LCAS EXAM – NC QUESTIONS WITH
CORRECT ANSWERS 2026/202
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). -CORRECT ANSWERS- 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. -CORRECT ANSWERS- 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. -CORRECT ANSWERS- 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. -CORRECT ANSWERS- Screening
When a client screens positive for substance abuse, trauma-related symptoms, or mental health
disorders, the counselor should follow up with a comprehensive _______________________ -CORRECT
ANSWERS- Assessment
This process should reoccur throughout treatment, to provide valuable information and details as
client's trust in staff members grow and progress occurs. -CORRECT ANSWERS- 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 -CORRECT ANSWERS- CBT
a manualized 12-session treatment approach which can be administered in group or individual practice,
which involves Exposure Therapy. -CORRECT ANSWERS- 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. -CORRECT ANSWERS- 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. -CORRECT ANSWERS-
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. -CORRECT ANSWERS- 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. -CORRECT
ANSWERS- 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 number of those who use it do not become
physically dependent on it. An estimated 10% of those who use it become dependent. -CORRECT
ANSWERS- Alcohol
sedative and hypnotic agents which are non-barbiturate or non-benzodiazepines, including Quaaludes,
Ambien (Zolpidem), and Lunesta (Eszopiclone). -CORRECT ANSWERS- Other Sedative-Hynotics
Drugs that cause sedation and euphoria by causing depression of the central nervous system. -CORRECT
ANSWERS- Narcotics or Opiates/Opioids
Used medically to relieve pain, suppress cough and control diarrhea, as well as some anxiety relief. -
CORRECT ANSWERS- Narcotics or Opiates/Opioids
CORRECT ANSWERS 2026/202
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). -CORRECT ANSWERS- 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. -CORRECT ANSWERS- 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. -CORRECT ANSWERS- 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. -CORRECT ANSWERS- Screening
When a client screens positive for substance abuse, trauma-related symptoms, or mental health
disorders, the counselor should follow up with a comprehensive _______________________ -CORRECT
ANSWERS- Assessment
This process should reoccur throughout treatment, to provide valuable information and details as
client's trust in staff members grow and progress occurs. -CORRECT ANSWERS- 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 -CORRECT ANSWERS- CBT
a manualized 12-session treatment approach which can be administered in group or individual practice,
which involves Exposure Therapy. -CORRECT ANSWERS- 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. -CORRECT ANSWERS- 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. -CORRECT ANSWERS-
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. -CORRECT ANSWERS- 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. -CORRECT
ANSWERS- 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 number of those who use it do not become
physically dependent on it. An estimated 10% of those who use it become dependent. -CORRECT
ANSWERS- Alcohol
sedative and hypnotic agents which are non-barbiturate or non-benzodiazepines, including Quaaludes,
Ambien (Zolpidem), and Lunesta (Eszopiclone). -CORRECT ANSWERS- Other Sedative-Hynotics
Drugs that cause sedation and euphoria by causing depression of the central nervous system. -CORRECT
ANSWERS- Narcotics or Opiates/Opioids
Used medically to relieve pain, suppress cough and control diarrhea, as well as some anxiety relief. -
CORRECT ANSWERS- Narcotics or Opiates/Opioids
