LCAS EXAM - NC EXAM QUESTIONS WITH ANSWERS LATEST
UPDATE 2026/27
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.
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
UPDATE 2026/27
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.
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
