CADC Alcohol and Drug Counselor Ultimate 3 — Questions and Answers
Question 1: Which of the following BEST characterizes Motivational Interviewing's 'rolling with resistance' technique?
- Confronting the client directly about their denial
- Arguing against the client's rationalizations with facts
- Avoiding direct argumentation and reflecting the client's own statements back (Correct answer)
- Using silence until the client agrees with the counselor
Correct answer: Avoiding direct argumentation and reflecting the client's own statements back
Rolling with resistance means the counselor does not confront or argue but instead reflects and reframes the client's perspective to reduce defensiveness.
Question 2: According to ASAM criteria, which level of care involves clinically managed, low-intensity residential services?
- Level 1.0 — Outpatient Services
- Level 2.5 — Partial Hospitalization
- Level 3.1 — Clinically Managed Low-Intensity Residential Services (Correct answer)
- Level 4.0 — Medically Managed Intensive Inpatient Services
Correct answer: Level 3.1 — Clinically Managed Low-Intensity Residential Services
ASAM Level 3.1 represents a 24-hour structured environment with low clinical intensity, often called a halfway house.
Question 3: A client reports that their spouse frequently checks up on them, controls their finances, and threatens them if they try to leave. The counselor should FIRST:
- Encourage the client to work on their relationship skills
- Screen for intimate partner violence and assess safety (Correct answer)
- Refer the client to couples counseling
- Focus solely on the substance use and ignore the relationship issues
Correct answer: Screen for intimate partner violence and assess safety
Safety assessment is the priority when indicators of intimate partner violence are present, as the client may be at risk of harm.
Question 4: Which medication is FDA-approved specifically for the treatment of alcohol use disorder by reducing cravings through opioid receptor blockade?
- Disulfiram (Antabuse)
- Naltrexone (Vivitrol) (Correct answer)
- Buprenorphine (Suboxone)
- Methadone
Correct answer: Naltrexone (Vivitrol)
Naltrexone blocks opioid receptors, reducing the pleasurable effects of alcohol and diminishing cravings.
Question 5: The DSM-5 diagnosis of Alcohol Use Disorder is based on meeting how many criteria within a 12-month period for a mild diagnosis?
- 1 criterion
- 2–3 criteria (Correct answer)
- 4–5 criteria
- 6 or more criteria
Correct answer: 2–3 criteria
A mild Alcohol Use Disorder requires 2–3 criteria, moderate requires 4–5, and severe requires 6 or more out of 11 criteria.
Question 6: Cultural humility in addiction counseling PRIMARILY requires the counselor to:
- Become an expert in every client's culture before providing treatment
- Maintain an ongoing self-reflective stance and acknowledge power imbalances (Correct answer)
- Apply the same evidence-based protocol to all cultural groups equally
- Avoid discussing cultural topics to prevent offense
Correct answer: Maintain an ongoing self-reflective stance and acknowledge power imbalances
Cultural humility emphasizes lifelong learning, self-reflection, and recognizing power dynamics rather than claiming cultural mastery.
Question 7: A co-occurring disorder (COD) is BEST managed by which treatment approach?
- Treating the substance use disorder first, then the mental health disorder sequentially
- Treating the mental health disorder first, then the substance use disorder
- Integrating treatment for both disorders simultaneously in one program (Correct answer)
- Referring to two separate providers who communicate monthly
Correct answer: Integrating treatment for both disorders simultaneously in one program
Integrated dual diagnosis treatment addresses both the substance use and mental health disorders concurrently for better outcomes.
CADC Alcohol and Drug Counselor Ultimate 3
Which of the following BEST characterizes Motivational Interviewing's 'rolling with resistance' technique?