LCDC 2026 QUESTIONS AND ANSWERS SURE A+
✔✔Tertiary prevention - ✔✔focus on stopping progressive damage of drug use,
incorporates group intervention to get people into treatment, residential ther
communities, promotes healthire life style
✔✔Treatment recovery continuum - ✔✔nonuse, moderate and non problematic use,
heavy and non problematic use, heavey use with moderal life, heavy use with seirous
life prob, depen/addiction with life and health prob
✔✔Identification - ✔✔can be self id, court order, probation
✔✔` - ✔✔`
✔✔Stabilization - ✔✔includes need for detox at a medical facility
✔✔Rehab/tx program - ✔✔can range from providing duc, intensive outpatient, inpatient
residential prog
✔✔Relapse prevention - ✔✔recovery and relapse are ongoing, not one event, should id
individual triggers and plan to confront as they occur, should be part of pt aftercare
✔✔AVE - ✔✔abstinence violation effect - tendency for some to use substances
problematically when they believe abstinence is too difficult, happens when person
attempts to abstain and then faces conflict and guilt
✔✔Denial - ✔✔early when occasional excessive drinking are explained as isolated
event
✔✔Attempts to eliminate - ✔✔users partner realizes usage not normal and pressures
him to quit/cut back
✔✔Disorganization/chaos - ✔✔family operations have broken down, partner has to deal
with critical situations
✔✔Reorganization in spite of prob - ✔✔partner takes charge redirecting main focus
from user to maintain life
✔✔Family reorganization - ✔✔seperation occurs and family without user
✔✔Physical signs of alcohol dependence - ✔✔weakened overall appearance, hyper
pigmented, jaundice skin, ataxia, unstady gate
✔✔Internal signs of alc - ✔✔irritation causes inflammation, abdominal pain, bleeding
esophagus and stomach
,✔✔Chronic use - ✔✔acute pancreatitis, inflammation of panreas, blocking of duct
causing digestive juices to produce fat and then injury through attempts to digest
✔✔Moderate alc - ✔✔decrease risk of gallstones, harms liver, acute fatty liver is fat
deposits, build up in liver cells, is reversable if stopped
✔✔Alcoholic hepatitis - ✔✔heavy or extnded bout of alco, inflammation of liver,
metablilism is disrupted, jaundice, may be reversible with medical intervention
✔✔Cirrhosis - ✔✔permanent, widespread destruction of liver cells, progress can slow
with cessation
✔✔Anemia - ✔✔insufficeient function of red blood cells, affects nutrient levels, buildup
of toxins reduces red blood cells production, those that are produced are defective and
can cause bleeding from ulcers
✔✔White blood cells - ✔✔chronic alc use reduces white blood cells, negatively affects
immune sys, increases chances of infection
✔✔AHMD - ✔✔alco heart muscle disease - serious condition where heart does not
pump amt of blood needed for demands of body
✔✔Seasonal alcohol arrhythmias - ✔✔healy alcohol consumption assoc with holidays,
subsides in few days
✔✔ADH - ✔✔antidireutic hormone - can inhibit production and output of ADH by
pituitary region of brain, causing kidneys to reasbsorb less water, and produce more
urine
✔✔Respiratory sys decrease - ✔✔increases respirations when low to moderate doses
are used, larger or toxic amts
✔✔Pulmonary defense - ✔✔contrubtue to chronic obsturction in airflow, bronchospasm,
affects asthma lung cancer high long term drinkers, smokers and increases risk of TB
✔✔Endocrine system - ✔✔affect pituitary gland, liver damage, production of, reception
of and metabolizing of hormones may be affected by alco
✔✔Skin - ✔✔dilates vessels of skin, jaundice, itching, changes in hair distribution, skin
infections because liver dysfunciton
✔✔Substance abuse effects on musculoskeletal system - ✔✔arthritis, gouty arthiritis
, ✔✔CNS - ✔✔CNS - Body's coordinating center for mechanical and chemical actions,
brain and spinal cord
✔✔Black out - ✔✔amnesia like state, appear to be functioning normally but have no
memory of what went on
✔✔Step 1 - ✔✔admit powerlessness and lives unmanageble
✔✔Step 2 - ✔✔a power greater than ourselves can restor sanity..indiv recognizes
insanity of and moves toward higher power
✔✔Step 3 - ✔✔made decision to turn lives over to God, enables indiv to go to life
preserver, begins search for own direction
✔✔Step 4 - ✔✔Made a searching and fearless moral inventory of self, provokes indiv to
look closer at basic errors in perceptin, begains teaching about responsibility
✔✔Step 5 - ✔✔Admit to God, ourselves and others the nature of our wrongs, allows the
release of neg behav and wrong doings
✔✔Step 6 - ✔✔we entirely ready to have God remove all defects of character, this step
let go
✔✔Step 7 - ✔✔Humbly ask him to remove short comings, admits to fear of repeated
unhealthy behav
✔✔Step 8 - ✔✔made list of person harmed and make amends
✔✔Step 9 - ✔✔made direct aments, concerded effort to clean up situations and wrong
doings
✔✔Step 10 - ✔✔Cont to take personal inventory and when we were wrong promptly
admit it...promote support of sobriey and continue chane, helps recognize dont have to
slip back into old habits
✔✔Step 11 - ✔✔sought through prayer and meditation to improve our conscious
contact with God
✔✔Step 12 - ✔✔having had spiritual awakening as result of steps, this step vital to
maintain sobriety, sharing steps with others
✔✔Rational recovery - ✔✔self help based on RET, self reliance, non-spiritual, AVRT
