LCDC TEXAS ACTUAL FINALS QUESTIONS AND
ANSWERS SET A+
✔✔Case Mgt - Planning - ✔✔negotiate what pt wants, develop plan for achieving it
✔✔Case Mgt - linking system - ✔✔help pt obtain required services by referring to
services for formal/informal care
✔✔Case Mgt - advocacy - ✔✔intercede on behalf of pt to obtain needed resources
✔✔Case Mgt - monitoring - ✔✔evaluate progress continuously and take action if
needed
✔✔Case Mgt - Brokerage- - ✔✔id pt needs help access resources, no advocacy but
when pt needs access to resources
✔✔Case Mgt - Assertive community - ✔✔frequent long term contact with pt in natural
setting, focus on practical problems of daily living
✔✔Case Mgt - strengths based - ✔✔aggressive outreach, helps pt develop goal,
advocates, and view community as resources not a barrier, this is an alternative to
disease concept
✔✔Level I Treatment - ✔✔outpatient
✔✔Level 2 treatment - ✔✔intensive outpatient/partical hospitalization
✔✔Level 3 - ✔✔residential or inpatient
✔✔Level 4 - ✔✔medically managed intensive inpatient
,✔✔Aftercare - ✔✔called continuing care, follows discharge, case mgr helps transition,
and take responsibility for their lives
✔✔Disengagement - ✔✔takes place over time, discuss what has been learned in
treatment
✔✔Community resources - ✔✔coordination variety of resources, counselor should be
familiar with resources
✔✔Advocacy coordination in case mgt - ✔✔involves coordinating with family,
community agencies, legal system and legislative bodies
✔✔Culturally sensitive case mgt - ✔✔pt should be linked to services whose values are
consistent with their own
✔✔Case mgt with women - ✔✔reluctant to seek treatment without encouragement,
medical, mental health and family counseling see more women
✔✔case mgt with adolescents - ✔✔encouraging family involvement, provide support,
track relapse episodes, connect with school, work and community resources
✔✔Evaluate case mgt effectiveness - ✔✔track through interviews, professionals, self
report, arrests..
✔✔Sociocultural view of substance disorders - ✔✔stressful socioeconomic conditions,
cultural differences in drinking patterns can enhane or reduce risk; social pressure,
attitudes and cultural norms all influence
✔✔behavioral view - ✔✔influence both positive and negative reinforcement as casual
factor for cont drug use; positve reinforcement reinforces the cont use because of
pleasure pathway, reinforcement pleasure thru effects on GABA neurotransmitters
✔✔Negative reinforcement - ✔✔provides escape from neg feelings, also called tension
reduction, self medication; avoiding unpleasant w/d symptoms
✔✔Biological view of addiction - ✔✔biogenetic factors cause behavioral and
psychological change; internal, not environmental causes
✔✔Mesolimbic dopamine sys - ✔✔A central group of structures is common to the
actions of all drugs / pleasure pathway in the brain
✔✔Aldehyde dehydrogenase - ✔✔an enzyme that is involved in metabolizing alcohol
, ✔✔Primary prevention - ✔✔intended for young with no experience, promotes
abstinence, develops refusal skills, promote viable alternatives
✔✔Secondary prevention - ✔✔seeks to stop experimental, incorporates intervention,
education, skills to avoid future use, instead of jail use treatment
✔✔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
ANSWERS SET A+
✔✔Case Mgt - Planning - ✔✔negotiate what pt wants, develop plan for achieving it
✔✔Case Mgt - linking system - ✔✔help pt obtain required services by referring to
services for formal/informal care
✔✔Case Mgt - advocacy - ✔✔intercede on behalf of pt to obtain needed resources
✔✔Case Mgt - monitoring - ✔✔evaluate progress continuously and take action if
needed
✔✔Case Mgt - Brokerage- - ✔✔id pt needs help access resources, no advocacy but
when pt needs access to resources
✔✔Case Mgt - Assertive community - ✔✔frequent long term contact with pt in natural
setting, focus on practical problems of daily living
✔✔Case Mgt - strengths based - ✔✔aggressive outreach, helps pt develop goal,
advocates, and view community as resources not a barrier, this is an alternative to
disease concept
✔✔Level I Treatment - ✔✔outpatient
✔✔Level 2 treatment - ✔✔intensive outpatient/partical hospitalization
✔✔Level 3 - ✔✔residential or inpatient
✔✔Level 4 - ✔✔medically managed intensive inpatient
,✔✔Aftercare - ✔✔called continuing care, follows discharge, case mgr helps transition,
and take responsibility for their lives
✔✔Disengagement - ✔✔takes place over time, discuss what has been learned in
treatment
✔✔Community resources - ✔✔coordination variety of resources, counselor should be
familiar with resources
✔✔Advocacy coordination in case mgt - ✔✔involves coordinating with family,
community agencies, legal system and legislative bodies
✔✔Culturally sensitive case mgt - ✔✔pt should be linked to services whose values are
consistent with their own
✔✔Case mgt with women - ✔✔reluctant to seek treatment without encouragement,
medical, mental health and family counseling see more women
✔✔case mgt with adolescents - ✔✔encouraging family involvement, provide support,
track relapse episodes, connect with school, work and community resources
✔✔Evaluate case mgt effectiveness - ✔✔track through interviews, professionals, self
report, arrests..
✔✔Sociocultural view of substance disorders - ✔✔stressful socioeconomic conditions,
cultural differences in drinking patterns can enhane or reduce risk; social pressure,
attitudes and cultural norms all influence
✔✔behavioral view - ✔✔influence both positive and negative reinforcement as casual
factor for cont drug use; positve reinforcement reinforces the cont use because of
pleasure pathway, reinforcement pleasure thru effects on GABA neurotransmitters
✔✔Negative reinforcement - ✔✔provides escape from neg feelings, also called tension
reduction, self medication; avoiding unpleasant w/d symptoms
✔✔Biological view of addiction - ✔✔biogenetic factors cause behavioral and
psychological change; internal, not environmental causes
✔✔Mesolimbic dopamine sys - ✔✔A central group of structures is common to the
actions of all drugs / pleasure pathway in the brain
✔✔Aldehyde dehydrogenase - ✔✔an enzyme that is involved in metabolizing alcohol
, ✔✔Primary prevention - ✔✔intended for young with no experience, promotes
abstinence, develops refusal skills, promote viable alternatives
✔✔Secondary prevention - ✔✔seeks to stop experimental, incorporates intervention,
education, skills to avoid future use, instead of jail use treatment
✔✔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
