LCDC Test, Questions and answers, 100% Accurate, Verified.

LCDC Test, Questions and answers, 100% Accurate, Verified. A wife refers her husband for substance abuse counseling. His drug of choice is cocaine which he has been using episodically with friends at a poker game (biweekly to weekly) for some years. She is disturbed at the illicit nature of the drug and the long standing use. He stated that though he recreationally uses, he doesn't crave cocaine, doesn't seek it out but rather uses with friends at the game who bring it. He feels that other than his wife being upset, he has no other social or occupational issues. Given the information provided, how is his use of cocaine BEST described? - -IT IS NOT described as: Substance abuse, cocaine intoxication, or cocaine use disorder. What is Neuroplasticity? - -the ability of the brain to form and reorganize synaptic connections following an injury or longterm drug use. What does the experienced effect of a drug depend upon? - -t taken & past experiences of administration drug use How is drug tolerance BEST described? - -A (Decreased) sensitivity to a drug overtime List some drug cues or triggers: - -1.Prior drug use setting 2.Drug Paraphernalia 3.Seeing others use What does (SASSI) stand for & what is it? - -(Substance Abuse Subtle Screening Inventory) a brief self-report questionnaire that identifies substance use disorder. For adults & adolescents. now there's 3rd edition (SASSI-3) for adults. (67 true & false items & a 26 item self report questions) What happens as tolerance for barbiturates develops? - -The margin between intoxication & lethality stays the same. What is the MOST common symptom of Wernicke's encephalopathy? - -Confusion What does (formication) refer to? - -The sensation of bugs crawling on skin. Or (Magnon's syndrome) What is the organ most damaged by cocaine abuse? - -The Heart List (3) basic chemical classes of amphetamines: - -1.Methamphetamine (meth) 2.Amphetamine Sulphate (speed) 3.Dextroamphetamine (Dexy's) In terms of difficulty quitting (dependence), which of the following drugs ranks the highest? - -Nicotine THC content in marijuana varies widely. True or false? - -True Regarding substance abuse, what does the Convergence Theory propose? - -Rates of substance abuse among women are converging with men. Which subcategory of alcohol use disorder onset is NOT found in the elderly? - -(Early onset) alcoholism At an initial meeting with a new client, what is the FIRST requirement? - -Establish Rapport What does motivational interviewing primarily involve? - -Supportive Persuasion What percentage of individuals with a dual diagnosis (co-occurring disorders) received treatment for only their mental illness? - -32.9% percent What factors can affect screening instrument validity? - -ng/privacy rt/trust instructions Which function is NOT what a Certified Alcohol & Drug Abuse Counselor can perform? - -Diagnose Mental Disorders What does the acronym (GATE) stand for& what is it? - -1.Gather Info 2.Access Supervision 3.Take action 4.Extend action (addresses suicidality) Assessments processes and instruments need to be sensitive to: - -1.Race & ethnicity 2.Age & gender 3.Disabilities What are serious mental health symptoms that resolve with abstinence in (thirty days or less) most likely to? - -Substance abuse-induced disorders that require continued abstinence. Which one of the following alcohol abuse screening tests is designed specifically for use with (adolescents), and briefly describe it? - -(CRAFFT) A brief 6 question screening tool that identifies high risk alcohol & substance use disorders. Derives name from key words: C: Ever driven in a CAR with someone using alcohol/drugs? R: Ever use to RELAX? A: Ever use ALONE? F: Ever FORGET things while using? F: Ever been told by family/FRIENDS to stop? T: Ever gotten in TROUBLE using? Which of the following is the MOST important introductory statement or question to ask in a suicidality evaluation? - -I need to ask you a few questions about suicide. What is the purpose of screening? - -To determine the need for placement & referral. What is the primary purpose of substance abuse assessment? - -To determine the severity of the problem. Who should create a treatment plan? - -A Collaborative team w/the client. How must 'assessment information' be handled to be the Most effective? - -Info should be converted into goals & objectives. What does NOT bolster a client's desire to complete the program? - -(Frequent) interdisciplinary consultations. When is a client fully prepared to enter treatment? - -When they accept the need for treatment. The Guiding principles when writing goals in (treatment planning) are identified by which acronym? - -(MATRS) M:Measurable A:Attainable T: Time limited R:Realistic S:Specific In cases involving the criminal justice system, what is the minimum recommendation for frequency of updating treatment plans? - -At all transition points. The Addiction Severity Index (ASI) has been formally adopted by which organization? - -The National Institute on Drug Abuse (NIDA) What does it mean if an assessment instrument is valid? - -The instrument assesses what it's supposed to assess. Are the following statements True or False? 