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LCAS (NC) Exam 2026 | Questions and Correct Answers | Latest Update | Complete Exam Prep

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Prepare for the LCAS (NC) Exam 2026 with exam-focused practice questions and correct answers covering essential topics for the Licensed Clinical Addiction Specialist examination in North Carolina. This resource is designed to support effective review, self-assessment, and comprehensive exam preparation. Topics Covered: Substance Use Disorders, Addiction Counseling, Screening and Assessment, Treatment Planning, Counseling Methods, Recovery and Relapse Prevention, Co-Occurring Disorders, Crisis Intervention, Professional Ethics, Confidentiality, Client Rights, Documentation, Case Management, Legal and Regulatory Requirements, Professional Practice Standards. Highlights: Updated for 2026, LCAS (NC) exam-focused questions and answers, comprehensive exam preparation, targeted review material, self-assessment support, key addiction counseling concepts.

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LCAS Exam - NC Latest Update 2026 | Exam Prep | 100%
Accurate Answers
1. What stage of addiction is this? Annie and Mike try cigarettes for the first time.

Experimentation

Abuse

Recreational Use

Frequent Use

Addiction

2. What does CBT stand for in the context of substance abuse treatment?

Cognitive Behavior Therapy

Cognitive Behavior Treatment

Cognitive Behavioral Therapy

Cognitive Behavioral Technique

3. The five stages of change are:

hope, contemplation, preparation, action, and support

hope, personal responsibility, education, self-advocacy and support

pre-contemplation, contemplation, personal responsibility, action and
support

pre-contemplation, contemplation, preparation, action, and
maintenance

4. Describe how the indicators of the second stage of drug and alcohol abuse
reflect a progression in addiction.

, The indicators indicate that the individual has fully recovered from
addiction and is engaging in healthy activities.

The indicators show that the individual is moving from casual use to
more regular consumption, which can lead to behavioral changes
and withdrawal from previously enjoyed activities.

The indicators reflect a temporary phase of experimentation without
significant impact on behavior.

The indicators suggest that the individual is maintaining control over
their substance use and improving their social life.

5. What are the two types of dependency discussed in substance abuse
treatment?

Chemical and emotional dependency

Emotional and behavioral dependency

Social and physical dependency

Physical and psychological dependency

6. If a patient has a history of substance abuse and is considering using peyote
for therapeutic purposes, what should be the primary consideration in their
treatment plan?

Encouraging the patient to use peyote without any restrictions.

Focusing solely on traditional medications without considering
alternative therapies.

Ignoring the patient's history and proceeding with peyote use.

Assessing the potential risks and benefits of using peyote in the
context of their addiction history.

,7. Describe how screening impacts the treatment process for clients in
substance abuse programs.

Screening helps identify trauma history, which informs the treatment
approach and ensures it is tailored to the client's needs.

Screening is used to determine the type of medication a client will
receive.

Screening is primarily focused on the client's social support network.

Screening assesses the client's financial situation for treatment
affordability.

8. Which of the 12 core functions is described as the administrative and initial
procedures for admission to a program?

Screening.

Intake.

Reports and record keeping.

Orientation.

9. What is the primary goal of Client-Centered Therapy?

Self-healing through self-discovery and self-acceptance.

Cognitive restructuring of negative thoughts.

Behavior modification through reinforcement.

Development of interpersonal skills.

10. LSD and PCP are:

barbiturates

narcotics

, hallucinogens

cannabis

11. In a case where a patient is struggling with the psychological triggers of
addiction, which therapeutic technique would be most beneficial?

Cognitive-behavioral therapy (CBT)

Nutritional counseling

Medication-assisted treatment (MAT)

Detoxification procedures

12. Describe how the progression from experimental use to regular abuse
reflects changes in behavior associated with addiction.

The stages of addiction are unrelated to behavioral changes.

Dependence occurs before regular abuse in the stages of addiction.

The progression from experimental use to regular abuse reflects
increasing behavioral changes and dependence on the substance.

Regular abuse is characterized by a decrease in substance use.

13. Describe the primary effects of PCP on an individual.

PCP leads to sedation and memory loss.

PCP causes stimulation, depression, analgesia, and hallucinations.

PCP has no significant effects on mood or perception.

PCP primarily induces euphoria and increased energy.

14. In a group therapy session, members experience conflicts and
misunderstandings. What stage of group development is this?

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