LCAS EXAM – NORTH CAROLINA STUDY GUIDE QUESTIONS AND
VERIFIED ANSWERS | A+ GRADED | LATEST UPDATE 2025/2026
Methadone - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT ANSWER-a manualized 12-session
treatment approach which can be administered in group or individual practice,
which involves Exposure Therapy.
Exposure Therapy - CORRECT 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) - CORRECT
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) - CORRECT 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) - CORRECT ANSWER-daily use,
continuous. will take serious risks to obtain drugs/alcohol, potentially including
criminal behavior. Drugs/Alcohol help client to feel normal. Behavioral
indicators can include changes in weight, health issues, poor appearance,
VERIFIED ANSWERS | A+ GRADED | LATEST UPDATE 2025/2026
Methadone - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT 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 - CORRECT ANSWER-a manualized 12-session
treatment approach which can be administered in group or individual practice,
which involves Exposure Therapy.
Exposure Therapy - CORRECT 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) - CORRECT
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) - CORRECT 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) - CORRECT ANSWER-daily use,
continuous. will take serious risks to obtain drugs/alcohol, potentially including
criminal behavior. Drugs/Alcohol help client to feel normal. Behavioral
indicators can include changes in weight, health issues, poor appearance,
