LCDC ONLINE PRACTICE EXAM QUESTIONS &
ANSWERS
Question 84
Which of the following is not often considered a trigger for a potential relapse?
(A) Negative emotions such as sadness or loneliness
(B) Having a reason to celebrate such as a new job
(C) Sensory stimulants familiar during times of drug use (D) None of the above -
Answer -D
Question 85
What statement below is not consistent with the SAMHSA principles of recovery?
(A) Cultural differences impact recovery
(B) Recovery requires the direction of professional help (C) Recovery is self-directed
(D) Recovery can be achieved in many ways - Answer -B
Question 87
What is not a characteristic of an effective and successful therapeutic alliance?
(A) A strong bond between client and counselor
(B) Collaboration between counselor and third-party entities (C) Agreement on
treatment techniques
(D) Agreement on treatment goals - Answer -B
Question 86
What is the most accurate estimate of individuals in recovery who sought out or used
professional help?
(A) 5% (B) 25% (C) 75% (D) 90% - Answer -B
Question 89
What action as described below is not consistent with the technique of motivational
interviewing?
(A) Summarizing what the client says to show good listening
(B) Ensure an argument is dealt with quickly and sternly
(C) Continue to reinforce agreed upon goals
(D) Make the client aware of actions inconsistent with their goals - Answer -B
Question 88
What is an ineffective method for a counselor to develop a strong relationship with a
client?
(A) Exhibit a thorough knowledge of expertise in addiction treatment
(B) Use facts to support recommendations
(C) Make connections between the client's experiences and the counselor's clinical
knowledge (D) Explain to the client what to expect from experiences the counselor is
familiar with from other clients - Answer -D
,Question 91
During counseling, a client who has now been abstinent for some significant amount of
time and has adjusted to a new lifestyle, has indicated boredom with their current
situation. He says his old life was certainly much more exciting. What is not an
appropriate technique to avoid a relapse?
(A) Remind the client of the pain from substance abuse
(B) Challenge the client appropriately on the reality of what he remembers as enjoyable
times (C) Suggest new activities that may fill the void
(D) None of the above - Answer -D
Question 90
When counseling a client with a co-occurring disorder, what specific technique is most
appropriate to be emphasized?
(A) Using repetition to ensure an understanding of expectations
(B) Identify high risk situations the client may not be aware of
(C) Help the client find a sponsor
(D) Use positive reinforcement such as privileges to reward progress - Answer -A
Question 93
What is not consistent with the philosophies of motivational interviewing?
(A) Collaboration (B) Acceptance (C) Compassion (D) Intervene - Answer -D
Question 92
What is not an effective technique for helping a client utilize a mutual self-help group?
(A) Prescribe the best group for the client
(B) Have exit surveys to evaluate the client's reactions (C) Provide a briefing on the
dynamics of the group (D) Help to overcome logistical issues - Answer -A
Question 95
What model of substance abuse treatment is consistent with having a philosophy
related to the cause of abuse as being a "defect of character"?
(A) Medical Model
(B) Spiritual Model
(C) Sociocultural Model (D) Psychological Model - Answer -B
Question 94
What is mostly not a realistic expectation that should be set from a counselor to prepare
the client for sessions?
(A) Confidentiality will be kept
(B) Start times will be enforced
(C) Sessions where the client arrives under the influence will be analyzed for further
insight (D) There may not be any contact outside of the predetermined times - Answer -
C
Question 97
,What is not an effective example of empathy towards a client?
(A) Express your sincere remorse when the client explains a difficult time (B) Provide an
example of experience with a similar feeling
(C) State the feelings you believe the client is going through
(D) Use active listening to ensure the client knows you understand the story - Answer -
A
Question 103
What type of group counseling is effective in providing information to the client about
substance abuse?
(A) Psychoeducational (B) Skills development (C) Support
(D) Interpersonal process - Answer -A
Question 102
What is a medication that may have benefits for the treatment of someone with an
opioid addiction?
(A) Methadone
(B) Disulfiram
(C) Acamprosate
(D) None of the above - Answer -A
Question 104
Which of the following substances is there no conclusive evidence to support an
effectiveness of any medication for abuse treatment?
(A) Alcohol
(B) Tabaco
(C) Methamphetamine (D) Heroin - Answer -C
Question 105
When determining the presence of a crisis, what statement is true?
