NC CADC CERTIFICATION PRE-TEST
ACTUAL EXAMINATION PAPER 2026
COMPREHENSIVE QUESTIONS WITH
CORRECTLY WELL-DEFINED DETAILED
ANSWERS GRADED A+
⩥11) Comprehensive client documentation:
A. Is best achieved when done independently from direct client care.
B. Facilitates communication and enhances accountability.
C. Is used primarily by the primary counselor.
D. Is a standardized process. Answer: B. Facilitates communication and
enhances accountability.
⩥14) If a client appears to be in denial due to discrepancies stated during
an intake interview,
which of the following statements by the counselor would be MOST
appropriate?
A. "I'm not sure I understand. Let me check this out"
B. "First you tell me one thing, then another. Which is really the truth?"
C. "There's a lot of confusion in your story"
D. "Addiction fosters denial" Answer: A. "I'm not sure I understand. Let
me check this out"
,⩥17) Pointing out parallels between a client's interpersonal relationships
and the
client/counselor interaction serves to focus awareness on:
A. The "here and now."
B. The client's weaknesses in communication.
C. The counselor's feelings about the relationship.
D. The unique qualities of the client/counselor relationship. Answer: A.
The "here and now."
⩥19) A frequent client reaction during the termination phase of
counseling is:
A. Defensiveness.
B. Acting out behavior.
C. Apathy.
D. Lack of trust. Answer: B. Acting out behavior.
⩥25) The branch of pharmacology that deals with the biological,
biochemical, and physical
characteristics of natural drugs is:
A. Pharmacokinetics.
B. Pharmacognosy.
C. Pharmacotherapeutics.
,D. Pharmacodynamics. Answer: B. Pharmacognosy.
⩥29) Which of the following statements about dysfunctional families is
TRUE?
A. The family cannot get well until the dependent person seeks help.
B. The children in a dysfunctional family can be protected from the
problems cause by
chemical dependency.
C. The divorce rate in dysfunctional families is highest after recovery
has been initiated.
D. Family problems develop in the later phases of the addiction process.
Answer: C. The divorce rate in dysfunctional families is highest after
recovery has been initiated.
⩥40) Assessment, according to the behavioral approach, involves:
A. Taking a client history and specifying problematic behavior.
B. Specification of the problematic behavior and collection of baseline
data.
C. Identification of the problematic behavior and evaluation of the
client's motivation to
change.
D. Specification of the problematic behavior and evaluation of the
client's motivation to
, change. Answer: B. Specification of the problematic behavior and
collection of baseline data.
⩥53) All of the following statements about the effects of alcohol abuse
on the body are true
EXCEPT:
A. Malnutrition can occur in drinkers who eat well-balanced diets.
B. Stimulation of the brain's frontal lobe can occur.
C. The second stage of liver deterioration can be reversed.
D. A vitamin B6 deficiency can occur. Answer: B. Stimulation of the
brain's frontal lobe can occur.
⩥54) Heroin is an example of a(an):
A. Natural narcotic.
B. Semi-synthetic narcotic.
C. Synthetic narcotic.
D. Quasi-narcotic. Answer: B. Semi-synthetic narcotic.
⩥66) Which of the following is MOST helpful for counselors in defining
their professional roles
for counseling clients?
A. An understanding of self-help groups
B. An ethical code of conduct
ACTUAL EXAMINATION PAPER 2026
COMPREHENSIVE QUESTIONS WITH
CORRECTLY WELL-DEFINED DETAILED
ANSWERS GRADED A+
⩥11) Comprehensive client documentation:
A. Is best achieved when done independently from direct client care.
B. Facilitates communication and enhances accountability.
C. Is used primarily by the primary counselor.
D. Is a standardized process. Answer: B. Facilitates communication and
enhances accountability.
⩥14) If a client appears to be in denial due to discrepancies stated during
an intake interview,
which of the following statements by the counselor would be MOST
appropriate?
A. "I'm not sure I understand. Let me check this out"
B. "First you tell me one thing, then another. Which is really the truth?"
C. "There's a lot of confusion in your story"
D. "Addiction fosters denial" Answer: A. "I'm not sure I understand. Let
me check this out"
,⩥17) Pointing out parallels between a client's interpersonal relationships
and the
client/counselor interaction serves to focus awareness on:
A. The "here and now."
B. The client's weaknesses in communication.
C. The counselor's feelings about the relationship.
D. The unique qualities of the client/counselor relationship. Answer: A.
The "here and now."
⩥19) A frequent client reaction during the termination phase of
counseling is:
A. Defensiveness.
B. Acting out behavior.
C. Apathy.
D. Lack of trust. Answer: B. Acting out behavior.
⩥25) The branch of pharmacology that deals with the biological,
biochemical, and physical
characteristics of natural drugs is:
A. Pharmacokinetics.
B. Pharmacognosy.
C. Pharmacotherapeutics.
,D. Pharmacodynamics. Answer: B. Pharmacognosy.
⩥29) Which of the following statements about dysfunctional families is
TRUE?
A. The family cannot get well until the dependent person seeks help.
B. The children in a dysfunctional family can be protected from the
problems cause by
chemical dependency.
C. The divorce rate in dysfunctional families is highest after recovery
has been initiated.
D. Family problems develop in the later phases of the addiction process.
Answer: C. The divorce rate in dysfunctional families is highest after
recovery has been initiated.
⩥40) Assessment, according to the behavioral approach, involves:
A. Taking a client history and specifying problematic behavior.
B. Specification of the problematic behavior and collection of baseline
data.
C. Identification of the problematic behavior and evaluation of the
client's motivation to
change.
D. Specification of the problematic behavior and evaluation of the
client's motivation to
, change. Answer: B. Specification of the problematic behavior and
collection of baseline data.
⩥53) All of the following statements about the effects of alcohol abuse
on the body are true
EXCEPT:
A. Malnutrition can occur in drinkers who eat well-balanced diets.
B. Stimulation of the brain's frontal lobe can occur.
C. The second stage of liver deterioration can be reversed.
D. A vitamin B6 deficiency can occur. Answer: B. Stimulation of the
brain's frontal lobe can occur.
⩥54) Heroin is an example of a(an):
A. Natural narcotic.
B. Semi-synthetic narcotic.
C. Synthetic narcotic.
D. Quasi-narcotic. Answer: B. Semi-synthetic narcotic.
⩥66) Which of the following is MOST helpful for counselors in defining
their professional roles
for counseling clients?
A. An understanding of self-help groups
B. An ethical code of conduct
