Addiction Counselor Practice Test

Try this free addiction counselor practice test to see what's on a licensing or certification exam for counselors who work with substance addiction. 

Most states require that an addiction counselor be certified or licensed.  Organizations such as the National Certification Commission for Addiction Professionals (NCC AP) provide education and certification opportunities. To become a certified addiction counselor, a candidate has to pass an exam. The NCC AP offers different levels of certifcation such as National Certified Addiction Counselor I and II and Master Addiction Counselor (MAC).  Addiction counselor exams cover such subjects as screening, assessment and engagement, treatment planning, collaboration and referral, case management, individual and group counseling and professional respsonsibility.

Screening, Assessment and Engagement

1. All of the following are questions on the CAGE questionnaire EXCEPT?
2. Which of the following drugs would be present on a Urine Drug Screen (UDS) 5 days after use?
3. Joseph comes into your office for an intake assessment required by his Probation Officer. Joseph is reluctant to discuss his opiate use. However, he is compliant because he knows that the results of the intake would be reported to his PO. He shared that he is on probation as a result of being arrested for stealing. Joseph explained that he was stealing to support his heroin use and has continued to use since his arrest. Joseph began using Oxycodone recreationally at age 17 which progressed to daily use soon after. Joseph began using heroin approximately 8 months later due to the cost difference. Joseph has used to avoid withdrawal symptoms. He recent began to share needles and noted that he is aware of the health risk that this behavior poses. Joseph's family began distancing themselves from him when he continued using heroin after being arrested.

With the information provided, how would you diagnosis Joseph?
4. Susan was referred for an Alcohol Assessment by her Primary Care Physician. She scored a 17 on the AUDIT assessment. Which risk zone and action recommendation would be the most appropriate?
5. Which option correctly represents the Stages of Change Model?

Treatment Planning, Collaboration and Referral

6. A 67 year old female, Mary, attends an intake assessment with you on Monday. You diagnosis her with Alcohol Use Disorder, Severe and Bipolar I. You gave her a treatment schedule to engage her in group sessions along with a referral for a doctor on staff to assess for medications. Mary lives alone and has limited mobility due to severe arthritis. Mary misses her group session on Wednesday. As her primary clinician, you call her to follow up regarding her absence. While on the phone, it becomes apparent that she is inebriated and she reported falling down stairs and is struggling to get up. You encourage her to call 911, however she refuses.

Which would be the best course of action to present to your supervisor?
7. All of the following are indicators that a person would be appropriate for inpatient treatment except:
8. Thomas is currently engaged in group and individual counseling with you and has a diagnosis of Alcohol Use Disorder, Severe and ADHD. Thomas has a positive Urine Drug Screen for stimulants and reported that he is currently prescribed stimulants for his ADHD by Dr. Smith.

Which of the following actions would not be appropriate for you to do?
9. Treatment plans should be updated_________.
10. Sara is currently engaged in group and individual sessions with you. A current goal is to receive the Vivitrol injection to aide in her abstinence from opiate use. As her counselor, how can you best support her?
11. Who should be involved in developing the treatment plan?
12. 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?

Case Management, Discharge and Continuing Care

13. At what phase of treatment does case management begin?
14. 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?
15. 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?
16. All of the following are models of case management except:
17. All of the following are benefits of aftercare treatment except:
18. All case management approaches can be considered ______-_______.

Counseling (Individual and Group)

19. 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?
20. Which of the following is not a consequence of glorifying drug use in a group session?
21. Which form of counseling has been shown to have the most benefit with addiction?
22. Which therapeutic approach is the most effective when working with a resistant client?
23. Matt is a heroin addict. Which group would be an appropriate suggestion for him?
24. You are facilitating a co-occurring mental health and substance abuse group. One of the group members, Sally, shares that she has been struggling with her depression symptoms and feels as though being sober is "too much". She noted that yesterday on her way home from work she was driving by a liquor store and stayed in the parking lot for approximately 35 minutes before calling her sponsor. Which approach are you least likely to use?

Professional and Ethical Responsibility

25. What is transference?
26. Mary is an 18 year old female who is currently engaged in outpatient treatment with you. She has been actively using cocaine and has reported continued discord with her mother. Mary has not signed a consent for her mother at this time. While in your office, you receive a phone call from her mother insisting to know the results from Mary's recent drug screens. Mary's mother stated that she believes her daughter is using cocaine based on her current behaviors and "attitude".

What is the most appropriate response?
27. Steven is a 15 year old male who was referred to treatment by his school counselor after he was observed impaired at school. Steven has been abusing Xanax and acknowledges use at school. He currently lives with his mother who has a legal prescription for Xanax which she does not keep in a locked location. Steven's mother is aware that this is her son's drug of choice and has decided to not keep her prescription in a secure location. Knowing that your client's drug of choice is not securely locked in the house, what would be the best course of action to discuss with your supervisor?
28. Sally and Joe have been married for 16 years and have a pattern of verbal and physical abuse when drinking. Both persons are engaged in treatment within your facility. You work with Joe and your colleague works with Sally individually. Joe informs you that he and Sally have been drinking every night to the point of blacking out. He explains that they often wake up in the living room and do not remember several hours of the evening before. You are aware that they have 2 children, ages 7 and 4 who live with them. You feel as though you need to do something regarding the children's safety.

Which of the following is the best option to discuss with your supervisor?
29. While working in an outpatient clinic, you recognize the name of a person you are supposed to conduct an intake assessment with at 2pm in the afternoon. You recognize the name because this person is friends with your brother. What is the best course of action?
30. You facilitate an after care group for clients who have successfully completed your inpatient program. This group is on an outpatient basis and occurs once per week. You are notified that a person who was engaged in the inpatient treatment at the same time as some of your aftercare patients has overdosed and died. How should you proceed?

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