LCDC TX EXAM QUESTIONS AND ANSWERS
A method of reinforcing therapeutic alliance & spirit of collaboration between the PT &
counselor: - Answer -setting mutually-established goals
A mental status exam includes: - Answer -Appearance
Speech
Thought Process
The provision of info concerning alcohol/drug abuse & the available srvcs & resources: -
Answer -client education
When should significant others should be involved in the treatment process? - Answer -
From the clients first contact with the treatment center
The NIDA-financed Drug Abuse reporting Program found that: (having to do with
therapeutic communities) - Answer -Therapeutic communities do reduce drug use
relative to untreated clients or those who are simply detoxified and released.
A dually-diagnosed PT, stablized on meds for his psychatric D/O, wants to quit smoking.
You should: - Answer -Consult with his physician regarding nicotine/medication
interaction.
Despite vast personality differences, virtually all substance abusers experience: -
Answer -remorse, self-hatred and shame
You are having difficultiy with a client early on in the case. The BEST thing for you to do
is: - Answer -Seek out supervision with a colleage or supervisor
Self report screening instrument consists of 4 Y/N questions. Requires aprox 1 min to
complete - Answer -CAGE questionnaire
Drug Offender Profile Evaluation/Refferal Strategies - Answer -D.O.P.E.R.S.
Michigan Alcoholism Screening Test - Answer -MAST
Self Administered Alcoholism Screening Test - Answer -SAAST
Short Michigan Alcoholism Screening Test - Answer -SMAST
Substance Abuse Subtle Screening Inventory - Adult or Adolescent Version - Answer -
SASSI
Addiction Severity Index - Answer -ASI
,Diagnostic and Statistical Manual of Mental Disorders - Answer -DSM
Adapted Short Michigan Alcoholism Screening Test for Fathers - Answer -F-SMAST
Global Appraisal of Individual Needs - Answer -GAIN
Minnesota Multiphasic Personality Inventory - Answer -MMPI
Minnosota Substance Abuse Problems Scale - Answer -MSAPS
Readiness To Change Questionnair - Answer -TRCQ
Substance Abuse Subtle Screening Invnetory for Adolescents - Answer -SASSI-A
Human Immunodeficiency Virus - Answer -HIV
The Stages of Change : - Answer -1) pre-contemplation
2) contemplation
3) preparation
4) action
5) maintenance
6) relapse
(SCM) Not yeat acknowledging that there is a problem behavoir that needs to be
changed - Answer -Pre-Contemplation
(SCM) Acknowledging that there is a problem but not yet ready or sure of wanting to
make a change - Answer -Contemplation
(SCM) Getting ready to change - Answer -Preparation
(SCM) Changing behavior - Answer -Action
SCM) Maintaining the behavior change - Answer -Maintenance
(SCM) Returning to older behaviors and abandoning the new changes - Answer -
relapse
The Stages of Change Model was originally developed in the late 1970's and early
1980's by... - Answer -James Prochaska, Carlo DiClemente
Bio-psychosocial perspective - Answer -This recognizes that there are biological,
psychological and social causes of substance abuse and dependence.
,Biological factors - Answer -These include brain chemistry problems, which may be
genetic, making some people particularly vulnerable to addiction to certain drugs once
they try them.
Psychological factors - Answer -These include cognitive styles, personality traits, and
early developmental experiences that may contribute to a client's causes of substance
abuse and dependence.
Social factors - Answer -These include poverty, oppression, poorly developed social
skills, and family dysfunction that may contribute to a client's causes of substance
abuse and dependence.
Motivational interviewing - Answer -This is a style of interacting with clents, used not
only for assessment, but for all phases of treatment, that is particularly helpful for
reducing defensiveness and encouraging therapeutic collaboration between the
counselor and client. Uses the interpersonal process to enhance clients' motivation to
change, and encourages clients to move on to the next stage of readiness for change.
Assessment Instruments - Answer -These aid in the identification of, and treatment
planning for substance related disorders.
Reliability - Answer -This refers to the consistency with which an assessment
instrument measures.
Validity - Answer -This refers to what an assessment instrument measures and how it
is used.
A cognitive-based therapy, developed by Ellis, designed to confront a PT's irrational
thinking - Answer -Rational-Emotive Therapy
A "release of information" must include: name, address, DOB & _____? - Answer -The
purpose of the release of information
When a client discloses suicidal thougths, the counselor's first step is to: - Answer -
Assess the degree of risk
When conducting an assessment what is the counselor's primary focus? - Answer -
Identifying the clients problems and needs, strengths and weaknessess.