addictive coice recognition technique
✔✔Tertiary prevention - ✔✔focus on stopping progressive damage of drug use,
incorporates group intervention to get people into treatment, residential ther
communities, promotes healthire life style
✔✔Treatment recovery continuum - ✔✔nonuse, moderate and non problematic use,
heavy and non problematic use, heavey use with moderal life, heavy use with seirous
life prob, depen/addiction with life and health prob
✔✔Identification - ✔✔can be self id, court order, probation
✔✔` - ✔✔`
✔✔Stabilization - ✔✔includes need for detox at a medical facility
✔✔Rehab/tx program - ✔✔can range from providing duc, intensive outpatient, inpatient
residential prog
✔✔Relapse prevention - ✔✔recovery and relapse are ongoing, not one event, should id
individual triggers and plan to confront as they occur, should be part of pt aftercare
✔✔AVE - ✔✔abstinence violation effect - tendency for some to use substances
problematically when they believe abstinence is too difficult, happens when person
attempts to abstain and then faces conflict and guilt
✔✔Denial - ✔✔early when occasional excessive drinking are explained as isolated
event
✔✔Attempts to eliminate - ✔✔users partner realizes usage not normal and pressures
him to quit/cut back
✔✔Disorganization/chaos - ✔✔family operations have broken down, partner has to deal
with critical situations
✔✔Reorganization in spite of prob - ✔✔partner takes charge redirecting main focus
from user to maintain life
✔✔Family reorganization - ✔✔seperation occurs and family without user
✔✔Physical signs of alcohol dependence - ✔✔weakened overall appearance, hyper
pigmented, jaundice skin, ataxia, unstady gate
✔✔Internal signs of alc - ✔✔irritation causes inflammation, abdominal pain, bleeding
esophagus and stomach
,✔✔Chronic use - ✔✔acute pancreatitis, inflammation of panreas, blocking of duct
causing digestive juices to produce fat and then injury through attempts to digest
✔✔Moderate alc - ✔✔decrease risk of gallstones, harms liver, acute fatty liver is fat
deposits, build up in liver cells, is reversable if stopped
✔✔Alcoholic hepatitis - ✔✔heavy or extnded bout of alco, inflammation of liver,
metablilism is disrupted, jaundice, may be reversible with medical intervention
✔✔Cirrhosis - ✔✔permanent, widespread destruction of liver cells, progress can slow
with cessation
✔✔Anemia - ✔✔insufficeient function of red blood cells, affects nutrient levels, buildup
of toxins reduces red blood cells production, those that are produced are defective and
can cause bleeding from ulcers
✔✔White blood cells - ✔✔chronic alc use reduces white blood cells, negatively affects
immune sys, increases chances of infection
✔✔AHMD - ✔✔alco heart muscle disease - serious condition where heart does not
pump amt of blood needed for demands of body
✔✔Seasonal alcohol arrhythmias - ✔✔healy alcohol consumption assoc with holidays,
subsides in few days
✔✔ADH - ✔✔antidireutic hormone - can inhibit production and output of ADH by
pituitary region of brain, causing kidneys to reasbsorb less water, and produce more
urine
✔✔Respiratory sys decrease - ✔✔increases respirations when low to moderate doses
are used, larger or toxic amts
✔✔Pulmonary defense - ✔✔contrubtue to chronic obsturction in airflow, bronchospasm,
affects asthma lung cancer high long term drinkers, smokers and increases risk of TB
✔✔Endocrine system - ✔✔affect pituitary gland, liver damage, production of, reception
of and metabolizing of hormones may be affected by alco
✔✔Skin - ✔✔dilates vessels of skin, jaundice, itching, changes in hair distribution, skin
infections because liver dysfunciton
✔✔Substance abuse effects on musculoskeletal system - ✔✔arthritis, gouty arthiritis
, ✔✔CNS - ✔✔CNS - Body's coordinating center for mechanical and chemical actions,
brain and spinal cord
✔✔Black out - ✔✔amnesia like state, appear to be functioning normally but have no
memory of what went on
✔✔Step 1 - ✔✔admit powerlessness and lives unmanageble
✔✔Step 2 - ✔✔a power greater than ourselves can restor sanity..indiv recognizes
insanity of and moves toward higher power
✔✔Step 3 - ✔✔made decision to turn lives over to God, enables indiv to go to life
preserver, begins search for own direction
✔✔Step 4 - ✔✔Made a searching and fearless moral inventory of self, provokes indiv to
look closer at basic errors in perceptin, begains teaching about responsibility
✔✔Step 5 - ✔✔Admit to God, ourselves and others the nature of our wrongs, allows the
release of neg behav and wrong doings
✔✔Step 6 - ✔✔we entirely ready to have God remove all defects of character, this step
let go
✔✔Step 7 - ✔✔Humbly ask him to remove short comings, admits to fear of repeated
unhealthy behav
✔✔Step 8 - ✔✔made list of person harmed and make amends
✔✔Step 9 - ✔✔made direct aments, concerded effort to clean up situations and wrong
doings
✔✔Step 10 - ✔✔Cont to take personal inventory and when we were wrong promptly
admit it...promote support of sobriey and continue chane, helps recognize dont have to
slip back into old habits
✔✔Step 11 - ✔✔sought through prayer and meditation to improve our conscious
contact with God
✔✔Step 12 - ✔✔having had spiritual awakening as result of steps, this step vital to
maintain sobriety, sharing steps with others
✔✔Rational recovery - ✔✔self help based on RET, self reliance, non-spiritual, AVRT
addictive coice recognition technique
