National Certified Addiction Counselor, Level II Practice Test
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NCAC-II
National Certified Addiction Counselor, Level II
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Question: 186
Which of the following is a common symptom of hallucinogen intoxication?
A. Increased energy and euphoria
B. Constricted pupils and decreased sensory perception
C. Hallucinations and altered perception of reality
D. Increased heart rate and blood pressure
Answer: C
Explanation: Hallucinogens are psychoactive substances that can cause
profound alterations in perception, thoughts, and sensations. Hallucinations,
which are sensory experiences that are not based in reality, and altered
perception of reality are common symptoms of hallucinogen intoxication.
These substances can distort a person's perception of time, space, and their own
senses, leading to vivid and sometimes unpredictable hallucinations.
Question: 187
Which of the following is a characteristic of a harm reduction approach to
addiction treatment?
A. Promoting abstinence as the only acceptable outcome
B. Providing judgment and punishment for relapse
C. Encouraging individuals to continue using substances
D. Focusing solely on medical interventions
Answer: C
Explanation: A harm reduction approach to addiction treatment recognizes that
not all individuals are ready or willing to achieve immediate abstinence from
substances. Instead, it focuses on minimizing the negative consequences
associated with drug use and promoting healthier behaviors. Harm reduction
strategies may include needle exchange programs, safe consumption sites,
education about safer drug use practices, and providing access to resources for
reducing harm, such as naloxone for opioid overdose prevention.
Question: 188
What is the primary purpose of group therapy in addiction treatment?
A. Isolating individuals from their social networks
B. Providing one-on-one counseling sessions
C. Offering support from peers and shared experiences
D. Administering medication-assisted treatment
Answer: C
Explanation: Group therapy plays a vital role in addiction treatment by
providing individuals with a supportive and empathetic environment where
they can share their experiences, challenges, and successes with others facing
similar issues. Group therapy allows participants to gain insights from different
perspectives, receive support, build social connections, and practice healthy
communication and relationship skills. It offers a sense of belonging and helps
individuals develop a support network during their recovery journey.
Question: 189
Which of the following is an example of a pharmacological intervention for
addiction?
A. Cognitive-behavioral therapy (CBT)
B. Mindfulness-based stress reduction (MBSR)
C. Methadone maintenance treatment for opioid dependence
D. Assertiveness training
Answer: C
Explanation: Pharmacological interventions for addiction involve the use of
medications to help individuals manage withdrawal symptoms, reduce cravings,
and maintain abstinence. Methadone maintenance treatment is a well-known
example of a pharmacological intervention for opioid dependence. Methadone
is a long-acting opioid agonist that can help stabilize individuals with opioid
use disorder by reducing withdrawal symptoms and cravings. It is administered
under medical supervision as part of a comprehensive treatment plan.
Question: 190
What is the primary purpose of an intake assessment in addiction counseling?
A. Encouraging continued substance use
B. Identifying triggers and cravings
C. Establishing rapport and understanding client needs
D. Evaluating treatment progress
Answer: C
Explanation: An intake assessment is an initial evaluation conducted in
addiction counseling to gather relevant information about the client's substance
use history, current challenges, and treatment needs. The primary purpose of an
intake assessment is to establish rapport with the client and create a therapeutic
alliance. It helps the counselor understand the client's unique circumstances,
assess their readiness for change, identify any co-occurring disorders, and
determine appropriate treatment goals and interventions.
Question: 191
What is the primary purpose of a treatment plan in addiction counseling?
A. Encouraging continued substance use
B. Identifying triggers and cravings
C. Establishing a therapeutic alliance
D. Outlining goals and interventions for treatment
Answer: D
Explanation: A treatment plan in addiction counseling serves as a roadmap for
the client's recovery journey. The primary purpose of a treatment plan is to
outline specific goals, interventions, and strategies that will guide the client's
progress in overcoming substance abuse and achieving sustained recovery. It is
a collaborative document created by the counselor and the client, taking into
account the client's unique needs, strengths, and treatment preferences. The
treatment plan provides a structured framework for addressing triggers,
developing coping skills, and measuring progress throughout the counseling
process.
Question: 192
Which of the following is a characteristic of a strengths-based approach in
addiction counseling?
A. Focusing on deficits and weaknesses
B. Imposing goals and solutions on the client
C. Utilizing confrontational techniques
D. Identifying and building on client strengths and resources
Answer: D
Explanation: A strengths-based approach in addiction counseling emphasizes
the client's unique strengths, abilities, and resources as the foundation for
change and recovery. Instead of focusing solely on deficits and weaknesses, this
approach recognizes and empowers the client's existing strengths to overcome
challenges. The counselor collaborates with the client to identify and build
upon their personal strengths, skills, support systems, and positive qualities. By
leveraging these strengths, the client is encouraged to take an active role in
their recovery and develop a sense of self-efficacy.
Question: 193
What is the primary purpose of a relapse prevention group in addiction
treatment?
A. Encouraging continued substance use
B. Providing medical treatment and supervision
C. Offering support and strategies to prevent relapse
D. Isolating individuals from their social networks
Answer: C
Explanation: A relapse prevention group in addiction treatment aims to provide
support, education, and strategies to help individuals maintain their recovery
and prevent relapse. It offers a safe and non-judgmental space where
participants can share their experiences, challenges, and successes related to
maintaining sobriety. The group focuses on developing coping skills,
identifying triggers and high-risk situations, enhancing problem-solving
abilities, and building a relapse prevention plan. By receiving support from
peers and learning from shared experiences, individuals in the group can
strengthen their resilience and Improve their chances of sustained recovery.
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