LCDC Test, Questions and answers,
100% Accurate, Verified.
A wife refers her husband for substance abuse counseling. His drug of choice is cocaine which he has
been using episodically with friends at a poker game (b
...
LCDC Test, Questions and answers,
100% Accurate, Verified.
A wife refers her husband for substance abuse counseling. His drug of choice is cocaine which he has
been using episodically with friends at a poker game (biweekly to weekly) for some years. She is
disturbed at the illicit nature of the drug and the long standing use. He stated that though he
recreationally uses, he doesn't crave cocaine, doesn't seek it out but rather uses with friends at the
game who bring it. He feels that other than his wife being upset, he has no other social or occupational
issues. Given the information provided, how is his use of cocaine BEST described? - ✔✔-IT IS NOT
described as: Substance abuse, cocaine intoxication, or cocaine use disorder.
What is Neuroplasticity? - ✔✔-the ability of the brain to form and reorganize synaptic connections
following an injury or longterm drug use.
What does the experienced effect of a drug depend upon? - ✔✔-1.amount taken & past experiences
2.mode of administration
3.poly drug use
How is drug tolerance BEST described? - ✔✔-A (Decreased) sensitivity to a drug overtime
List some drug cues or triggers: - ✔✔-1.Prior drug use setting
2.Drug Paraphernalia
3.Seeing others use
What does (SASSI) stand for & what is it? - ✔✔-(Substance Abuse Subtle Screening Inventory)
a brief self-report questionnaire that identifies substance use disorder. For adults & adolescents. now
there's 3rd edition (SASSI-3) for adults. (67 true & false items & a 26 item self report questions)
What happens as tolerance for barbiturates develops? - ✔✔-The margin between intoxication &
lethality stays the same.
What is the MOST common symptom of Wernicke's encephalopathy? - ✔✔-Confusion
What does (formication) refer to? - ✔✔-The sensation of bugs crawling on skin.
Or (Magnon's syndrome)
What is the organ most damaged by cocaine abuse? - ✔✔-The Heart
List (3) basic chemical classes of amphetamines: - ✔✔-1.Methamphetamine (meth)
2.Amphetamine Sulphate (speed)
3.Dextroamphetamine (Dexy's)
In terms of difficulty quitting (dependence), which of the following drugs ranks the highest? - ✔✔-
Nicotine
THC content in marijuana varies widely.
True or false? - ✔✔-True
Regarding substance abuse, what does the Convergence Theory propose? - ✔✔-Rates of substance
abuse among women are converging with men.
Which subcategory of alcohol use disorder onset is NOT found in the elderly? - ✔✔-(Early onset)
alcoholism
At an initial meeting with a new client, what is the FIRST requirement? - ✔✔-Establish Rapport
What does motivational interviewing primarily involve? - ✔✔-Supportive Persuasion
What percentage of individuals with a dual diagnosis (co-occurring disorders) received treatment for
only their mental illness? - ✔✔-32.9% percent
What factors can affect screening instrument validity? - ✔✔-1.setting/privacy
2.rapport/trust
3.clear instructions
Which function is NOT what a Certified Alcohol & Drug Abuse Counselor can perform? - ✔✔-Diagnose
Mental Disorders
What does the acronym (GATE) stand for& what is it? - ✔✔-1.Gather Info
2.Access Supervision
3.Take action
4.Extend action
(addresses suicidality)
Assessments processes and instruments need to be sensitive to: - ✔✔-1.Race & ethnicity
2.Age & gender
3.Disabilities
What are serious mental health symptoms that resolve with abstinence in (thirty days or less) most
likely to? - ✔✔-Substance abuse-induced disorders that require continued abstinence.
Which one of the following alcohol abuse screening tests is designed specifically for use with
(adolescents), and briefly describe it? - ✔✔-(CRAFFT)
A brief 6 question screening tool that identifies high risk alcohol & substance use disorders. Derives
name from key words:
C: Ever driven in a CAR with someone using alcohol/drugs?
R: Ever use to RELAX?
A: Ever use ALONE?
F: Ever FORGET things while using?
F: Ever been told by family/FRIENDS to stop?
T: Ever gotten in TROUBLE using?
Which of the following is the MOST important introductory statement or question to ask in a suicidality
evaluation? - ✔✔-I need to ask you a few questions about suicide.
What is the purpose of screening? - ✔✔-To determine the need for placement & referral.
