LCAS EXAM - NC EXAM QUESTIONS WITH ANSWERS LATEST UPDATE

LCAS EXAM - NC EXAM QUESTIONS WITH ANSWERS LATEST
UPDATE 2026-2027


Methadone - ANSWER-the only long-acting full opioid agonist approved for
treatment, at this time. It provides a range of effects similar to those of short-
acting opitates like Heroin and Morphine, surpressing withdrawal symptoms and
avoiding cravings as the opioid is eliminated from the body. Dose needed for
cross-tolerance depends on client's level of tolerance for the drug(s).


Trauma-informed treatments - ANSWER-This treatment approach should
minimize the risk of re-traumatization or replicating prior trauma dynamics. Ex:
Clients may express feelings of powerlessness or being trapped if they are not
active involved in treatment decisions or if providers mirror specific
behaviors/dynamics from client's past traumatic experiences.


Screening - ANSWER-The first two steps in in this process are to determine
whether the client as a history of trauma and whether he/she has trauma
related symptoms.


Screening - ANSWER-Often the first contact between client and treatment
providers, this interaction can set the tone of treatment and being the
relationship with the client.


Assessment - ANSWER-When a client screens positive for substance abuse,
trauma-related symptoms, or mental health disorders, the counselor should
follow up with a comprehensive

,Assessment - ANSWER-This process should reoccur throughout treatment, to
provide valuable information and details as client's trust in staff members grow
and progress occurs.


CBT - ANSWER-Most PTSD and SA models involve that
integrates cognitive and behavioral theories by incorporation two ideas: that
thoughts mediate between situational demands and one's attempts to effective
respond and that behavioral change influences acceptance of altered cognition
about oneself or a situation and establishment of newly learned patterns


Cognitive Processing Therapy - ANSWER-a manualized 12-session treatment
approach which can be administered in group or individual practice, which
involves Exposure Therapy.


Exposure Therapy - ANSWER-This type of therapy asks clients to directly
describe and explore trauma-related memories, objects, emotions, or places.
Intense emotions are evoked, but decrease, desensitizing clients through
repeated encounters with traumatic material.


Experimental and Social Use of Drugs and Alcohol (stage 1) - ANSWER-occasional
- perhaps a few times monthly, usually on weekends or at parties with friends.
May use when alone. Little to no behavioral changes, occasional, moderate
hangover.


Abuse of Drugs and Alcohol (stage 2) - ANSWER-regular use - up to several times
a week. may begin use during the day. may be using along rather than with
friends. There are behavioral indicators in this phase of addiction, such as a
decrease in activities, declined in school or work performance, and greater

, interest in use. May use to manipulate emotions in this phase. May sell drugs or
keep supply for personal use.


Dependency/Addiction Phase (Stage 3) - ANSWER- X2 X2 X2 X2 X2




daily use, continuous. will take serious risks to obtain drugs/alcohol, potential
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2




ly including criminal
X2 X2




behavior.Drugs/Alcohol help client to feel normal. Behavioral indicators can
X2 X2 X2 X2 X2 X2 X2 X2 X2




include changes in weight, health issues, poor appearance, memory loss, volatile m
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2




ood swings, employment loss, possible overdoses, lack of concern about being cau
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2




ght. Chronic relapsing disorder in his phase.
X2 X2 X2 X2 X2 X2




Alcohol - ANSWER- X2 X2




The most widely used and accepted drug, past and present. A depressant, similar to
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2




the anesthetic drug ether. The only non-medical drug
X2 X2 X2 X2 X2 X2 X2 X2




taken "only" orally. It slows heart rate and slows breathing. It depresses the
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2




brain. This is the only drug with which a large number of those who use it do not bec
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2




ome physically dependent on it. An estimated 10% of those who use it become de
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2




pendent.


Other Sedative-Hynotics - ANSWER-sedative and hypnotic agents which are non-
X2 X2 X2 X2 X2 X2 X2 X2 X2




barbiturate or non-benzodiazepines, including Quaaludes, Ambien (Zolpidem),
X2 X2 X2 X2 X2 X2




and Lunesta (Eszopiclone).
X2 X2




Narcotics or Opiates/Opioids - ANSWER- X2 X2 X2 X2




Drugs that cause sedation and euphoria by causing depression of the central nervo
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2




us system. X2




Narcotics or Opiates/Opioids - ANSWER- X2 X2 X2 X2




Used medically to relieve pain, suppress cough and control diarrhea, as well as som
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2




e anxiety relief.
X2 X2