LCAS-NC Exam
Questions & Answers
Methadone - ANSWERSthe 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 - ANSWERSThis 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 - ANSWERSThe 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 - ANSWERSOften the first contact between client and treatment providers, this
interaction can set the tone of treatment and being the relationship with the client.
Assessment - ANSWERSWhen a client screens positive for substance abuse, trauma-related
symptoms, or mental health disorders, the counselor should follow up with a comprehensive
_______________________
Assessment - ANSWERSThis process should reoccur throughout treatment, to provide valuable
information and details as client's trust in staff members grow and progress occurs.
CBT - ANSWERSMost 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 - ANSWERSa manualized 12-session treatment approach which
can be administered in group or individual practice, which involves Exposure Therapy.
Exposure Therapy - ANSWERSThis 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) - ANSWERSoccasional - 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) - ANSWERSregular 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) - ANSWERSdaily 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,
memory loss, volatile mood swings, employment loss, possible overdoses, lack of concern about
being caught. Chronic relapsing disorder in his phase.
Alcohol - ANSWERSThe most widely used and accepted drug, past and present. A depressant,
similar to the anesthetic drug ether. The only non-medical drug taken "only" orally. It slows
heart rate and slows breathing. It depresses the brain. This is the only drug with which a large
number of those who use it do not become physically dependent on it. An estimated 10% of
those who use it become dependent.
Questions & Answers
Methadone - ANSWERSthe 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 - ANSWERSThis 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 - ANSWERSThe 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 - ANSWERSOften the first contact between client and treatment providers, this
interaction can set the tone of treatment and being the relationship with the client.
Assessment - ANSWERSWhen a client screens positive for substance abuse, trauma-related
symptoms, or mental health disorders, the counselor should follow up with a comprehensive
_______________________
Assessment - ANSWERSThis process should reoccur throughout treatment, to provide valuable
information and details as client's trust in staff members grow and progress occurs.
CBT - ANSWERSMost 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 - ANSWERSa manualized 12-session treatment approach which
can be administered in group or individual practice, which involves Exposure Therapy.
Exposure Therapy - ANSWERSThis 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) - ANSWERSoccasional - 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) - ANSWERSregular 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) - ANSWERSdaily 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,
memory loss, volatile mood swings, employment loss, possible overdoses, lack of concern about
being caught. Chronic relapsing disorder in his phase.
Alcohol - ANSWERSThe most widely used and accepted drug, past and present. A depressant,
similar to the anesthetic drug ether. The only non-medical drug taken "only" orally. It slows
heart rate and slows breathing. It depresses the brain. This is the only drug with which a large
number of those who use it do not become physically dependent on it. An estimated 10% of
those who use it become dependent.