The BEST indicator if an individual is physically dependent upon alcohol or another drug
is: - Answer -The presence of withdrawal symptoms.
Guilt and ___ are painful emotions that are part of grieving. - Answer –Anger
Screening Instrument - Answer -This distinguishes individuals who do not have a
disorder from those who might have one.
, ` - Answer -`
CAGE - Answer -4 questions - Yes to 1 indicates possibility of alcohol dependence. Cut
down? Annoyed by criticism of drinking behavior? Guilty about drinking? Eye-opener?
DAST - Answer -Drug Abuse Screening Test (adapted from MAST) used to detect
abuse or dependence on drugs other than alcohol.
MAST - Answer -Michigan Alcoholism Screening Test - yes or no to 25 questions.
RAPS-4 (Rapid Alcohol Problems Screen) - Answer -An answer of yes to one or more
questions indcates the possibility of alcohol dependence during the past year. The
questions have to do with remorse, amnesia, performance of life duties, and starting the
day with alcohol.
SASSI (Substance Abuse Subtle Screening Inventory) - Answer -This brief self-report
is designed to identify individuals with a high probability of having a substance related
disorder.
SASSI-A2 - Answer -Substance Abuse Subtle Screening Inventory for Adolescents
ages 12 to 18.
TLFB (Time Line Follow Back Procedure) - Answer -This is a Comprehensive Measure
of Drinking which makes connections between significant events in the client's life and
alcohol/drug use patterns and intensity, for the past year.
ADS (Alcohol Dependence Scale) - Answer -This diagnostic instrument is a 25-item
instrument that provides a quantitative measure of the severity of alcohol dependence.
DIS-IV (Diagnostic Interview Schedule - Alcohol Module) - Answer -This diagnostic
instrument asks 28 questions that permit diagnosis of alcohol abuse or dependence.
ICS (Impaired Control Scale) - Answer -This diagnostic instrument is a pencil and
paper self-administered insturment that measures clients' attempts to control drinking
during the last 6 months and their perception of their ability to control it now.
OCDS - Answer -Obsessive Compulsive Drinking Scale
SADD - Answer -Short Alcohol Dependence Data
SDSS - Answer -Substance Dependence Severity Scale
ASI (Addiction Severity Index) - Answer -This is a semi-structured interview with seven
subscales addressing problems in the areas of family/social status, medical status,
A method of reinforcing therapeutic alliance & spirit of collaboration between the PT &
counselor: - Answer -setting mutually-established goals
A mental status exam includes: - Answer -Appearance
Speech
Thought Process
The provision of info concerning alcohol/drug abuse & the available srvcs & resources: -
Answer -client education
When should significant others should be involved in the treatment process? - Answer -
From the clients first contact with the treatment center
The NIDA-financed Drug Abuse reporting Program found that: (having to do with
therapeutic communities) - Answer -Therapeutic communities do reduce drug use
relative to untreated clients or those who are simply detoxified and released.
A dually-diagnosed PT, stablized on meds for his psychatric D/O, wants to quit smoking.
You should: - Answer -Consult with his physician regarding nicotine/medication
interaction.
Despite vast personality differences, virtually all substance abusers experience: -
Answer -remorse, self-hatred and shame
You are having difficultiy with a client early on in the case. The BEST thing for you to do
is: - Answer -Seek out supervision with a colleage or supervisor
Self report screening instrument consists of 4 Y/N questions. Requires aprox 1 min to
complete - Answer -CAGE questionnaire
Drug Offender Profile Evaluation/Refferal Strategies - Answer -D.O.P.E.R.S.
Michigan Alcoholism Screening Test - Answer -MAST
Self Administered Alcoholism Screening Test - Answer -SAAST
Short Michigan Alcoholism Screening Test - Answer -SMAST
Substance Abuse Subtle Screening Inventory - Adult or Adolescent Version - Answer -
SASSI
Addiction Severity Index - Answer -ASI
,Diagnostic and Statistical Manual of Mental Disorders - Answer -DSM
Adapted Short Michigan Alcoholism Screening Test for Fathers - Answer -F-SMAST
Global Appraisal of Individual Needs - Answer -GAIN
Minnesota Multiphasic Personality Inventory - Answer -MMPI
Minnosota Substance Abuse Problems Scale - Answer -MSAPS
Readiness To Change Questionnair - Answer -TRCQ
Substance Abuse Subtle Screening Invnetory for Adolescents - Answer -SASSI-A
Human Immunodeficiency Virus - Answer -HIV
The Stages of Change : - Answer -1) pre-contemplation
2) contemplation
3) preparation
4) action
5) maintenance
6) relapse
(SCM) Not yeat acknowledging that there is a problem behavoir that needs to be
changed - Answer -Pre-Contemplation
(SCM) Acknowledging that there is a problem but not yet ready or sure of wanting to
make a change - Answer -Contemplation
(SCM) Getting ready to change - Answer -Preparation
(SCM) Changing behavior - Answer -Action
SCM) Maintaining the behavior change - Answer -Maintenance
(SCM) Returning to older behaviors and abandoning the new changes - Answer -
relapse
The Stages of Change Model was originally developed in the late 1970's and early
1980's by... - Answer -James Prochaska, Carlo DiClemente
Bio-psychosocial perspective - Answer -This recognizes that there are biological,
psychological and social causes of substance abuse and dependence.
