LCAS North Carolina Exam Prep 2026:
300 Practice Questions with Answers |
Licensed Clinical Addiction Specialist
Methadone - >> Correct Answer> the only long-acting full opioid agonist approved for treatment, at
this time. It provides a range of effects similar to those of short-acting opitates like Heroin and
Morphine, surpressing withdrawal symptoms and avoiding cravings as the opioid is eliminated from
the body. Dose needed for cross-tolerance depends on client's level of tolerance for the drug(s).
Trauma-informed treatments - >> Correct Answer> This treatment approach should minimize the risk
of re-traumatization or replicating prior trauma dynamics. Ex: Clients may express feelings of
powerlessness or being trapped if they are not active involved in treatment decisions or if providers
mirror specific behaviors/dynamics from client's past traumatic experiences.
Screening - >> Correct Answer> The first two steps in in this process are to determine whether the
client as a history of trauma and whether he/she has trauma related symptoms.
Screening - >> Correct Answer> 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 - >> Correct Answer> When a client screens positive for substance abuse, trauma-related
symptoms, or mental health disorders, the counselor should follow up with a comprehensive
_______________________
Assessment - >> Correct Answer> This process should reoccur throughout treatment, to provide
valuable information and details as client's trust in staff members grow and progress occurs.
CBT - >> Correct Answer> 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 - >> Correct Answer> a manualized 12-session treatment approach
which can be administered in group or individual practice, which involves Exposure Therapy.
, Exposure Therapy - >> Correct Answer> 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) - >> Correct Answer> 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) - >> Correct Answer> 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) - >> Correct Answer> 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 - >> Correct Answer> 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 - >> Correct Answer> sedative and hypnotic agents which are non-
barbiturate or non-benzodiazepines, including Quaaludes, Ambien (Zolpidem), and Lunesta
(Eszopiclone).
Narcotics or Opiates/Opioids - >> Correct Answer> Drugs that cause sedation and euphoria by
causing depression of the central nervous system.
Narcotics or Opiates/Opioids - >> Correct Answer> Used medically to relieve pain, suppress cough
and control diarrhea, as well as some anxiety relief.
Narcotics or Opiates/Opioids - >> Correct Answer> Overdose can cause death by respiratory
depression
300 Practice Questions with Answers |
Licensed Clinical Addiction Specialist
Methadone - >> Correct Answer> the only long-acting full opioid agonist approved for treatment, at
this time. It provides a range of effects similar to those of short-acting opitates like Heroin and
Morphine, surpressing withdrawal symptoms and avoiding cravings as the opioid is eliminated from
the body. Dose needed for cross-tolerance depends on client's level of tolerance for the drug(s).
Trauma-informed treatments - >> Correct Answer> This treatment approach should minimize the risk
of re-traumatization or replicating prior trauma dynamics. Ex: Clients may express feelings of
powerlessness or being trapped if they are not active involved in treatment decisions or if providers
mirror specific behaviors/dynamics from client's past traumatic experiences.
Screening - >> Correct Answer> The first two steps in in this process are to determine whether the
client as a history of trauma and whether he/she has trauma related symptoms.
Screening - >> Correct Answer> 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 - >> Correct Answer> When a client screens positive for substance abuse, trauma-related
symptoms, or mental health disorders, the counselor should follow up with a comprehensive
_______________________
Assessment - >> Correct Answer> This process should reoccur throughout treatment, to provide
valuable information and details as client's trust in staff members grow and progress occurs.
CBT - >> Correct Answer> 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 - >> Correct Answer> a manualized 12-session treatment approach
which can be administered in group or individual practice, which involves Exposure Therapy.
, Exposure Therapy - >> Correct Answer> 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) - >> Correct Answer> 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) - >> Correct Answer> 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) - >> Correct Answer> 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 - >> Correct Answer> 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 - >> Correct Answer> sedative and hypnotic agents which are non-
barbiturate or non-benzodiazepines, including Quaaludes, Ambien (Zolpidem), and Lunesta
(Eszopiclone).
Narcotics or Opiates/Opioids - >> Correct Answer> Drugs that cause sedation and euphoria by
causing depression of the central nervous system.
Narcotics or Opiates/Opioids - >> Correct Answer> Used medically to relieve pain, suppress cough
and control diarrhea, as well as some anxiety relief.
Narcotics or Opiates/Opioids - >> Correct Answer> Overdose can cause death by respiratory
depression
