CAADE EXAM STUDY GUIDE EXAM PAPER
2026 COMPLETE EXAM QUESTIONS AND
SOLUTIONS 100% CORRECT
⩥ ________ is the essential first step in determining the possible causes
of addiction for the person and the most appropriate treatment modality
for his or her needs. Answer: Assessment
⩥ 2. A client tells a counselor that she is unhappy with the way her
treatment is progressing. The counselor should: Answer: a. create new
goals and objectives, and suggest alternate forms of therapy
b. talk to the client about possible denial
c. refer the client for more appropriate treatment
d. draw up a new contract with the client
e. discuss these concerns with the client and make necessary changes in
treatment goals.
This is one of those "more than one correct" responses. A, b, c, and d
could be considered the right thing to do. However, doing the "e"
response would include all four of the others.
⩥ 3. A female client reports that she has some concerns about the
relationship between her husband and her 14-year-old daughter from a
previous marriage. She reports that her husband and daughter frequently
,argue, that her daughter refuses to take direction from her stepfather, and
that her daughter regularly complains about her stepfather's "faults" and
describes how her biological father is better. The MOST relevant
professional to whom a referral should be made is a: Answer: a. Social
worker.
b. Clinical psychologist.
c. Licensed professional counselor.
d. Marriage and family therapist.
e. School psychologist.
While all of the other professionals may be helpful, there is no guarantee
that they would
⩥ 4. A key factor for counselors to consider is that in a counseling
relationship, the counselor has differential power. One of the best
safeguards is: Answer: a. To be alert to and understand the power
relationship.
b. To utilize the differential power to motivate the client.
c. To realize the importance of this power in client interventions.
d. To not become involved in a dating relationship until the client has
completed treatment.
e. To use differential power to get the client to try new behaviors.
D is an obviously wrong response (and unethical, too), but the other
three may sound appropriate. However, differential power has a place
, and purpose of use based on the client and their needs. The "a" response
is the best choice to answer the question.
⩥ 5. A pretreatment period is frequently the result of waiting lists or
client reluctance to become fully engaged in primary treatment. What
might be a danger of this pretreatment period? Answer: a. The
pretreatment period may be when clients lose interest in treatment.
b. A client may receive enough help so as not to need the services of the
program or agency.
c. Successful pretreatment may result in a client needing services that an
agency doesn't have, thus losing the potential admission.
d. Typically, pretreatment services are not paid for by insurance services.
e. There is really no danger with pretreatment - recovery will require
much more programming than pretreatment can offer.
Losing a client's interest is the biggest concern we always face in the
field. Denial, delusion, "feeling better" are always good excuses not to
get help. Not being able to engage the client quickly and get them started
is always a risk.
⩥ 6. According to Marlatt's model of the relapse process, which of the
following statements is not true? Answer: a. Abstinence, not controlled
use, must be the ultimate goal.
b. Clients should be helped to recognize that one or more temporary
lapses are likely to occur and are permitted.
2026 COMPLETE EXAM QUESTIONS AND
SOLUTIONS 100% CORRECT
⩥ ________ is the essential first step in determining the possible causes
of addiction for the person and the most appropriate treatment modality
for his or her needs. Answer: Assessment
⩥ 2. A client tells a counselor that she is unhappy with the way her
treatment is progressing. The counselor should: Answer: a. create new
goals and objectives, and suggest alternate forms of therapy
b. talk to the client about possible denial
c. refer the client for more appropriate treatment
d. draw up a new contract with the client
e. discuss these concerns with the client and make necessary changes in
treatment goals.
This is one of those "more than one correct" responses. A, b, c, and d
could be considered the right thing to do. However, doing the "e"
response would include all four of the others.
⩥ 3. A female client reports that she has some concerns about the
relationship between her husband and her 14-year-old daughter from a
previous marriage. She reports that her husband and daughter frequently
,argue, that her daughter refuses to take direction from her stepfather, and
that her daughter regularly complains about her stepfather's "faults" and
describes how her biological father is better. The MOST relevant
professional to whom a referral should be made is a: Answer: a. Social
worker.
b. Clinical psychologist.
c. Licensed professional counselor.
d. Marriage and family therapist.
e. School psychologist.
While all of the other professionals may be helpful, there is no guarantee
that they would
⩥ 4. A key factor for counselors to consider is that in a counseling
relationship, the counselor has differential power. One of the best
safeguards is: Answer: a. To be alert to and understand the power
relationship.
b. To utilize the differential power to motivate the client.
c. To realize the importance of this power in client interventions.
d. To not become involved in a dating relationship until the client has
completed treatment.
e. To use differential power to get the client to try new behaviors.
D is an obviously wrong response (and unethical, too), but the other
three may sound appropriate. However, differential power has a place
, and purpose of use based on the client and their needs. The "a" response
is the best choice to answer the question.
⩥ 5. A pretreatment period is frequently the result of waiting lists or
client reluctance to become fully engaged in primary treatment. What
might be a danger of this pretreatment period? Answer: a. The
pretreatment period may be when clients lose interest in treatment.
b. A client may receive enough help so as not to need the services of the
program or agency.
c. Successful pretreatment may result in a client needing services that an
agency doesn't have, thus losing the potential admission.
d. Typically, pretreatment services are not paid for by insurance services.
e. There is really no danger with pretreatment - recovery will require
much more programming than pretreatment can offer.
Losing a client's interest is the biggest concern we always face in the
field. Denial, delusion, "feeling better" are always good excuses not to
get help. Not being able to engage the client quickly and get them started
is always a risk.
⩥ 6. According to Marlatt's model of the relapse process, which of the
following statements is not true? Answer: a. Abstinence, not controlled
use, must be the ultimate goal.
b. Clients should be helped to recognize that one or more temporary
lapses are likely to occur and are permitted.
