LCAS North Carolina Exam Questions and
Correct Answers – Substance Abuse
Counseling Study Guide
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). -CORRECTANSWER Methadone
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. -CORRECTANSWER
Trauma-informed treatments
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. -CORRECTANSWER
Screening
Often the first contact between client and treatment providers, this interaction can set
the tone of treatment and being the relationship with the client. -CORRECTANSWER
Screening
,When a client screens positive for substance abuse, trauma-related symptoms, or
mental health disorders, the counselor should follow up with a comprehensive
_______________________ -CORRECTANSWER Assessment
This process should reoccur throughout treatment, to provide valuable information and
details as client's trust in staff members grow and progress occurs. -
CORRECTANSWER Assessment
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 -CORRECTANSWER CBT
a manualized 12-session treatment approach which can be administered in group or
individual practice, which involves Exposure Therapy. -CORRECTANSWER Cognitive
Processing Therapy
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. -
CORRECTANSWER Exposure Therapy
, 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. -CORRECTANSWER Experimental and Social Use of Drugs and Alcohol
(stage 1)
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. -CORRECTANSWER Abuse of Drugs and Alcohol (stage 2)
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. -CORRECTANSWER Dependency/Addiction
Phase (Stage 3)
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
Correct Answers – Substance Abuse
Counseling Study Guide
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). -CORRECTANSWER Methadone
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. -CORRECTANSWER
Trauma-informed treatments
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. -CORRECTANSWER
Screening
Often the first contact between client and treatment providers, this interaction can set
the tone of treatment and being the relationship with the client. -CORRECTANSWER
Screening
,When a client screens positive for substance abuse, trauma-related symptoms, or
mental health disorders, the counselor should follow up with a comprehensive
_______________________ -CORRECTANSWER Assessment
This process should reoccur throughout treatment, to provide valuable information and
details as client's trust in staff members grow and progress occurs. -
CORRECTANSWER Assessment
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 -CORRECTANSWER CBT
a manualized 12-session treatment approach which can be administered in group or
individual practice, which involves Exposure Therapy. -CORRECTANSWER Cognitive
Processing Therapy
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. -
CORRECTANSWER Exposure Therapy
, 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. -CORRECTANSWER Experimental and Social Use of Drugs and Alcohol
(stage 1)
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. -CORRECTANSWER Abuse of Drugs and Alcohol (stage 2)
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. -CORRECTANSWER Dependency/Addiction
Phase (Stage 3)
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
