LCAS ACTUAL 2026-
2027 Exam – NC WITH
QUESTIONS AND
CORRECT VERIFIED
ANSWERS GRADED A+
Screening - ANSWERS-Often the first contact between client and treatment providers,
this interaction can set the tone of treatment and being the relationship with the client.
Assessment - ANSWERS-When a client screens positive for substance abuse, trauma-
related symptoms, or mental health disorders, the counselor should follow up with a
comprehensive _______________________
Assessment - ANSWERS-This process should reoccur throughout treatment, to provide
valuable information and details as client's trust in staff members grow and progress
occurs.
CBT - ANSWERS-Most PTSD and SA models involve ________________ that
integrates cognitive and behavioral theories by incorporation two ideas: that thoughts
mediate between situational demands and one's attempts to effective respond and that
behavioral change influences acceptance of altered cognition about oneself or a
situation and establishment of newly learned patterns
, Cognitive Processing Therapy - ANSWERS-a manualized 12-session treatment
approach which can be administered in group or individual practice, which involves
Exposure Therapy.
Exposure Therapy - ANSWERS-This type of therapy asks clients to directly describe
and explore trauma-related memories, objects, emotions, or places. Intense emotions
are evoked, but decrease, desensitizing clients through repeated encounters with
traumatic material.
Experimental and Social Use of Drugs and Alcohol (stage 1) - ANSWERS-occasional -
perhaps a few times monthly, usually on weekends or at parties with friends. May use
when alone. Little to no behavioral changes, occasional, moderate hangover.
Abuse of Drugs and Alcohol (stage 2) - ANSWERS-regular use - up to several times a
week. may begin use during the day. may be using along rather than with friends. There
are behavioral indicators in this phase of addiction, such as a decrease in activities,
declined in school or work performance, and greater interest in use. May use to
manipulate emotions in this phase. May sell drugs or keep supply for personal use.
Dependency/Addiction Phase (Stage 3) - ANSWERS-daily use, continuous. will take
serious risks to obtain drugs/alcohol, potentially including criminal behavior.
Drugs/Alcohol help client to feel normal. Behavioral indicators can include changes in
weight, health issues, poor appearance, memory loss, volatile mood swings,
employment loss, possible overdoses, lack of concern about being caught. Chronic
relapsing disorder in his phase.
Alcohol - ANSWERS-The most widely used and accepted drug, past and present. A
depressant, similar to the anesthetic drug ether. The only non-medical drug taken "only"
orally. It slows heart rate and slows breathing. It depresses the brain. This is the only
drug with which a large number of those who use it do not become physically
dependent on it. An estimated 10% of those who use it become dependent.
Other Sedative-Hynotics - ANSWERS-sedative and hypnotic agents which are non-
barbiturate or non-benzodiazepines, including Quaaludes, Ambien (Zolpidem), and
Lunesta (Eszopiclone).
Narcotics or Opiates/Opioids - ANSWERS-Drugs that cause sedation and euphoria by
causing depression of the central nervous system.
Narcotics or Opiates/Opioids - ANSWERS-Used medically to relieve pain, suppress
cough and control diarrhea, as well as some anxiety relief.
Narcotics or Opiates/Opioids - ANSWERS-Overdose can cause death by respiratory
depression
Semi-synthetic Opiates - ANSWERS-Hydromorphone (Dilaudid), Oxycodone, Heroin
2027 Exam – NC WITH
QUESTIONS AND
CORRECT VERIFIED
ANSWERS GRADED A+
Screening - ANSWERS-Often the first contact between client and treatment providers,
this interaction can set the tone of treatment and being the relationship with the client.
Assessment - ANSWERS-When a client screens positive for substance abuse, trauma-
related symptoms, or mental health disorders, the counselor should follow up with a
comprehensive _______________________
Assessment - ANSWERS-This process should reoccur throughout treatment, to provide
valuable information and details as client's trust in staff members grow and progress
occurs.
CBT - ANSWERS-Most PTSD and SA models involve ________________ that
integrates cognitive and behavioral theories by incorporation two ideas: that thoughts
mediate between situational demands and one's attempts to effective respond and that
behavioral change influences acceptance of altered cognition about oneself or a
situation and establishment of newly learned patterns
, Cognitive Processing Therapy - ANSWERS-a manualized 12-session treatment
approach which can be administered in group or individual practice, which involves
Exposure Therapy.
Exposure Therapy - ANSWERS-This type of therapy asks clients to directly describe
and explore trauma-related memories, objects, emotions, or places. Intense emotions
are evoked, but decrease, desensitizing clients through repeated encounters with
traumatic material.
Experimental and Social Use of Drugs and Alcohol (stage 1) - ANSWERS-occasional -
perhaps a few times monthly, usually on weekends or at parties with friends. May use
when alone. Little to no behavioral changes, occasional, moderate hangover.
Abuse of Drugs and Alcohol (stage 2) - ANSWERS-regular use - up to several times a
week. may begin use during the day. may be using along rather than with friends. There
are behavioral indicators in this phase of addiction, such as a decrease in activities,
declined in school or work performance, and greater interest in use. May use to
manipulate emotions in this phase. May sell drugs or keep supply for personal use.
Dependency/Addiction Phase (Stage 3) - ANSWERS-daily use, continuous. will take
serious risks to obtain drugs/alcohol, potentially including criminal behavior.
Drugs/Alcohol help client to feel normal. Behavioral indicators can include changes in
weight, health issues, poor appearance, memory loss, volatile mood swings,
employment loss, possible overdoses, lack of concern about being caught. Chronic
relapsing disorder in his phase.
Alcohol - ANSWERS-The most widely used and accepted drug, past and present. A
depressant, similar to the anesthetic drug ether. The only non-medical drug taken "only"
orally. It slows heart rate and slows breathing. It depresses the brain. This is the only
drug with which a large number of those who use it do not become physically
dependent on it. An estimated 10% of those who use it become dependent.
Other Sedative-Hynotics - ANSWERS-sedative and hypnotic agents which are non-
barbiturate or non-benzodiazepines, including Quaaludes, Ambien (Zolpidem), and
Lunesta (Eszopiclone).
Narcotics or Opiates/Opioids - ANSWERS-Drugs that cause sedation and euphoria by
causing depression of the central nervous system.
Narcotics or Opiates/Opioids - ANSWERS-Used medically to relieve pain, suppress
cough and control diarrhea, as well as some anxiety relief.
Narcotics or Opiates/Opioids - ANSWERS-Overdose can cause death by respiratory
depression
Semi-synthetic Opiates - ANSWERS-Hydromorphone (Dilaudid), Oxycodone, Heroin
