LCAS Exam - NC UPDATED ACTUAL Questions and
CORRECT Answers
Methadone 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 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 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 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 When a client screens positive for substance abuse, trauma-related symptoms, or
mental health disorders, the counselor should follow up with a comprehensive
_______________________
Assessment This process should reoccur throughout treatment, to provide valuable information
and details as client's trust in staff members grow and progress occurs.
CBT 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 a manualized 12-session treatment approach which can be administered in group or
individual practice, which involves Exposure Therapy.
Exposure 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.
Experimental and Social Use of Drugs and Alcohol (stage occasional - perhaps a few times monthly, usually on weekends or at parties with
1) friends. May use when alone. Little to no behavioral changes, occasional, moderate
hangover.
, Abuse of Drugs and Alcohol (stage 2) 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) 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 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 sedative and hypnotic agents which are non-barbiturate or non-benzodiazepines,
including Quaaludes, Ambien (Zolpidem), and Lunesta (Eszopiclone).
Narcotics or Opiates/Opioids Drugs that cause sedation and euphoria by causing depression of the central
nervous system.
Narcotics or Opiates/Opioids Used medically to relieve pain, suppress cough and control diarrhea, as well as
some anxiety relief.
Narcotics or Opiates/Opioids Overdose can cause death by respiratory depression
Semi-synthetic Opiates Hydromorphone (Dilaudid), Oxycodone, Heroin
Synthetic Narcotics Demerol, Methadone, Buprenorphine, Propoxyphene (Darvone) Pentazocine
(Talwin), OxyContin
Opiate Agonist These drugs can be substituted for the drug of abuse to provide a more
controllable form of addiction. Using them alleviates many withdrawal symptoms. It
acts similarly to opiates, and bonds with an opiate receptor to trick the brain and
take the place of an opiate. Substitution Therapy. Ex. Methadone, Clonidine.
Opiate Antagonist A drug which occupies the same space in the receptor, but does not produce the
same effects. This type of drug blocks the opiate receptor so that it blocks the
effects of opiates. Non-addictive. Example. Naltrexone (Revia, Vivitrol), Naloxone,
and Buprenorphine is a partial agonist can act as both agonist and antagonist
Inhalant Solvents, aerosols, gases, and nitrates which can act as Central Nervous System
depressants. Can create similar effect to alcohol intoxication. Can cause physical
and psychological dependence. Risk of immediate death. OTC so tend to be abused
by adolescent population.
CORRECT Answers
Methadone 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 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 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 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 When a client screens positive for substance abuse, trauma-related symptoms, or
mental health disorders, the counselor should follow up with a comprehensive
_______________________
Assessment This process should reoccur throughout treatment, to provide valuable information
and details as client's trust in staff members grow and progress occurs.
CBT 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 a manualized 12-session treatment approach which can be administered in group or
individual practice, which involves Exposure Therapy.
Exposure 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.
Experimental and Social Use of Drugs and Alcohol (stage occasional - perhaps a few times monthly, usually on weekends or at parties with
1) friends. May use when alone. Little to no behavioral changes, occasional, moderate
hangover.
, Abuse of Drugs and Alcohol (stage 2) 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) 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 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 sedative and hypnotic agents which are non-barbiturate or non-benzodiazepines,
including Quaaludes, Ambien (Zolpidem), and Lunesta (Eszopiclone).
Narcotics or Opiates/Opioids Drugs that cause sedation and euphoria by causing depression of the central
nervous system.
Narcotics or Opiates/Opioids Used medically to relieve pain, suppress cough and control diarrhea, as well as
some anxiety relief.
Narcotics or Opiates/Opioids Overdose can cause death by respiratory depression
Semi-synthetic Opiates Hydromorphone (Dilaudid), Oxycodone, Heroin
Synthetic Narcotics Demerol, Methadone, Buprenorphine, Propoxyphene (Darvone) Pentazocine
(Talwin), OxyContin
Opiate Agonist These drugs can be substituted for the drug of abuse to provide a more
controllable form of addiction. Using them alleviates many withdrawal symptoms. It
acts similarly to opiates, and bonds with an opiate receptor to trick the brain and
take the place of an opiate. Substitution Therapy. Ex. Methadone, Clonidine.
Opiate Antagonist A drug which occupies the same space in the receptor, but does not produce the
same effects. This type of drug blocks the opiate receptor so that it blocks the
effects of opiates. Non-addictive. Example. Naltrexone (Revia, Vivitrol), Naloxone,
and Buprenorphine is a partial agonist can act as both agonist and antagonist
Inhalant Solvents, aerosols, gases, and nitrates which can act as Central Nervous System
depressants. Can create similar effect to alcohol intoxication. Can cause physical
and psychological dependence. Risk of immediate death. OTC so tend to be abused
by adolescent population.
