LCDC 2026 QUESTIONS AND ANSWERS SURE
A+
✔✔A productive group therapeutic engages deep issues in many individuals with
remedial or neglected issues. This may at times induce regression. How is regression
defined? - ✔✔Reverting to an (infantile) developmental level
✔✔Substance abuse affects not only the user but the family as well. What are
intergenerational affects most commonly caused by? - ✔✔Compensating issues
needed to cope with addictive dysfunction.
✔✔HIV remains a profound problem in the U.S. What approximate percentage of all
HIV cases are found among females in this country? - ✔✔25% percent
✔✔Members of the lesbian, gay, bisexual & transgender (LGBT) community face many
challenges, including issues of discrimination. Regarding substance abuse as compared
with the general population, how is the LGBT community likely to act? - ✔✔They're
More Likely to use alcohol or drugs
✔✔Although most individuals with cognitive & physical disabilities desire to work, many
are unable to do so. In consequence, as related to substance abuse & the general
population, how is this population likely to act? - ✔✔They're More likely to use alcohol or
drugs
✔✔The number of older adults is rapidly increasing in the U.S. & worldwide. As a group,
when receiving appropriate treatment for substance abuse, how are older adults likely to
act? - ✔✔They're less likely to continue to use alcohol or drugs
✔✔The likelihood of developing a substance abuse disorder fluctuates throughout the
life course. What is the most likely period in life for a substance abuse problem to
begin? - ✔✔Adolescence
,✔✔Research reveals that science-validated community and school prevention
programs do work. List 3 youth prevention substance abuse programs: - ✔✔1.
Universal
2. Selective
3. Indicated
✔✔Proper program and progress documentation is necessary for a great variety of
reasons.
List 2. - ✔✔1.To Ensure treatment plan is accurate & compliant
2.To Ensure agency funding & prevent losing money
✔✔Accurate documentation & reports are necessary if effective treatment & recovery
plans are to be developed & implemented. List 3 fundamental assessment information
to obtain at intake: - ✔✔1.Substance abuse history & use patterns
2.Mental health & psychiatric treatment history
3.Physiological health & medical history
✔✔Treatment & recovery plans must remain current & effective for optimal client
progress and well-being. Consequently, how often are treatment plans typically
updated? - ✔✔Every (30-90) days or when changes occur
✔✔What is the key difference between a current treatment plan and a current progress
note? - ✔✔The treatment plan provides an action blueprint, and the progress note
captures what (did or didn't) happen.
✔✔Accurate records are the basis for the treatment plan and measuring client progress.
If something is entered in a client record in error, what is the proper response? - ✔✔Put
a line through it, correct it, then initial & date it.
✔✔Clients actively in a treatment program need regular chart entries. Typically, state
requirements mandate an updating entry no less often than - ✔✔Weekly
✔✔If a client leaves a treatment program early or involuntarily, how is the written
discharge summary affected? - ✔✔It is completed as usual
✔✔What are the KEY exceptions regarding client confidentiality in (The Code of Federal
regulations, Title 42, Part 2) ? - ✔✔1. Written releases of information
2. Emergency medical situations
3. Other agencies working with a client
4. Mandate reports
5. Qualified researchers w/limited conditions
6. Crime on site or against staff
7. Court order or subpoena (if meets criteria)
,✔✔(The Code of Federal regulations, Title 42, Part 2, Subpart E), addresses situations
where law enforcement or courts can breach client confidentiality. What is a subpoena
signed by a judge? - ✔✔It's insufficient, unless there's a hearing to determine if crime is
serious enough to warrant breaching confidentiality.
✔✔Clients with an extensive substance abuse history often struggle with impulse
control & anger. If a client becomes verbally agitated, or angry with a counselor, what is
the best response? - ✔✔Validate client affect but not the client expression (if
threatening)
✔✔Many substance abusing clients suffer from high impulsivity. If a client begins to act
out inappropriately, what is an ideal grounding technique? - ✔✔(Anchoring) exercises
✔✔Clients with a history of abuse have a tendency to place themselves in situations in
which further abuse is likely, particularly an unsafe relationship. If this occurs, what is
the counselor's best response? - ✔✔Coach them to explore the situation, and the risk, &
self-endangerment issues.
✔✔A counselor finds herself treating a perpetrator of incest abuse. A survivor of past
abuse herself, the counselor finds this deeply disturbing. What would be her Best
response? - ✔✔Refer client to a counselor
that is more comfortable with client
✔✔In providing services, an agency needs to maintain a vision of purpose & important
objectives. What is the most significant mission? - ✔✔To break the cycle of abuse &
neglect &
The negative impact on others.
