LCAS (NC) Exam – 173 Most Tested Questions & Answers
| Latest Update 2026 | 100% Pass Guarantee
1. What is medical necessity?
Healthcare services or products that a prudent physician would
provide to a patient for the purpose of preventing, diagnosing or
treating an illness that is in accordance with generally accepted
standards of medical practice, clinically appropriate and not
primarily for the economic benefit of health plans or patients
A way for health plans to deny coverage for a service
The conscientious, explicit, judicious and reasonable use of evidence
in making decisions about the care of individual patients
Tailoring clinical documentation to meet the criteria of clinical
indicators and policies to help reduce administrative burdens and
enhance the patient experience
2. If a client on methadone presents with symptoms of respiratory depression
after taking alprazolam, what immediate action should be taken?
Administer naloxone and provide respiratory support
Increase the dose of methadone
Contact the client's family for advice
Monitor the client without intervention
3. Having a drug problem and another mental health issue at the same time (like
anxiety or depression) is called a co-occurring condition. All co-occurring
conditions should be treated, but it is best to:
Treat the anxiety or depression first.
Treat the drug use disorder first.
, Treat them both at the same time.
Treat them by yourself without a doctor's help.
4. What type of medication is buprenorphine primarily used for in the context
of substance use disorders?
Stimulant
Benzodiazepine
Opioid partial agonist
Antidepressant
5. If a patient on lithium presents with signs of dehydration after consuming
alcohol, what should be the immediate course of action?
Advise the patient to stop taking lithium immediately.
Assess the patient's hydration status and consider adjusting the
lithium dosage.
Increase the lithium dosage to counteract the effects of alcohol.
Provide the patient with caffeine to counteract dehydration.
6. Why is assessing withdrawal risk crucial during the intake process for clients
with SUD?
Assessing withdrawal risk only affects medication choices.
Assessing withdrawal risk is crucial because it helps determine the
appropriate level of care and necessary interventions for safe
treatment.
Assessing withdrawal risk is not important as all clients are treated the
same.
, Assessing withdrawal risk is only relevant for clients with a history of
severe addiction.
7. If a client with both schizophrenia and a substance use disorder is not
responding to standard treatment, what should be the next step in their care
plan?
Increase the frequency of therapy sessions
Implement integrated treatment strategies
Switch to a different substance use treatment program
Focus exclusively on medication management
8. Which of the following is NOT part of the process of gender transition?
social transition
gender-affirming surgeries
hormone-replacement therapy
reparative therapy
9. Programs and providers covered by 42 Code of Federal Regulations (CFR)
Part 2 are restricted in releasing information that would identify the client as
an "alcohol or drug abuser." There are nine circumstances when information
can be disclosed. Which of the following are included in the nine
circumstances?
When disclosure does not identify the client as an alcohol or drug
user.
All of the above are circumstances where information can be
disclosed according to 42 CFR Part 2.
When a counselor is consulting with other staff.
, When a release of information is signed that is in accordance with
federal guidelines.
10. What classification do valproate and carbamazepine belong to in terms of
medication types?
Stimulants
Mood stabilizers
Antidepressants
Antipsychotics
11. In a treatment plan for a patient with a substance use disorder and bipolar
disorder, which medication would be most appropriate to include for mood
stabilization?
Stimulants
Mood stabilizers
Antipsychotics
Antidepressants
12. What should a counselor do when a client discloses substance use but
requests non-documentation?
Explain documentation requirements and document clinically
relevant information
Document only the client's positive progress
Assure the client that no documentation is necessary
Ignore the client's request and document everything
| Latest Update 2026 | 100% Pass Guarantee
1. What is medical necessity?
Healthcare services or products that a prudent physician would
provide to a patient for the purpose of preventing, diagnosing or
treating an illness that is in accordance with generally accepted
standards of medical practice, clinically appropriate and not
primarily for the economic benefit of health plans or patients
A way for health plans to deny coverage for a service
The conscientious, explicit, judicious and reasonable use of evidence
in making decisions about the care of individual patients
Tailoring clinical documentation to meet the criteria of clinical
indicators and policies to help reduce administrative burdens and
enhance the patient experience
2. If a client on methadone presents with symptoms of respiratory depression
after taking alprazolam, what immediate action should be taken?
Administer naloxone and provide respiratory support
Increase the dose of methadone
Contact the client's family for advice
Monitor the client without intervention
3. Having a drug problem and another mental health issue at the same time (like
anxiety or depression) is called a co-occurring condition. All co-occurring
conditions should be treated, but it is best to:
Treat the anxiety or depression first.
Treat the drug use disorder first.
, Treat them both at the same time.
Treat them by yourself without a doctor's help.
4. What type of medication is buprenorphine primarily used for in the context
of substance use disorders?
Stimulant
Benzodiazepine
Opioid partial agonist
Antidepressant
5. If a patient on lithium presents with signs of dehydration after consuming
alcohol, what should be the immediate course of action?
Advise the patient to stop taking lithium immediately.
Assess the patient's hydration status and consider adjusting the
lithium dosage.
Increase the lithium dosage to counteract the effects of alcohol.
Provide the patient with caffeine to counteract dehydration.
6. Why is assessing withdrawal risk crucial during the intake process for clients
with SUD?
Assessing withdrawal risk only affects medication choices.
Assessing withdrawal risk is crucial because it helps determine the
appropriate level of care and necessary interventions for safe
treatment.
Assessing withdrawal risk is not important as all clients are treated the
same.
, Assessing withdrawal risk is only relevant for clients with a history of
severe addiction.
7. If a client with both schizophrenia and a substance use disorder is not
responding to standard treatment, what should be the next step in their care
plan?
Increase the frequency of therapy sessions
Implement integrated treatment strategies
Switch to a different substance use treatment program
Focus exclusively on medication management
8. Which of the following is NOT part of the process of gender transition?
social transition
gender-affirming surgeries
hormone-replacement therapy
reparative therapy
9. Programs and providers covered by 42 Code of Federal Regulations (CFR)
Part 2 are restricted in releasing information that would identify the client as
an "alcohol or drug abuser." There are nine circumstances when information
can be disclosed. Which of the following are included in the nine
circumstances?
When disclosure does not identify the client as an alcohol or drug
user.
All of the above are circumstances where information can be
disclosed according to 42 CFR Part 2.
When a counselor is consulting with other staff.
, When a release of information is signed that is in accordance with
federal guidelines.
10. What classification do valproate and carbamazepine belong to in terms of
medication types?
Stimulants
Mood stabilizers
Antidepressants
Antipsychotics
11. In a treatment plan for a patient with a substance use disorder and bipolar
disorder, which medication would be most appropriate to include for mood
stabilization?
Stimulants
Mood stabilizers
Antipsychotics
Antidepressants
12. What should a counselor do when a client discloses substance use but
requests non-documentation?
Explain documentation requirements and document clinically
relevant information
Document only the client's positive progress
Assure the client that no documentation is necessary
Ignore the client's request and document everything