(A) A crisis occurs if there is a perceived traumatic event regardless of the mental state
of the client
(B) If a traumatic event occurs but the client has a stable mental state there is no crisis
(C) A crisis involves only short-term consequences
(D) A crisis may not include a catalyst - Answer -B
Question 106
What is not a generally an identified step in the process of crisis intervention?
(A) Assess the extent of the crisis (B) Identify the problem at hand (C) Determine
potential solutions (D) Establish a relapse strategy - Answer -D
Question 108
As per general AA teachings, what is not a part of the HALT acronym related to relapse
prevention?
(A) Hunger
(B) Anger
, (C) Loneliness (D) Temptation - Answer -D
Question 107
What is not an effective strategy for deescalating a crisis situation?
(A) Ask questions about the client's past that may identify the root of the problem (B)
Use verbal de-escalation
(C) Take steps to establish a rapport with the client
(D) Whenever possible, meet with a client in person to deal with a crisis - Answer -A
Question 109
What in contemporary terms is the most prevalent way to describe the goal of relapse
prevention?
(A) Have the proper tools necessary to intervene when warning signs arise
(B) Promote healthy and positive changes in one's life to prevent relapse
(C) Prepare the client for the inevitable by having an appropriate plan in place (D) None
of the above - Answer -B
Question 110
What is not consistent with the strategies in relapse prevention therapy?
(A) Identify relapse as a process
(B) Learn to cope with urges and cravings
(C) Learn techniques to minimize damage if a relapse does occur (D) After a relapse,
be prepared to move on completely - Answer -D
Question 112
What is not a primary component of the CENAPS Model of Relapse Prevention?
(A) Assessment
(B) Warning Sign Identification (C) Warning Sign Management (D) Relapse Counseling
- Answer -D
Question 111
What is not a category of techniques which can be used for coping as a part of relapse
prevention therapy?
(A) Behavioral
(B) Physical
(C) Cognitive
(D) None of the above - Answer -B
Question 114
What is not identified as one of the most common triggers for a relapse?
(A) Unpleasant emotions (B) Interpersonal conflict (C) Physical pain
(D) Social pressure - Answer -C
Question 113
What is the main difference between the Marlatt and Gordon Model of Relapse
Prevention and the CENAPS Model?
ANSWERS
Question 84
Which of the following is not often considered a trigger for a potential relapse?
(A) Negative emotions such as sadness or loneliness
(B) Having a reason to celebrate such as a new job
(C) Sensory stimulants familiar during times of drug use (D) None of the above -
Answer -D
Question 85
What statement below is not consistent with the SAMHSA principles of recovery?
(A) Cultural differences impact recovery
(B) Recovery requires the direction of professional help (C) Recovery is self-directed
(D) Recovery can be achieved in many ways - Answer -B
Question 87
What is not a characteristic of an effective and successful therapeutic alliance?
(A) A strong bond between client and counselor
(B) Collaboration between counselor and third-party entities (C) Agreement on
treatment techniques
(D) Agreement on treatment goals - Answer -B
Question 86
What is the most accurate estimate of individuals in recovery who sought out or used
professional help?
(A) 5% (B) 25% (C) 75% (D) 90% - Answer -B
Question 89
What action as described below is not consistent with the technique of motivational
interviewing?
(A) Summarizing what the client says to show good listening
(B) Ensure an argument is dealt with quickly and sternly
(C) Continue to reinforce agreed upon goals
(D) Make the client aware of actions inconsistent with their goals - Answer -B
Question 88
What is an ineffective method for a counselor to develop a strong relationship with a
client?
(A) Exhibit a thorough knowledge of expertise in addiction treatment
(B) Use facts to support recommendations
(C) Make connections between the client's experiences and the counselor's clinical
knowledge (D) Explain to the client what to expect from experiences the counselor is
familiar with from other clients - Answer -D
,Question 91
During counseling, a client who has now been abstinent for some significant amount of
time and has adjusted to a new lifestyle, has indicated boredom with their current
situation. He says his old life was certainly much more exciting. What is not an
appropriate technique to avoid a relapse?
(A) Remind the client of the pain from substance abuse
(B) Challenge the client appropriately on the reality of what he remembers as enjoyable
times (C) Suggest new activities that may fill the void
(D) None of the above - Answer -D
Question 90
When counseling a client with a co-occurring disorder, what specific technique is most
appropriate to be emphasized?
