determine the presence of any dual disorders B. to determine who will be paying for the client's treatment services C. to ascertain whether the client is a good fit for the treatment program D. to gather basic biographical information about the client See page 41 of the study module two updated version Not sure about this, I think it should be A but the test says B 11) ________________ does not point to any specific therapy or theoretical approach but rather is a relative set of therapies that include a shorter time period and fewer sessions than "traditional" therapy. A. Gestalt therapy B. Brief therapy C. Family systems therapy D. Motivational interviewing - CORRECT ANSWERS A. Gestalt therapy B. Brief therapy C. Family systems therapy D. Motivational interviewing Page 90 of study guide two, the updated version

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First paragraph 12) Premature counselor self disclosure can often cause the client to feel ____________________. A. an enhanced bond with the counselor B. valued and understood C. threatened and anxious D. that the counselor is trustworthy - CORRECT ANSWERS A. an enhanced bond with the counselor B. valued and understood C. threatened and anxious D. that the counselor is trustworthy Page 55 of study guide two, the updated version

  • It can be seen as threatening.
  • It can blur the relationship boundaries.
  • Disclosing too little can add to therapeutic distance.
  • Disclosing too much can lead to the addiction counselor or other helping professional being perceived as lacking discretion, being untrustworthy, self-preoccupied and/or needing therapy him or herself.
  • Premature feedback about a client's attitude or behavior can contribute to feelings of inferiority or rejection in that client.
  • Too much disclosure does not allow the client to talk. 13) The conscious and unconscious feelings and attitudes the addiction counselor has towards a client are part of what is known as _______________.

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A. regression B. countertransference C. boundary interference D. transference - CORRECT ANSWERS A. regression B. countertransference C. boundary interference D. transference Page 91 of the study guide two updated version Bottom of the page, has roots in Freudism 14) The counseling skill used to tie together multiple elements or themes in a client's various messages is ________________. A. probing B. clarifying C. summarization D. reflection - CORRECT ANSWERS A. probing B. clarifying C. summarization D. reflection Page 86 of the study manual two updated version

  • Tie together multiple elements or themes in the client's various messages.

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  • Formulate a summarization consider the key content and affect of what the client has said, being careful to note patterns and themes.
  • Serve as a feedback tool.
  • Moderate the pace of a session.
  • Evaluate the effectiveness of the summary. 15) Establishing a clear system of constant support to the client once he or she leaves treatment is referred to as ____________. A. A Continuing Care Plan B. Relationship Building C. Termination D. Service Coordination - CORRECT ANSWERS A. A Continuing Care Plan B. Relationship Building C. Termination D. Service Coordination Page 81 of the study manual two updated version
  • Planning for discharge should begin at treatment admission and continue throughout the client's stay in treatment.
  • The addiction counselor or other helping professional should work with the client to establish a clear system of constant support to help the client once he or she leaves treatment.
  • This is accomplished by developing an individualized, written continuing care plan to be implemented after termination from treatment.
  • The plan should be viewed as a joint venture between the addiction counselor or other helping professional and the client, where the addiction professional is coordinating and the client is participating and collaborating.

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  • This may also be an effective time to introduce a Recovery Support Specialist to the client in order to assist with the continuing care plan. 16) The substage of group growth most likely to be characterized by conflict is the ______________. A. Working Substage B. Groundwork Substage C. Acquaintance Substage D. Closing Substage - CORRECT ANSWERS A. Working Substage B. Groundwork Substage C. Acquaintance Substage D. Closing Substage Page 76 of the study manual two updated version
    • The second phase generally is characterized by conflict.*
  • There are several reasons for conflict to emerge.
  • One is simply the intensity of small group interaction; many unresolved problems seem to emerge at this point. Stage 1 Acquaintance Stage - positioning Groundwork Stage - conflicts Stage 2 Working Stage - cohesion

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Closing Stage - new behaviors 17) The "grandparent" of all mutual support groups is ___________. A. Cocaine Anonymous (CA) B. Alcoholics Anonymous (AA) C. Narcotics Anonymous (NA) D. Emotions Anonymous (EA) - CORRECT ANSWERS A. Cocaine Anonymous (CA) B. Alcoholics Anonymous (AA) C. Narcotics Anonymous (NA) D. Emotions Anonymous (EA) Page 78 of the study manual two updated version The first publicly recognized mutual support program was created in the mid-1930s by Bill Wilson and Bob Smith. This group is now famously known as Alcoholics Anonymous or AA. 18) Settling of affairs, giving away prized possessions and statements of worthlessness ar often overt signs of ______________________________. A. suicidal ideation B. impending relapse C. stress D. impending change - CORRECT ANSWERS A. suicidal ideation B. impending relapse C. stress D. impending change

