ALCOHOL AND DRUG COUNSELOR EXAM
PRACTICE PROBLEMS QUESTIONS AND
VERIFIED ANSWERS
Domain I ✔✔Screening, Assessment, and Engagement
Domain I: Task 1 ✔✔Demonstrate verbal and non-verbal communication to establish
rapport and promote engagement
Domain I: Task 2 ✔✔Discuss with the client the rationale, purpose, and procedures
associated with the screening and assessment process to facilitate client understanding
and cooperation
Domain I: Task 3 ✔✔Assess client's immediate needs by evaluating observed behavior
and other relevant information including signs and symptoms of intoxication and
withdrawal
Domain I: Task 4 ✔✔Administer appropriate evidence-based screening and
assessment instruments specific to clients to determine their strengths and needs
Domain I: Task 5 ✔✔Obtain relevant history and related information from the client and
other pertinent sources to establish eligibility and appropriateness of services
Domain I: Task 6 ✔✔Screen for physical needs, medical conditions, and co-occurring
mental health disorders that might require additional assessment and referral
Domain I: Task 7 ✔✔Interpret results of screening and assessment and integrate all
available information to formulate diagnostic impression and determine an appropriate
course of action
Domain I: Task 8 ✔✔Develop a written summary of the results of the screening and
assessment to document and support the diagnostic impressions and treatment
recommendations
Domain II ✔✔Treatment Planning, Collaboration, and Referral
Domain II: Task 1 ✔✔Formulate and discuss diagnostic assessment and
recommendations with the client
Domain II: Task 2 ✔✔Use ongoing assessment and collaboration with the client and
concerned others to review and modify the treatment plan to address treatment needs
Domain II: Task 3 ✔✔Match client needs with community resources to facilitate positive
client outcomes
,Domain II: Task 4 ✔✔Discuss rational for a referral with the client
Domain II: Task 5 ✔✔Communicate with community resources regarding needs of the
client
Domain II: Task 6 ✔✔Advocate for the client in areas of identified needs to facilitate
continuity of care
Domain II: Task 7 ✔✔Evaluate the effectiveness of case management activities to
ensure quality service coordination
Domain II: Task 8 ✔✔Develop a plan with the client to strengthen ongoing recovery
outside primary treatment
Domain II: Task 9 ✔✔Document treatment progress, outcomes, and continuing care
plans
Domain II: Task 10 ✔✔Utilize multiple pathways of recovery in treatment planning and
referral
Domain III ✔✔Counseling
Domain III: Task 1 ✔✔Develop a therapeutic relationship with clients, families, and
concerned others to facilitate transition into the recovery process
Domain III: Task 2 ✔✔Provide information to the client regarding the structure,
expectations, and purpose of the counseling process
Domain III: Task 3 ✔✔Continually evaluate the client's safety, relapse potential, and the
need for crisis intervention
Domain III: Task 4 ✔✔Apply evidence-based, culturally competent counseling strategies
and modalities to facilitate progress towards completion of treatment objectives
Domain III: Task 5 ✔✔Assist families and concerned others in understanding substance
use disorders and engage them in the recovery process
Domain III: Task 6 ✔✔Document counseling activity and progress towards treatment
goals and objectives
Domain III: Task 7 ✔✔Provide information on issues of identity, ethnic background, age,
sexual orientation and gender as it relates to substance use, prevention and recovery
,Domain III: Task 8 ✔✔Provide information about the disease of addiction and the
related health and psychosocial consequences
Domain IV ✔✔Professional and Ethical Responsibilities
Domain IV: Task 1 ✔✔Adhere to established professional codes of ethics and
standards of practice to uphold client rights while promoting best interests of the client
and profession
Domain IV: Task 2 ✔✔Recognize diversity and client demographics, culture and other
factors influencing behavior to provide services that are sensitive to the uniqueness of
the individual
Domain IV: Task 3 ✔✔Continue professional development through education, self-
evaluation, clinical supervision, and consultation to maintain competence and enhance
professional effectiveness
Domain IV: Task 4 ✔✔Identify and evaluate client needs that are outside of the
counselor's ethical scope of practice and refer to other professionals as appropriate
Domain IV: Task 5 ✔✔Uphold client's rights to privacy and confidentiality according to
best practices in preparation and handling of records
Domain IV: Task 6 ✔✔Obtain written consent to release information from the client
and/or legal guardian, according to best practices
A fourteen-year-old male is being evaluated for cocaine abuse. He has no knowledge of
any family history of abuse and has indicated that he began only in the past 6 months.
