CERTIFIED ALCOHOL AND DRUG COUNSELOR CADC

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CERTIFIED ALCOHOL AND DRUG COUNSELOR (CADC)

EXAM LATEST 2025 ACTUAL EXAM |COMPLETE 250

ACCURATE QUESTIONS AND CORRECT DETAILED

ANSWERS (VERIFIED ANSWERS) GRADED A+

Who should be involved in developing the treatment plan?

• Counselor and their supervisor
• Counselor and the client
• Counselor only
• Counselor, their supervisor and the client - ANSWER - b. Counselor and the client

Treatment plans should be a collaboration between the counselor and the client. Goals and objectives should be realistic and align with the client's goals. Using the Stages of Change Model can help the clinician offer appropriate goals.

Mary just completed her intake session with you. Her use of alcohol has had a significant negative impact on her life. Consequences of her use were discord with her husband, missing her children's soccer games, daily use of alcohol and decreased productivity at work. Which consequence should be addressed first?

• Attain and maintain sobriety.
• Attend her children's soccer game this week.
• Improve communication with her husband.
• Improve her performance at work. - ANSWER - a. Attain and maintain sobriety.

Attaining sobriety should be the first goal. Once that is accomplished, other consequences can be addressed appropriately.

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pg. 2 At what phase of treatment does case management begin?

• At the first counseling session
• At the first contact with client
• When the treatment plan is created
• At the client's intake session - ANSWER - d. At the client's intake session

Case management begins at a client's intake and continues throughout their treatment.The first goal of case management is to coordinate care which is appropriate for the client which can be done at the conclusion of the intake session.

James was engaged in group and individual counseling in your outpatient program. He has maintained his sobriety and has found a medication regimen that helps him manage his depressive symptoms. James attends Alcoholic Anonymous four times per week and has been active in working the steps with his sponsor. Which of the following recommendations would be the least effective at his discharge?

• Attend AA regularly; maintain contact with his sponsor
• Begin another outpatient program
• Step work
• Continue contact with prescribing doctor for psychotropic medications - ANSWER - b.

Begin another outpatient program Once an outpatient program is completed, it is not necessary for the client to engage in an additional program. Programs usually begin in phases which would not align with a person who has attained and maintained recovery.

Susan is being discharged as a result of continued relapses and inconsistent attendance for group therapy. Despite your best efforts, she is reluctant to agree with your recommendation for inpatient treatment. Which of the following would be the most appropriate course of action at the conclusion of her discharge session?

• Wish her the best in future endeavors.
• Encourage her to re-engage in outpatient treatment when she is ready to stop

drinking.

• Provide her with written information about different inpatient options. 2 / 4

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• Inform her emergency contact of her discharge and non-compliance with your

recommendation for inpatient treatment. - ANSWER - c. Provide her with written information about different inpatient options.Providing Susan with written information gives her the opportunity to look into them should she change her mind about your recommendation. The information provided does not provide enough evidence to be concerned about her safety and is not appropriate to contact her emergency contact.

All of the following are models of case management except:

• Strengths perspective
• Clinical/ rehabilitation
• Weakness/ growth perspective
• Broker/ generalist - ANSWER - c. Weakness/ growth perspective

The models of case management are strengths perspective, clinical/ rehabilitation, broker/ generalist and assertive community treatment.

All of the following are benefits of aftercare treatment except:

• Step work
• Continued routine
• Validation from others in a similar situation
• Continued support in a therapeutic environment - ANSWER - a. Step work

Step work is a part of AA and other similar groups which are not a part of aftercare programs.

All case management approaches can be considered ______-_______.

• Individually- based
• Community- based
• Crisis- based
• Routine- based - ANSWER - b. Community- based 3 / 4

pg. 4 Case management is community based. The main goal is to help the client's familiarize themselves with their community and services available. Examples would be self-help groups, church, individual resources and family resources.

Which form of counseling has been shown to have the most benefit with addiction?

• Family Counseling
• Crisis Counseling
• Group Counseling
• Individual Counseling - ANSWER - c. Group Counseling

Often times in addiction, a person becomes isolated and feels as though no one can understand their situation. Being a group setting, a client is exposed to others who have similar experiences, thoughts and feelings which can normalize a person's experience.Group sessions also allow others to observe others being vulnerable which increase the chances of others doing the same. Group sessions can be a place where clients can learn from each other's struggles and triumphs.

Which therapeutic approach is the most effective when working with a resistant client?

• Cognitive Behavioral Therapy
• Motivational Interviewing
• Psychodynamic
• EDMR - ANSWER - b. Motivational Interviewing

Motivational Interviewing is a client centered model of counseling that works to identify what the client wants compared to what others want for them. Motivation, or lack thereof, is a common barrier for individuals in treatment.

You work in an outpatient program with a team of addiction counselors, social workers, a nurse and a physician. You facilitate an intensive outpatient group in the mornings from 9am-12. Around 9:30 am you notice that Scott appears to be nodding off in the group. You also observe that group members have noticed him as well and appear uncomfortable. You are aware that Scott uses opiates and has been struggling to abstain from use. What is your best course of action?

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