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Page 71 of the study manual two updated version The client has begun to take the steps to commit suicide, such as settling affairs, saying goodbye to loved ones, and giving away prized possessions. 19)_______________ is an example of a transitional state crisis stressor. A. Depression B. Terrorism C. Surgery D. Divorce - CORRECT ANSWERS A. Depression B. Terrorism C. Surgery D. Divorce Page 69 of the study manual two updated version A is Internal because it is mental health related or between the ears B is External because it is outside the scope or control of the person C is External because it is happening outside the person and possibly their control D is transitional because it is caused by a temporary change in ones day to day routine or lifestyle including relocation, job change, new family member etc. 20) John, a 26 year old man with schizophrenia and alcohol dependence, tells you he is go to stop taking his amobarbital (Amytal) because he found out it is a central nervous system depressant, like alcohol, and his friends in AA tell him he "shouldn't take depressants." Your best recommendation would be ______________________________.

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A."Go ahead and stop and see what happens" B. "Make an appointment to discuss it with your prescriber and let's discuss it now, as well" C. "Discuss it with your sponsor" D. "Cut the dose in half and watch for a change in your symptoms" - CORRECT ANSWERS A."Go ahead and stop and see what happens" *B. "Make an appointment to discuss it with your prescriber and let's discuss it now, as well"

C. "Discuss it with your sponsor" D. "Cut the dose in half and watch for a change in your symptoms" Somewhat page 40 and 49 of the study manual two updated version This falls under scope of practice 21) Major depressive disorder is characterized by ____________________ or more major depressive episodes. A. five B. four C. three D. two - CORRECT ANSWERS A. five B. four C. three D. two Page 63 in study guide two updated version.

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Major Depressive Disorder - a mood disorder characterized by five or more specified symptoms (depressed mood most of the day, markedly diminished interest or pleasure in most all activities, significant weight loss, insomnia or hypersomnia, psychomotor agitation, fatigue or loss of energy nearly every day, feelings of worthlessness or inappropriate guilt, diminished ability to think or concentrate, recurrent thoughts of death. 22) True or False - A critical analysis and synthesis of all data collected in an assessment is often called a clinical summation. - CORRECT ANSWERS True Page 45 in study guide two updated version Once all components of the assessment have been discussed, the addiction counselor or other helping professional must compile a (clinical summation.* This summation is a critical analysis and synthesis of the data collected during the assessment that integrates all the pertinent information available on the client. The clinical summation is intended to be the "essence" of the client, and any approved reader should be able to develop a clear picture of who the individual is and what has brought them to treatment. 23) True or False - An addiction counselor who discloses too much can be perceived as lacking discretion, being untrustworthy, being self preoccupied, and needing therapy. - CORRECT ANSWERS True Page 90 in study guide two updated version 24) True or False - "Congruence" refers to when a counselor's external words and actions match his or he internal feelings and thoughts. - CORRECT ANSWERS True Page 27 in study guide two updated version

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25) True or False - The assessment process of evaluation begins once the client has completed detoxification. - CORRECT ANSWERS False Page 41 and 53 in study guide two updated version The client may of never been through treatment at this time and detox typically happens after the evaluation - screening and assessment takes place, should be part of the treatment plan steps 26) True or False - All recovering individuals have the same relapse potential. - CORRECT ANSWERS False Page 56 in study guide two updated version MYTH: All recovering individuals have the same relapse potential. FACT: People are individuals, as is their propensity to relapse. 27) True or False - A treatment plan cannot be revised once it has been agreed upon by both the counselor and client. - CORRECT ANSWERS False Page 46 in study guide two updated version "reassess treatment activities at regular intervals or when circumstances change (CSAI 2015c)." 28) True or False - Transference is when a client projects onto the counselor his or her own feelings significant others in his or her life. - CORRECT ANSWERS True

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Page 91 in study guide two updated version