1.Depression can lead to self medication with drugs 2.Drugs can induce symptoms of depression. 3.Drugs can worsen symptoms of depression. - -They are all (True) How does motivation for participating in treatment differ from motivation to change behaviors - -Motivation for change is internal; Yet treatment may be pushed on a client. How does the Center for Substance Abuse Treatment (CSAT) recommend that substance abuse be considered and treated? - -As a chronic, yet treatable condition. How does the Center for Substance Abuse Treatment (CSAT) indicate that treatment or interventions provided following discharge from a formal inpatient or outpatient program be referred to? - -For Continuing Care What is the best distinction between substance abuse treatment programs and mutual-help groups, such as 12 step support groups? - -Programs offer (treatment) and groups offer (support) What are the intensive outpatient treatment (IOT) CORE features that the Center for Substance Abuse Treatment (CSAT) consensus panel agreed upon? - -e & orientation biopsychosocial idualized treatment plan idual, family & group counseling oeducational programming -management ges with help nity based support groups 9. (24) hour crisis support 10. medical treatment/medication mngmt screening tional/vocational services iatric evaluation & psychotherapy arge planning & transition services What are some of the Core treatment and recovery skills? - -Training in: 1.Assertiveness 2.Relaxation 3.Stress management 4.Substance refusal What are the 7 primary learning styles? - - (auditory) l (spatial) l (linguistic) cal (kinesthetic) al (mathematic) l (inter-personal) ary (intra-personal) What is the influence of (family) on treatment outcomes? - -They improve with family (support), yet can worsen with family (involvement). How many main levels exist in the substance abuse continuum of care, according to the American Society of Addiction Medicine (ASAM), and what are they? - -(4 main levels) Level 0.5: Early intervention Level 1: (Outpatient) (less than 9 hrs a wk) Level 2: (Intensive-Outpatient) hospitalization (min 9 hrs a wk) Level 3: (Residential-Inpatient) (min 25 hrs a wk) Level 4: (Intensive-Inpatient) Medically Managed daily physician supervision How many sequential stages must outpatient clients work through, regardless of the level of care at which they enter treatment, and what are they? - -Four stages: 1.Treatment Engagement 2.Early Recovery 3.Maintenance 4.Community Support What is the usual recommended minimum duration of days for the intensive outpatient treatment (IOT) phase? - -(90) days How is the most effective relapse-prevention training provided? - -Group & Individual are equally effective. What are some types of intensive outpatient treatment (IOT) groups? - -1. Psychoed 2. Interpersonal process 3. Skills Development 4. Family & Couples 5. Support What is the most common duration of counseling in an intensive outpatient treatment (IOT) program? - -(30 to 50 minutes) 1 x weekly What is involved in a common session format of individual counseling? - -Ask about: Reactions to group & feelings, urgent issues, drug-alcohol use & outside activities What can Intensive Outpatient Treatment (IOT) based pharmacotherapy and medication management facilitate? - -atory detox rawal symptom relief ng reduction ing reinforcing effects of drugs ing risks of drug injecting ation of psychpathologies oring medical conditions How are pharmacotherapy and medication management in substance abuse treatment described? - -Of considerable, yet limited, value in treatment Topics addressed in psychoeducational groups are typically - -sequenced by concept for better results What are just (5) of the 22 CORE topics addressed in psychoeducational groups? - -1. Stress management/coping skills 2. Understanding relapse process 3. Relapse prevention tools 4. Creating personal relapse plan 5. Managing desires to test control What is the original (CIWA-Ar) scale designed for, & what does acronym stand for? - -Assesses alcohol withdrawal risk. (Clinical Institute Withdrawal Assessment) (10 item scale) Which of the following substances lack effective treatment medications? - -cocaine & marijuana (Adjunctive) therapies refers to these 3 types: - -1.Stress-Mngmt 2.Acupuncture 3.Meditation Dealing with smoking cessation during a substance abuse treatment program is something to seriously consider only if - -the client wants it Is this statement True or False? Disulfiram (Antabuse) is contraindicated for clients whose alcohol abuse is combined with cocaine or methadone use. - -False What is the 'Sandwich' technique? - -An (intake