NCAC Domain 4: Addiction counseling practices and skills Welcome to your NCAC Domain 4: Addiction counseling practices and skills 1. NCAC 1: Addiction counseling practices and skills When conducting a motivational interviewing session, which of the following is NOT a core principle? Expressing empathy Developing discrepancy Direct confrontation Supporting self-efficacy None 2. NCAC 1: Addiction counseling practices and skills In addiction counseling, the concept of "rolling with resistance" is most closely associated with which of the following approaches? Cognitive Behavioral Therapy Motivational Interviewing Dialectical Behavior Therapy 12-Step Facilitation None 3. NCAC 1: Addiction counseling practices and skills When utilizing the stages of change model in addiction counseling, a client who is beginning to consider the possibility of change but is ambivalent and not yet ready to commit to action is in which stage? Precontemplation Contemplation Preparation Action None 4. NCAC 1: Addiction counseling practices and skills Which of the following best describes the technique of "reframing" in the context of addiction counseling? Changing the setting of counseling sessions to avoid triggering substance use Altering the client's perception of an event or situation to see it in a more positive or neutral light Modifying the treatment plan to better align with the client's goals and needs Shifting the focus of therapy from individual sessions to group sessions None 5. NCAC 1: Addiction counseling practices and skills In the context of addiction treatment, the term "dual diagnosis" refers to which of the following? The presence of two different substance use disorders in a client The diagnosis of both a substance use disorder and a co-occurring mental health disorder The use of dual therapy methods, such as medication and counseling Identifying both the physical and psychological aspects of addiction in a client None 6. NCAC 1: Addiction counseling practices and skills In addiction counseling, the technique of "urging the client to consciously experiment with minor changes in their behavior" is known as what? Behavioral activation Motivational enhancement Behavioral experimentation Cognitive restructuring None 7. NCAC 1: Addiction counseling practices and skills Which of the following best describes the role of a counselor when using the technique of "normalizing" in addiction counseling? Ensuring the client understands that their substance use is not out of the ordinary Helping the client to establish a routine that excludes substance use Encouraging the client to adhere to societal norms and values Providing reassurance that their feelings and experiences are not unusual or shameful None 8. NCAC 1: Addiction counseling practices and skills When a counselor uses the term "harm reduction" in the context of addiction counseling, they are referring to which of the following? Completely eliminating the use of substances by the client Reducing the legal consequences associated with substance use Decreasing the negative health and social consequences of substance use without requiring abstinence Focusing solely on the physical health aspects of recovery None 9. NCAC 1: Addiction counseling practices and skills In the context of addiction counseling, "countertransference" refers to what? The client's transfer of feelings from individuals in their past onto the counselor The counselor's personal reaction to the content of the client's discussion The mutual transfer of feelings between the client and counselor The client's resistance to discussing past traumas or issues None 10. NCAC 1: Addiction counseling practices and skills In addiction counseling, the concept of "self-disclosure" should be used by the counselor with the primary aim of: Building rapport with the client Sharing personal experiences of addiction and recovery Educating the client about the dangers of substance abuse Establishing the counselor's authority and expertise None 11. NCAC 1: Addiction counseling practices and skills In addiction counseling, when a counselor observes a discrepancy in the client's behavior and their stated recovery goals, it is important to: Immediately confront the client with the inconsistency Ignore the discrepancy to avoid upsetting the client Explore the discrepancy with the client to increase their awareness Report the behavior to a supervisor or family member None 12. NCAC 1: Addiction counseling practices and skills The use of "contingency management" in addiction counseling is best described as: A crisis intervention strategy to manage immediate threats Using specific consequences to modify client behavior A legal framework to mandate treatment adherence An approach to manage the counselor's expectations None 13. NCAC 1: Addiction counseling practices and skills In the context of addiction counseling, "interpersonal process recall" is a technique used to: Review and analyze the client's past relationships Reflect on the therapeutic session and the dynamics within it Track the client's progress in social settings Recall and process past traumas with the client None 14. NCAC 1: Addiction counseling practices and skills When a counselor in addiction treatment uses "solution-focused therapy," they are primarily: Exploring the root causes of the client's addiction Focusing on the client's past experiences and traumas Working with the client to develop and achieve specific goals Addressing the physical symptoms of addiction None 15. NCAC 1: Addiction counseling practices and skills The therapeutic approach that emphasizes unconditional positive regard, empathy, and genuineness in the counselor-client relationship is known as: Cognitive Behavioral Therapy Person-Centered Therapy Rational Emotive Behavior Therapy Motivational Enhancement Therapy None 16. NCAC 1: Addiction counseling practices and skills In addiction counseling, the "ABCDE" model is a cognitive-behavioral technique used to help clients: Assess the benefits of substance use Build resilience against relapse Categorize different stages of addiction Dispute irrational beliefs and evaluate the effects of behavior None 17. NCAC 1: Addiction counseling practices and skills When an addiction counselor uses the technique of "psychoeducation," they are aiming to: Diagnose psychological disorders in clients Provide clients and their families with information about addiction Prepare clients for the psychological effects of detoxification Educate clients on the history of psychotherapy None 18. NCAC 1: Addiction counseling practices and skills In addiction counseling, "craving identification and management" techniques are crucial for: Determining the substance of choice Identifying triggers and developing strategies to manage urges Measuring the intensity of substance dependence Evaluating the nutritional deficiencies in clients None 19. NCAC 1: Addiction counseling practices and skills The technique of "chain analysis" in addiction counseling is primarily used to: Analyze the genetic factors contributing to addiction Understand the interconnected factors leading to a relapse Determine the chronological order of substance use in a client's life Assess the financial impact of addiction on the client None 20. NCAC 1: Addiction counseling practices and skills When addressing substance use in group therapy, the concept of "group cohesion" is important because it: Encourages competition among group members Reduces the likelihood of members sharing personal experiences Enhances the support and safety felt by members, fostering open communication Focuses on the individual rather than the group None 1 out of 20 Time is Up! Time's up
