Certified Alcohol and Drug Counselor (CADC/CDAC) Pre-
Test Exam NC Version 2026 | Questions & Verified
Answers | Latest Update | Graded A+
1. Why is it important for a counselor to consider a client's familial relationships
and social milieu during the assessment process?
Social milieu is only important after treatment begins.
Familial relationships are irrelevant to the treatment process.
Counselors should focus solely on the client's personal goals.
Familial relationships and social milieu can significantly influence a
client's behavior and treatment outcomes.
2. Describe the role of monitoring and feedback in effective case management
for clients needing multiple services.
Monitoring and feedback are secondary to client satisfaction.
Monitoring and feedback are only necessary for legal compliance.
Monitoring and feedback are essential for assessing the
effectiveness of services and ensuring that client needs are being
met.
Monitoring and feedback are primarily for administrative purposes.
3. Describe how Rational Emotive Therapy can be used to address a client's
reluctance to participate in group therapy.
Rational Emotive Therapy promotes acceptance without change.
Rational Emotive Therapy helps clients identify and challenge
irrational beliefs that contribute to their reluctance.
Rational Emotive Therapy encourages clients to avoid confronting
their fears about group therapy.
, Rational Emotive Therapy focuses solely on the client's past
experiences.
4. If a patient has a strong family support system but a history of multiple failed
outpatient treatments, what should be the primary consideration in
determining their treatment plan?
The strength of the family support system.
The potential for the patient to receive a second chance from family
and employers.
The patient's history of failed treatment on an outpatient basis.
The patient's job stability and willingness to return to work.
5. Why is it essential to contact child protective services when a client discloses
leaving her child unattended?
It is necessary to maintain confidentiality and not disclose any
information.
It helps to provide the client with immediate treatment options.
It is essential to ensure the child's safety and well-being, as neglect
can have serious consequences.
It allows for legal action against the client to be initiated.
6. Which of the following essential tasks was NOT completed during the client's
intake process?
The client was assigned a primary counselor
An initial assessment was completed
The client was admitted to the program
The client signed all required consent forms
,7. What term describes the process used to determine if a potential client has a
substance use disorder during their first contact with an agency?
Assessment
Diagnosis
Screening
Intervention
8. Describe how projection, denial, and displacement function as defense
mechanisms in the context of addiction.
Projection involves attributing one's own issues to others, denial is
refusing to accept the reality of a problem, and displacement
involves shifting blame to external factors.
Projection involves recognizing one's faults, denial is seeking help, and
displacement is blaming oneself.
Projection is minimizing the problem, denial is rationalizing behavior,
and displacement is avoiding responsibility.
Projection is accepting responsibility, denial is acknowledging the
problem, and displacement is confronting the issue directly.
9. Of the following statements made by a client in a group, which would most
warrant documentation in the client's progress notes?
- getting caught for drunk driving was a mixed blessing
- let's change the subject. Did anyone see the game last night?
- ever since I stopped drinking, my emotional swings have been
quite intense
- I really enjoyed last night's AA meeting
, 10. If a client enters counseling with the expectation that the counselor will
solve all their problems, what might be an effective strategy for the
counselor to address this expectation?
Encourage the client to rely solely on the counselor for solutions.
Engage the client in a discussion about their role in the counseling
process and the importance of their active participation.
Reassure the client that they do not need to worry about their
recovery.
Provide the client with a detailed plan of action to follow.
11. What is an example of a harmful expectation a client might have about their
counselor?
My counselor will direct me to do what I need to do, and everything
will be OK.
This counselor is a stranger, but maybe I can learn to trust her.
My counselor will be a resource that I can use to resolve my
problems.
The counselor's main concern and responsibility is to help me achieve
my goals and objectives.
12. In a scenario where a client provides inconsistent information about their
substance use history, what would be the best initial approach for the
counselor to take?
Provide the client with educational materials about addiction.
Ignore the inconsistencies and proceed with the session.
