CADC Alcohol and Drug Counselor Ultimate 4 — Questions and Answers
Question 1: Which stage of group development, according to Yalom, is characterized by conflicts over dominance and leadership among members?
- Forming
- Storming (Correct answer)
- Norming
- Termination
Correct answer: Storming
Storming involves interpersonal conflicts, challenges to the leader, and members jockeying for position within the group.
Question 2: A client denies having a problem with alcohol despite losing their job and receiving a DUI. This defense mechanism is BEST described as:
- Rationalization
- Projection
- Denial (Correct answer)
- Minimization
Correct answer: Denial
Denial is the refusal to acknowledge that a problem exists, even in the face of clear negative consequences.
Question 3: According to 42 CFR Part 2, substance use disorder patient records may be disclosed WITHOUT patient consent in which situation?
- To a primary care physician coordinating the patient's care
- To law enforcement investigating a crime committed at the facility
- A medical emergency where disclosure is necessary to address the emergency (Correct answer)
- To the patient's insurance company for billing purposes
Correct answer: A medical emergency where disclosure is necessary to address the emergency
42 CFR Part 2 permits disclosure without consent in a bona fide medical emergency to protect the patient's life.
Question 4: Which of the following is a PRIMARY goal of relapse prevention therapy developed by Marlatt and Gordon?
- Eliminating all high-risk situations from the client's environment
- Identifying triggers and developing coping strategies to prevent full relapse (Correct answer)
- Requiring total abstinence before beginning any coping skill work
- Using punishment-based consequences to deter relapse behavior
Correct answer: Identifying triggers and developing coping strategies to prevent full relapse
Marlatt and Gordon's model focuses on identifying high-risk situations and building cognitive-behavioral coping skills to interrupt the relapse chain.
Question 5: A counselor working with an adolescent client discovers the teen is selling cannabis at school. The counselor is ethically required to:
- Immediately report to police without informing the client
- Maintain complete confidentiality since the client is a minor in treatment
- Consider mandatory reporting laws, safety factors, and inform the client of any required disclosures (Correct answer)
- Terminate the therapeutic relationship to avoid liability
Correct answer: Consider mandatory reporting laws, safety factors, and inform the client of any required disclosures
The counselor must balance confidentiality with applicable mandatory reporting laws, safety considerations, and transparency with the client about disclosure.
Question 6: Which withdrawal syndrome is considered MOST medically dangerous and potentially life-threatening without proper management?
- Opioid withdrawal
- Cannabis withdrawal
- Cocaine withdrawal
- Alcohol withdrawal (Correct answer)
Correct answer: Alcohol withdrawal
Alcohol withdrawal can progress to delirium tremens, seizures, and death, making it the most medically dangerous of these withdrawal syndromes.
Question 7: Screening, Brief Intervention, and Referral to Treatment (SBIRT) is BEST suited for which population?
- Individuals with severe, chronic substance use disorders requiring intensive treatment
- Individuals at risk or in early stages of substance misuse identified in primary care or emergency settings (Correct answer)
- Individuals who have completed residential treatment and need aftercare planning
- Individuals mandated by courts to complete substance use treatment
Correct answer: Individuals at risk or in early stages of substance misuse identified in primary care or emergency settings
SBIRT is designed for early identification and intervention in non-specialty settings like primary care, targeting those at risk or with mild-to-moderate use.
CADC Alcohol and Drug Counselor Ultimate 4
Which stage of group development, according to Yalom, is characterized by conflicts over dominance and leadership among members?