✔✔What are withdrawal symptoms, characterized by severe flu-like symptoms (nausea,
vomiting, runny nose, watery eyes, chills, abdominal cramps, anorexia,weakness,
tremors, sweating etc) most characteristic of? - ✔✔Opiod withdrawal
✔✔What does (MAST) stand for & what is it? - ✔✔(Michigan Alcohol Screening Test)
25 question instrument used to assess severity of a client's Alcohol Abuse problem.
(oldest & most accurate)
✔✔What does (URICA) stand for & what is it? - ✔✔(University of Rohode Island
Change Assessment) Measures the stages of change: (Precontemplation,
Contemplation, Action, and Maintenance.
✔✔People enter treatment for what reasons? - ✔✔1.cuz they want for relief from
substance use
2.cuz they want to modify substance abuse
3.cuz they want to keep a job or a marriage
, 4.cuz they're uncertain about what they want
5.cuz they really really want to change
✔✔True or false? Anabolic steroids engage both opiod and dopamine
neurotransmission systems in the brain. - ✔✔true
✔✔What is Adderall? - ✔✔An AdHd treatment drug that boosts cognitive performance.
It contains amphetamine salts that increase dopamine and norepinephrine levels in the
brain.
✔✔What is Provigil? - ✔✔A stimulant used to treat sleep disorders.
✔✔What is Fetal Alcohol Syndrome? - ✔✔An alcohol abuse syndrome occurring during
pregnancy that causes facial/head deformities, mental retardation, heart defects, &
stunted growth.
✔✔What are the withdrawal symptoms for hallucinogens or psychedelics? - ✔✔no
symptoms, (just flashbacks of trips).
✔✔What are the withdrawal symptoms for barbiturates? - ✔✔insomnia
anxiety
delirium
tremors
possible (convulsions, seizures, and death)
✔✔What are the withdrawal symptoms for benzodiazepines? - ✔✔(less severe)
insomnia
anxiety
delirium
tremors
possible (convulsions & seizures)
✔✔What are the withdrawal symptoms for Opiods like (heroine, morphine, codeine)? -
✔✔(Flu like)
Excessive (yawning)
nausea
vomiting
runny nose
chills
cramps
anorexia
weakness
tremors
sweating
panic
A+
✔✔A productive group therapeutic engages deep issues in many individuals with
remedial or neglected issues. This may at times induce regression. How is regression
defined? - ✔✔Reverting to an (infantile) developmental level
✔✔Substance abuse affects not only the user but the family as well. What are
intergenerational affects most commonly caused by? - ✔✔Compensating issues
needed to cope with addictive dysfunction.
✔✔HIV remains a profound problem in the U.S. What approximate percentage of all
HIV cases are found among females in this country? - ✔✔25% percent
✔✔Members of the lesbian, gay, bisexual & transgender (LGBT) community face many
challenges, including issues of discrimination. Regarding substance abuse as compared
with the general population, how is the LGBT community likely to act? - ✔✔They're
More Likely to use alcohol or drugs
✔✔Although most individuals with cognitive & physical disabilities desire to work, many
are unable to do so. In consequence, as related to substance abuse & the general
population, how is this population likely to act? - ✔✔They're More likely to use alcohol or
drugs
✔✔The number of older adults is rapidly increasing in the U.S. & worldwide. As a group,
when receiving appropriate treatment for substance abuse, how are older adults likely to
act? - ✔✔They're less likely to continue to use alcohol or drugs
✔✔The likelihood of developing a substance abuse disorder fluctuates throughout the
life course. What is the most likely period in life for a substance abuse problem to
begin? - ✔✔Adolescence
,✔✔Research reveals that science-validated community and school prevention
programs do work. List 3 youth prevention substance abuse programs: - ✔✔1.
Universal
2. Selective
3. Indicated
✔✔Proper program and progress documentation is necessary for a great variety of
reasons.
List 2. - ✔✔1.To Ensure treatment plan is accurate & compliant
2.To Ensure agency funding & prevent losing money
✔✔Accurate documentation & reports are necessary if effective treatment & recovery
plans are to be developed & implemented. List 3 fundamental assessment information
to obtain at intake: - ✔✔1.Substance abuse history & use patterns
2.Mental health & psychiatric treatment history
3.Physiological health & medical history
✔✔Treatment & recovery plans must remain current & effective for optimal client
progress and well-being. Consequently, how often are treatment plans typically
updated? - ✔✔Every (30-90) days or when changes occur
✔✔What is the key difference between a current treatment plan and a current progress
note? - ✔✔The treatment plan provides an action blueprint, and the progress note
captures what (did or didn't) happen.