interviewing) technique What are the (3) most effective screening tools for substance use disorders? - -1.The (CSAT) Simple Screening Instrument 2.The (ADS) Alcohol Dependence Scale 3.The (ASI) Addiction Severity Index scale 3.The (TCUDS) Texas Christian University Drug Screen What does the acronym (SDSS) stand for & what is it designed to measure? - -(Substance Dependence Severity Scale) It measures Drug use disorder severity-over time What is the (primary purpose) of the Texas Christian University Drug Screen (TCUDS)? - -To identify those (with and without) issues of drug dependency What is physiological dependence on a drug determined by? - -The tolerance or symptoms of withdrawal According to the DSM-5 criteria, a client that (has) previously met the criteria for stimulant use disorder but now (has not) met the criteria for stimulant use in 10 months (except for craving) would be termed to be in _________remission. - -Early What is the clients family of choice used to describe? - -Relationships by marriage or friendships What does a (dual relationship) refer to? - -A working relationship with a client outside the professional domain What is an appropriate response to a substantial gift from a client? - -"I can't accept that, but thank you anyway." Two clients in a treatment group begin dating. What would a proper response be? - -Address program policy preventing dating among group members. At a local dance club, a counselor spots a client drinking at the bar. What is the best response? - -Avoid contact & leave immediately. As a substance abuse counselor, you work in a treatment program and also personally attend a 12 step program in the community. A treatment program client asks you to become his 12 step sponsor, what is the best response? - -(Decline) knowing the potential conflicts in multiple roles. In providing counseling treatment, what are counselors encouraged to do? - -Use multiple counseling approaches. What does the 12 -step Facilitation Approach refer to? - -Encourages clients to enter a 12 step program. List (3) strengths of 12- step programs? - - & offer support w/ diverse clients ery in mental, health, & spiritual areas Why is Staff familiarity with 12 step program facilitation is important? - -Clients are more motivated, their issues are better resolved & they stay abstinent longer When outcomes from cognitive-behavioral coping skills therapy and motivational enhancement therapy are compared with outcomes of 12 step facilitation, how do clients fare best with? - -12-step facilitation Traditionally, what has the term therapeutic community (TC) referred to? - -A (drug free) residential treatment environment Why do therapeutic communities (TC's) often focus on (habilitation) instead of rehabilitation? - -Habilitation teaches new skills & rehabilitation teaches old ones In what setting is the therapeutic community (TC) treatment model most effective? - -A formal (full-time residential), & an intensive (day treatment) What is the most important reason that ordered and routine activities are built into the therapeutic community (TC) treatment process? - -Its the opposite of the usual disordered lives of addicts. What is the MATRIX model designed to treat? - -Stimulant abuse What are significant drawbacks to community reinforcement (CR) and contingency management (CM) approaches? - -(CR) is hard work. (CM) is costly. With regard to co-ocurring disorders, what does the term (integrated) treatment refer to? - -Treating (Psychiatric & Substance Abuse) issues at same time. What would be the most typical co-occurring disorder client? - -An alcoholic woman How many categories does SAMHSA's Service Coordination Framework for Co-ocurring Disorders have? - -Four (4) categories When behaviorally assessing for a co-occurring disorder, what is the most important variable to consider? - -Alcohol & drug toxicity or withdrawal symptoms How are substance abuse treatment programs for adolescents described? - -Very different from adult programs. What is the most effective treatment approach for adolescents, in terms of less drug use at treatment completion? - -Family therapy How is the concept of 'Culture' Best described? - -A shared set of (beliefs, norms, & values) among any given group Who is primarily responsible for ensuring that treatment is effective for culturally diverse clients? - -The provider What does the term 'culture-bound' syndrome refer to? - -An illness unique to a cultural group, and an illness (interpreted differently) due to cultural influence. Beyond the culture of the client, what is another key cultural issue? - -The culture of the counselor What are the two key mental health treatment paradigms of western medicine? - -Pharmacological & Psychotherapy Racism may jeopardize the mental health of minorities in what following ways? - -1. affects social & psychological function ishes socioeconomic status s psychological distress What is the trend for cultural