LCAS Exam - NC GUARANTEED PASS !!
Methadone - (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 - (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 - (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 - (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 - (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 - (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 - (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 - (ANSWER)a manualized 12-session treatment approach which can be
administered in group or individual practice, which involves Exposure Therapy.
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, Exposure Therapy - (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) - (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) - (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) - (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, memory loss, volatile mood swings,
employment loss, possible overdoses, lack of concern about being caught. Chronic relapsing disorder in his
phase.
Alcohol - (ANSWER)The 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.
Other Sedative-Hynotics - (ANSWER)sedative and hypnotic agents which are non-barbiturate or non-
benzodiazepines, including Quaaludes, Ambien (Zolpidem), and Lunesta (Eszopiclone).
Narcotics or Opiates/Opioids - (ANSWER)Drugs that cause sedation and euphoria by causing depression of the
central nervous system.
Narcotics or Opiates/Opioids - (ANSWER)Used medically to relieve pain, suppress cough and control diarrhea,
as well as some anxiety relief.
Narcotics or Opiates/Opioids - (ANSWER)Overdose can cause death by respiratory depression
Semi-synthetic Opiates - (ANSWER)Hydromorphone (Dilaudid), Oxycodone, Heroin
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Methadone - (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 - (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 - (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 - (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 - (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 - (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 - (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 - (ANSWER)a manualized 12-session treatment approach which can be
administered in group or individual practice, which involves Exposure Therapy.
Page 1 of 9
, Exposure Therapy - (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) - (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) - (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) - (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, memory loss, volatile mood swings,
employment loss, possible overdoses, lack of concern about being caught. Chronic relapsing disorder in his
phase.
Alcohol - (ANSWER)The 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.
Other Sedative-Hynotics - (ANSWER)sedative and hypnotic agents which are non-barbiturate or non-
benzodiazepines, including Quaaludes, Ambien (Zolpidem), and Lunesta (Eszopiclone).
Narcotics or Opiates/Opioids - (ANSWER)Drugs that cause sedation and euphoria by causing depression of the
central nervous system.
Narcotics or Opiates/Opioids - (ANSWER)Used medically to relieve pain, suppress cough and control diarrhea,
as well as some anxiety relief.
Narcotics or Opiates/Opioids - (ANSWER)Overdose can cause death by respiratory depression
Semi-synthetic Opiates - (ANSWER)Hydromorphone (Dilaudid), Oxycodone, Heroin
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