✔✔Accurate records are the basis for the treatment plan and measuring client progress.
If something is entered in a client record in error, what is the proper response? - ✔✔Put
a line through it, correct it, then initial & date it.
✔✔Clients actively in a treatment program need regular chart entries. Typically, state
requirements mandate an updating entry no less often than - ✔✔Weekly
✔✔If a client leaves a treatment program early or involuntarily, how is the written
discharge summary affected? - ✔✔It is completed as usual
✔✔What are the KEY exceptions regarding client confidentiality in (The Code of Federal
regulations, Title 42, Part 2) ? - ✔✔1. Written releases of information
2. Emergency medical situations
3. Other agencies working with a client
4. Mandate reports
5. Qualified researchers w/limited conditions
6. Crime on site or against staff
7. Court order or subpoena (if meets criteria)
,✔✔(The Code of Federal regulations, Title 42, Part 2, Subpart E), addresses situations
where law enforcement or courts can breach client confidentiality. What is a subpoena
signed by a judge? - ✔✔It's insufficient, unless there's a hearing to determine if crime is
serious enough to warrant breaching confidentiality.
✔✔Clients with an extensive substance abuse history often struggle with impulse
control & anger. If a client becomes verbally agitated, or angry with a counselor, what is
the best response? - ✔✔Validate client affect but not the client expression (if
threatening)
✔✔Many substance abusing clients suffer from high impulsivity. If a client begins to act
out inappropriately, what is an ideal grounding technique? - ✔✔(Anchoring) exercises
✔✔Clients with a history of abuse have a tendency to place themselves in situations in
which further abuse is likely, particularly an unsafe relationship. If this occurs, what is
the counselor's best response? - ✔✔Coach them to explore the situation, and the risk, &
self-endangerment issues.
✔✔A counselor finds herself treating a perpetrator of incest abuse. A survivor of past
abuse herself, the counselor finds this deeply disturbing. What would be her Best
response? - ✔✔Refer client to a counselor
that is more comfortable with client
✔✔In providing services, an agency needs to maintain a vision of purpose & important
objectives. What is the most significant mission? - ✔✔To break the cycle of abuse &
neglect &
The negative impact on others.
✔✔What are withdrawal symptoms, characterized by severe flu-like symptoms (nausea,
vomiting, runny nose, watery eyes, chills, abdominal cramps, anorexia,weakness,
tremors, sweating etc) most characteristic of? - ✔✔Opiod withdrawal
✔✔What does (MAST) stand for & what is it? - ✔✔(Michigan Alcohol Screening Test)
25 question instrument used to assess severity of a client's Alcohol Abuse problem.
(oldest & most accurate)
✔✔What does (URICA) stand for & what is it? - ✔✔(University of Rohode Island
Change Assessment) Measures the stages of change: (Precontemplation,
Contemplation, Action, and Maintenance.
✔✔People enter treatment for what reasons? - ✔✔1.cuz they want for relief from
substance use
2.cuz they want to modify substance abuse
3.cuz they want to keep a job or a marriage
, 4.cuz they're uncertain about what they want
5.cuz they really really want to change
✔✔True or false? Anabolic steroids engage both opiod and dopamine
neurotransmission systems in the brain. - ✔✔true
✔✔What is Adderall? - ✔✔An AdHd treatment drug that boosts cognitive performance.
It contains amphetamine salts that increase dopamine and norepinephrine levels in the
brain.
✔✔What is Provigil? - ✔✔A stimulant used to treat sleep disorders.
✔✔What is Fetal Alcohol Syndrome? - ✔✔An alcohol abuse syndrome occurring during
pregnancy that causes facial/head deformities, mental retardation, heart defects, &
stunted growth.
✔✔What are the withdrawal symptoms for hallucinogens or psychedelics? - ✔✔no
symptoms, (just flashbacks of trips).
✔✔What are the withdrawal symptoms for barbiturates? - ✔✔insomnia
anxiety
delirium
tremors
possible (convulsions, seizures, and death)
✔✔What are the withdrawal symptoms for benzodiazepines? - ✔✔(less severe)
insomnia
anxiety
delirium
tremors
possible (convulsions & seizures)
✔✔What are the withdrawal symptoms for Opiods like (heroine, morphine, codeine)? -
✔✔(Flu like)
Excessive (yawning)
nausea
vomiting
runny nose
chills
cramps
anorexia
weakness
tremors
sweating
panic