What is the primary purpose of substance abuse assessment? - ✔✔-To determine the severity of the
problem.
Who should create a treatment plan? - ✔✔-A Collaborative team w/the client.
How must 'assessment information' be handled to be the Most effective? - ✔✔-Info should be
converted into goals & objectives.
What does NOT bolster a client's desire to complete the program? - ✔✔-(Frequent) interdisciplinary
consultations.
When is a client fully prepared to enter treatment? - ✔✔-When they accept the need for treatment.
The Guiding principles when writing goals in (treatment planning) are identified by which acronym? -
✔✔-(MATRS)
M:Measurable
A:Attainable
T: Time limited
R:Realistic
S:Specific
In cases involving the criminal justice system, what is the minimum recommendation for frequency of
updating treatment plans? - ✔✔-At all transition points.
The Addiction Severity Index (ASI) has been formally adopted by which organization? - ✔✔-The National
Institute on Drug Abuse (NIDA)
What does it mean if an assessment instrument is valid? - ✔✔-The instrument assesses what it's
supposed to assess.
Are the following statements True or False?
1.Depression can lead to self medication with drugs
2.Drugs can induce symptoms of depression.
3.Drugs can worsen symptoms of depression. - ✔✔-They are all (True)
How does motivation for participating in treatment differ from motivation to change behaviors - ✔✔-
Motivation for change is internal;
Yet treatment may be pushed on a client.
How does the Center for Substance Abuse Treatment (CSAT) recommend that substance abuse be
considered and treated? - ✔✔-As a chronic, yet treatable condition.
How does the Center for Substance Abuse Treatment (CSAT) indicate that treatment or interventions
provided following discharge from a formal inpatient or outpatient program be referred to? - ✔✔-For
Continuing Care
What is the best distinction between substance abuse treatment programs and mutual-help groups,
such as 12 step support groups? - ✔✔-Programs offer (treatment)
and groups offer (support)
What are the intensive outpatient treatment (IOT) CORE features that the Center for Substance Abuse
Treatment (CSAT) consensus panel agreed upon? - ✔✔-1.intake & orientation
2.full biopsychosocial
3.individualized treatment plan
4.individual, family & group counseling
5.psychoeducational programming
6.case-management
7.linkages with help
8.community based support groups
9. (24) hour crisis support
10. medical treatment/medication mngmt
11.drug screening
12.educational/vocational services
13.psychiatric evaluation & psychotherapy
14.discharge planning & transition services
What are some of the Core treatment and recovery skills? - ✔✔-Training in: 1.Assertiveness
2.Relaxation
3.Stress management
4.Substance refusal
What are the 7 primary learning styles? - ✔✔-1.aural (auditory)
2.visual (spatial)
3.verbal (linguistic)
4.physical (kinesthetic)
5.logical (mathematic)
6.social (inter-personal)
7.solitary (intra-personal)
What is the influence of (family) on treatment outcomes? - ✔✔-They improve with family (support), yet
can worsen with family (involvement).
How many main levels exist in the substance abuse continuum of care, according to the American
Society of Addiction Medicine (ASAM), and what are they? - ✔✔-(4 main levels)
Level 0.5: Early intervention
Level 1: (Outpatient)
(less than 9 hrs a wk)
Level 2: (Intensive-Outpatient) hospitalization (min 9 hrs a wk)
Level 3: (Residential-Inpatient)
(min 25 hrs a wk)
Level 4: (Intensive-Inpatient) Medically Managed daily physician supervision
How many sequential stages must outpatient clients work through, regardless of the level of care at
which they enter treatment, and what are they? - ✔✔-Four stages:
1.Treatment Engagement
2.Early Recovery
3.Maintenance
4.Community Support
What is the usual recommended minimum duration of days for the intensive outpatient treatment (IOT)
phase? - ✔✔-(90) days
How is the most effective relapse-prevention training provided? - ✔✔-Group & Individual are equally
effective.
