LCAS NORTH CAROLINA MOCK EXAM COMPLETE 100
QUESTIONS & CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND 2026 NEW
VERSION!!
1. The primary role of an LCAS in North Carolina is to
A. Prescribe medications for substance use disorders
B. Diagnose medical conditions related to addiction
C. Provide clinical addiction assessment and treatment
D. Conduct involuntary commitments
Correct Answer: C
LCAS professionals are licensed to assess, diagnose, and treat substance use
disorders within a clinical scope.
2. According to DSM-5-TR, a diagnosis of Substance Use Disorder requires
A. At least one symptom over 12 months
B. At least two symptoms over 12 months
C. Daily substance use
D. Physical dependence only
Correct Answer: B
DSM-5-TR defines SUD by the presence of two or more criteria within a 12-month
period.
3. Which ASAM dimension evaluates biomedical conditions and
complications?
A. Dimension 1
, B. Dimension 2
C. Dimension 3
D. Dimension 4
Correct Answer: B
ASAM Dimension 2 focuses on physical health conditions that may affect
treatment.
4. Confidentiality for substance use treatment records is primarily governed by
A. HIPAA only
B. OSHA regulations
C. 42 CFR Part 2
D. NC labor law
Correct Answer: C
42 CFR Part 2 provides enhanced confidentiality protections for substance use
disorder records.
5. Which stage of change is characterized by ambivalence?
A. Precontemplation
B. Contemplation
C. Preparation
D. Maintenance
Correct Answer: B
In contemplation, clients recognize a problem but feel uncertain about changing.
6. The most appropriate initial focus during intake is
A. Long-term treatment goals
B. Detailed trauma exploration
C. Client safety and immediate needs
D. Family therapy planning
, Correct Answer: C
Safety, withdrawal risk, and stabilization are prioritized at intake.
7. Which screening tool is commonly used for alcohol misuse?
A. GAD-7
B. PHQ-9
C. AUDIT
D. MMSE
Correct Answer: C
AUDIT is a validated screening tool for alcohol use disorders.
8. A positive drug screen alone is sufficient to diagnose a Substance Use
Disorder.
A. True
B. False
C. Only for opioids
D. Only with medical approval
Correct Answer: B
A diagnosis requires clinical criteria, not just toxicology results.
9. Which counseling approach emphasizes empathy and reflective listening?
A. CBT
B. Motivational Interviewing
C. Reality Therapy
D. Psychoanalysis
Correct Answer: B
Motivational Interviewing focuses on empathy, collaboration, and client
autonomy.
QUESTIONS & CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND 2026 NEW
VERSION!!
1. The primary role of an LCAS in North Carolina is to
A. Prescribe medications for substance use disorders
B. Diagnose medical conditions related to addiction
C. Provide clinical addiction assessment and treatment
D. Conduct involuntary commitments
Correct Answer: C
LCAS professionals are licensed to assess, diagnose, and treat substance use
disorders within a clinical scope.
2. According to DSM-5-TR, a diagnosis of Substance Use Disorder requires
A. At least one symptom over 12 months
B. At least two symptoms over 12 months
C. Daily substance use
D. Physical dependence only
Correct Answer: B
DSM-5-TR defines SUD by the presence of two or more criteria within a 12-month
period.
3. Which ASAM dimension evaluates biomedical conditions and
complications?
A. Dimension 1
, B. Dimension 2
C. Dimension 3
D. Dimension 4
Correct Answer: B
ASAM Dimension 2 focuses on physical health conditions that may affect
treatment.
4. Confidentiality for substance use treatment records is primarily governed by
A. HIPAA only
B. OSHA regulations
C. 42 CFR Part 2
D. NC labor law
Correct Answer: C
42 CFR Part 2 provides enhanced confidentiality protections for substance use
disorder records.
5. Which stage of change is characterized by ambivalence?
A. Precontemplation
B. Contemplation
C. Preparation
D. Maintenance
Correct Answer: B
In contemplation, clients recognize a problem but feel uncertain about changing.
6. The most appropriate initial focus during intake is
A. Long-term treatment goals
B. Detailed trauma exploration
C. Client safety and immediate needs
D. Family therapy planning
, Correct Answer: C
Safety, withdrawal risk, and stabilization are prioritized at intake.
7. Which screening tool is commonly used for alcohol misuse?
A. GAD-7
B. PHQ-9
C. AUDIT
D. MMSE
Correct Answer: C
AUDIT is a validated screening tool for alcohol use disorders.
8. A positive drug screen alone is sufficient to diagnose a Substance Use
Disorder.
A. True
B. False
C. Only for opioids
D. Only with medical approval
Correct Answer: B
A diagnosis requires clinical criteria, not just toxicology results.
9. Which counseling approach emphasizes empathy and reflective listening?
A. CBT
B. Motivational Interviewing
C. Reality Therapy
D. Psychoanalysis
Correct Answer: B
Motivational Interviewing focuses on empathy, collaboration, and client
autonomy.