diversity in the United States? - -It's Increasing rapidly & steadily What is the difference between AIDS & HIV? - -HIV is the virus that causes the Aids syndrome As compared with current older adults, what is the upcoming baby boomer generation (born ) expected to have? - -Much higher treatment needs When older adults enter treatment, how do their rates of attendance & incidence of relapse, compare to their younger cohorts? - -Much higher attendance & much lower relapse rates Confidentiality requirements exist to protect client's & their personal lives and information. Without a client signed information release, what is the information that can be disclosed? - -A report of child abuse suspected to be caused by the client The (CAGE) questionnaire is a four-question screening tool. What is this screening instrument designed to screen for & what does acronym stand for? - -Screens for (Alcohol Abuse) Acronym based on 4 questions 1.Have you ever felt you needed to CUT down on your drinking? 2.Have people ANNOYED you by criticizing your drinking? 3.Have you ever felt GUILTY about drinking? 4.Have you ever felt you needed an (EYE OPENER drink) to calm nerves after hangover? The (relapse & remitting) model addresses cycles of relapse & recovery common to addiction. What else can it be usefully applied to? - -ation management loyment s of anger & violence The term (authentically connected referral network) is used in conjunction with case management. How is it best defined? - -A set of defined relationships able to adapt & meet client needs In providing case-management services, beyond providing seamless care & being client focused, what is the primary aim? - -To produce the (least-restrictive level of care) in meeting client's needs Sensitive interviewing & engagement techniques are important to optimize client responsiveness & investment. What does the (ask-tell-ask) technique refer to? - -Asking permission to talk with them, informing them of any concerns, & asking for their thoughts on what you shared. After referrals are made, it is important to track the associated outcomes for measures of referral success. What are the 3 most important (evaluative) aspects? - -1.Who 2.What 3.How Given a client's history, referrals for co-occurring disorders as well as medical, educational, & psychological needs should be ongoing as discovered. When should planning for after care be engaged? - -At the point of initial (counselor-client) contract Education regarding substance abuse includes topics such as triggers, patterns of abuse & relapse prevention. What should treatment mostly be focused on? - -1.Substance abuse issues 2.Co-occurring disorders 3.Recovery issues 4.Health issues In a client's efforts to maintain emotional & psychological balance, what does the term 'bookend' refer to? - -Discussing a trigger event with someone trusted before & after it occurs In working with substance-abusing clients, counselors must be aware of the applicable guidelines in (CFR Title 42 Part 2), What do the guidelines deal with? - -Confidentiality in (alcohol & substance abuse) areas In working with substance abuse clients, counselors must be aware of specific guidelines found in the HIPAA statuses. What do these guidelines address? - -Health privacy & confidentiality standards Confidentiality is particularly stringent in situations of alcohol abuse, drug abuse, & HIV infection. When are limited confidentiality breaches permitted? - -If at risk of harming themselves or others And If you suspect child or elder abuse. Group work is utilized extensively in substance abuse treatment. How do group therapy & 12-step groups compare? - -They're very different types of groups, with very different purposes There are 5 primary group models used in substance abuse treatment. Which is the model that views dependency as a (learned behavior) that can be modified? - -(Cognitive-Behavioral) Group type Matching clients with groups requires careful consideration. Where would a first generation American-Hispanic woman be best assigned? - -In a group based on (immediate needs). Treatment for longer periods of time is closely associated with enhanced outcomes. What is the baseline duration for improved outcomes? - -3 -months There are numerous classification systems describing various stages of recovery. However, how many stages does the most common stage classification provide for? - -(3) stages Beyond the five basic therapeutic group models (psychoeducational, cognitive-behavioral, interpersonal, & support), other unique group models include: culture specific, expressive, & relapse prevention. What does an expressive group therapy model involve? - -Art, dance, or psychodrama therapies In 1965, Bruce Tuckman proposed a model of group development that included (5) phases. What are they? - -1.Forming 2.Storming 3.Norming 4.Performing 5.Adjourning A productive group therapeutic engages deep issues in many individuals