CASAC MAIN EXAMINATION 2026 SET QUESTIONS AND
SOLUTIONS RATED A+
✔✔The best evidence of the populous-held beliefs that moralizes addiction is
_______________.
(a) The stigma attached to it
(b) That some prohibitionist themes continue in our culture
(c) That drug suppliers are viewed as "fiends"
(d) That drug use is viewed as contagious - ✔✔A
✔✔Jellinek's _______________ describes the drinking as a total loss of control and the
loss of a choice to drink.
(a) Prodromal Phase
(b) Chronic Phase
(c) Crucial Phase
(d) Alcoholic Phase - ✔✔B
✔✔Moss, Chen, and Yi's more recent study on alcoholic dependence identified five
subtypes:
(a) Child, Pre-Adolescent, Adolescent, Adult, and Mature Adult
(b) Pre-Alcoholic, Alcoholic, Prodromal, Crucial, and Chronic
(c) Young Adult, Functional, Intermediate Familial, Young Antisocial, and Chronic
Severe
(d) Adolescence, Working, Transitional, Rebellious, and Protracted - ✔✔C
✔✔Yin states that studies identify three modes of behavioral control which are important
for understanding alcohol addiction:
(a) Punishment and reward approach, objective approach, and pattern
(b) Positive and negative approach, targeted approach, and fixation
(c) Pavlovian approach, goal-direction action, and habit
(d) None of the above - ✔✔C
✔✔In social learning theory, substance use is a function of ______________.
(a) Positive norms
(b) Expectations
(c) Modeling from family members and peers who engage in obtaining and using them
(d) All of the above - ✔✔D
✔✔Time of day of drinking, place of drinking, and association with certain people or
emotional states are referred to as _______________.
(a) Conditional Precursors
(b) Situational antecedents
(c) Positional experiences
(d) Habitual forerunners - ✔✔B
,✔✔Social factors that appear to protect youngsters from initiating substance use and
progressing toward abuse include _______________.
(a) Bonding, goal-direction, and monitoring from family, peers, religion, and other
societal processes
(b) Participating in rewarding activities and prosocial behaviors and increased self-
confidence and coping skills
(c) Selecting and emulating individuals who model temperance or shun substance use
(d) All of the above - ✔✔D
✔✔The most powerful factor in complicating the clinician's ability to make an accurate
diagnosis of a substance abuse problem with a client is:
(a) Acute intoxication
(b) Denial
(c) Neurological damage
(d) Shame - ✔✔D
✔✔Behavioral symptoms included in the Chronic Phase of substance abuse include all
of the following EXCEPT:
(a) Impaired judgment and irrational thinking
(b) Continuous use of the substance for longer periods
(c) Obsessive use of the substance until recovery or death
(d) The onset of blackouts - ✔✔D
✔✔Which of the following is one of the questions asked of a client as part of the
administration of the CAGE Questionnaire?
(a) What is your primary drug of choice?
(b) Do you drink or use significantly more now than you did two months ago?
(c) Do you ever take a morning eye-opener?
(d) Have you lost a job in the past year? - ✔✔C
✔✔The majority of substance abusers also suffer from the personality disorder of:
(a) Antisocial personality
(b) Narcissistic personality
(c) Dependent personality
(d) None; there is no significant correlation between substance abuse and personality
disorders - ✔✔D
✔✔In regard to dual diagnosis, there is often a relationship between:
(a) Alcoholism and depression
(b) Cocaine abuse and paranoid personality
(c) Poly-substance abuse and anxiety
(d) Amphetamine use and post-traumatic stress disorder - ✔✔A
, ✔✔The first, second and third phases of addiction are labeled as:
(a) Prodromal, crucial, and chronic
(b) Early, middle, and crucial
(c) Primary, dependency, and addiction
(d) Primary, dependency, and chronic - ✔✔A
✔✔Generally, a/an __________ approach is helpful in clarifying the difference between
psychiatric and substance abusing symptoms.
(a) Integrative
(b) Cognitive
(c) Medical Model
(d) Longitudinal - ✔✔D
✔✔What can be compared with the responses given by the client in order to assess the
degree of minimization or denial that may be present?
(a) Previous behaviors
(b) Information gathered from the client on an earlier survey
(c) Information gathered from others
(d) None of the above. It is not possible to assess the degree of minimization or denial
that may be present. - ✔✔C
✔✔What is a treatment plan?
(a) A written document that details how problems are defined
(b) A map to recovery
(c) A verbal client-counselor agreement
(d) A counselor created document for client success - ✔✔A
✔✔Which of the following is not one of the common problem domains that reflect the
three major models of substance abuse according to Richard J. Laban?
(a) Initial treatment
(b) Interpersonal relations
(c) Home environment
(d) Work environment - ✔✔D
✔✔Which of the following is/are type(s) of plan identification?