Challenge the client directly about their dishonesty.
Test Exam NC Version 2026 | Questions & Verified
Answers | Latest Update | Graded A+
1. Why is it important for a counselor to consider a client's familial relationships
and social milieu during the assessment process?
Social milieu is only important after treatment begins.
Familial relationships are irrelevant to the treatment process.
Counselors should focus solely on the client's personal goals.
Familial relationships and social milieu can significantly influence a
client's behavior and treatment outcomes.
2. Describe the role of monitoring and feedback in effective case management
for clients needing multiple services.
Monitoring and feedback are secondary to client satisfaction.
Monitoring and feedback are only necessary for legal compliance.
Monitoring and feedback are essential for assessing the
effectiveness of services and ensuring that client needs are being
met.
Monitoring and feedback are primarily for administrative purposes.
3. Describe how Rational Emotive Therapy can be used to address a client's
reluctance to participate in group therapy.
Rational Emotive Therapy promotes acceptance without change.
Rational Emotive Therapy helps clients identify and challenge
irrational beliefs that contribute to their reluctance.
Rational Emotive Therapy encourages clients to avoid confronting
their fears about group therapy.
, Rational Emotive Therapy focuses solely on the client's past
experiences.
4. If a patient has a strong family support system but a history of multiple failed
outpatient treatments, what should be the primary consideration in
determining their treatment plan?
The strength of the family support system.
The potential for the patient to receive a second chance from family
and employers.
The patient's history of failed treatment on an outpatient basis.
The patient's job stability and willingness to return to work.
5. Why is it essential to contact child protective services when a client discloses
leaving her child unattended?
It is necessary to maintain confidentiality and not disclose any
information.
It helps to provide the client with immediate treatment options.
It is essential to ensure the child's safety and well-being, as neglect
can have serious consequences.
It allows for legal action against the client to be initiated.
6. Which of the following essential tasks was NOT completed during the client's
intake process?
The client was assigned a primary counselor
An initial assessment was completed
The client was admitted to the program
The client signed all required consent forms
,7. What term describes the process used to determine if a potential client has a
substance use disorder during their first contact with an agency?
Assessment
Diagnosis
Screening
Intervention
8. Describe how projection, denial, and displacement function as defense
mechanisms in the context of addiction.
Projection involves attributing one's own issues to others, denial is
refusing to accept the reality of a problem, and displacement
involves shifting blame to external factors.
Projection involves recognizing one's faults, denial is seeking help, and
displacement is blaming oneself.
Projection is minimizing the problem, denial is rationalizing behavior,
and displacement is avoiding responsibility.
Projection is accepting responsibility, denial is acknowledging the
problem, and displacement is confronting the issue directly.
9. Of the following statements made by a client in a group, which would most
warrant documentation in the client's progress notes?
- getting caught for drunk driving was a mixed blessing
- let's change the subject. Did anyone see the game last night?
- ever since I stopped drinking, my emotional swings have been
quite intense
- I really enjoyed last night's AA meeting
, 10. If a client enters counseling with the expectation that the counselor will
solve all their problems, what might be an effective strategy for the
counselor to address this expectation?
Encourage the client to rely solely on the counselor for solutions.
Engage the client in a discussion about their role in the counseling
process and the importance of their active participation.
Reassure the client that they do not need to worry about their
recovery.
Provide the client with a detailed plan of action to follow.
11. What is an example of a harmful expectation a client might have about their
counselor?
My counselor will direct me to do what I need to do, and everything
will be OK.
This counselor is a stranger, but maybe I can learn to trust her.
My counselor will be a resource that I can use to resolve my
problems.
The counselor's main concern and responsibility is to help me achieve
my goals and objectives.
12. In a scenario where a client provides inconsistent information about their
substance use history, what would be the best initial approach for the
counselor to take?
Provide the client with educational materials about addiction.
Ignore the inconsistencies and proceed with the session.
Challenge the client directly about their dishonesty.