(A) Using repetition to ensure an understanding of expectations
(B) Identify high risk situations the client may not be aware of
(C) Help the client find a sponsor
(D) Use positive reinforcement such as privileges to reward progress - Answer -A
Question 93
What is not consistent with the philosophies of motivational interviewing?
(A) Collaboration (B) Acceptance (C) Compassion (D) Intervene - Answer -D
Question 92
What is not an effective technique for helping a client utilize a mutual self-help group?
(A) Prescribe the best group for the client
(B) Have exit surveys to evaluate the client's reactions (C) Provide a briefing on the
dynamics of the group (D) Help to overcome logistical issues - Answer -A
Question 95
What model of substance abuse treatment is consistent with having a philosophy
related to the cause of abuse as being a "defect of character"?
(A) Medical Model
(B) Spiritual Model
(C) Sociocultural Model (D) Psychological Model - Answer -B
Question 94
What is mostly not a realistic expectation that should be set from a counselor to prepare
the client for sessions?
(A) Confidentiality will be kept
(B) Start times will be enforced
(C) Sessions where the client arrives under the influence will be analyzed for further
insight (D) There may not be any contact outside of the predetermined times - Answer -
C
Question 97
,What is not an effective example of empathy towards a client?
(A) Express your sincere remorse when the client explains a difficult time (B) Provide an
example of experience with a similar feeling
(C) State the feelings you believe the client is going through
(D) Use active listening to ensure the client knows you understand the story - Answer -
A
Question 103
What type of group counseling is effective in providing information to the client about
substance abuse?
(A) Psychoeducational (B) Skills development (C) Support
(D) Interpersonal process - Answer -A
Question 102
What is a medication that may have benefits for the treatment of someone with an
opioid addiction?
(A) Methadone
(B) Disulfiram
(C) Acamprosate
(D) None of the above - Answer -A
Question 104
Which of the following substances is there no conclusive evidence to support an
effectiveness of any medication for abuse treatment?
(A) Alcohol
(B) Tabaco
(C) Methamphetamine (D) Heroin - Answer -C
Question 105
When determining the presence of a crisis, what statement is true?
(A) A crisis occurs if there is a perceived traumatic event regardless of the mental state
of the client
(B) If a traumatic event occurs but the client has a stable mental state there is no crisis
(C) A crisis involves only short-term consequences
(D) A crisis may not include a catalyst - Answer -B
Question 106
What is not a generally an identified step in the process of crisis intervention?
(A) Assess the extent of the crisis (B) Identify the problem at hand (C) Determine
potential solutions (D) Establish a relapse strategy - Answer -D
Question 108
As per general AA teachings, what is not a part of the HALT acronym related to relapse
prevention?
(A) Hunger
(B) Anger
, (C) Loneliness (D) Temptation - Answer -D
Question 107
What is not an effective strategy for deescalating a crisis situation?
(A) Ask questions about the client's past that may identify the root of the problem (B)
Use verbal de-escalation
(C) Take steps to establish a rapport with the client
(D) Whenever possible, meet with a client in person to deal with a crisis - Answer -A
Question 109
What in contemporary terms is the most prevalent way to describe the goal of relapse
prevention?
(A) Have the proper tools necessary to intervene when warning signs arise
(B) Promote healthy and positive changes in one's life to prevent relapse
(C) Prepare the client for the inevitable by having an appropriate plan in place (D) None
of the above - Answer -B
Question 110
What is not consistent with the strategies in relapse prevention therapy?
(A) Identify relapse as a process
(B) Learn to cope with urges and cravings
(C) Learn techniques to minimize damage if a relapse does occur (D) After a relapse,
be prepared to move on completely - Answer -D
Question 112
What is not a primary component of the CENAPS Model of Relapse Prevention?
(A) Assessment
(B) Warning Sign Identification (C) Warning Sign Management (D) Relapse Counseling
- Answer -D
Question 111
What is not a category of techniques which can be used for coping as a part of relapse
prevention therapy?
(A) Behavioral
(B) Physical
(C) Cognitive
(D) None of the above - Answer -B
Question 114
What is not identified as one of the most common triggers for a relapse?
(A) Unpleasant emotions (B) Interpersonal conflict (C) Physical pain
(D) Social pressure - Answer -C
Question 113
What is the main difference between the Marlatt and Gordon Model of Relapse
Prevention and the CENAPS Model?
