Lcdc Review Practice Complete Test.

LCDC REVIEW PRACTICE COMPLETE TEST. A wife refers her husband for substance abuse counseling. His drug of choice is cocaine which he has been using episodically with friends at a poker game (biweekly to weekly) for some years. She is disturbed at the illicit nature of the drug and the long standing use. He stated that though he recreationally uses, he doesn't crave cocaine, doesn't seek it out but rather uses with friends at the game who bring it. He feels that other than his wife being upset, he has no other social or occupational issues. Given the information provided, how is his use of cocaine BEST described? - CORRECT ANSWER IT IS NOT described as: Substance abuse, cocaine intoxication, or cocaine use disorder. What is Neuroplasticity? - CORRECT ANSWER the ability of the brain to form and reorganize synaptic connections following an injury or longterm drug use. What does the experienced effect of a drug depend upon? - CORRECT ANSWER t taken & past experiences of administration drug use How is drug tolerance BEST described? - CORRECT ANSWER A (Decreased) sensitivity to a drug overtime List some drug cues or triggers: - CORRECT ANSWER 1.Prior drug use setting 2.Drug Paraphernalia 3.Seeing others use What does (SASSI) stand for & what is it? - CORRECT ANSWER (Substance Abuse Subtle Screening Inventory) a brief self-report questionnaire that identifies substance use disorder. For adults & adolescents. now there's 3rd edition (SASSI-3) for adults. (67 true & false items & a 26 item self report questions) What happens as tolerance for barbiturates develops? - CORRECT ANSWER The margin between intoxication & lethality stays the same. What is the MOST common symptom of Wernicke's encephalopathy? - CORRECT ANSWER Confusion What does (formication) refer to? - CORRECT ANSWER The sensation of bugs crawling on skin. Or (Magnon's syndrome) What is the organ most damaged by cocaine abuse? - CORRECT ANSWER The Heart List (3) basic chemical classes of amphetamines: - CORRECT ANSWER 1.Methamphetamine (meth) 2.Amphetamine Sulphate (speed) 3.Dextroamphetamine (Dexy's) In terms of difficulty quitting (dependence), which of the following drugs ranks the highest? - CORRECT ANSWER Nicotine THC content in marijuana varies widely. True or false? - CORRECT ANSWER True Regarding substance abuse, what does the Convergence Theory propose? - CORRECT ANSWER Rates of substance abuse among women are converging with men. Which subcategory of alcohol use disorder onset is NOT found in the elderly? - CORRECT ANSWER (Early onset) alcoholism At an initial meeting with a new client, what is the FIRST requirement? - CORRECT ANSWER Establish Rapport What does motivational interviewing primarily involve? - CORRECT ANSWER Supportive Persuasion What percentage of individuals with a dual diagnosis (co-occurring disorders) received treatment for only their mental illness? - CORRECT ANSWER 32.9% percent What factors can affect screening instrument validity? - CORRECT ANSWER ng/privacy rt/trust instructions Which function is NOT what a Certified Alcohol & Drug Abuse Counselor can perform? - CORRECT ANSWER Diagnose Mental Disorders What does the acronym (GATE) stand for& what is it? - CORRECT ANSWER 1.Gather Info 2.Access Supervision 3.Take action 4.Extend action (addresses suicidality) Assessments processes and instruments need to be sensitive to: - CORRECT ANSWER 1.Race & ethnicity 2.Age & gender 3.Disabilities What are serious mental health symptoms that resolve with abstinence in (thirty days or less) most likely to? - CORRECT ANSWER Substance abuse-induced disorders that require continued abstinence. Which one of the following alcohol abuse screening tests is designed specifically for use with (adolescents), and briefly describe it? - CORRECT ANSWER (CRAFFT) A brief 6 question screening tool that identifies high risk alcohol & substance use disorders. Derives name from key words: C: Ever driven in a CAR with someone using alcohol/drugs? R: Ever use to RELAX? A: Ever use ALONE? F: Ever FORGET things while using? F: Ever been told by family/FRIENDS to stop? T: Ever gotten in TROUBLE using? Which of the following is the MOST important introductory statement or question to ask in a suicidality evaluation? - CORRECT ANSWER I need to ask you a few questions about suicide. What is the purpose of screening? - CORRECT ANSWER To determine the need for placement & referral. What is the primary purpose of substance abuse assessment? - CORRECT ANSWER To determine the severity of the problem. Who should create a treatment plan? - CORRECT ANSWER A Collaborative team w/the client. How must 'assessment information' be handled to be the Most effective? - CORRECT ANSWER Info should be converted into goals & objectives. What does NOT bolster a client's desire to complete the program? - CORRECT ANSWER (Frequent) interdisciplinary consultations. When is a client fully prepared to enter treatment? - CORRECT ANSWER When they accept the need for treatment. The Guiding principles when writing goals in (treatment planning) are identified by which acronym? - CORRECT ANSWER (MATRS) M:Measurable A:Attainable T: Time limited R:Realistic S:Specific In cases involving the criminal justice system, what is the minimum recommendation for frequency of updating treatment plans? - CORRECT ANSWER At all transition points. The Addiction Severity Index (ASI) has been formally adopted by which organization? - CORRECT ANSWER The National Institute on Drug Abuse (NIDA) What does it mean if an assessment instrument is valid? - CORRECT ANSWER The instrument assesses what it's supposed to assess. Are the following statements True or False? 1.Depression can lead to self medication with drugs 2.Drugs can induce symptoms of depression. 3.Drugs can worsen symptoms of depression. - CORRECT ANSWER They are all (True) How does motivation for participating in treatment differ from motivation to change behaviors - CORRECT ANSWER Motivation for change is internal; Yet treatment may be pushed on a client. How does the Center for Substance Abuse Treatment (CSAT) recommend that substance abuse be considered and treated? - CORRECT ANSWER As a chronic, yet treatable condition. How does the Center for Substance Abuse Treatment (CSAT) indicate that treatment or interventions provided following discharge from a formal inpatient or outpatient program be referred to? - CORRECT ANSWER For Continuing Care What is the best distinction between substance abuse treatment programs and mutual-help groups, such as 12 step support groups? - CORRECT ANSWER Programs offer (treatment) and groups offer (support) What are the intensive outpatient treatment (IOT) CORE features that the Center for Substance Abuse Treatment (CSAT) consensus panel agreed upon? - CORRECT ANSWER e & orientation biopsychosocial idualized treatment plan idual, family & group counseling oeducational programming -management ges with help nity based support groups 9. (24) hour crisis support 10. medical treatment/medication mngmt screening tional/vocational services iatric evaluation & psychotherapy arge planning & transition services What are some of the Core treatment and recovery skills? - CORRECT ANSWER Training in: 1.Assertiveness 2.Relaxation 3.Stress management 4.Substance refusal What are the 7 primary learning styles? - CORRECT ANSWER (auditory) l (spatial) l (linguistic) cal (kinesthetic) al (mathematic) l (inter-personal) ary (intra-personal) What is the influence of (family) on treatment outcomes? - CORRECT ANSWER They improve with family (support), yet can worsen with family (involvement). How many main levels exist in the substance abuse continuum of care, according to the American Society of Addiction Medicine (ASAM), and what are they? - CORRECT ANSWER (4 main levels) Level 0.5: Early intervention Level 1: (Outpatient) (less than 9 hrs a wk) Level 2: (Intensive-Outpatient) hospitalization (min 9 hrs a wk) Level 3: (Residential-Inpatient) (min 25 hrs a wk) Level 4: (Intensive-Inpatient) Medically Managed daily physician supervision