LCDC PRACTICE TEST QUESTIONS WITH SOLUTIONS A+
2025/2026
✔✔open-ended questions - ✔✔"tell me more about your cocaine use" "what brings you
here today?" "so what do you think you want to do with your drinking"
✔✔Closed questions - ✔✔Questions that can usually be answered with yes or no. ex
"How long did you have your last drink?"
✔✔self-efficacy - ✔✔Belief in the possibility of change is an important motivator. The
client is responsible for choosing and carrying out personal change. There is hope in the
range of alternative approaches available.
✔✔Rolling with Resistance (Motivational Interviewing) - ✔✔Momentum can be used to
good advantage. Perceptions can be shifted. New perspectives are invited but not
imposed. The client is a valuable resource in finding solutions to problems.
✔✔4 types of client resistance - ✔✔Arguing, interrupting, denying, ignoring.
✔✔simple reflection MI - ✔✔Client "I don't plan to quit drinking anytime soon"
Counselor "you don't think that abstinence would work for you right now"
✔✔Amplified Reflection - MI - ✔✔Client "I don't know why my husband is worried about
this I don't drink anymore than any of my friends"
counselor "So your wife is worrying needlessly.
✔✔double sided reflection - ✔✔Client "I know you want me to give up drinking
completely, but I'm not going to do that!"
Counselor "you can see that there are some real problems here, but you're not willing to
think about quitting altogether.
✔✔shifting focus - ✔✔Client "I can't stop smoking reefer when all my friend are doing it"
Counselor "you're way ahead of me. We're still exploring your concerns about whether
you can get into college. We're not ready yet to decide how marijuana fits into your
goals."
✔✔Agreement with a twist - ✔✔Client "Why are you and my wife so stuck on my
drinking? what about all her problems? You'd drinking too. if your family were nagging
you all the time"
Counselor- "you got a good point there, and that's important. There is a bigger picture
here, and maybe I haven't been paying enough attention to that. It's not as simple as
one person's drinking. I agree with you that we shouldn't be trying to place blame here.
Drinking problems like these do involve the whole family.
, ✔✔Reframing - ✔✔Client- "my wife is always nagging me about my drinking-always
calling me an alcoholic. it really bugs me.
Counselor-"it sounds like he really cares about you and is concerned. although he
expresses it in a way that makes you angry. Maybe we can help her learn how to tell
you she loves you and is worried about you in a more positive and acceptable way"
✔✔individual counseling - ✔✔*Helping the client resolve to stop using psychoactive
substances;
*teaching coping skills, to help avoid a relapse after achieving abstinence.
*changing reinforcement contingencies.
*fostering management of painful feelings
*improving interpersonal functioning and enhancing social supports.
✔✔self-help programs - ✔✔or 12 steps organizations involve mutual help among peers
experiencing similar problems.
✔✔Primary goals of AA - ✔✔*achieve total abstinence
*affect changes in personal values and interpersonal behavior
*continue participation in the fellowship to both give and receive help from others with
similar problems.
✔✔group therapy - ✔✔*establishing abstinence
*integration of the individual into the group
*stabilization of individual functioning
*relapse prevention
*identifying prevention and working through long-standing problems that have been
obscured or exacerbated by substance abuse.
✔✔Group approaches - ✔✔*exploratory
*Supportive group
*interactional groups
*interpersonal problem-solving
✔✔Addiction Severity Index (ASI) - ✔✔most useful as a general intake screening tool.
Assesses a client's status in several areas, measures how a client's need for treatment
changes over time.
✔✔Adolescent drinking index - ✔✔24 item paper and pencil self report rating scale
intended to measure the severity of drinking. 5 min. completion time. Need 5th grade
reading level.
✔✔Adolescent Drinking Inventory - ✔✔25-question self-reports instrument to screen
adolescents. it focuses on drinking-related loss of control and social, psychological and
physical symptoms of alcohol problems.
2025/2026
✔✔open-ended questions - ✔✔"tell me more about your cocaine use" "what brings you
here today?" "so what do you think you want to do with your drinking"
✔✔Closed questions - ✔✔Questions that can usually be answered with yes or no. ex
"How long did you have your last drink?"
✔✔self-efficacy - ✔✔Belief in the possibility of change is an important motivator. The
client is responsible for choosing and carrying out personal change. There is hope in the
range of alternative approaches available.
✔✔Rolling with Resistance (Motivational Interviewing) - ✔✔Momentum can be used to
good advantage. Perceptions can be shifted. New perspectives are invited but not
imposed. The client is a valuable resource in finding solutions to problems.
✔✔4 types of client resistance - ✔✔Arguing, interrupting, denying, ignoring.
✔✔simple reflection MI - ✔✔Client "I don't plan to quit drinking anytime soon"
Counselor "you don't think that abstinence would work for you right now"
✔✔Amplified Reflection - MI - ✔✔Client "I don't know why my husband is worried about
this I don't drink anymore than any of my friends"
counselor "So your wife is worrying needlessly.
✔✔double sided reflection - ✔✔Client "I know you want me to give up drinking
completely, but I'm not going to do that!"
Counselor "you can see that there are some real problems here, but you're not willing to
think about quitting altogether.
✔✔shifting focus - ✔✔Client "I can't stop smoking reefer when all my friend are doing it"
Counselor "you're way ahead of me. We're still exploring your concerns about whether
you can get into college. We're not ready yet to decide how marijuana fits into your
goals."
✔✔Agreement with a twist - ✔✔Client "Why are you and my wife so stuck on my
drinking? what about all her problems? You'd drinking too. if your family were nagging
you all the time"
Counselor- "you got a good point there, and that's important. There is a bigger picture
here, and maybe I haven't been paying enough attention to that. It's not as simple as
one person's drinking. I agree with you that we shouldn't be trying to place blame here.
Drinking problems like these do involve the whole family.
, ✔✔Reframing - ✔✔Client- "my wife is always nagging me about my drinking-always
calling me an alcoholic. it really bugs me.
Counselor-"it sounds like he really cares about you and is concerned. although he
expresses it in a way that makes you angry. Maybe we can help her learn how to tell
you she loves you and is worried about you in a more positive and acceptable way"
✔✔individual counseling - ✔✔*Helping the client resolve to stop using psychoactive
substances;
*teaching coping skills, to help avoid a relapse after achieving abstinence.
*changing reinforcement contingencies.
*fostering management of painful feelings
*improving interpersonal functioning and enhancing social supports.
✔✔self-help programs - ✔✔or 12 steps organizations involve mutual help among peers
experiencing similar problems.
✔✔Primary goals of AA - ✔✔*achieve total abstinence
*affect changes in personal values and interpersonal behavior
*continue participation in the fellowship to both give and receive help from others with
similar problems.
✔✔group therapy - ✔✔*establishing abstinence
*integration of the individual into the group
*stabilization of individual functioning
*relapse prevention
*identifying prevention and working through long-standing problems that have been
obscured or exacerbated by substance abuse.
✔✔Group approaches - ✔✔*exploratory
*Supportive group
*interactional groups
*interpersonal problem-solving
✔✔Addiction Severity Index (ASI) - ✔✔most useful as a general intake screening tool.
Assesses a client's status in several areas, measures how a client's need for treatment
changes over time.
✔✔Adolescent drinking index - ✔✔24 item paper and pencil self report rating scale
intended to measure the severity of drinking. 5 min. completion time. Need 5th grade
reading level.
✔✔Adolescent Drinking Inventory - ✔✔25-question self-reports instrument to screen
adolescents. it focuses on drinking-related loss of control and social, psychological and
physical symptoms of alcohol problems.