Which of the following addiction factors is most likely the most influential on his drug
use?
A. Family influence
B. Genetics
C. Peer influence
D. Television and media ✔✔C. Peer influence
Which of the following is not a model for the causation of addiction?
A. Moral model
B. Blended model
C. Genetic model
D. Familial model ✔✔D. Familial model
, As an individual continues to use an addictive forming drug over a period of time, which
of the following is a correct statement regarding the influence of outside factors (peers,
family, stress) contributing the habit of addiction?
A. As drug use continues the influence of outside factors remains about the same
B. As drug use continues the influence of outside factors increases
C. As drug use continues the influence of outside factors decreases
D. None of the above ✔✔C. As drug use continues the influence of outside factors
decreases
Which of the following is the most commonly abused substance in America?
A. Marijuana
B. Alcohol
C. Cocaine
D. Prescription Drugs ✔✔B. Alcohol
Which of the following is a true statement regarding the abuse of alcohol?
A. Women have a higher risk of developing problems from alcohol abuse than men
B. Men are more likely to drink higher volumes of alcohol than women
C. Organ damage due to alcohol abuse is more likely in women than men
D. All of the above ✔✔D. All of the above
Which of the following is a false statement about marijuana use?
A. Marijuana is not an addictive substance
B. Marijuana can contribute to depression and suicide
C. Research shows Marijuana users generally have a lower level of fulfillment in
life D. Marijuana increases the risk of heart disease ✔✔A. Marijuana is not an
addictivesubstance
Which of the following is not an example of prescription drug abuse?
A. A friend providing OxyContin for a stiff neck
B. Taking an additional Valium beyond the amount prescribed to ease tension before
public speaking
C. Using leftover Vicodin from a car accident that occurred a year prior to treat a new
injury
D. None of the above ✔✔D. None of the above
Which of the following is most commonly the main reason for a client deciding to begin
the process of treatment?
A. Internal motivation
B. Family or peer encouragement
PRACTICE PROBLEMS QUESTIONS AND
VERIFIED ANSWERS
Domain I ✔✔Screening, Assessment, and Engagement
Domain I: Task 1 ✔✔Demonstrate verbal and non-verbal communication to establish
rapport and promote engagement
Domain I: Task 2 ✔✔Discuss with the client the rationale, purpose, and procedures
associated with the screening and assessment process to facilitate client understanding
and cooperation
Domain I: Task 3 ✔✔Assess client's immediate needs by evaluating observed behavior
and other relevant information including signs and symptoms of intoxication and
withdrawal
Domain I: Task 4 ✔✔Administer appropriate evidence-based screening and
assessment instruments specific to clients to determine their strengths and needs
Domain I: Task 5 ✔✔Obtain relevant history and related information from the client and
other pertinent sources to establish eligibility and appropriateness of services
Domain I: Task 6 ✔✔Screen for physical needs, medical conditions, and co-occurring
mental health disorders that might require additional assessment and referral
Domain I: Task 7 ✔✔Interpret results of screening and assessment and integrate all
available information to formulate diagnostic impression and determine an appropriate
course of action
Domain I: Task 8 ✔✔Develop a written summary of the results of the screening and
assessment to document and support the diagnostic impressions and treatment
recommendations
Domain II ✔✔Treatment Planning, Collaboration, and Referral
Domain II: Task 1 ✔✔Formulate and discuss diagnostic assessment and
recommendations with the client
Domain II: Task 2 ✔✔Use ongoing assessment and collaboration with the client and
concerned others to review and modify the treatment plan to address treatment needs
Domain II: Task 3 ✔✔Match client needs with community resources to facilitate positive
client outcomes
,Domain II: Task 4 ✔✔Discuss rational for a referral with the client
Domain II: Task 5 ✔✔Communicate with community resources regarding needs of the
client
Domain II: Task 6 ✔✔Advocate for the client in areas of identified needs to facilitate
continuity of care
Domain II: Task 7 ✔✔Evaluate the effectiveness of case management activities to
ensure quality service coordination
Domain II: Task 8 ✔✔Develop a plan with the client to strengthen ongoing recovery
outside primary treatment
Domain II: Task 9 ✔✔Document treatment progress, outcomes, and continuing care
plans
