ALCOHOL AND DRUG COUNSELOR EXAM 2025 WITH
ACCURATE SOLUTIONS
1. Describe the role of physical attending in the counseling process
and how it impacts client interaction.
Physical attending focuses on the counselor's own feelings during
the session.
Physical attending is unrelated to client behavior.
Physical attending is solely about verbal communication with the
client.
Physical attending involves observing a client's physical
appearance to better understand their emotional state and
needs.
2. What is a common withdrawal symptom experienced when stopping
drug use?
Itchy feeling all over
skin Delirium Tremens
Seizures
Dysphoria
3. Which of the following is not a risk factor for
suicide? Alcohol or other drug abuse
Family history of suicide
Financial gain
Chronic, debilitating illness
4. What is the primary characteristic of a client in the preparation stage of
change?
, The person can recognize that the disadvantages of continuing
substance abuse outweigh any perceived advantages.
The person has had adverse experiences directly related to
substance abuse.
The person recognizes there is a problem with how substances
have affected their life.
The person is prepared to decide on how to change.
5. Why might explaining to a client what to expect based on other clients'
experiences be considered ineffective in building a counseling
relationship?
It could lead to misunderstandings about the counseling process.
It may not address the unique needs and experiences of the
individual client.
It might create a sense of comparison that the client finds
unhelpful.
It could overwhelm the client with too much information.
6. If a client is in a group session and uses the phrase "The same thing
happened to me but worse. Listen to this!" What category of behavior is the
client exhibiting?
Self-righteous client
Monopolizing client
Motivated client
Hostile client
7. What is the term used for a peer group that helps individuals with
substance use disorders develop new community roles?
Peer teaching
, Peer counseling
Positive peer influence
Peer participation
8. Which of these is not a good approach to giving
feedback be specific
be general
be descriptive vs. evaluative ( judgmental)
4 positives to every 1 negative
9. Which factor is commonly assessed when evaluating suicide risk?
Family history of suicide
None of the above
Evidence of aggression towards others
Abuse of alcohol
10. In a scenario where a client is struggling with substance use and lacks
social support, which community resource would be most beneficial to
match with their needs?
Support groups
Individual therapy sessions
Medication management
Detoxification services
11. Research investigating high-risk situations associated with relapse for a
variety of addictive and other problem behaviors has shown that which
of the following account for nearly three-fourths of relapse
incidents?
Urges and temptations
, Negative and positive emotional states and negative physical
states
Negative emotional states, interpersonal conflicts, and social
pressure
Social pressure, interpersonal conflicts, and negative physical
states
12. Describe the role of coping self-efficacy in preventing relapse for
clients with substance use disorders.
Coping self-efficacy helps clients manage high-risk situations
and resist substance use.
Coping self-efficacy focuses on the client's motivation to enter
treatment.
Coping self-efficacy is about the client's ability to maintain
relationships.
Coping self-efficacy refers to the client's understanding of
withdrawal symptoms.
13. In a scenario where a client is resistant to traditional treatment
methods, how might a counselor apply the concept of multiple
pathways of recovery in their approach?
The counselor should focus solely on medication-assisted
treatment.
The counselor might abandon the treatment plan altogether.
The counselor should insist on traditional methods regardless of
the client's feelings.
The counselor could explore alternative recovery options
that align with the client's values and preferences.
14. A client indicates that they first started using substances at a party.
During this event, people he did not know were congratulatory and
ACCURATE SOLUTIONS
1. Describe the role of physical attending in the counseling process
and how it impacts client interaction.
Physical attending focuses on the counselor's own feelings during
the session.
Physical attending is unrelated to client behavior.
Physical attending is solely about verbal communication with the
client.
Physical attending involves observing a client's physical
appearance to better understand their emotional state and
needs.
2. What is a common withdrawal symptom experienced when stopping
drug use?
Itchy feeling all over
skin Delirium Tremens
Seizures
Dysphoria
3. Which of the following is not a risk factor for
suicide? Alcohol or other drug abuse
Family history of suicide
Financial gain
Chronic, debilitating illness
4. What is the primary characteristic of a client in the preparation stage of
change?
, The person can recognize that the disadvantages of continuing
substance abuse outweigh any perceived advantages.
The person has had adverse experiences directly related to
substance abuse.
The person recognizes there is a problem with how substances
have affected their life.
The person is prepared to decide on how to change.
5. Why might explaining to a client what to expect based on other clients'
experiences be considered ineffective in building a counseling
relationship?
It could lead to misunderstandings about the counseling process.
It may not address the unique needs and experiences of the
individual client.
It might create a sense of comparison that the client finds
unhelpful.
It could overwhelm the client with too much information.
6. If a client is in a group session and uses the phrase "The same thing
happened to me but worse. Listen to this!" What category of behavior is the
client exhibiting?
Self-righteous client
Monopolizing client
Motivated client
Hostile client
7. What is the term used for a peer group that helps individuals with
substance use disorders develop new community roles?
Peer teaching
, Peer counseling
Positive peer influence
Peer participation
8. Which of these is not a good approach to giving
feedback be specific
be general
be descriptive vs. evaluative ( judgmental)
4 positives to every 1 negative
9. Which factor is commonly assessed when evaluating suicide risk?
Family history of suicide
None of the above
Evidence of aggression towards others
Abuse of alcohol
10. In a scenario where a client is struggling with substance use and lacks
social support, which community resource would be most beneficial to
match with their needs?
Support groups
Individual therapy sessions
Medication management
Detoxification services
11. Research investigating high-risk situations associated with relapse for a
variety of addictive and other problem behaviors has shown that which
of the following account for nearly three-fourths of relapse
incidents?
Urges and temptations
, Negative and positive emotional states and negative physical
states
Negative emotional states, interpersonal conflicts, and social
pressure
Social pressure, interpersonal conflicts, and negative physical
states
12. Describe the role of coping self-efficacy in preventing relapse for
clients with substance use disorders.
Coping self-efficacy helps clients manage high-risk situations
and resist substance use.
Coping self-efficacy focuses on the client's motivation to enter
treatment.
Coping self-efficacy is about the client's ability to maintain
relationships.
Coping self-efficacy refers to the client's understanding of
withdrawal symptoms.
13. In a scenario where a client is resistant to traditional treatment
methods, how might a counselor apply the concept of multiple
pathways of recovery in their approach?
The counselor should focus solely on medication-assisted
treatment.
The counselor might abandon the treatment plan altogether.
The counselor should insist on traditional methods regardless of
the client's feelings.
The counselor could explore alternative recovery options
that align with the client's values and preferences.
14. A client indicates that they first started using substances at a party.
During this event, people he did not know were congratulatory and