What are some types of intensive outpatient treatment (IOT) groups? - ✔✔-1. Psychoed
2. Interpersonal process
3. Skills Development
4. Family & Couples
5. Support
What is the most common duration of counseling in an intensive outpatient treatment (IOT) program? -
✔✔-(30 to 50 minutes)
1 x weekly
What is involved in a common session format of individual counseling? - ✔✔-Ask about: Reactions to
group & feelings, urgent issues, drug-alcohol use & outside activities
What can Intensive Outpatient Treatment (IOT) based pharmacotherapy and medication management
facilitate? - ✔✔-1.ambulatory detox
2.withdrawal symptom relief
3.craving reduction
4.blocking reinforcing effects of drugs
5.reducing risks of drug injecting
6.mitigation of psychpathologies
7.monitoring medical conditions
How are pharmacotherapy and medication management in substance abuse treatment described? -
✔✔-Of considerable, yet limited, value in treatment
Topics addressed in psychoeducational groups are typically - ✔✔-sequenced by concept for better
results
What are just (5) of the 22 CORE topics addressed in psychoeducational groups? - ✔✔-1. Stress
management/coping skills
2. Understanding relapse process
3. Relapse prevention tools
4. Creating personal relapse plan
5. Managing desires to test control
What is the original (CIWA-Ar) scale designed for, & what does acronym stand for? - ✔✔-Assesses
alcohol withdrawal risk.
(Clinical Institute Withdrawal Assessment)
(10 item scale)
Which of the following substances lack effective treatment medications? - ✔✔-cocaine & marijuana
(Adjunctive) therapies refers to these 3 types: - ✔✔-1.Stress-Mngmt
2.Acupuncture
3.Meditation
Dealing with smoking cessation during a substance abuse treatment program is something to seriously
consider only if - ✔✔-the client wants it
Is this statement True or False?
Disulfiram (Antabuse) is contraindicated for clients whose alcohol abuse is combined with cocaine or
methadone use. - ✔✔-False
What is the 'Sandwich' technique? - ✔✔-An (intake interviewing) technique
What are the (3) most effective screening tools for substance use disorders? - ✔✔-1.The (CSAT) Simple
Screening Instrument
2.The (ADS) Alcohol Dependence Scale
3.The (ASI) Addiction Severity Index scale
3.The (TCUDS) Texas Christian University Drug Screen
What does the acronym (SDSS) stand for & what is it designed to measure? - ✔✔-(Substance
Dependence Severity Scale)
It measures Drug use disorder severity-over time
What is the (primary purpose) of the Texas Christian University Drug Screen (TCUDS)? - ✔✔-To identify
those (with and without) issues of drug dependency
What is physiological dependence on a drug determined by? - ✔✔-The tolerance or symptoms of
withdrawal
According to the DSM-5 criteria, a client that (has) previously met the criteria for stimulant use disorder
but now (has not) met the criteria for stimulant use in 10 months (except for craving) would be termed
to be in _________remission. - ✔✔-Early
What is the clients family of choice used to describe? - ✔✔-Relationships by marriage or friendships
What does a (dual relationship) refer to? - ✔✔-A working relationship with a client outside the
professional domain
What is an appropriate response to a substantial gift from a client? - ✔✔-"I can't accept that, but thank
you anyway."
Two clients in a treatment group begin dating. What would a proper response be? - ✔✔-Address
program policy preventing dating among group members.
At a local dance club, a counselor spots a client drinking at the bar. What is the best response? - ✔✔-
Avoid contact & leave immediately.
As a substance abuse counselor, you work in a treatment program and also personally attend a 12 step
program in the community. A treatment program client asks you to become his 12 step sponsor, what is
the best response? - ✔✔-(Decline) knowing the potential conflicts in multiple roles.
In providing counseling treatment, what are counselors encouraged to do? - ✔✔-Use multiple
counseling approaches.
What does the 12 -step Facilitation Approach refer to? - ✔✔-Encourages clients to enter a 12 step
program.
List (3) strengths of 12- step programs? - ✔✔-1.free & offer support
2.work w/ diverse clients
3.recovery in mental, health, & spiritual areas
Why is Staff familiarity with 12 step program facilitation is important? - ✔✔-Clients are more motivated,
their issues are better resolved & they stay abstinent longer
When outcomes from cognitive-behavioral coping skills therapy and motivational enhancement therapy
are compared with outcomes of 12 step facilitation, how do clients fare best with? - ✔✔-12-step
facilitation
Traditionally, what has the term therapeutic community (TC) referred to? - ✔✔-A (drug free) residential
treatment environment
Why do therapeutic communities (TC's) often focus on (habilitation) instead of rehabilitation? - ✔✔-
Habilitation teaches new skills & rehabilitation teaches old ones
In what setting is the therapeutic community (TC) treatment model most effective? - ✔✔-A formal (fulltime residential), & an intensive (day treatment)
What is the most important reason that ordered and routine activities are built into the therapeutic
community (TC) treatment process? - ✔✔-Its the opposite of the usual disordered lives of addicts.