(a) Early Treatment
(b) Comprehensive Treatment
(c) Modified
(d) Early treatment, comprehensive treatment, modified - ✔✔D
✔✔Detoxification is:
(a) Based on the type of drugs abused and a patient's medical condition
(b) Considered the beginning of treatment
(c) Begun after medical necessity is established
SOLUTIONS RATED A+
✔✔The best evidence of the populous-held beliefs that moralizes addiction is
_______________.
(a) The stigma attached to it
(b) That some prohibitionist themes continue in our culture
(c) That drug suppliers are viewed as "fiends"
(d) That drug use is viewed as contagious - ✔✔A
✔✔Jellinek's _______________ describes the drinking as a total loss of control and the
loss of a choice to drink.
(a) Prodromal Phase
(b) Chronic Phase
(c) Crucial Phase
(d) Alcoholic Phase - ✔✔B
✔✔Moss, Chen, and Yi's more recent study on alcoholic dependence identified five
subtypes:
(a) Child, Pre-Adolescent, Adolescent, Adult, and Mature Adult
(b) Pre-Alcoholic, Alcoholic, Prodromal, Crucial, and Chronic
(c) Young Adult, Functional, Intermediate Familial, Young Antisocial, and Chronic
Severe
(d) Adolescence, Working, Transitional, Rebellious, and Protracted - ✔✔C
✔✔Yin states that studies identify three modes of behavioral control which are important
for understanding alcohol addiction:
(a) Punishment and reward approach, objective approach, and pattern
(b) Positive and negative approach, targeted approach, and fixation
(c) Pavlovian approach, goal-direction action, and habit
(d) None of the above - ✔✔C
✔✔In social learning theory, substance use is a function of ______________.
(a) Positive norms
(b) Expectations
(c) Modeling from family members and peers who engage in obtaining and using them
(d) All of the above - ✔✔D
✔✔Time of day of drinking, place of drinking, and association with certain people or
emotional states are referred to as _______________.
(a) Conditional Precursors
(b) Situational antecedents
(c) Positional experiences
(d) Habitual forerunners - ✔✔B
,✔✔Social factors that appear to protect youngsters from initiating substance use and
progressing toward abuse include _______________.
(a) Bonding, goal-direction, and monitoring from family, peers, religion, and other
societal processes
(b) Participating in rewarding activities and prosocial behaviors and increased self-
confidence and coping skills
(c) Selecting and emulating individuals who model temperance or shun substance use
(d) All of the above - ✔✔D
✔✔The most powerful factor in complicating the clinician's ability to make an accurate
diagnosis of a substance abuse problem with a client is:
(a) Acute intoxication
(b) Denial
(c) Neurological damage
(d) Shame - ✔✔D
✔✔Behavioral symptoms included in the Chronic Phase of substance abuse include all
of the following EXCEPT:
(a) Impaired judgment and irrational thinking
(b) Continuous use of the substance for longer periods
(c) Obsessive use of the substance until recovery or death
(d) The onset of blackouts - ✔✔D
✔✔Which of the following is one of the questions asked of a client as part of the
administration of the CAGE Questionnaire?
(a) What is your primary drug of choice?
(b) Do you drink or use significantly more now than you did two months ago?
(c) Do you ever take a morning eye-opener?
(d) Have you lost a job in the past year? - ✔✔C
✔✔The majority of substance abusers also suffer from the personality disorder of:
(a) Antisocial personality
(b) Narcissistic personality
(c) Dependent personality
(d) None; there is no significant correlation between substance abuse and personality
disorders - ✔✔D
✔✔In regard to dual diagnosis, there is often a relationship between:
(a) Alcoholism and depression
(b) Cocaine abuse and paranoid personality
(c) Poly-substance abuse and anxiety
(d) Amphetamine use and post-traumatic stress disorder - ✔✔A
, ✔✔The first, second and third phases of addiction are labeled as:
(a) Prodromal, crucial, and chronic
(b) Early, middle, and crucial
(c) Primary, dependency, and addiction
(d) Primary, dependency, and chronic - ✔✔A
✔✔Generally, a/an __________ approach is helpful in clarifying the difference between
psychiatric and substance abusing symptoms.
(a) Integrative
(b) Cognitive
(c) Medical Model
(d) Longitudinal - ✔✔D
✔✔What can be compared with the responses given by the client in order to assess the
degree of minimization or denial that may be present?
(a) Previous behaviors
(b) Information gathered from the client on an earlier survey
(c) Information gathered from others
(d) None of the above. It is not possible to assess the degree of minimization or denial
that may be present. - ✔✔C
✔✔What is a treatment plan?
(a) A written document that details how problems are defined
(b) A map to recovery
(c) A verbal client-counselor agreement
(d) A counselor created document for client success - ✔✔A
✔✔Which of the following is not one of the common problem domains that reflect the
three major models of substance abuse according to Richard J. Laban?
(a) Initial treatment
(b) Interpersonal relations
(c) Home environment
(d) Work environment - ✔✔D
✔✔Which of the following is/are type(s) of plan identification?
(a) Early Treatment
(b) Comprehensive Treatment
(c) Modified
(d) Early treatment, comprehensive treatment, modified - ✔✔D
✔✔Detoxification is:
(a) Based on the type of drugs abused and a patient's medical condition
(b) Considered the beginning of treatment
(c) Begun after medical necessity is established
