CERTIFIED ALCOHOL AND DRUG COUNSELOR

Page | 1

CERTIFIED ALCOHOL AND DRUG COUNSELOR

CADC/CDAC PRE -TEST EXAM NC VERSION

2025 QUESTIONS AND ANSWERS

31) While the overall national suicide rate has increased slightly but consistently in recent years, disproportionate increases have

occurred among:

• Females and the elderly.
• Females and the young.
• Males and the elderly.
• Males and the young. -correct answer - B. Females and the

young.

11) Comprehensive client documentation:

• Is best achieved when done independently from direct client

care.

• Facilitates communication and enhances accountability.
• Is used primarily by the primary counselor.
• Is a standardized process. -correct answer - B. Facilitates

communication and enhances accountability.

• / 4

Page | 2

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?

• "I'm not sure I understand. Let me check this out"
• "First you tell me one thing, then another. Which is really the

truth?"

• "There's a lot of confusion in your story"
• "Addiction fosters denial" -correct 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:

• The "here and now."
• The client's weaknesses in communication.
• The counselor's feelings about the relationship.
• The unique qualities of the client/counselor relationship. -

correct answer - A. The "here and now."

19) A frequent client reaction during the termination phase of

counseling is:

• Defensiveness. 2 / 4

Page | 3

• Acting out behavior.
• Apathy.
• Lack of trust. -correct answer - B. Acting out behavior.

25) The branch of pharmacology that deals with the biological, biochemical, and physical

characteristics of natural drugs is:

• Pharmacokinetics.
• Pharmacognosy.
• Pharmacotherapeutics.
• Pharmacodynamics. -correct answer - B. Pharmacognosy.

29) Which of the following statements about dysfunctional families is TRUE?

• The family cannot get well until the dependent person seeks

help.

• The children in a dysfunctional family can be protected from

the problems cause by chemical dependency.

• The divorce rate in dysfunctional families is highest after

recovery has been initiated. 3 / 4

Page | 4

• Family problems develop in the later phases of the addiction

process. -correct answer - C. The divorce rate in dysfunctional families is highest after recovery has been initiated.

40) Assessment, according to the behavioral approach, involves:

• Taking a client history and specifying problematic behavior.
• Specification of the problematic behavior and collection of

baseline data.

• Identification of the problematic behavior and evaluation of the

client's motivation to change.

• Specification of the problematic behavior and evaluation of the

client's motivation to change. -correct 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:

• Malnutrition can occur in drinkers who eat well-balanced diets.
• Stimulation of the brain's frontal lobe can occur.
• The second stage of liver deterioration can be reversed.
• / 4