,Biological factors - Answer -These include brain chemistry problems, which may be
genetic, making some people particularly vulnerable to addiction to certain drugs once
they try them.
Psychological factors - Answer -These include cognitive styles, personality traits, and
early developmental experiences that may contribute to a client's causes of substance
abuse and dependence.
Social factors - Answer -These include poverty, oppression, poorly developed social
skills, and family dysfunction that may contribute to a client's causes of substance
abuse and dependence.
Motivational interviewing - Answer -This is a style of interacting with clents, used not
only for assessment, but for all phases of treatment, that is particularly helpful for
reducing defensiveness and encouraging therapeutic collaboration between the
counselor and client. Uses the interpersonal process to enhance clients' motivation to
change, and encourages clients to move on to the next stage of readiness for change.
Assessment Instruments - Answer -These aid in the identification of, and treatment
planning for substance related disorders.
Reliability - Answer -This refers to the consistency with which an assessment
instrument measures.
Validity - Answer -This refers to what an assessment instrument measures and how it
is used.
A cognitive-based therapy, developed by Ellis, designed to confront a PT's irrational
thinking - Answer -Rational-Emotive Therapy
A "release of information" must include: name, address, DOB & _____? - Answer -The
purpose of the release of information
When a client discloses suicidal thougths, the counselor's first step is to: - Answer -
Assess the degree of risk
When conducting an assessment what is the counselor's primary focus? - Answer -
Identifying the clients problems and needs, strengths and weaknessess.
The BEST indicator if an individual is physically dependent upon alcohol or another drug
is: - Answer -The presence of withdrawal symptoms.
Guilt and ___ are painful emotions that are part of grieving. - Answer –Anger
Screening Instrument - Answer -This distinguishes individuals who do not have a
disorder from those who might have one.
, ` - Answer -`
CAGE - Answer -4 questions - Yes to 1 indicates possibility of alcohol dependence. Cut
down? Annoyed by criticism of drinking behavior? Guilty about drinking? Eye-opener?
DAST - Answer -Drug Abuse Screening Test (adapted from MAST) used to detect
abuse or dependence on drugs other than alcohol.
MAST - Answer -Michigan Alcoholism Screening Test - yes or no to 25 questions.
RAPS-4 (Rapid Alcohol Problems Screen) - Answer -An answer of yes to one or more
questions indcates the possibility of alcohol dependence during the past year. The
questions have to do with remorse, amnesia, performance of life duties, and starting the
day with alcohol.
SASSI (Substance Abuse Subtle Screening Inventory) - Answer -This brief self-report
is designed to identify individuals with a high probability of having a substance related
disorder.
SASSI-A2 - Answer -Substance Abuse Subtle Screening Inventory for Adolescents
ages 12 to 18.
TLFB (Time Line Follow Back Procedure) - Answer -This is a Comprehensive Measure
of Drinking which makes connections between significant events in the client's life and
alcohol/drug use patterns and intensity, for the past year.
ADS (Alcohol Dependence Scale) - Answer -This diagnostic instrument is a 25-item
instrument that provides a quantitative measure of the severity of alcohol dependence.
DIS-IV (Diagnostic Interview Schedule - Alcohol Module) - Answer -This diagnostic
instrument asks 28 questions that permit diagnosis of alcohol abuse or dependence.
ICS (Impaired Control Scale) - Answer -This diagnostic instrument is a pencil and
paper self-administered insturment that measures clients' attempts to control drinking
during the last 6 months and their perception of their ability to control it now.
OCDS - Answer -Obsessive Compulsive Drinking Scale
SADD - Answer -Short Alcohol Dependence Data
SDSS - Answer -Substance Dependence Severity Scale
ASI (Addiction Severity Index) - Answer -This is a semi-structured interview with seven
subscales addressing problems in the areas of family/social status, medical status,