  • Transference is when a client projects onto the addiction counselor or other helping professional their own feelings and attitudes toward significant people in their lives.
  • This can distort how the client perceives and reacts to the addiction counselor or other helping professional, forcing the client to lose his or her objectivity for the treatment sessions.
  • Transference can become more intense as counseling progresses, making the relationship detrimental to his or her treatment. 29) True or False - Regardless of the reason for discontinuing the relationship, a counselor has the responsibility to help the client transition to another set of conditions after termination. - CORRECT ANSWERS True Page 81 in study guide two updated version
  • Regardless of the reason for termination, an addiction counselor or other helping professional has the responsibility to help the client healthily transition to another set of conditions (Hackney, 2012).
  • However, before the counselor/client relationship is severed, the addiction counselor or other helping professional must complete the following steps:
  1. Assess and summarize the overall progress of the client;
  2. Generalize how new behaviors will translate into the client's world;
  3. Notify the client that he or she will no longer receive treatment services and the date the termination is effective.
  4. Plan for continuing care with the client. 30) True or False - Probing or questioning is a process by which a counselor asks the client a question to help further explore his or her emotions and experiences. - CORRECT ANSWERS True

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Page 87 in study guide two updated version

  • lf used well, probing or questioning encourages the client to express more information.
  • The probe or questioning centers on the concerns of the client. 31) True or False - Motivational interviewing is drastically different from the confrontation of denial approach. - CORRECT ANSWERS True Page 59 in study guide two updated version Ml does not operate from the confrontation-of-denial approach where the client must accept that he or she has a psychoactive substance use disorder; 32) True or False - Motivational interviewing attempts to mobilize the client's intrinsic motivation for him or her to find his or her own reasons for change. - CORRECT ANSWERS True Page 59 in study guide two updated version Motivational interviewing is a non_directive approach to counseling that uses the internal motivation of a client to evoke and sustain rapid change, instead of counselor interpretation and discovery (Miller & Rollnick, 2012). 33) True or False - Rational Recovery was created by Bill Wilson and Bob Smith during the Depression of the 1930s. - CORRECT ANSWERS False Page 79 in study guide two updated version

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Rational Recovery was originated in direct contrast to AA. page 80 in study guide two updated version Rational Recovery (RR) was created by Jack Trimpey, a former AA member. Drawing largely from rational- emotive-behavioral therapy and a disagreement with Alcoholics Anonymous, RR approaches recovery by identifying false beliefs and replacing them with rational beliefs. 34) True or False - Mental health disorders and psychoactive substance use disorders can independently coexist. - CORRECT ANSWERS True Page 62 in study guide two updated version One half to two-thirds of all clients who have a psychoactive substance use disorders also have another diagnosable mental health disorder. 35) True or False - Allowing a client the full opportunity to speak, refraining from telling the client "things can't be that bad and dealing with the immediate situation rather than an underlying theme are good strategies when addressing a suicidal situation. - CORRECT ANSWERS True Page 72 in study guide two updated version

  • When discussing the client's thoughts, always afford him or her the opportunity to speak fully.
  • Do not interrupt the client, try to cheer himi her up or downplay his or her emotions by saying, "things can't be that bad." 36) True or False - Working with a client who is in crisis presents a good opportunity to work on underlying family of origin issues. - CORRECT ANSWERS False

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Page 72 in study guide two updated version Once a credible threat of suicide is introduced, the addiction counselor or other helping professional should abandon psychotherapy for the time being and address only the immediate situation. 37) True or False - According to the Transtheoretical Model of Behavior Change, counseling clients with substance use disorders can be most effective when the counselor approaches each client according to the client's level of internal motivation with regard to his or her ambivalence to change. - CORRECT ANSWERS True Page 59 in study guide two updated version Ml is also quite effective in conjunction with the Transtheoretical Model of Behavior Change (TTM). Also known as the Stages of Change Model, the TTM was developed by James Prochaska and Carlo DiClemente. The Stages of Change Model identifies the varying levels of internal motivation with regards to one's ambivalence to change 38) According to rational emotive behavioral therapy (REBT), certain _______________ contribute to the onset and maintenance of a psychoactive substance use disorder. A. Mistaken solutions B. Dysfunctional beliefs C. Boundary issues D. Operant conditions - CORRECT ANSWERS A. Mistaken solutions B. Dysfunctional beliefs

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C. Boundary issues D. Operant conditions Page 32 of the study manual two updated version The overriding principle of REBT is that events do not disturb people, but rather the view individuals toke of the events lead to dysfunction. 39) "People are resourceful, trustworthy, and capable of self direction," is a statement that would be most consistent with the beliefs of ____________________________. A. Alcoholics Anonymous B. Adlerian therapy C. Person Centered Therapy D. Psychoanalytical therapy - CORRECT ANSWERS A. Alcoholics Anonymous B. Adlerian therapy C. Person Centered Therapy D. Psychoanalytical therapy A is .a mutual self help grouip B is about unfinished business D is about the unconscious Page 27 of the study manual two updated version

  • Person-centered therapy is not a complete method of therapy, but rather a set of tentative ideas of how to interact with a client during counseling.