Domain II: Task 10 ✔✔Utilize multiple pathways of recovery in treatment planning and
referral
Domain III ✔✔Counseling
Domain III: Task 1 ✔✔Develop a therapeutic relationship with clients, families, and
concerned others to facilitate transition into the recovery process
Domain III: Task 2 ✔✔Provide information to the client regarding the structure,
expectations, and purpose of the counseling process
Domain III: Task 3 ✔✔Continually evaluate the client's safety, relapse potential, and the
need for crisis intervention
Domain III: Task 4 ✔✔Apply evidence-based, culturally competent counseling strategies
and modalities to facilitate progress towards completion of treatment objectives
Domain III: Task 5 ✔✔Assist families and concerned others in understanding substance
use disorders and engage them in the recovery process
Domain III: Task 6 ✔✔Document counseling activity and progress towards treatment
goals and objectives
Domain III: Task 7 ✔✔Provide information on issues of identity, ethnic background, age,
sexual orientation and gender as it relates to substance use, prevention and recovery
,Domain III: Task 8 ✔✔Provide information about the disease of addiction and the
related health and psychosocial consequences
Domain IV ✔✔Professional and Ethical Responsibilities
Domain IV: Task 1 ✔✔Adhere to established professional codes of ethics and
standards of practice to uphold client rights while promoting best interests of the client
and profession
Domain IV: Task 2 ✔✔Recognize diversity and client demographics, culture and other
factors influencing behavior to provide services that are sensitive to the uniqueness of
the individual
Domain IV: Task 3 ✔✔Continue professional development through education, self-
evaluation, clinical supervision, and consultation to maintain competence and enhance
professional effectiveness
Domain IV: Task 4 ✔✔Identify and evaluate client needs that are outside of the
counselor's ethical scope of practice and refer to other professionals as appropriate
Domain IV: Task 5 ✔✔Uphold client's rights to privacy and confidentiality according to
best practices in preparation and handling of records
Domain IV: Task 6 ✔✔Obtain written consent to release information from the client
and/or legal guardian, according to best practices
A fourteen-year-old male is being evaluated for cocaine abuse. He has no knowledge of
any family history of abuse and has indicated that he began only in the past 6 months.
Which of the following addiction factors is most likely the most influential on his drug
use?
A. Family influence
B. Genetics
C. Peer influence
D. Television and media ✔✔C. Peer influence
Which of the following is not a model for the causation of addiction?
A. Moral model
B. Blended model
C. Genetic model
D. Familial model ✔✔D. Familial model
, As an individual continues to use an addictive forming drug over a period of time, which
of the following is a correct statement regarding the influence of outside factors (peers,
family, stress) contributing the habit of addiction?
A. As drug use continues the influence of outside factors remains about the same
B. As drug use continues the influence of outside factors increases
C. As drug use continues the influence of outside factors decreases
D. None of the above ✔✔C. As drug use continues the influence of outside factors
decreases
Which of the following is the most commonly abused substance in America?
A. Marijuana
B. Alcohol
C. Cocaine
D. Prescription Drugs ✔✔B. Alcohol
Which of the following is a true statement regarding the abuse of alcohol?
A. Women have a higher risk of developing problems from alcohol abuse than men
B. Men are more likely to drink higher volumes of alcohol than women
C. Organ damage due to alcohol abuse is more likely in women than men
D. All of the above ✔✔D. All of the above
Which of the following is a false statement about marijuana use?
A. Marijuana is not an addictive substance
B. Marijuana can contribute to depression and suicide
C. Research shows Marijuana users generally have a lower level of fulfillment in
life D. Marijuana increases the risk of heart disease ✔✔A. Marijuana is not an
addictivesubstance
Which of the following is not an example of prescription drug abuse?
A. A friend providing OxyContin for a stiff neck
B. Taking an additional Valium beyond the amount prescribed to ease tension before
public speaking
C. Using leftover Vicodin from a car accident that occurred a year prior to treat a new
injury
D. None of the above ✔✔D. None of the above
Which of the following is most commonly the main reason for a client deciding to begin
the process of treatment?
A. Internal motivation
B. Family or peer encouragement