with remedial or neglected issues. This may at times induce regression. How is regression defined? - -Reverting to an (infantile) developmental level Substance abuse affects not only the user but the family as well. What are intergenerational affects most commonly caused by? - -Compensating issues needed to cope with addictive dysfunction. HIV remains a profound problem in the U.S. What approximate percentage of all HIV cases are found among females in this country? - -25% percent Members of the lesbian, gay, bisexual & transgender (LGBT) community face many challenges, including issues of discrimination. Regarding substance abuse as compared with the general population, how is the LGBT community likely to act? - -They're More Likely to use alcohol or drugs Although most individuals with cognitive & physical disabilities desire to work, many are unable to do so. In consequence, as related to substance abuse & the general population, how is this population likely to act? - -They're More likely to use alcohol or drugs The number of older adults is rapidly increasing in the U.S. & worldwide. As a group, when receiving appropriate treatment for substance abuse, how are older adults likely to act? - -They're less likely to continue to use alcohol or drugs The likelihood of developing a substance abuse disorder fluctuates throughout the life course. What is the most likely period in life for a substance abuse problem to begin? - -Adolescence Research reveals that science-validated community and school prevention programs do work. List 3 youth prevention substance abuse programs: - -1. Universal 2. Selective 3. Indicated Proper program and progress documentation is necessary for a great variety of reasons. List 2. - -1.To Ensure treatment plan is accurate & compliant 2.To Ensure agency funding & prevent losing money Accurate documentation & reports are necessary if effective treatment & recovery plans are to be developed & implemented. List 3 fundamental assessment information to obtain at intake: - -1.Substance abuse history & use patterns 2.Mental health & psychiatric treatment history 3.Physiological health & medical history Treatment & recovery plans must remain current & effective for optimal client progress and well-being. Consequently, how often are treatment plans typically updated? - -Every (30-90) days or when changes occur What is the key difference between a current treatment plan and a current progress note? - -The treatment plan provides an action blueprint, and the progress note captures what (did or didn't) happen. Accurate records are the basis for the treatment plan and measuring client progress. If something is entered in a client record in error, what is the proper response? - -Put a line through it, correct it, then initial & date it. Clients actively in a treatment program need regular chart entries. Typically, state requirements mandate an updating entry no less often than - -Weekly If a client leaves a treatment program early or involuntarily, how is the written discharge summary affected? - -It is completed as usual What are the KEY exceptions regarding client confidentiality in (The Code of Federal regulations, Title 42, Part 2) ? - -1. Written releases of information 2. Emergency medical situations 3. Other agencies working with a client 4. Mandate reports 5. Qualified researchers w/limited conditions 6. Crime on site or against staff 7. Court order or subpoena (if meets criteria) (The Code of Federal regulations, Title 42, Part 2, Subpart E), addresses situations where law enforcement or courts can breach client confidentiality. What is a subpoena signed by a judge? - -It's insufficient, unless there's a hearing to determine if crime is serious enough to warrant breaching confidentiality. Clients with an extensive substance abuse history often struggle with impulse control & anger. If a client becomes verbally agitated, or angry with a counselor, what is the best response? - -Validate client affect but not the client expression (if threatening) Many substance abusing clients suffer from high impulsivity. If a client begins to act out inappropriately, what is an ideal grounding technique? - -(Anchoring) exercises Clients with a history of abuse have a tendency to place themselves in situations in which further abuse is likely, particularly an unsafe relationship. If this occurs, what is the counselor's best response? - -Coach them to explore the situation, and the risk, & self-endangerment issues. A counselor finds herself treating a perpetrator of incest abuse. A survivor of past abuse herself, the counselor finds this deeply disturbing. What would be her Best response? - -Refer client to a counselor that is more comfortable with client In providing services, an agency needs to maintain a vision of purpose & important objectives. What is the most significant mission? - -To break the cycle of abuse & neglect & The negative impact on others.