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  • In contrast to other approaches, Rogers felt that therapy did not have to revolve around a therapist's advice, direction and interpretation.
  • Instead, he firmly believed that are resourceful, trustworthy and capable of self-direction. 40) The assumption that growth occurs from a genuine contact between the client and the addiction counselor rather than from the addiction counselor's interpretations or techniques, is an important principle in _________________. A. REBT B. Motivational Enhancement Therapy C. Cognitive Behavioral Therapy D. Gestalt therapy - CORRECT ANSWERS A. REBT B. Motivational Enhancement Therapy C. Cognitive Behavioral Therapy D. Gestalt therapy A and C are more focused on cognitive restructuring B is a brief therapy modailty Page 23 of the study manual two updated version
  • Gestalt Therapy is a method of counseling where the client gains "awareness" of what he or she is currently experiencing and learns personal responsibility for what and how he or she is feeling, thinking and doing.
  • This understanding will empower the client to regain control of his or her life and change unhealthy behavior.
  • Growth occurs within an interactive relationship between the client and the therapist.

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41) ________________________ can be effective in helping clients recognize early dysfunctional dynamics from family or early childhood in order to decrease feelings of being threatened and defense mechanisms. A. Behavior therapy B. Alcoholics Anonymous C. Solution focused therapy D. Psychoanalytical therapy - CORRECT ANSWERS A. Behavior therapy B. Alcoholics Anonymous C. Solution focused therapy D. Psychoanalytical therapy A is about behavior modicafication B is a self-help group without professional guidence C is not focused on the past but on the future and on possible futures D does focus on early childhood experiences Page 31 of the study manual two updated version One of the strongest benefits of psychoanalytical therapy is its ability to recognize early dysfunctional dynamics in a client's family or early childhood. Once repressed memories of childhood are brought to the surface, the use of defense mechanisms will decrease, along with the threatening feelings contributing to the client's psychoactive substance use. 42) Levels of dissatisfaction or feelings of inferiority are considered key elements in ___________________.

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A. Psychoanalytical Therapy B. REBT C. Adlerian therapy D. Cognitive Behavioral Therapy - CORRECT ANSWERS A. Psychoanalytical Therapy B. REBT C. Adlerian therapy D. Cognitive Behavioral Therapy A is about early childhood issues and experiences B is about cognitive dissonce D is about restructuring cognitions Page 10 of the study manual two updated version lts premise is that human behavior is goal-directed and purposeful and that behavior is understood as the pattern of movement towards a life goal, determined at a young age. Human behavior is understood through one's desire to overcome inferiority. Adlerian therapy is a humanistic model of counseling and maintains that everyone is striving toward superiority and perfection and must learn how to cope appropriately with inevitable inferiority feelings. 43) The idea that clients with psychoactive substance use disorders are strongly influenced by their inner, unconscious drives, such as seeking immediate satisfaction and pleasure, is a guiding principle of ___________________. A. Family Systems Therapy B. Psychoanalytical Therapy

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C. Adlerian Therapy D. Cognitive Behavior Therapy - CORRECT ANSWERS A. Family Systems Therapy B. Psychoanalytical Therapy C. Adlerian Therapy D. Cognitive Behavior Therapy A is based on the fact that family roles react differently to the identified substance user in the family system C is based on the fact that we are guided by our mis-guided beliefs and helps correct these misguided beliefs, working to change how someone uses drugs to generate a false sense of belonging and social interest. D is based on dysfunctional thoughts attitudes and behaviors. Page 31 of the study manual two updated version 44) The idea that drinking can be reinforced if it is followed by a positive stimulus is of______________________. A. Motivational Enhancement Therapy B. Solution Focused Therapy C. Behavior Therapy D. Person Centered Therapy - CORRECT ANSWERS A. Motivational Enhancement Therapy B. Solution Focused Therapy C. Behavior Therapy D. Person Centered Therapy