What is the MATRIX model designed to treat? - ✔✔-Stimulant abuse
What are significant drawbacks to community reinforcement (CR) and contingency management (CM)
approaches? - ✔✔-(CR) is hard work.
(CM) is costly.
With regard to co-ocurring disorders, what does the term (integrated) treatment refer to? - ✔✔-
Treating (Psychiatric & Substance Abuse) issues at same time.
What would be the most typical co-occurring disorder client? - ✔✔-An alcoholic woman
How many categories does SAMHSA's Service Coordination Framework for Co-ocurring Disorders have? -
✔✔-Four (4) categories
When behaviorally assessing for a co-occurring disorder, what is the most important variable to
consider? - ✔✔-Alcohol & drug toxicity or
withdrawal symptoms
How are substance abuse treatment programs for adolescents described? - ✔✔-Very different from
adult programs.
What is the most effective treatment approach for adolescents, in terms of less drug use at treatment
completion? - ✔✔-Family therapy
How is the concept of 'Culture' Best described? - ✔✔-A shared set of (beliefs, norms, & values) among
any given group
Who is primarily responsible for ensuring that treatment is effective for culturally diverse clients? - ✔✔-
The provider
What does the term 'culture-bound' syndrome refer to? - ✔✔-An illness unique to a cultural group, and
an illness (interpreted differently) due to cultural influence.
Beyond the culture of the client, what is another key cultural issue? - ✔✔-The culture of the counselor
What are the two key mental health treatment paradigms of western medicine? - ✔✔-Pharmacological
& Psychotherapy
Racism may jeopardize the mental health of minorities in what following ways? - ✔✔-1. affects social &
psychological function
2.diminishes socioeconomic status
3.causes psychological distress
What is the trend for cultural diversity in the United States? - ✔✔-It's Increasing rapidly & steadily
What is the difference between AIDS & HIV? - ✔✔-HIV is the virus that causes the Aids syndrome
As compared with current older adults, what is the upcoming baby boomer generation (born 1946-1964)
expected to have? - ✔✔-Much higher treatment needs
When older adults enter treatment, how do their rates of attendance & incidence of relapse, compare
to their younger cohorts? - ✔✔-Much higher attendance &
much lower relapse rates
Confidentiality requirements exist to protect client's & their personal lives and information. Without a
client signed information release, what is the information that can be disclosed? - ✔✔-A report of child
abuse suspected to be caused by the client
The (CAGE) questionnaire is a four-question screening tool. What is this screening instrument designed
to screen for & what does acronym stand for? - ✔✔-Screens for (Alcohol Abuse)
Acronym based on 4 questions
1.Have you ever felt you needed to CUT down on your drinking?
2.Have people ANNOYED you by criticizing your drinking?
3.Have you ever felt GUILTY about drinking?
4.Have you ever felt you needed an (EYE OPENER drink) to calm nerves after hangover?
The (relapse & remitting) model addresses cycles of relapse & recovery common to addiction. What else
can it be usefully applied to? - ✔✔-1.medication management
2.unemployment
3.issues of anger & violence
The term (authentically connected referral network) is used in conjunction with case management. How
is it best defined? - ✔✔-A set of defined relationships able to adapt & meet client needs
In providing case-management services, beyond providing seamless care & being client focused, what is
the primary aim? - ✔✔-To produce the (least-restrictive level of care) in meeting client's needs
Sensitive interviewing & engagement techniques are important to optimize client responsiveness &
investment. What does the (ask-tell-ask) technique refer to? - ✔✔-Asking permission to talk with them,
informing them of any concerns, & asking for their thoughts on what you shared.
After referrals are made, it is important to track the associated outcomes for measures of referral
success. What are the 3 most important (evaluative) aspects? - ✔✔-1.Who
2.What
3.How
Given a client's history, referrals for co-occurring disorders as well as medical, educational, &
psychological needs should be ongoing as discovered. When should planning for after care be engaged?
- ✔✔-At the point of initial (counselor-client) contract
Education regarding substance abuse includes topics such as triggers, patterns of abuse & relapse
prevention. What should treatment mostly be focused on? - ✔✔-1.Substance abuse issues
2.Co-occurring disorders
3.Recovery issues
4.Health issues
In a client's efforts to maintain emotional & psychological balance, what does the term 'bookend' refer
to? - ✔✔-Discussing a trigger event with someone
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